Anatomy Flashcards
What is the most common type of joint in the skull?
Suture
What are the 3 parts of the skull?
Neurocranium
Visceracranium
Mandible
What is the division between the neuro- and viscera-cranium?
Zygomatic bone
What is the basic structure of a skull bone?
Compact bone encompassing spongey bone
What are the 3 main sutures of the skull?
Sagittal
Coronal
Lambdoid
Where is the sagittal suture?
Between the 2 parietal bones
Where is the coronal suture?
Between the parietal and temporal bone
Where is the lambdoid suture?
Between parietal and occipital bone
What do bones of the facial skeleton give attachment to?
Muscles of tongue, mastication and pharynx
What type of bone are the majority of the facial bones?
Irregular
What are the main bony prominences of the skull?
Occipital proturbance Mastoid process Zygomatic arch Styloid process Occipital condyles
What bone is the mastoid process part of?
Temporal bone
What is the zygomatic arch formed from?
Zygomatic process of temporal bone
Temporal process of zygomatic bone
What is the styloid process a part of?
Temporal bone
What are the 3 fossae of the cranial cavity?
Anterior
Middle
Posterior
What parts of the sphenoid bone form part of the floor of the skull?
Body
Pituitary fossa
Greater wing
Lesser wing
What can be seen on the floor of the skull from the inferior aspect?
Occipital condyles Mastoid process Styloid process Lateral and medial pterygoid plates palatine bone
What do the occipital conduces do?
Articulate with the atlas
How can the styloid and mastoid processes be differentiated?
Styloid- smaller, thinner
Mastoid- bigger, more lateral
What is the largest foramen of the skull?
Foramen magnum
What does the foramen magnum contain?
Medulla and left and right vertebral arteries
What are the orbits?
Sockets for the eyeball
What forms the superior margin of the orbit?
Frontal and sphenoid bones
What forms the inferior margin of the orbit?
Maxilla, palatine and zygomatic bones
What forms the medial border of the orbit?
Ethmoid, lacrimal, sphenoid and maxilla bones
What are the air sinuses?
Air spaces present in some skull bones around the nasal cavity
What is the function of the air sinuses?
Decrease weight of skull
Act as buffer for trauma
Vocal resonance
Produce mucus to moisturise inside of nasal cavity
What are the ear ossicles?
3 small bones in the ear that play a role in hearing
What are the 3 ossicles, from superficial to deep?
Malleus (hammer)
Incus (anvil)
Stapes (stirrup)
Where are the ear ossicles found?
Petrous part of the temporal bone
What is the external ear canal’s “formal” name?
External auditory meatus
Where does the scalp extend to?
Anteriorly to frontal bone
Posteriorly to superior nuchal lines of occipital bone
Laterally to zygomatic arches
What forms the zygomatic arches?
Temporal process of zygomatic bone
Zygomatic process of temporal bone
What are the layers of the scalp?
Skin Connective tissue Aponeurosis Loose connective tissue Pericranium
What gives sensory innervation to the scalp?
Anterior to auricle= branches of trigeminal
Posterior to auricle= Cutaneous branches of C2 and C3
What is the arterial supply to the scalp, from anterior to posterior?
Supratrochlear Supraorbital Zygomaticotemporal Superficial temporal Posterior auricular Occipital
How to lacerating scalp wounds bleed and why?
Profusely as fibrous fascia events vasoconstriction
What is the venous drainage of the scalp?
Facial vein
Retromandibular vein
Internal jugular
Subclavian
What are the emissary veins?
Valveless veins connecting veins draining the scalp with intracranial venous sinuses
What is the clinical importance of emissary veins?
Can spread infection intracranially
What is dipole?
Spongey inner cranial bone
What is the lymphatic drainage of the scalp?
No nodes in scalp, lymph vessels drain away to nodes in the head and neck
What are the muscles of facial expression?
Orbicularis oris
Orbicularic could
Occipitofrontalis
Buccinator
Where do muscles of facial expression lie?
In superficial fascia of head and neck
What is the action of the orbiculares could?
Closes eyelids
What is the innervation of the orbiculares could?
