Face and Mouth Flashcards

1
Q

Between which bones does the temporomandibular joint occur?

A

Condyles of the mandible and the temporal bone

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2
Q

What is the name of the process at the front of the mandible?

A

Coronoid process

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2
Q

What is the name of the process at the front of the mandible?

A

Coronoid process

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3
Q

What is the mandibular notch?

A

The space between the condyle and coronoid process of the mandible

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4
Q

What is the angle of the mandible?

A

Place where body and ramus of mandible are continuous at the angle of the jaw

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4
Q

What is the angle of the mandible?

A

Place where body and ramus of mandible are continuous at the angle of the jaw

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5
Q

Where is the pterygoid fovea on the mandible?

A

Inside of mandible in the groove of the condyle

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6
Q

Name the 3 parts of the mandible

A

Body
Ramus
Alveolar process

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7
Q

Where is the alveolar process on the mandible?

A

Located underneath the teeth

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8
Q

What is another word for the chin?

A

Mental protuberance

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9
Q

Name the foramen found in the anterior chin region of the mandible

A

Mental foramen

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10
Q

Name the line present on the anterior surface of the mandible

A

Oblique line

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10
Q

Name the line present on the anterior surface of the mandible

A

Oblique line

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11
Q

Name the foramen found in the posterior are of the angle of the jaw

A

Mandibular foramen

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12
Q

Name the foramen found in the posterior are of the angle of the jaw

A

Mandibular foramen

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13
Q

How many muscles of mastication are there?

A

4

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14
Q

Name the 4 muscles of mastication

A

Masseter
Temporalis
Medial Pterygoid
Lateral Pterygoid

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15
Q

What is the origin of the masseter?

A

Undersurface of the zygomatic arch

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16
Q

What is the insertion of the masseter?

A

Ramus at the anterior angle of the mandible

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17
Q

What innervates masseter?

A

Mandibular division of trigeminal nerve

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18
Q

What is the action of masseter?

A

Elevates mandible to occlude teeth
Causes protrusion of the jaw

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19
Q

What is the origin of temporalis?

A

Temporal lines on side of skull

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20
Q

What is the insertion of temporalis?

A

Moves underneath the zygomatic arch to attach to the coronoid process

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21
Q

What innervates temporalis?

A

Mandibular division of the trigeminal nerve

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22
Q

What is the action of temporalis?

A

Elevates mandible to occlude teeth
Causes retraction of the jaw

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23
Q

What is the origin of the medial pterygoid muscle?

A

Medial surface of lateral pterygoid plate

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24
Q

What are the lateral and medial pterygoid plates?

A

Inferior projections of the sphenoid plate (underneath the greater wing of the sphenoid)

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25
Q

What is the insertion of the medial pterygoid muscle?

A

Medial surface of the mandibular angle

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25
Q

What is the insertion of the medial pterygoid muscle?

A

Medial surface of the mandibular angle

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26
Q

What innervates the medial pterygoid muscle?

A

Mandibular division of the trigeminal nerve

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27
Q

What is the action of the medial pterygoid muscle?

A

Elevates and protrudes the mandible

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28
Q

What is the origin of the lateral pterygoid muscle?

A

Lateral surface of lateral pterygoid plate (under greater wing of sphenoid)

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29
Q

What is the insertion of the lateral pterygoid muscle?

A

Neck of the condyle of the mandible
Neck of the temporomandibular joint

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30
Q

What innervates the lateral pterygoid muscle?

A

Mandibular branch of the trigeminal nerve

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31
Q

What is the action of the lateral pterygoid muscle?

A

Depresses and protrudes the mandible
Moves articular disc forward

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32
Q

What are the two movements involved of the jaw in chewing?

A

Movement of jaw upwards and downwards
Protrusion of jaw forwards and backwards

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33
Q

Name the compartments of the jaw in chewing?

A

Upper compartment
Lower compartment

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34
Q

How are the compartments of the jaw divided?

A

They are divided by a fibrocartilaginous articular disc

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35
Q

What are the borders of the temporal fossa?

A

Zygomatic arch, temporal and sphenoid bones on external part of the skull

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36
Q

Where is the infra temporal fossa located?

A

Between the pharynx and the ascending ramus of the mandible

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37
Q

What is the roof of the infra temporal fossa?

A

The greater wing of the sphenoid (base of skull)

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37
Q

What is the roof of the infra temporal fossa?

