Nasal Vestibule
The nasal vestibule (Vestibulum nasi) is located beneath the nares and serves as the transition zone between external skin and the internal mucosa.
- Wall structure: Identical to skin.
- Epithelium: Keratinized stratified squamous epithelium.
- Connective tissue: Contains sebaceous glands and hair follicles (vibrissae).
- Support: Supported by the alar cartilage and nasal septal cartilage.
Nasal Cavity Proper
The nasal cavity proper (Cavitas nasi propria) is lined by a mucous membrane. The epithelium transitions here into pseudostratified ciliated columnar (respiratory) epithelium. A submucosa is absent; the lamina propria is tightly fused with the periosteum or perichondrium, forming a mucoperiosteum.
The lamina propria consists of loose connective tissue rich in elastic fibers and immune cells (plasma cells, mast cells). Alveolartubular mucous glands are also located here.
Cells of the Respiratory Region
The respiratory region is located along the inferior and middle nasal conchae. The pseudostratified ciliated columnar epithelium comprises five major cell types:
- Ciliated cells: Span the entire layer from the basement membrane to the lumen. Their apical surface bears up to 250 cilia (3–5 µm long). Synchronized ciliary beating (10–20 Hz) drives mucociliary clearance.
- Goblet cells: Unicellular glands that synthesize mucus rich in glycosaminoglycans.
- Microvillar (brush) cells: Perform absorption and chemosensory functions.
- Basal (short intercalated) cells: Stem cells resting on the basement membrane that drive epithelial regeneration.
- Langerhans cells: Tissue macrophages that act as antigen-presenting cells.
Olfactory Region and Vascularization
The olfactory region (Regio olfactoria) is located in the superior nasal conchae. The key components of this zone are olfactory receptor neurons, whose axons project directly into the central nervous system (olfactory bulb).
Vascularization of the nasal cavity has unique features. The mucosa contains cavernous plexuses consisting of true arteriovenous anastomoses. When these open, blood fills the caverns while bypassing capillaries, causing rapid mucosal swelling. Clinically, this manifests as nasal congestion.