Temporal and zygomatic branches of the facial nerve
What is the structure of the orbiculares orgs?
4 independent quadrants that interlace
What is the action of the orbiculares orgs?
Closes mouth and puckers lips
What is he innervation of the orbiculares orgs?
Buccal branch of facial nerve
What is the structure of the occipitofrontalis?
2 bellies- frontal and occipital- lined by epicranial aponeurosis
What is the action of the occipitofrontalis?
Raises eyebrows and wrinkles forehead
What is the innervation of the occipitofrontalis?
Facial nerve
What is the action of the buccinator?
Compresses cheeks against teeth
What is the innervation of the buccinator?
Buccal branch of facial nerve
What is the course of the facial nerve?
Emerges from the cranial cavity via the stylomastoid foramen
What are the 3 salivary glands?
Parotid
Submandibular
Sublingual
What are the extent and relation of the parotid gland?
Anterior border of SCM Zygomatic arch Angle of mandible Masseter External auditory meatus
What is the course of the parotid gland?
Runs forward, superficial to master, then pierces buccinators to open into the oral cavity opposite 2nd maxillary molar
What structures pass through the parotid gland?
Facial nerve
External carotid
Retromandibular vein
What is the innervation of the parotid gland?
Sympathetic= superior carvical sympathetic ganglion Parasympathetic= glossopharyngeal
What is the sensory innervation of the face?
Ophthalmic nerve= nose, eyes, forehead
Maxillary= cheeks, temples, upper lip
Mandibular= jaw and bottom lip
What is the arterial supply of the face?
Branches of external carotid
What ar the branches of the external carotid?
Superior thyroid Ascending pharyngeal Lingual Facial OccipitalPosterior auricular Maxillary Superficial temporal
What is the venous drainage of the face?
Facial and superficial temporal veins, draining to internal jugular
How is the neck divided in the horizontal plane?
Into 4 compartments- vertebral, 2 vascular and a visceral
What is contained in the vertebral compartment of the neck?
Cervical vertebrae and postural muscles
What is contained in the vascular compartments of the neck?
Major blood vessels and vagus nerve
What is contained in the visceral compartment of the neck?
Thyroid
Parathyroid glands
Pharynx, larynx, trachea and oesophagus
How many cervical vertebrae are there?
7
What does the atlas articulate with superiorly?
Occipital condyles
What type of joint is present between the atlas and occipital condyles?
Synovial
What kind of joint os present between C1 and C2?
Pivot
What structures pass through the transverse foramen of the cervical vertebrae?
Vertebral artery and vein
What sort of curvature s present in the cervical spine?
Lordosis
How is the neck divide from the exterior
Triangles
What are the triangles of the neck?
Anterior and posterior
What are the borders of the anterior triangle of th neck?
Mandible
Anterior of SCM
Midline of neck
What are the subdivisions of the anterior triangle of the neck?
Submental
Submandibular
Carotid
Muscular
What are the boundaries of the submental region?
Anterior belly of digastric muscle
Body of hyoid
What are the contents of the submental region?
Submental lymph nodes
What are the boundaries of the submandibular region?
Anterior belly of digastric
Posterior belly of digastric
Mandible
What are the contents of the submandibular region?
Facial artery
Submandibular salivary gland
What are the boundaries of the carotid region?
Sternocleidomastoid
Posterior belly of digastric
Superior belly of omohyoid
What are the contents of the carotid region of the neck?
Neurovascular structures
What are the boundaries of the muscular region of the neck?
Superior bely of omohyoid
Sternocleidomastoid
Midline of neck
What are the contents of the muscular region of the neck?
Strap muscles of the neck
What are the boundaries of the posterior triangle of he neck?
Sternocleidomastoid
Trapezius
Clavicle
What are the contents of the posterior triangle of the neck?
Omohyoid
Scalenes
Roots of brachial plexus
What are the attachments of the sternocleidomastoid?
Manubrium and clavicle
Mastoid process
What are the actions of the sternocleidomastoid?
Head tilt to same side
Face turn to opposite side
What are the attachments of the trapezius?
Occipital bone
Lower thoracic vertebrae
Spine of scapula
What are the actions of the trapezius?