A

The greater wing of the sphenoid (base of skull)

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38
Q

What is the anterior border of the infratemporal fossa?

A

Pterygoid plates of sphenoid bone

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39
Q

What is the posterior border of the infratemporal fossa?

A

Styloid process and tympanic plate

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40
Q

Name the 2 cranial nerves found in the infratemporal fossa

A

Mandibular division of trigeminal nerve
Facial nerve

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41
Q

Through which foramen of the skull does the mandibular division of the trigeminal nerve exit through?

A

Foramen ovale

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42
Q

What branch does the mandibular nerve give off when it exits foramen ovale?

A

Meningeal branch of the mandibular nerve

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43
Q

Through which foramen does the meningeal branch of the mandibular nerve re enter the skull?

A

Foramen spinosum

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44
Q

What does the meningeal branch of the mandibular nerve innervate?

A

The dura mater in the skull

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45
Q

What is the otic ganglion?

A

It is one of 4 peripheral parasympathetic ganglia that give parasympathetic innervation to the skull

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46
Q

Where is the otic ganglion located?

A

Immediately below the foramen ovale where the mandibular nerve also exits the foramen ovale

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47
Q

Where the the parasympathetic fibres of the otic ganglion innervate?

A

Innervates the parotid gland for salivation

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48
Q

What muscles does the anterior division of mandibular nerve give motor innervation to?

A

All muscles of mastication apart from the posterior belly of digastric
Tensor veli palatini muscle of the soft palate

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49
Q

What is the name of the only sensory nerve from the anterior division of the mandibular nerve?

A

Long buccal nerve

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50
Q

What does the long buccal nerve give sensory innervation to?

A

Inside and outside of the cheek
Rejoins the anterior division of the mandibular nerve in the infra temporal fossa

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51
Q

Is the posterior division of the mandibular division of the trigeminal mainly sensory or motor?

A

Mainly sensory fibres

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51
Q

Is the posterior division of the mandibular division of the trigeminal mainly sensory or motor?

A

Mainly sensory fibres

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52
Q

Name the nerve that innervates the tongue that originates from the posterior branch of mandibular division

A

Lingual nerve

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53
Q

What innervation does the lingual nerve give to the tongue?

A

Sensory innervation to anterior 2/3rds (taste)

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53
Q

What innervation does the lingual nerve give to the tongue?

A

Sensory innervation to anterior 2/3rds (taste)

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54
Q

Name the nerve from the posterior branch of mandibular division of trigeminal that innervates the lower lip, teeth and chin

A

Inferior alveolar nerve

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55
Q

Name a parasympathetic nerve that ‘hitchhikes’ with the lingual

A

Chorda tympani

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56
Q

From which cranial nerve is chords tympani a branch from?

A

Facial nerve

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57
Q

What does the inferior alveolar nerve become as it leaves the mental foramen of mandible?

A

Mental nerve

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58
Q

What muscles are innervated by the posterior branch of the mandibular nerve?

A

Mylohyoid and anterior belly of digastric

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58
Q

What muscles are innervated by the posterior branch of the mandibular nerve?

A

Mylohyoid and anterior belly of digastric

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59
Q

What is the only motor nerve of the posterior branch of the mandibular nerve?

A

The nerve that innervates the mylohyoid and anterior belly of digastric

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60
Q

Name the nerve of the posterior branch of the mandibular division of the trigeminal that innervates the temple, auricle and tympanic membrane

A

Auriculotemporal nerve

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61
Q

Is the auriculotemporal nerve of the posterior branch of mandibular have sensory or motor function?

A

It is a sensory nerve

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62
Q

Name the 2 cranial nerves that have fibres running in the infratemporal fossa

A

Trigeminal
Facial

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63
Q

Name the 2 main branches of the external carotid artery

A

Superficial temporal artery
Maxillary artery

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64
Q

What are the 3 main branches of the maxillary artery?

A

Middle meningeal artery
Superior alveolar artey
Inferior alveolar artery

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64
Q

What are the 3 main branches of the maxillary artery?

A

Middle meningeal artery
Superior alveolar artey
Inferior alveolar artery

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65
Q

What does the inferior alveolar artery supply?

A

Body of mandible and pulp of teeth
Becomes the mental artery

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66
Q

What does the superior alveolar artery supply

A

Maxillary arch and jaw

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67
Q

What does the middle meningeal artery supply?

A

Dura mater and cranial bones

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67
Q

What does the middle meningeal artery supply?

