Aravich Review Flashcards
Pathway of autonomics to parotid gland
- CN IX tympanic n to the lesser petrosal n., exits through the foramen ovale into the infratemporal fossa, then to the otic ganglion.
- post-ganglionics riding on CNV3 auriculotemporal br. to the parotid gland.
Posterior division nerves of CN V3? Sensory or motor?
All sensory except n. to mylohyoid, which is motor. The rest are: 1. Lingual n. 2. Inferior alveolar n. 3. auriculotemporal n.
Anterior division nerves of CN V3? sensory or motor?
All motor except buccal br, which is sensory.
The rest are:
1. Brr to mm of mastication
2. Deep temporal brr.
Three parts of maxillary artery?
Branches on them?
- Mandibular part
a. middle meningeal a.
b. inferior alveolar a.
c. deep auricular - Pterygoid part
a. Buccal a.
b. Pterygoid mm brr
c. ant/post deep temporal aa.
d. masseteric - Pterygopalatine part
a. nasopalatine a. (sphenopalatine a.)
b. infraorbital a.
c. descending palatine a.
d. pterygoid canal a.
O/I of temporalis m?
Temporal bone to coronoid process of mandible.
O/I of medial pterygoid m?
lateral pterygoid plate to INSIDE of mandible
O/I of lateral pterygoid m?
lateral pterygoid plate to TMJ
All motor innervation of CN V3?
- masseter- masseter br
- medial pterygooid- medial pterygoid br
- lateral pterygoid- lateral pterygoid br
- temporalis- deep temporal br.
- ant. belly of digastric- n. to mylohyoid
- mylohyoid- n to mylohyoid
- Tensor palatini m.
- Tensor tympani m.
Cricoarytenoid m. action and innervation?
Opens rima glottidis via abduction, the ONLY muscle that opens the airway. Innervated by CN X vagus n.- recurrent laryngeal n.
cricothyroid m. innervation?
CN X vagus n- external laryngeal n, a branch of superior laryngeal n.
4 infrahyoid mm and their innervation? Together they do what?
sternohyoid omohyoid sternothyroid thyrohyoid- C1 (via CN XII) Innervation to the rest: Ansa cervicalis (C1-C3) They lengthen pipe and lower pitch.
4 suprahyoid mm and their innervation? Together they do what?
digastic- CN VII and V3 stylohyoid- CN VII mylohyoid- V3 geniohyoid- C1 They shorten pipe and raise pitch.
What is dysarthia?
Problem with mechanical production of speech. Can involve hyoid muscles.
CN X laryngeal br divides into?
- Recurrent laryngeal n (becomes inferior laryngeal)
- motor to all intrinsic laryngeal mm except cricothyroid
- sensory to infraglottic larynx (below vocal cords)
- parasympathetics to lower larynx - superior laryngeal br, which divides into:
a. internal laryngeal n
- sensory from epiglottic larynx: larynx above vocal cords, vestibule, piriform recess, and vallecula (pill box)
- parasympathetics for mucus in upper larynx
b. external laryngeal n
- motor to cricothyroid and inferior pharyngeal constrictor
Which is more superior: external or internal laryngeal n?
Internal laryngeal n is more superior
What nerve is viscosensory at the carotid sinus and body?
CN IX
what two nerves are at risk during a thyroidectomy?
CN X Recurrent laryngeal n, and external laryngeal n.
What two structures make the hyoglossus m. sandwhich?
CN XII on top, lingual a. on bottom.
The superior laryngeal a is a branch of what? Travels with what nerve?
Branch of superior thyroid a. Travels with CN X internal laryngeal n.
CN III all function
- motor to all external eye mm including levator palpeprae superioris except lateral rectus and superior oblique
- autonomics to ciliary mm and pupil constricotr
Nasal aa and where they come from?
2 from internal carotid a.
-Ant/Post ethmoidal aa (branch of ophthalmic a)
2 from maxillary a.
- sphenopalatine a
- Greater palatine a.
1 from facial a
-superior labial a.
All 5 anastomose to kiesselbach’s area
Arteries that anastomose on the scalp and where they come from
From internal carotid: (both from ophthalmic a) 1. supratrochlear a. 2. supraocular a. From external carotid: 1. Occipital a. 2. superficial temporal a.
All muscles of the pharynx are innervated by? Exception?
All are innervated by CN X, except the sylopharyngeus m which is innervated by CN IX
What is Zenker’s Diverticulum?
Food fills a pouch in the cricopharyngeus region, or anywhere that constrictors don’t overlap.