Base of the skull, orbit, eye & ear Flashcards
What are the 3 cranial fossa?
Anterior
middle
posterior
What does the anterior cranial fossa contain?
The frontal lobe
What does the orbital part of the frontal bone form?
The roof of the orbit and the forehead
Where is the middle cranial fossa located and what does it hold?
below and behind the anterior cranial fossa and contains the temporal, parietal and occipital lobe
Where is the posterior cranial fossa located and what does it hold?
Lowest part and hold the midbrain and cerebellum
What structure forms the roof of the nasal cavity?
The ethmoid bone
What are the names of the 2 other structures that make up the ethmoid bone?
The cribriform plates
Crista galli
What does the cribriform plate support?
Supports the olfactory bulb
What does the ethmoid bone transmit?
Olfactory nerves
Clinical
What can the cribriform plate spread ?
Tumors in the upper part of the nasal cavity to the anterior cranial fossa
Which BONE acts as a site for the attachment for the flax cerebri?
The frontal bone
What structure on the ethmoid also acts as a site of attachment for the flax cerebri?
Crista galli
What is the name of the process that arises at the end of the anterior cranial fossa
The lesser wing
What does the lesser wing act as an attachment for?
The tentorium cerebelli
Where is the pituitary fossa located?
In the middle cranial fossa
What is another name for the pituitary fossa
Sella turcica
What is the function of the sella turcica?
Holds and supports the pituitary gland
Where is the superior orbital fissure located?
Underneath & lateral the lesser wing, lateral to the sella turcica
What cranial nerves run through the superior orbital fissure?
CN III- oculomotor
CN IV- trochlear
CN V1 trigeminal- ophthalmic branch
CN VI- abducens
Where is the optic canal located?
Medial to the lesser wing
What CN runs through the optic canal?
CN II optic nerve
What CN nerve runs through the foramen rotundum?
CN V2- trigeminal- maxillary branch
What CN runs through the foramen ovale?
CN V3- trigeminal- mandibular branch
What CN runs through the foramen spinosum?
CN V3 meningeal branch and artery and veins
What are the 4 foramina that are immediately lateral to the central part of the middle crainal fossa?
Superior orbital fissure
foramen rotundum
foramen ovale
foramen spinosum
What foramina in the posterior cranical fossa is part of the temporal bone?
Internal acoustic meatus
What CN runs through the internal acoustic meatus
CN VII- facial
CN VIII- vestibuloccochlear
What is the name of the large opening that lies centrally in the floor of the posterior cranial fossa?
Foramen magnum
What does the foramen magnum transmit?
Medulla, spinal accessories and arteries
What is the name of the foramen that is situated on either side of the foramen magnum?
Internal jugular foramina
What CN does the internal jugular foramen transmit?
CN IX- glossopharangeal
CN X- vagus
CN XI- accessory
What foramen/canal is located on the lateral margin of foramen magnum?
Hypoglossal canal
What CN runs through the hypoglossal canal?
CN XII - hypoglossal
What is the auricle?
Ear/ear lobe
What is the external acoustic meatus?
The ear canal
What is another name for eardrum?
Tympanic membrane
What is the tympanic membrane?
The ear drum
What are the 3 ear ossicles?
Malleus
Incus
Stapes
Which of the 3 ear ossicles is the smallest?
Stapes
What can the ear divided onto?
3 groups
outer
middle
inner
What are the 2 functions of the inner ear?
convert mechanical signals into electrical signals
Maintain balance by detecting position and motion
How many semi lunar canals are there in the ear?
3
anterior
lateral
posterior
What do the semi-lunar canals contain?
Semi lunar ducts
what are the functions of the semi luna canals?
Maintain balance
Damage to the middle ear what will patients complain of?
Sound is too loud
Damage to the middle ear what will patients present with?
Drooping face
What are the function of the extra-ocular muscles?
Control movement of the eyeball and the superior eyelid`
What muscles is responsible for the movement of the eye?
Superior rectus
inferior rectus
lateral oblique
medial oblique
What muscle is responsible for the movement of the superior eyelid?
Levator palpebrea superiorsis muscle
What CN supply the extra ocular muscle?
Abducens optic oculomotor trochlear trigeminal
What is the blood supply to the eye?
Ophthalmic arteries
What vessels are involved in venous drainage of the eye?
superior and inferior ophthalmic arteries
What are the 3 main pathways into the orbit of the eye?
optic canal
superior orbital fissure
inferior orbital fissure
Where does levator palpebrea superiosis muscle originate?
Lesser wing of the sphenodial bone
Where doeslevator palpebrea superiosis muscle attach?
Upper eye lid
What is the innervation of levator palpebrea superiosis muscle ?
occulomotor CN III
What is ptosis?
Droopy eyelid
What causes ptosis?
Damage to CNIII oculomotor which causes paralysis of levator palpebrea superiosis muscle
Where are the lacrimal glands located?
Inside the lateral margins of the orbit adjacent to levator palpebrea superiosis muscle
Where does superior rectus originate
deep part of the orbit at the common tendonous ring
What is the name of the muscle that runs over the eyeball
Superior rectus
Where does superior rectus insert?
Into the anterior equator of the eyeball behind the conjuctival sac
What is the name of the muscle that runs along the length of the lateral wall
Lateral rectus
What is the name of the muscle that runs medially and passes through the trochlear?
Medial rectus
What muscle is inferior to superior oblique
Medial rectus
What are the lacrimal puncti?
Small medial holes located in the upper and lower eyelids
What are the parasympathetic innervation and spinal segments to the eye?
CN 3, 7, 9, 10
s2,3,4
Which 2 of the parasympathetic innervation supply the orbit?
Oculomotor
facial
What spinal segments give sympathetic outflow to the eye
T1-L2
What is the movement of superior rectus?
Up and slightly adduct
What is the movement of Inferior oblique
up and slight abduct
What is the movement if inferior rectus
downs and slight adduct
what is the movement of superior oblique
down and slight abdction
Which conscious sensation does not reach the thalamus?
Olfactory