Block 3 Flashcards
Origin of mylohyoid
mylohyoid line
insertion of mylohyoid
mylohyoid raphe/ body of hyoid
action of mylohyoid
support for floor of mouth/swallowing reflex
nerve to mylohyoid innervates?
mylohyoid/ ant. belly of digastric
origin of geniohyoid
inferior mental spines
insertion of geniohyoid
body of hyoid
action of geniohyoid
pull hyoid anteriorly/superiorly, depress mandible, support floor of mouth, swallowing
innervation of geniohyoid
C1 via XII
origin of genioglossus
superior mental spines
insertion of genioglossus
blends with intrinsic tongue muscles/ hyoid
action of genioglossus
inferior fibers: protraction; superior fibers: retraction; swallowing
origin of hyoglossus
greater horn and body of hyoid
insertion of hyoglossus
sides of tongue
action of hyoglossus
draws down on sides of tongue flattening it, retraction
origin of styloglossus
styloid process
insertion of styloglossus
sides of tongue
action of styloglossus
pulls tongue posteriorly
origin of palatoglossus
palatine aponeurosis
insertion of palatoglossus
sides of tongue
which muscle forms the anterior tonsillar pillars?
palatoglossus
which is the tongue muscles to be innervated by X instead of XII?
palatoglossus
lesion of XII on one side deviates tongue toward the…
lesioned side
completely mucus saliva?
sublingual
serous saliva?
parotid
mixed saliva?
submandibular
which nerves course on the superficial surface of hyoglossus?
lingual nerve (superiorly), XII (inferiorly)
what courses deep to hyoglossus?
lingual artery
Lingual nerve?
GSA from anterior 2/3 of tongue, floor of mouth, lingual gingiva of mandible
cell bodies of lingual nerve?
semilunar or trigeminal ganglion
where is the trigeminal ganglion?
anterior slope of the petrous portion of the temporal bone in middle cranial fossa
which division of V has a motor component?
V3
origin of platysma
fascia covering the upper parts of pec major and deltoid
insertion of platysma
the mandible and skin of the lower part of the face and corner of the mouth
action of platysma
draws down on the corners of the mouth and upward on skin of the chest
the broad tendinous sheet that unites the frontal and occipital bellies of the epicranius?
galea aponeurotica
origin of occipitalis
superior nuchal line
insertion of occipitalis
galea
origin of frontalis
galea
insertion of frontalis
skin of eyebrows and root of nose
action of frontalis
elevates eyebrows
origin of anterior/superior auricular mm.
galea
origin of posterior auricular m.
mastoid process
insertion of all auricular mm.
cartilage of ear
action of all auricular mm.
moves ear slightly
muscle surrounding orbital passage?
orbicularis oculi
origin of orbital part of orbicularis oculi
broad origin from the medial orbital margin between the supraorbital notch and the infraorbital foramen; tendinous origin from the medial palpebral ligament
short ligament arising from the frontal process of maxilla anterior to lacrimal sulcus?
medial palpebral ligament
orbital part of orbicularis oculi spreads…
widely around the bony margin of the orbit into the eyelid and cheek
origin of palpebral portion of orbicularis oculi
medial palpebral ligament
palpebral portion of orbicularis oculi spreads…
in subcutaneous tissue of eyelids
action of palpebral part of orbicularis oculi
eye lids are approximated in blinking and sleep
action of orbital part of orbicularis oculi
eye lids are more forcefully brought together
contractions of what m. move lacrimal secretions across the cornea to keep it moist?
orbicularis oculi
origin of corrugator supercilii
medial aspect of superciliary arch
insertion of corrugator supercilii
skin of medial half of eyebrow
action of corrugator supercilii
draws eyebrows together (vertical wrinkles)
origin of procerus
nasal bone
insertion of procerus
intermingles with frontalis and inserts into skin of lower forehead between eyebrows
action of procerus
horizontal wrinkles in skin of superior part of nose
origin of levator labii superioris alaeque nasi
upper part of frontal process of maxilla
insertion of levator labii superioris alaeque nasi
ala of nose and upper lip
action of levator labii superioris alaeque nasi
elevate upper lip and flares ala cartilages of nose
origin of nasalis
maxilla above canine teeth
insertion of nasalis
aponeurois on bridge of nose that is continuous with nasalis on other side
action of nasalis
compresses nasal cartilages and spreads aperture open
origin of buccinator
pterygomandibular raphe and alveolar ridges of maxilla and mandible
action of buccinator
helps to keep the bolus of food on the occlusal surface of the teeth
muscles of the cheek and important component of lips
buccinators
origin of levator labii superioris
inferior margin of orbit above infraorbital foramen
action of levator labii superioris
elevates upper lip
origin of levator anguli oris
below infraorbital formen
insertion of levator anguli oris
corner of mouth
origin of zygomaticus major
zygomatic bone
insertion of zygomaticus major
angle of mouth
action of zygomaticus major
raises angle of mouth and pulls corner laterally (smiling)
origin of zygomaticus minor
zygomatic bone
insertion of zygomaticus minor
inserts into upper lip with levator labii superioris
origin of depressor anguli oris
mandible
insertion of depressor anguli oris
skin at angle of mouth and lateral orbicularis oris fibers
action of depressor anguli oris
draws down on angle of mouth
origin of depressor labii inferioris
mandible
insertion of depressor labii inferioris
skin of lower lip and more medial fibers of orbicularis oris
action of depressor labii inferioris
draws lower lip downward
origin of mentalis
mandible below incisors
insertion of mentalis
skin of chin
action of mentalis
draws on skin of chin (dimple)
what does the facial artery terminate as near the medial margin of the orbit?
