Ethmoid
bone
This voluminous but featherweight
bone comprises much of the roof of the nose,
contributing minimally to the floor of the anterior
cranial fossa and to the medial walls of the orbits
and thus part of the lateral wall of the nose.
The perpendicular plate forms part of the bony
nasal septum and projects above into the floor of the anterior cranial
fossa as the crista galli. The most important
point to note is that the olfactory nerves enter
the nose through the cribriform plate,
the foramina allowing contact with the dura above and the nasal periosteum
below. The olfactory nerves, being an extension
of the brain, do not regenerate after division as
is the case with a peripheral nerve, and post traumatic anosmia
will therefore be permanent. The dura and
nasal
mucoperiosteum are also almost in contact over the roof of the superior
ethmoid air sinuses. Any fracture
involving these areas is liable to open the nasal cavity to the subarachnoid
space, thus leading to cerebrospinal fluid rhinorrhoea
and
the opportunity for meningeal infection. |