Anatomy Flashcards
Embryology: Pharyngeal Arches - Develop when?
Weeks 4 and 5
Embryology: Pharyngeal Arches - Arch 1 develops when?
Day 22
Embryology: Pharyngeal Arches - Arch 2 and 3 develop when?
Day 24
Embryology: Pharyngeal Arches - Arch 4 and 6 develop when?
Day 29
Embryology: Pharyngeal Arches - 3 main components
Core pharyngeal arch
External pharyngeal cleft
Internal pharyngeal pouch
Embryology: Pharyngeal Arches - Core pharyngeal arch is derived from what?
Mesenchymal tissue
Embryology: Pharyngeal Arches - External pharyngeal cleft is derived from what?
Ectoderm
Embryology: Pharyngeal Arches - Internal pharyngeal pouch is derived from what?
Endoderm
Embryology: Pharyngeal Arches - The core of mesenchyme for the core arch is derived from what?
Paraxial and lateral plate mesoderm
Embryology: Pharyngeal Arches - Core Pharyngeal Arch mesoderm forms what?
Musculature of the head and neck
Embryology: Pharyngeal Arches - Neural crest cells form what? (2)
Connective tissues
Smooth muscles
Embryology: Pharyngeal Arches - Cranial nerve component forms what?
Sensory and motor innervation
Embryology: 1st Arch - Cranial portion is called what?
Maxillary process
Embryology: 1st Arch - Maxillary process forms what skeletal derivatives? (2)
Maxilla
Zygomatic bone
Embryology: 1st Arch - Caudal portion is called what skeletal derivatives?
Mandibular process
Embryology: 1st Arch - Manibular process forms what skeletal derivatives? (5)
Meckel’s Cartilage
Incus
Malleus
Mandible
Squamous portion of the temporal bone
Embryology: 1st Arch - Meckel’s Cartilage function
Stimulates the bone formation of the mandible
Embryology: 2nd Arch - Cartilage of this arch is caused what?
Reichert’s Cartilage
Embryology: 2nd Arch - What skeletal derivatives does it form? (5)
Stapes
Styloid process of the temporal bone
Stylohyoid ligament
Lesser horn of Hyoid Bone
Upper part of the Hyoid body
Embryology: 3rd Arch - Forms what skeletal derivatives? (2)
Greater horn
Lower part of the hyoid bone
Embryology: 4th and 6th Arches - Form what skeletal derivatives?
Laryngeal Cartilages
Embryology: Neural Derivative of 1st arch
Trigeminal Nerve (CN V) - Maxillary and Mandibular Divisions
Embryology: Neural Derivative of 2nd arch
Facial Nerve (CN VII)
Embryology: Neural Derivative of 3rd Arch
Glossopharyngeal Nerve (CN IX)
Embryology: Neural Derivative of 4th and 6th Arches
Vagus Nerve:
- 4th Superior Laryngeal Branch
- 6th Inferior Laryngeal Branch
Embryology: Muscular Derivatives of 1st arch (5)
Muscles of mastication
Anterior belly of the digastric
Mylohyoid
Tensor tympani
Tensor veli palatini
Embryology: Muscular Derivatives of 2nd arch (5)
Muscles of facial expression
Posterior belly of digastric
Stylohyoid
Stapedius
Auricular muscles
Embryology: Muscular Derivative of 3rd Arch
Stylopharyngeus - elevates the pharynx during swallowing
Embryology: Muscular Derivatives of 4th and 6th Pharyngeal Arches (5)
Levator veli palatini
Salpingopharyngeus
Palatoglossus
Palatopharyngeus
3 pharyngeal constrictors
Intrinsic muscles of the larynx - only one from arch 6
Cervical cysts and fistulas are found where?
Along the anterior border of the sternocleidomastoid
Embryology: Muscular Derivatives of 1st arch are supplied by what nerve?
CN IV - Trigeminal Nerve 3
Embryology: Muscular Derivatives of 2nd arch are supplied by what nerve?
CN VII - Facial Nerve
Embryology: Muscular Derivatives of 3rd arch are supplied by what nerve?
CN IX - Glossopharyngeal Nerve
Embryology: Muscular Derivatives of 4th and 6th Arches are supplied by what nerve?
CN X - Vagus Nerve
Pharyngeal Clefts: What type of structure is this?
