10: Anatomy - tasting, chewing and swallowing Flashcards
Which cranial nerve and division supplies the muscles of mastication?
Mandibular division of the trigeminal nerve - CN V3
What are the four muscles of mastication?
Masseter
Temporalis
Medial and lateral pterygoids
larp - rotation of left and right vagus nerves into plexus around oesophagus
Which muscles of mastication close the jaw?
Masseter
Temporalis
Medial pterygoid
Which muscle of mastication opens the jaw?
Lateral pterygoid
What is the origin and insertion of the temporalis?
Origin: CORONOID PROCESS of the mandible
Insertion: TEMPORAL FOSSA of the temporal bone
What is the origin and insertion of the masseter?
Origin: ANGLE of the mandible
Insertion: ZYGOMATIC ARCH
What is the origin and insertion of the lateral pterygoid?
Origin: CONDYLAR PROCESS of the mandible
Insertion: PTERYGOID PLATES of the sphenoid bone
What is the origin and insertion of the medial pterygoid?
Origin: ANGLE of the mandible
Insertion: PTERYGOID PLATES of the sphenoid bone
What is the only cranial nerve to attach to the pons?
CN V - Trigeminal nerve
What is the third division of the trigeminal nerve?
Mandibular division - CN V3
What does the mandibular division of the trigenimal nerve supply the mandible with?
Motor and sensory nerves
Which hole, in the middle cranial fossa, transmits CN V3?
Which bone is this hole found in?
Foramen ovale
Sphenoid bone
What is the superior projection of vertebrae C2 called?
Dens / Odontoid process
What is the proper name for the gums, found inferior to the lower dental arch?
Gingiva
The tongue is split into an ___ 2/3rds and a ___ 1/3rd.
anterior 2/3rds
posterior 1/3rd
The posterior of the tongue is (horizontal / vertical).
vertical
Which cranial nerve provides general sensation (not taste) for the anterior 2/3rds of tongue?
CN V3
Mandibular division of the trigeminal nerve
Which cranial nerve provides taste for the anterior 2/3rds of tongue?
CN VII
Facial nerve
Which cranial nerve provides general sensation and taste for the posterior 1/3rd of tongue?
CN IX
Glossopharyngeal nerve
Which canal, just anterior to the jugular foramen, in the posterior cranial fossa, transmits the facial nerve (CN VII)?
Internal acoustic meatus
Which hole is the termination of the facial canal and carries the facial nerve back into the cranial cavity?
Stylomastoid foramen
CN VII (the facial nerve) supplies the muscles of facial expression. What is an example?
What else, GI-related, does the facial nerve supply?
Orbicularis oris (stops dribbling during eating)
Taste to anterior 2/3rds of tongue
Salivary glands (sublingual / submandibular)
Which branch of CN VII connects it to CN V3 so it can travel to the mandible and supply the salivary glands found there?
Chorda tympani
Which cranial nerve supplies the general sensation for the inferior part of the oral cavity?
CN V3
Mandibular division of the trigeminal nerve
Which cranial nerve supplies the superior half of the oral cavity for general sensation?
CN V2
Maxillary division of the trigeminal nerve
What is the gag reflex?
Protective reflex which prevents foreign bodies (i.e stuff you don’t want to eat) from entering the larynx or pharynx
Which cranial nerve supplies the sensory fibres for the gag reflex?
CN IX
Glossopharyngeal nerve
Which cranial nerveS supply the motor fibres for the gag reflex?
CN IX, X
Glossopharyngeal nerve
Vagus nerve
Why is anaesthetic required to perform endoscopy?
Insertion of endoscope into oral cavity would trigger gag reflex
Anaesthetic blocks cranial nerves responsible for gag reflex
What is CN V2?
MAXILLARY division of the trigeminal nerve
Name CN V2 and V3.
V2 - maxillary division of the trigeminal nerve
V3 - mandibular division of “”
Which hole in the sphenoid bone does CN V2 pass through?
Foramen rotundum
Which cranial nerve connects with the medulla and is involved in the sensory AND motor part of the gag reflex?
CN IX
Glossopharyngeal nerve
Which holes, found near the foramen magnum, does CN IX pass through?
Jugular foramen
What are the three pairs of salivary glands found in the oral cavity?
Parotid glands
Submandibular glands
Sublingual glands
Where does the parotid duct secrete saliva in the oral cavity?
Upper 2nd molars
Which duct, found in the floor of the mouth, secretes saliva from the submandibular gland?
Lingual caruncle
Which cranial nerve supplies the parotid glands?
CN IX
Glossopharyngeal nerve
Which cranial nerve supplies the submandibular and sublingual salivary glands?
CN VII
Facial nerve
Which cranial nerve supplies the tongue muscles?
Which tongue muscle is the only exception?
CN XII - Hypoglossal nerve
Palatoglossus
Most muscles of the tongue are supplied by the ___ nerve.
hypoglossal
CN XII
Which type of voluntary muscles are found in the pharynx?
Constrictor muscles
Which cranial nerve supplies the constrictor muscles of the pharynx?
CN X
Vagus nerve
What is a raphe?
Ridge of continuous tissue (basically a big line of connections)
Which structure acts as the origin and insertion for the pharyngeal constrictor muscles?
Pharyngeal raphe
Which muscles, found in the pharynx, constrict to shorten the pharynx and close the larynx during swallowing?
Longitudinal muscles
Is the initiation of swallowing voluntary or involuntary?
Voluntary
After the initiation, is swallowing voluntary or involuntary?
Involuntary
All or nothing process
What is the upper oesophageal sphincter also known as?
Cricopharyngeus muscle
Do parasympathetics speed up peristalsis or slow it down?
Speed up peristalsis
Do sympathetics speed up peristalsis or slow it down?
Slow down peristalsis
At which vertebral level is the cricopharyngeus found?
C6
At which vertebral level does the oesophagus start?
C6
i.e the level of the cricopharyngeus
Which heart chamber is the oesophagus in contact with?
Left atrium
Why can left atrial hypertrophy cause dysphagia?
Left atrium is contact with oesophagus, hypertrophy causes compression
Is the lower oesophageal sphincter an anatomical structure?
No
Which muscle’s contraction forms the lower oesophageal sphincter?
Diaphragm
What may occur if the lower oesophageal sphincter fails?
Acid reflux
What name is given to the abrupt change in the type of mucosa lining the oesophagus, just before the lower oesophageal sphincter?
Z line