angular artery
Branches of facial artery?
submental, inf. and sup. labial
maxillary artery branches to face?
mental, buccal, infraorbital
internal carotid artery branches to face?
supraorbital and supratrochlear
Facial v. begins…
at medial corner of eye as convergence of supratrochlear and/or supraorbital and superior ophthalmic veins
communications of facial vv. with cavernous sinus
sup. and inf. ophthalmic vv. and pterygoid plexus
what connects facial v with pterygoid plexus?
deep facial vein
origin of masseter
zygomatic process of maxilla and lower border of zygomatic arch
insertion of masseter
lateral surface of most of coronoid process, ramus, angle of mandible
action of masseter
elevates the mandible
innervation of masseter
masseteric nerve from V3
what courses lateral to posterior digastric and stylohyoid
retromandibular vein
what is deep to posterior digastric and stylohyoid
ext. cartoid artery
order lateral to medial of contents of parotid
branches of VII, retromandibular vein, external carotid vein
the superficial temporal vein joins the maxillary vein to form?
retromandibular vein
pain fibers to the parotid capsule are from?
auriculotemporal of V3
what lies on the posterior aspect of the petrous part of temporal bone?
internal acoustic meatus
elevators of mandible
temporalis, masseter, medial pterygoid
depressors of mandible
digastric, geniohyoid, mylohyoid, gravity
protrudors of mandible
lateral pterygoid, medial pterygoid
retractors of mandible
posterior temporalis, deep masseter, geniohyoid, digastric
the temporal fascia spans between…
the superior temporal line and the zygomatic arch
origin of temporalis
deep surface of the temporal fascia (parts of parietal, frontal, sphenoid, temporal bones)
insertion of temporalis
coronoid process extending down the anterior border as far as the last molar tooth
innervation of temporalis
anterior and posterior deep temporal of V3
action of temporalis
elevate mandible (posterior fibers-retraction)
origin of medial pterygoid
medial surface of lateral pterygoid plate, infratemporal surface of maxilla
insertion of medial pterygoid
angle of mandible
action of medial pterygoid
elevate mandible
origin of lateral pterygoid
upper: IT surface of great wing; lower: lateral surface of lateral pterygoid late
insertion of lateral pterygoid
upper: articular disc; lower: pterygoid fovea
action of lateral pterygoid
open mouth, depress mandible
what passes through gap between medial and lateral pterygoid mm.
maxillary artery and buccal nerve
what type of joint is the TMJ
ginglymoarthroidal joint
lower joint cavity of TMJ
minor movement (up to 15 degrees) accomplished by rotation (lat. pterygoid is not required)
superior joint cavity of TMJ
movement of head onto articular tubercle- translation (lateral pterygoid required)
intrinsic ligament that strengthens the joint capsule laterally and prevents posterior disarticulation
lateral ligament
attachments of stylomandibular ligament
styloid process to angle of mandible
attachments of sphenomandibular ligament
spine of sphenoid to area around lingula and bone posterior to mandibular foramen
when does the sphenomandibular ligament become taught?
as the head of mandible moves out onto the articular tubercle
1st part of maxillary A.
section passing between the neck of mandible and the sphenomandibular ligament
2nd part of maxillary A.
lies on or deep to lateral pterygoid
branches of 1st part of maxillary A.
deep auricular, anterior tympanic, middle meningeal, accessory meningeal, inferior alveolar
how does the anterior tympanic artery pass into the tympanic cavity?
petrotympanic fissure
foramen for accessory meningeal artery
foramen ovale
branches of 2nd part of maxillary artery
anterior and posterior deep temporal, pterygoid, masseteric, buccal
the pterygoid plexus of veins gather to form a short…
maxillary vein
the motor root of V joins the sensory fibers of V3…
within or just inferior to foramen ovale
through what does the tympanic nerve of IX re-enter the skull
tympanic canaliculus
the lesser petrosal nerve enters the cranial cavity through what
hiatus of lesser petrosal nerve
roof of tympanic cavity?