Rotation, elevation and depression of scapulae
What are the main neuromuscular structures of the neck?
Carotid arteries
Jugular veins
Vagus and phrenic nerve
What is the right common carotid a branch of?
Brachiocephalic artery
What is the left common carotid a branch of?
Arch of aorta
Where do the common carotid arteries run?
Within the carotid sheath in the anterior triangle of the neck
What does the carotid sheath enclose?
Common carotid
Internal jugular vein
Vagus nerve
What are the terminal branches of the external carotid?
Maxillary
Superficial temporal
What what level does the common carotid divide to the external and internal carotid?
C4
What does the internal jugular vein arise from?
Jugular venous sinus which drains the brain
What does the internal jugular vein form?
Merges with subclavian to form bracheocephalic
What is the external jugular vein?
Superficial vein draining brain and scalp
Where does the external jugular vein drain to?
Subclavian
Where does the vagus nerve lie in the carotid sheath?
Most posterior
What does the phrenic nerve arise from?
Cervical plexus in the neck
What does the phrenic nerve supply?
Disphragm
What is the path of the phrenic nerve?
Travels through neck, deep to the carotid sheet, to the thorax
At what level os the hyoid bone?
C3
What type of bone is the hyoid bone?
Irregular bone
What are the parts of the hyoid bone?
Body
Greater horns
Lesser horns
What are the 2 types of muscular attachments to the hyoid?
Suprahyoid
Infrahyoid
What are the supra hyoid muscular attachments, from superficial to deep?
Stylohyoid
Digastric
Mylohyoid
Geniohyoid
What are the infra hyoid muscular attachments, from superficial to deep?
Omohyoid
Sternohyoid
(Sternothyroid)
Thyrohyoid
What are the muscles of the tongue?
Hyoglossus
Genioglossus
Styloglossus
What are the functions of the supra hyoid muscles?
Elevate hyoid
Depress mandible
What are the functions of the infra hyoid muscles?
Depress hyoid
What is the nerve innervation of the mylohyoid?
Mandibular branch
What is the innervation of the geniohyoid?
C1
What is the innervation of the digastric?
Mylohyoid and facial
What is the innervation of the stylohyoid?
Facial
What is the innervation f the infra hyoid muscles?
Ansa cervicali, except for thyrohyoid- C1
What is the cervical plexus?
Somatic nerve plexus arising from C1-5
What does the cervical plexus give rise to?
Phrenic nerve
Ansa cervicalis
What kind of gland is the thyroid?
Endocrine
Where is the thyroid gland located?
At the front of the neck, anterior to the 2nd and third tracheal rings
What are the anatomical parts of the thyroid gland>
Right and left lobes
Isthmus
Where does the carotid sheath lie in relation to the thyroid?
Posterior
What compartment of the neck is the thyroid gland in?
Visceral
What is the arterial supply of the thyroid?
Superior and inferior thyroid arteries
Where does the superior thyroid artery arise from?
External carotid
Where does the inferior thyroid artery arise from?
Subclavian
What is the venous drainage of the thyroid?
Superior, middle and inferior thyroid veins
Where do the thyroid veins drain to?
Superior and middle= internal jugular
Inferior= brachiocephalic
How many deciduous teeth are there?
20
How many permanent teeth are there?
32
How many of each type of permanent teeth are there?
8 incisors
4 canines
8 premolars
12 molars
What type of joint is the TMJ?
Hinge
What does the TMJ form from?
Mandibular fossa of the temporal bone
Condylar process of the mandible
What movements of the mandible occur at the TMJ?
Elevation, depression, side to side, protrusion and retrusion
How many muscles of mastication are there?
4
What do the muscles of mastication act on?
TMJ
What are the muscles of mastication?
Temporalis
Masseter
Lateral pterygoid
Medial pterygoid
What is the temporalis?
Large fan shaped muscle of mastication on the side of the head
What are the bony attachments of the temporalis?
Coronoid process of mandible
Temporal fossa of parietal bone
What are the actions of the temporalis?
Anterior fibres= elevation of mandible
Posterior fibres= recursion of mandible