A

Dura mater and cranial bones

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68
Q

What does the superficial temporal artery supply?

A

Forehead and scalp

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69
Q

Which plexus drains most the the facial structures and temporal region?

A

Pterygoid plexus

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70
Q

Which vein drains into the external jugular vein?

A

Retro mandibular vein

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71
Q

Name the vein that connects the pterygoid plexus to the cavernous sinus?

A

Facial vein

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72
Q

Why is the connection of the pterygoid plexus to the cavernous sinus significant?

A

Shows how infections of the teeth can spread to the brain region

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73
Q

What can happen to local anaesthetic applied to posterior superior alveolar nerves because of their proximity to pterygoid plexus?

A

The anaesthetic is placed into the pterygoid plexus and cavernous sinus instead

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74
Q

Is the temporomandibular joint synovial?

A

Yes!

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74
Q

Is the temporomandibular joint synovial?

A

Yes!

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75
Q

Name the 3 lobes of the parotid gland

A

Superficial lobe
Deep lobe
Glenoid lobe

76
Q

Which important nervous structure passes close to the parotid gland?

A

Facial nerve CN7

77
Q

What is the border of the roof of the mouth?

A

Hard and soft palate

78
Q

What is the border of the floor of the mouth?

A

Mylohyoid muscle

79
Q

What is the anterior boundary of the mouth?

A

Teeth and lips

80
Q

What is the posterior boundary of the mouth?

A

Palatoglossal arches

81
Q

Name the 2 potential spaces within the oral cavity

A

Buccal cavity
Oral cavity proper

81
Q

Name the 2 potential spaces within the oral cavity

A

Buccal cavity
Oral cavity proper

82
Q

What is the difference between the buccal cavity and the oral cavity proper?

A

In the oral cavity proper the teeth are occluded, they are not in the buccal cavity

83
Q

Name the ridges present on the roof of the mouth

A

Rugae

84
Q

Name the 2 arteries supplying the hard and soft palate

A

Greater palatine artery
Lesser palatine artery

85
Q

How many muscles of the palate are there?

A

5

86
Q

Name the 5 muscles of the palate

A

Levator palati
Tensor veli palatini
Palatoglossus
Palatopharyngeus
Musculus uvulae

87
Q

What nerve innervates the muscles of the palate apart form tensor veli palatini?

A

Pharyngeal plexus and laryngeal nerves

88
Q

Which 2 muscles form the floor of the mouth?

A

Mylohyoid
Geniohyoid

88
Q

Which 2 muscles form the floor of the mouth?

A

Mylohyoid
Geniohyoid

89
Q

Name the 3 salivary glands?

A

Parotid
Submandibular
Sublingual

90
Q

Name the nerve that lies below the submandibular salivary gland

A

Hyopglossal nerve CN12

91
Q

Which nerve lies above the submandibular salivary gland?

A

Lingual nerve

92
Q

Through which muscle does the parotid gland drain into the oral cavity?

A

Buccinator muscle

92
Q

Through which muscle does the parotid gland drain into the oral cavity?

A

Buccinator muscle

93
Q

What gives sympathetic innervation to the parotid glands?

A

Superior cervical ganglion

94
Q

Which cranial nerve gives parasympathetic innervation to the parotid gland through the otic ganglion?

A

Glossopharyngeal nerve (IX)

95
Q

What is the motor innervation of the hypoglossal nerve (XII)?

A

Innervates all muscles of the tongue NOT palatoglossus

96
Q

Which cranial nerve loops around the external carotid artery?

A

Hypoglossal nerve

97
Q

What nerve innervates the gums (gingivae)?

A

Lingual nerve

98
Q

How many extrinsic muscles of the tongue are there?

A

2

99
Q

Name the 2 extrinsic muscles of the tongue?

A

Genioglossus
Geniohyoid

100
Q

What is the origin of genioglossus?

A

Anterior part of the mandible

101
Q

What is the insertion of genioglossus?

A

Undersurface of the tongue

102
Q

What innervates genioglossus?

A

Hypoglossal nerve (XII)

103
Q

What is the action of genioglossus?

A

Protrusion and depression of tongue
Moves tip of tongue up and down

104
Q

What is the origin of geniohyoid?

A

Anterior part of the mandible

105
Q

What is the insertion of geniohyoid?

A

Hyoid bone

106
Q

What innervates geniohyoid?

