What Do Nasal Passages Look Like Inside?

The nasal passages represent the initial chamber of the respiratory tract, serving as the gateway for the air we breathe. They are not a simple, open tube, but a complex, convoluted structure designed to process and condition inhaled air. Specialized architecture and tissue layers work together to filter, warm, and humidify air before it proceeds to the lungs. Understanding the anatomy reveals a sophisticated chamber that protects the lower respiratory system.

The Internal Landscape: Septum and Turbinates

The nasal cavity is divided down the center into two mirrored passages by a thin, upright partition called the nasal septum. This septum is composed of both bone and cartilage, with the flexible cartilage forming the anterior, or front, portion of the wall. While the septum ideally runs straight down the midline, a subtle deviation to one side is common, affecting a large percentage of the adult population.

Along the outer wall of each passage are three sets of curved, shelf-like bony structures known as turbinates, or conchae. These structures, named the inferior, middle, and superior turbinates, dramatically increase the surface area within the passage. They force the inhaled air into a turbulent, winding pathway instead of a direct, linear flow.

The inferior turbinate is the largest of the three, playing a significant role in conditioning airflow. The turbinates force the air to swirl and contact the walls, maximizing exposure to the specialized lining tissue. This ensures that air is properly scrubbed of particles and prepared for the lungs.

The Protective Layer: Mucus and Cilia

The internal passages are covered by a specialized tissue known as the respiratory mucosa. This lining contains a dense network of blood vessels just beneath the surface. This vascular supply rapidly warms the air to nearly body temperature as it passes through.

The mucosal surface is coated in a sticky layer of mucus, a fluid produced by goblet cells and seromucosal glands. This mucus, composed primarily of water, salts, and glycoproteins, acts as a continuous trap for dust, pollutants, and pathogens. This layer ensures that foreign particles are captured immediately upon entering the passages.

The epithelial cells of the mucosa are equipped with thousands of tiny, hair-like projections called cilia. These cilia beat in a coordinated, rhythmic fashion. This synchronized movement creates a conveyor belt known as the mucociliary escalator, which continuously sweeps the debris-filled mucus layer backward toward the throat, where it is swallowed.

The Olfactory Highway and Sinus Connections

High up within the nasal passages, covering the roof and the upper surface of the superior turbinate, lies the specialized olfactory epithelium. This relatively small area is the sensory tissue responsible for the sense of smell. It contains bipolar olfactory receptor neurons that feature non-motile cilia designed to bind with odor molecules. This tissue is distinct from the respiratory mucosa below it, dedicated solely to chemical detection.

When odorants are inhaled, they travel up this “olfactory highway” where they dissolve in the thin fluid layer coating the epithelium. This allows the receptors to detect the chemical signals.

The nasal passages are the central hub for the four pairs of paranasal sinuses, which are hollow, air-filled cavities within the skull bones. These sinuses connect to the nasal passages through small openings called ostia. The ostia are necessary for the sinuses to drain their mucus into the nasal passage for clearance.

Sinus Drainage Points

  • The frontal, maxillary, and anterior ethmoid sinuses drain into the middle meatus, the space beneath the middle turbinate.
  • The posterior ethmoid and sphenoid sinuses drain their secretions into the superior meatus and the sphenoethmoidal recess.