External indentation
Pharyngeal Clefts: 1st cleft invaginates to give rise to what?
External Acoustic Meatus
Pharyngeal Clefts: 2nd to 4th cleft forms what?
Cervical sinus via loss of contact with periphery
Cervical Cysts and Fistulas: Why do these form?
Due to failure of obliteration of the 2nd to 4th cleft
Embryology: Pharyngeal Pouches - 1st pouch forms what? (3)
Tympanic membrane
Middle ear
Eustachian tube
Embryology: Pharyngeal Pouches - 2nd pouch forms what?
Palatine tonsil
Embryology: Pharyngeal Pouches - 3rd pouch forms what? (2)
Superior portion forms inferior parathyroid gland
Inferior portion forms the Thymus
Embryology: Pharyngeal Pouches - 4th pouch forms what? (2)
Superior parathyroid gland
Ultimobranchial body - Thyroid gland C-cells
Embryology: The Tongue - Usually develops when?
Week 4
Embryology: The Tongue - In week 4 appears in what form
Two lateral lingual swellings joined by the tuberculum impar and a midline swelling
Embryology: The Tongue - After 4 weeks what develops?
The copula and epiglottal midline swellings
Embryology: The Tongue - Anterior mucosa is derived from what?
CN V3
Embryology: The Tongue - Posterior mucosa is derived from what?
CN IX
Embryology: The Tongue - Myoblasts originate from where?
Occipital somites
Embryology: The Tongue - Myoblasts receive innervation from what?
CN XII
Embryology: The Tongue - Developed from what pharyngeal arches?
1st and 3rd pharyngeal arches
Embryology: The Thyroid Gland - Migrates down what?
Thyroglossal duct
Embryology: The Thyroid Gland - What may remain as a remnant? (3)
Pyramidal lobe
Thyroglossal cysts
Foramen cecum
Embryology: Facial Features - Ventral Facial Features develop from what?
Pharyngeal arches 1 and 2
Embryology: Facial Features - Upper and Mid-Facial Structures develop from what?
Proliferating mesenchyme ventral to the developing brain
Embryology: Facial Swellings - Week 4 has how many swellings present - and what are they?
5 - Frontonasal prominence, Maxillary Prominence (x 2) and Mandibular Prominence (x2)
Embryology: Facial Swellings - Week 5 has how many swellings present - and what are they?
4 - Medial Nasal swellings (x 2) and Lateral Nasal Swellings (x 2)
Embryology: Facial Swellings - In week 7 what develops?
Nasolacrimal gland
Embryology: Facial Swellings - Nasolacrimal gland is located where?
Between the maxillary prominence and the lateral nasal prominence
Stomodeum
Primitive membrane that surrounds the primitive oral cavity
What forms the nasal placodes?
Ectodermal thickenings on the frontonasal prominence
Embryology: Nasolacrimal Groove - At week 7 what happens to the nasolacrimal groove?
Invaginates to form the solid epithelial cord in the floor of the groove
Embryology: Nasolacrimal Groove - What eventually happens to the solid epithelial cord?
Detaches from the ectoderm
Embryology: Nasolacrimal Groove - What process enables formation of the nasolacrimal duct?
Canalisation
Embryology: Facial Features - Upper Lip Components (2)
2x Medial Nasal Prominences
2x Maxillary Prominences
Embryology: Facial Features - Lower Lip Component
Mandibular prominences
Embryology: Facial Features - Nasal features (3)
Frontonasal prominence - bridge and nasal septum
Medial nasal prominences - crest and tip
Lateral nasal prominences - alae (the sides)
Embryology: The Palate - Primary palate formed how?
Fusion of the medial nasal prominences to give the intermaxillary segment
Embryology: The Palate - The labial portion of the intermaxillary segment forms what?
Philtrum of the upper lip
Embryology: The Palate - The upper jaw component of the intermaxillary segment carries what?
4 incisors
Embryology: The Palate - The palatal component of the intermaxillary segment forms what?
Primary palate
Embryology: The Secondary Palate - Right and Left Palatal Shelves develop where?
Laterally and parallel to the tongue
Embryology: The Secondary Palate - Right and Left palatal shelves fuse at the centre and then do what?