tegman tympani
lesser petrosal nerve exits the skull through what?
foramen ovale
what does the chorda tympani pass through to get to the tympanic cavity
petrotympanic fissure
Branches of main trunk of V3
meningeal, medial pterygoid
Branches of medial pterygoid nerve
tensor tympani, tensor veli palatini
Branches of anterior division of V3
anterior and posterior deep temporal, masseteric, buccal, lateral pterygoid
the only sensory branch of ant. division of V3
buccal
branches of posterior division of V3
auriculotemporal, lingual, inf alveolar
what is deep to the main trunk of V3
otic ganglion
only motor n. in posterior division of V3
n. to mylohyoid
intrinsic muscle of the tongue
musculus uvulae
2 superior palatine muscles
levator veli palatini, tensor veli palatini
2 inferior muscles
palatoglossus, palatopharyngeus
All mm. of palate innervated by X except?
TVP (V3)
origin of TVP
scaphoid fossa, fibrous part of auditory tube
secondary function of TVP
popping of ears/opening of auditory tube
insertion of TVP
palatine aponeurosis
origin of LVP
petrous part of temporal bone anterior to carotid canal
insertion of LVP
palatine aponeurosis
Anterior ethmoidal n. V1 or V2?
V1
Nasopalatine n. V1 or V2?
V2
Posterior lateral nasal nn. are branches of?
palatine nn.
Anterior ethmoidal artery: ophthalmic or maxillary a?
ophthalmic
sphenopalatine artery: ophthalmic or maxillary a?
maxillary
what anastomoses with sphenopalatine artery in hard palate
greater palatine artery
From medial to lateral, foramina of posterior wall of PP fossa
pharyngeal canal, pterygoid canal, foramen rotundum
branches of 3rd part of maxillary artery
sphenopalatine artery(terminal branch), infraorbital, descending palatine, PSA, A of pterygoid canal, A of pharyngeal canal
3rd part of maxillary artery sends branches through every canal or foramen of pp fossa except…
foramen rotundum
branches of infraorbital a.
MSA, ASA
branches of descending palatine a.
greater and lesser palatine aa
zygomatic n. V1 or V2
V2
zygomatic a.: ophthalmic or maxillary
ophthalmic a.
pathway of greater petrosal n. to pp ganglion
hiatus of greater petrosal n., middle cranial fossa, carotid canal, foramen lacerum, pterygoid canal
what nn do the postganglionic parasympathetic fibers of pp ganglion travel on to get to lacrimal?
zygomatic (V2) and lacrimal (V1)
roof of orbit
orbital part of frontal, lesser wing of sphenoid
medial wall of orbit
ethmoid, frontal, lacrimal, sphenoid
inferior wall of orbit
maxilla, zygoma, palatine
lateral wall of orbit
zygoma, greater wing of sphenoid
branches of nasociliary n
communication to ciliary ganglion, long ciliary, infratrochlear, ant and post ethmoidal
What can the lacrimal artery anastomose with?
middle meningeal
zygomatic artery is a branch of?
lacrimal artery
origin of levator palpebrae superioris
lesser wing of sphenoid
insertion of LPS
ant. surface of tarsal plate
action of LPS
elevates upper lid
nerve to LPS
superior of III
common tendinous ring is the common origin of
sup., inf., med., lat. rectus
sclera of eye is common insertion of
sup, inf, med, lat rectus
action of sup. rectus
up and in, medial rotation
nerve to sup. rectus
superior of III
action of inf. rectus
down and in, lateral rotation
nerve to inf. rectus
inferior of III
action of med rectus
in
nerve to med rectus
inferior of III
action of lat. rectus
out
nerve to lat rectus
VI
origin of sup. oblique
body of sphenoid
insertion of sup. oblique
lateral, posterior, upper quadrant
action of sup. oblique
down and out, medial rotation
nerve to sup. oblique
IV
action of inf. oblique
up and out, lateral rotation
origin of inf. oblique
medial floor of orbit; maxilla lateral to nasolacrimal groove
insertion of inf oblique
lateral, posterior, lower quadrant
nerve to inf oblique
inferior of III
dilation of pupil
sympathetics
constriction of pupil and accommodation of lens
parasympathetics
compromised sympathetics to orbit region
horner’s syndrome
miosis
constriction of pupil
ptosis
drooping of upper lid (sup. tarsal)
anhydrosis
loss of sweating
enophthalmos
sinking of globe into orbit