Anatomy Flashcards

1
Q

what are the main branches of the trigeminal nerve

A

opthalmic, maxillary and mandibular

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2
Q

what are the main functions of trigeminal nerve

A

general sensory to skin on face, tongue and teeth. motor to muscles of mastication

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3
Q

where do the branches of trigeminal exit the skull

A

opthalmic - supraorbital fissure
maxillary - foramen rotundum through pterygopalatine fossa to exit through the infraorbital fissure
mandibular - foramen ovale through infratemporal fossa to exit through the mental foramen

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4
Q

where do the nerve roots of trigeminal originate from

A

mesencephalic nucleus - proprioception - midbrain
chief sensory nucleus - general touch - pons
spinal nuclei - pain and temperature - medulla

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5
Q

where does the trigeminal ganglion lie

A

on the apex of the petrous temporal bone - meckel’s cave

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6
Q

describe the course of the opthalmic branch of trigeminal

A

from trigeminal ganglion, runs anteriorly along lateral border of cavernous sinus to exit through the supra orbital fissure

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7
Q

what are the branches of opthalmic branch

A

frontal - supra orbital, supra trochlear
lacrimal - one nerve
nasociliary - anterior and posterior ethmoidal nerves, external nasal, long ciliary nerves, infra trochlear

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8
Q

why might shingles on the nose be a problem

A

this virus lives in nerves, therefore, as the same nerve supplies the nose and the cornea, the virus could get into their eye

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9
Q

describe the course of the maxillary branch of the trigeminal nerve

A

runs along the lateral border of the cavernous sinus anteriorly. runs through the foramen rotundum, enters teh pterygopalatine fossa, reaches the infraorbital fissure - exits skull and branches

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10
Q

what are the branches of the maxillary branch of trigeminal

A

zygomatic - zygomatic-facial, zygomatic-temporal
infra-orbital - anterior and middle superior alveolar nerve
posterior superior alveolar, greater and lesser palatine nerves, nasopalatine

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11
Q

what nerves innervate the teeth and gingiva of maxillary

A

teeth - anterior, middle and posterior superior alveolar
gum - buccal - anterior middle and posterior superior alveolar
lingual - greater palatine at posterior, nasopalatine anteriorly

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12
Q

describe the course of the mandibular division of the trigeminal nerve

A

through foramen ovale, through infratemporal fossa where it branches, and posterior branch can run down mandible through mental foramen

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13
Q

what are the boundaries of the infratemporal fossa

A

lateral - ramus of mandible
medial - lateral border of ptergoid plate of sphenoid
superior - infratemporal crest of sphenoid
inferior - angle of mandible
anterior - posterior border of mandible
posterior - tympanic plate or mastoid

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14
Q

what branches come off mandibular nerve prior to anterior and posterior trunks

A

meningeal nerve - dura mater, sensory
tensor tympani - muscle in ear controlling vibrations
tensor palatini - elevates soft palate
nerve medial ptergoid muscle - elevates and rotates mandible

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15
Q

what are the nerves branching from anterior trunk of mandibular branch of trigeminal nerve

A

masseteric nerve - masseter muscle
deep temporal nerve - temporalis
nerve to lateral pterygoid muscle - depresses mandible
buccal nerve - sensory innervation to cheek, mucosa and gingiva

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16
Q

what are the nerves branching from posterior trunk of mandibular branch of trigeminal nerve

A

auriculotemporal nerve
lingual nerve - sensory innervation to mucosa, gingiva and skin
inferior alveolar nerve - sensory innervation to all mandibular teeth, motor innervation to mylohyoid and anterior belly of digastric

17
Q

what are the branches of inferior alveolar nerve

A

motor - branches just before entering mandible - innervation to mylohyoid and anterior belly of digastric
sensory - main trunk to posterior teeth
anteriorly divides into incisive nerve and mental nerve
incisive - anterior teeth
mental - sensory to anterior mucosa, and gingiva

18
Q

what nerves supply the tongue

A

anterior 2/3rds - general somatic - lingual nerve of posterior trunk of mandibular branch of trigeminal nerve,
special sensory - facial nerve - chordi tympani
posterior 1/3rd - glossopharyngeal nerve

19
Q

what structures arise from the 1st pharangeal arch

A

trigeminal nerve, muscles of mastication, meckel’s cartilage (forming mandible)

20
Q

what are the 5 prominences essential in facial development

A

frontonasal - forehead, covering forebrain
medial and lateral nasal prominence - midline of nose and alae of nose
maxillary prominence - cheeks and upper lip
mandibular prominence - lower lip and jaw

21
Q

what develops from the medial nasal prominence and what does this go on to form

A

intermaxillary process - important for philtrum of lip and primary palate (as secondary is forming)

22
Q

what structure does the maxillary process give rise to

A

palatal shelves - these grow downwards from maxillary prominence and then forwards, until they meet at midline and fuse to form secondary palate

23
Q

how does a cleft lip and a cleft palate

A

cleft lip - failure of fusion between intermaxillary process (nasal prominence) and the maxillary prominence
cleft palate - failure of fusion of palatal shelves

24
Q

what are some differences between adult and fetus skulls

A

fetus - presence of fontanelles, sutures not completely fused, obtuse angle of mandible, tympanic ring instead of plate

25
Q

what fontanelles are present in a fetus

A

anterior, posterior, 2 sphenoid, 2 mastoid

26
Q

what sutures are present

A

coronal, sagital, lamboidal