Expand anteriorly and posteriorly
Embryology: The Nasal Cavities - When does development begin?
Late in the 5th week of gestation
Embryology: The Nasal Cavities - What occurs within the fifth week?
Nasal pits deepen and penetrate into the underlying mesenchyme with forward growth of the frontonasal prominence
The nasal fin connects the intermaxillary segement
Embryology: The Nasal Cavities - What occurs in the sixth week?
Nasal fin vacuolizes and thins to open the developing nasal sac
Embryology: The Nasal Cavities - What occurs early in week seven?
Nasal cavities communicate with the oral cavity via the primitive chonanae behind the primary palate
Embryology: The Nasal Cavities - What occurs late in week seven?
Definitive choanae open at junction of nasal cavity with pharynx due to formation of secondary palate
Neurocranium
Bones surrounding the brain
Viscerocranium
Bones making up the facial skeleton
Contents of the Internal Acoustic Meatus (3)
CN VII - Facial Nerve
CN VIII - Vestibulocochlear Nerve
Labyrinthine Artery and Veins
Labyrinthine artery is a branch of what?
Anterior inferior cerebellar artery of the circle of willis
The Nose: Osseocartilaginous Cavities - What are the three chambers?
Nasal vestibules
Respiratory regions
Olfactory regions
The Nose: Osseocartilaginous Cavities - Lined by what?
Mucosa
The Nose: Osseocartilaginous Cavities - The mucosa is continuous with what?
Nasal cavities - Paranasal sinuses, Lacrimal sac and Nasopharynx
Name for bridge of the nose
Dorsum
Name for top of the nose
Root
Name for most inferior part of the nose
Tip
Philtrum
Part connecting the upper lip and lower nose
Nasal Conchae: Also referred to as what?
Nasal turbinates
Nasal Conchae: Function
Causes airflow to become turbulent so spends more time in the nasal cavity before entering the lungs
Nasal Conchae: 3 projecting nasal concha
Superior nasal concha of the ethmoid bone
Middle nasal concha of the ethmoid bone
Inferior nasal concha
Nasal Conchae: What is superior and posterior to the Superior nasal concha?
Sphenoethmoidal recess
Paranasal Sinuses: How may pairs are there?
4
Paranasal Sinuses: What are the 4 paranasal sinuses?
Frontal Sinus
Ethmoidal air cells
Sphenoid sinus
Maxillary sinus
Paranasal Sinuses: Lined by what?
Respiratory epithelium
Paranasal Sinuses: Functions (2)
Reduces the weight of the skull
Assists with resonance of the voice
Paranasal Sinuses: Drainage - What two structures are inferior to the middle nasal concha and meatus? (2)
Ethmoidal Bulla
Semilunar Hiatus
Paranasal Sinuses: Drainage - Sphenoid Sinus drains into what?
Sphenoethmoidal Recess
Paranasal Sinuses: Drainage - Posterior Ethmoidal Air Cells drain into what?
Superior meatus
Paranasal Sinuses: Drainage - Frontal Sinus + Maxillary Sinus + Anterior Ethmoidal Air Cells drains into what?
Semilunar hiatus
Paranasal Sinuses: Drainage - Middle Ethmoidal Air Cells drain into what?
Ethmoidal Bulla
Paranasal Sinuses: Drainage - Nasolacrimal Duct drains into what?
Inferior meatus
The Pharynx: Function
Common pathway for air and food to form a connection between the nasal and oral cavities and the larynx and oesophagus
The Pharynx: Internally lined by what?
Mucosa
The Pharynx: Muscular arrangement
Longitudinal and circular muscles present
The Pharynx: Three components
Nasopharynx
Oropharynx
Laryngopharynx
The Pharynx: Boundary of Nasopharynx
Posterior to the nasal cavity (choanae) to the soft palate
The Pharynx: Function of the Nasopharynx
Respiratory Function
The Pharynx: Boundary of the Oropharynx
Soft palate to the superior border of the epiglottis
The Pharynx: Function of the Oropharynx
Digestive function
The Pharynx: Boundaries of the Laryngopharynx
Superior border of the epiglottis to the inferior border of the cricoid cartilage
The Pharynx: Function of the Laryngopharynx
Digestive function
The Pharynx: Piriform Fossa is a feature of what?
Laryngopharynx
The Pharynx: The lingual tonsil is a feature of what?
