Eye, Ear, and Nose Flashcards
what comes through the supraorbital foramen/notch
supraorbital n- V1 terminal branch
what comes through the optic canal
optic n and ophthalmic a
what comes through the superior orbital fissure
CN V1, CN III, CN IV, CN VI, blood vessels
what comes through the ethmoidal formanina
ethmoidal n and arteries
nasocilary, V1 branch
what comes through the nasolacrimal canal
nasolacrimal duct- drainage of tear
what comes through the inferior orbital fissure
venous plexus
what are the function of the lacrymal apparatus
tear production- moisture of the eye and emotional expression
what is the process of drainage of tears
tear flows inferomedial across eye to lacrimal canaliculi to nasolacrimal duct
what is the sympathetic innervation for the lacrymal apparatus
postganglionic axon from superior cervical ganglion to form deep petrosal n
what is the parasympathetic innervation of the lacrimal apparatus
presynaptic axon form CN VII to form greater petrosal n
describe the sclera
outer layer
white dense capsule of eyeball
describe the cornea
outer layer
clear dense capsule for light passing through
describe the choroid
blood vessel plexus
describe the retina
sensory collection
what is the iris
pupil
what does the iris contain
pupillary light reflex
what is the ciliary body
lens
what other structures can be found in the eye orbit
neurovascular structures
permanent fat
extraocular/extraorbital muscle- eyelid
what provides somatosensory of orbit
opthalmic n V1 from CN V breaks down into:
nasociliary n
frontal n
lacrimal n
what does the frontal n from the orbit break down into
ciliary n
supratrochlear n
supraorbital n
what is the blood supply of the eye and its branches
opthalmic a: central retinal a ciliary a supraorbital a ethmoidal a lacrimal a
what is the blood supply for the ciliary body
ciliary a
what is the blood supply for the scalp and eyelid
supraorbital a
what is the blood supply for the inner vitreous body
central retinal a
what is the blood supply to the lacrimal gland
lacrimal a
what is the sympathetic innervation of the eyeball
superior cervical ganglion -> ciliary n
what is the parasympathetic innervation of the eyeball
CNIII to form ciliary ganglion
what is the sympathetic function of the iris
dilate pupil
what is the parasympathetic function of the iris
constrict the pupil - pupillary light reflex
what is horner’s syndrome
sympathetic nonfunctional (ciliary n)
constricted pupil
eyelid ptosis
no sweating on affected side
what muscle is affected for Bell’s palsy
orbicularis oculi
what muscle is affected with a full ptosis
levator palpebrae superioris
what is the superior tarsal muscle
helps open the eye when excited
smooth muscle
what is the sympathetic innervation of the superior tarsal muscle
superior cervical ganglion
what muscle is affected with Horner’s syndrome, partial ptosis
superior tarsal muscle
what is estropia
adducted eyeballs- convergence
what is exotropia
abducted eyeballs- divergence
what is hypertropia
elevated eyeballs
what is hypotropia
depressed eyeballs
what is the external ear
auricle to tympanic membrane
what is the middle ear
tympanic cavity
tympanic membrane to vestibulocochlear organs
what connects middle ear to oropharynx
pharyngotympanic tube/eustachian tube
what is the inner ear
vestibulocochlear organs to internal acoustic meatus
what is the sensory innervation of the auricle of the ear
CN V= tip of ear
C2= posteroinferior and anterior
CN X= center
CN VII/IX and X= posterior auditory canal
what is the sensory innervation for the external acoustic meatus
V3, CN VII/IX, X
what is the sensory innervation for the middle ear
CN IX for mucosal membrane
what is in the anterior middle ear
internal carotid a fibers from superior cervical ganglia chorda tympani pharyngotympanic tube lesser petrosal n
what is in the lateral middle ear
tympanic membrane
malleus
tensor tympani muscle (CN V)
what is in the medial middle ear
promontory with tympanic plexus which has the lesser petrosal n that gives off the otic ganglion for the parotid gland
oval and round window
posterior canal of vestibular system
facial n
what is in the roof of middle ear
temporal bone
what is in the posterior middle ear
mastoid sinus
facial n- gives off nerve to stapedius and stapedius muscle, also gives off chorda tympani to innervate the submandibular ganglion for salivary glands
what is the floor of the middle ear
internal jugular vein
what exits the jugular foramen
tympanic n stylopharyngeal n carotid sinus lingual branches communicating branches to vagus n
what nerve from the otic ganglion gives off the tympanic n
Lesser petrosal n
what nerve innervates the stylopharngeal muscle
stylopharyngeal n
what are the functions of the carotid sinus
barometer- bifurcation of common carotid a
SaO2- chemical sensation
what are the functions of the lingual branches
chemical sensation- taste post 1/3 tongue
visceral sensory for pharynx and mucosal glands
somatic sensory- post 1/3 tongue
what nerve innervates tensor tympani
tensor tympani n CN V3
what is the function of tensor tympani
tensing tympanic membrane, decrease vibration thus dampening chewing noise
**coordinates with mastication muscles
what is the nerve innervation for the stapedius muscle
nerve to stapedius CN VII
what is the function of stapedius
dampening vibrations passed to the cochlea via oval window
what is hyperacusis
disorder in loudness percception
what is otolith organs (macula)
calcium carbonate crystals
utricle- horizontal linear acceleration
saccule- vertical linear acceleration
what are the semicircular canals
90 degrees of each other in 3D distribution filled with lymph
anterior-45 degrees to mid-sagittal plane
posterior- aligned with auricle
horizontal
whole system tilted 30 degrees upwards
what are the crista
cupula- stimuli detection organs, block other canals
what does the superior vestibular n innervate
utricle, anterior and horizontal semicircular canal
what does the inferior vestibular n innervate
saccule and posterior semicircular canal
what is the blood supply for the vestibular system
vertebral merges to basilar
AICA
ant and post vestibular a from AICA follow sup and inf vestibular n
what is the vestibulo-ocular reflex
head movement to one direction, eyes to another
stabilize vision
driving, head wabbly but stable gaze
what is the vestibulocollic reflex
neck muscles contract and relax according to head position
what is the vestibulospinal reflex
maintain upright posture
boundaries of nasal cavity
lateral- irregular
medial- nasal septum
roof- narrow: frontal, ethmoidal and sphenoidal