Oropharynx
The Pharynx: The choanae is a feature of what?
Nasopharynx
The Pharynx: The Laryngeal aditus is a feature of what?
Laryngopharynx
The Pharynx: The Palatopharyngeal and Palatoglossal arch are features of what?
Oropharynx
The Pharynx: The palatine tonsil is a feature of what?
Oropharynx
The Pharynx: The Torus tubarius is a feature of what?
Nasopharynx
The Pharynx: The pharyngeal recess is a feature of what?
Nasopharynx
The Pharynx: The Salpingopharyngeal fold is a feature of what?
Nasopharynx
The Pharynx: The Opening of the Eustachian Tube is a feature of what?
Nasopharynx
The Larynx: How many cartilages present?
9
The Larynx: Most of the laryngeal skeleton is made up of what?
Hyaline cartilage
The Larynx: What part of the larynx is made up of elastic cartilage?
Epiglottis
The Larynx: 3 regions of the Internal Larynx
Laryngeal vestibule
Laryngeal ventricles
Infraglottic region
The Larynx: What is the supraglottis formed of?
The laryngeal vestibule and ventricles
The Oral Cavity: What are the names of the two regions?
Oral vestibule
Oral Cavity Proper
The Oral Cavity: Oral Vestibule
Region between the internal surface of the lips and external surface of the teeth
The Oral Cavity: Oral Cavity Proper
Region between the internal surface of the teeth and the oropharynx
Where should the Macintosh blade be placed during Laryngoscopies?
Within the vallecula
Vallecula
Mucosal lined space between the base of the tongue and anterior aspect of the epiglottis
Nasal Septum: How many components are there? And what are their makeup?
3 components - 2 osteological and 1 cartilaginous
Nasal Septum: 4 foramen present
Anterior ethmoidal foramen
Posterior ethmoidal foramen
Incisive foramen
Sphenopalatine foramen
Nasal Septum: Vasculature - 3 main arteries
Ophthalmic artery
Maxillary artery
Facial artery
Nasal Septum: Ophthalmic Artery - Contributes to what anatomically significant arterial location?
Kisselbach’s Plexus
Nasal Septum: Ophthalmic Artery - Kisselbach’s Plexus is formed from what?
5 blood arterial inputs
Nasal Septum: Ophthalmic Artery - What are two important branches in epistaxis?
Anterior and Posterior Ethmoidal Arteries
Nasal Septum: Ophthalmic Artery - Derived from where?
Internal carotid artery
Nasal Septum: Maxillary Artery - Contributes what two arteries?
Sphenopalatine artery
Greater palatine artery
Nasal Septum: Maxillary Artery - Sphenopalatine artery supplies what?
Lateral and nasal septum to supply the Vomer and Kisselbachs Plexus
Nasal Septum: Maxillary Artery - Greater palatine artery supplies what?
To the incisor foramen from the hard palate
Nasal Septum: Maxillary Artery - Derived from what?
External carotid artery
Nasal Septum: Facial Artery - Course
Travels through the upper lip to provide the lateral nasal artery that goes to the midline then the septum to branch again into the septal branch of the superior labial artery
Nasal Septum: Facial Artery - Derived from what?
External Carotid Artery
The Nose: Nasal Vestibule cell type
Stratified squamous epithelium - transitions from keratinised to non-keratinised
The Nose: Respiratory Epithelium covers what regions?
Inferior and middle concha
Associated meatuses
Nasal septum
The Nose: Olfaction - Pathway is controlled by what nerve?
CN I - Olfactory Nerve
The Nose: Olfaction - What is the pathway for smell?
Receptor cells in the olfactory epithelium of the lateral side and nasal septum pass up through the cribiform plate
Synapses with the olfactory bulb
Neurones pass along the olfactory tract into the temporal lobe and olfactory areas
The Nose: Somatic Sensation - Anterosuperior Aspect supplied by what?
CN V1 - Ophthalmic division of the Trigeminal Nerve
The Nose: Somatic Sensation - Anterior Ethmoidal Nerve supplies what?
Lateral Nasal Wall and Septa
The Nose: Somatic Sensation - Pathway of the Ophthalmic Division of the Trigeminal Nerve
- Orbit
- Superior Orbital Fissure
- Cell body within the Trigeminal Ganglion
- Axons to the area of the Pons
The Nose: Somatic Sensation - Posteroinferior Aspect is supplied by what?
CN V2 - Maxillary division of the Trigeminal Nerve
The Nose: Somatic Sensation - Nasopalatine nerve supplies what?
Superior, Middle and Inferior Concha
The Nose: Somatic Sensation - Pathway of the Maxillary division of the Trigeminal Nerve
- Orbit
- Foramen Rotundum
- Cell body within the Trigeminal Ganglion
- Axons to the area of the Pons
External Ear: What is the name of the ear canal?
External acoustic meatus
External Ear: Pinna is formed of what?
Cartilage
External Ear: External Acoustic Meatus - What is the lateral third formed by?
Cartilage
External Ear: External Acoustic Meatus - What is the medial two thirds formed by?
Bone
External Ear: External Acoustic Meatus - Ear wax is produced from what?
Ceruminous glands
External Ear: External Acoustic Meatus - Medial end is marked by what?
Tympanic membrane
External Ear: Pinna - Formed by what?
Elastic cartilage
External Ear: Pinna - Attached to what bone structure?
Temporal Bone
External Ear: Pinna - Cartilage skeleton has no what?
Blood supply - gains nutrients from the skin
The Maxillary Nerve to the nose passes through what foramen?
Foramen rotundum
The Ophthalmic Nerve to the nose passes through what?
Superior Orbital Fissure
External Ear: Nervous Supply - To the Helix
C2 and C3 spinal nerves via the greater auricular nerves
External Ear: Nervous Supply - To the tip of the ear
C2 and C3 spinal nerves via the lesser occipital nerve
External Ear: Nervous Supply - To the medial side of the helix and superior parts of the anti-helix
CN V3 - via the auriculotemporal nerve
External Ear: Nervous Supply - To parts of the concha
CN VII Facial Nerve
External Ear: Nervous Supply - Inferior parts of the External Acoustic Meatus and the Tympanic membrane
CN X
External Ear: Nervous Supply - Superior parts of the External Acoustic Meatus
CN V3 - via the auriculotemporal nerve
Otoscopy: Used to examin what?
EAM and Tympanic Membrane
Otoscopy: Children requires what movement of the auricle?
Gently pulled posteroinferiorly
Otoscopy: Adult requires what movement of the auricle?
Posterosuperiorly as the EAM is cureved
Pars Flaccida
Thin part of the tympanic membrane located superiorly
Umbo
Most inwardly depressed part of the tympanic membrane
Pars tensa
Thick part of the tympanic membrane located posteroinferiorly
Pars tensa
Thick part of the tympanic membrane located posteroinferiorly
The Middle Ear: What are the main components of the middle ear?
Ossicles
Cone of Light is directed in what direction?
Anteroinferiorly
The Middle Ear: Function of the Ossicles
Convey vibrations of the tympanic membrane and conduct them to the apparatus of the inner ear
The Middle Ear: Direction of Vibrations
Lateral to Medial
The Middle Ear: 3 ossicles
Malleus
Incus
Stapes
The Middle Ear: Connections between the auditory ossicles are formed by what?
Small synovial joints
The Middle Ear: Two muscles involved in the control of ossicle movement
Tensor tympani
Stapedius muscle
The Middle Ear: Tensor Tympani insertion
Onto the handle of malleus
The Middle Ear: Tensor Tympani Innervation
CN V3 - Mandibular division
The Middle Ear: Stapedius insertion
Onto the stapes
The Middle Ear: Innervated by what?
CN VII - Facial Nerve
Tympanic Cavity
Narrow air-filled cavity in the petrous portion of the temporal bone
Tympanic Cavity: Delivers sensory information via what nerve?
CN IX - Glossopharyngeal Nerve
Tympanic Cavity: Two regions
Tympanic Cavity Proper
Epitympanic recess
Tympanic Cavity: Walls - Posterior Wall
Mastoid
Mastoid Aditus
Opening in the epitympanic recess which opens into the air cells of the mastoid process
Tympanic Cavity: Walls - Roof
Tegmental Wall
Tegmental Wall
Thin plate of bone separating the tympanic cavity from the middle cranial fossa
Tympanic Cavity: Walls - Floor
Jugular wall