A

Hypoglossus nerve (XII)

107
Q

What is the action of geniohyoid?

A

Pulls the hyoid upwards and forwards

107
Q

What is the action of geniohyoid?

A

Pulls the hyoid upwards and forwards

108
Q

How many intrinsic tongue muscles are there?

A

3

109
Q

Name the 3 intrinsic tongue muscles

A

Styloglossus
Palatoglossus
Hyloglossus

110
Q

What is the origin of styloglossus?

A

Styloid process

111
Q

What is the insertion of styloglossus?

A

Back of the mouth - passes between the internal and external carotid artery

112
Q

What innervates the styloglossus?

A

Hypoglossal nerve XII

113
Q

What is the action fo the styloglossus?

A

Modifies shape of tongue, is attached to the styloid process

114
Q

What is the raphia of the tongue?

A

The mucous membrane that is visible in the underside of the tongue

115
Q

What is the palatine aponeurosis?

A

Where the muscles fo the soft palate attach to on the posterior edge of the hard palate

116
Q

What is the origin of palatoglossus?

A

Palatine aponeurosis

117
Q

What is the insertion of the palatoglossus?

A

Side of the tongue

118
Q

What is the action of palatoglossus?

A

Raises the posterior part of the tongue

118
Q

What is the action of palatoglossus?

A

Raises the posterior part of the tongue

119
Q

What innervates palatoglossus?

A

Pharyngeal plexus and the laryngeal nerves

120
Q

What is the origin of hyloglossus?

A

Sides of the hyoid

121
Q

What is the insertion of hyloglossus?

A

Tongue

122
Q

What is the action fo hyloglossus?

A

Pulls the tongue down in the mouth

123
Q

What innervates hyloglossus?

A

Hypoglossal nerve XII

124
Q

What is the sulcus terminalis of the tongue?

A

V shaped line between the anterior 2/3 and posterior 1/3 of the tongue

125
Q

What is the foramen caecum on the tongue?

A

Pit in the midline of the tongue at apex of the sulcus terminalis (origin of primitive thyroid gland)

126
Q

What is the frenulum of the tongue?

A

Median fold of mucous membrane beneath the tip of the tongue

127
Q

What is the median glossoepiglottic fold of the tongue?

A

Midline fold of mucous membrane that passes back to the epiglottis

128
Q

What is the gustatory epithelium of the tongue?

A

The name of the mucous membrane of the tongue

129
Q

List the 4 different types of papillae on the tongue

A

Vallate papillae
Foliate papillae
Filiform papillae
Fungiform papillae

129
Q

List the 4 different types of papillae on the tongue

A

Vallate papillae
Foliate papillae
Filiform papillae
Fungiform papillae

130
Q

Is the lingual artery a branch of the internal or external carotid artery?

A

External carotid artery

131
Q

Is the lingual artery a branch of the internal or external carotid artery?

A

External carotid artery

132
Q

What 2 branches on lingual arteries does the lingual artery give off?

A

Dorsal lingual arteries
Deep lingual arteries

132
Q

What 2 branches on lingual arteries does the lingual artery give off?

A

Dorsal lingual arteries
Deep lingual arteries

133
Q

Which cranial nerve gives sensory + taste sensation to the most posterior part of the tongue?

A

Vagus nerve X

134
Q

Which cranial nerve gives sensory + taste sensation to the area of tongue posterior to the sulcus terminalis?

A

Glossopharyngeal nerve IX

135
Q

Which nerve gives touch, temperature and pain sensation to the anterior 2/3 of the tongue?

A

Lingual nerve, from the mandibular division of trigeminal nerve V

136
Q

Which nerve give taste sensation to the anterior 2/3 of the tongue?

A

Chorda tympani, from the facial nerve VII

137
Q

Name the 5 main muscles of facial expression

A

Orbicularis oculi
Frontalis
Occipitalis
Orbicularis oris
Buccinator

138
Q

What is the origin of orbiculares oculi?

A

Medial palpebral ligament

139
Q

What is the insertion of orbicularis oculi?

A

Lateral palpebral ligament

140
Q

What is the action of orbiculares oculi?

A

Gentle closing of the eyelids

141
Q

What innervates orbiculares oculi?

A

Facial nerve

142
Q

What is the origin of frontal?

A

Skin of eyebrows

143
Q

What is the origin of frontal?

A

Skin of eyebrows

144
Q

What is the insertion of frontalis?

A

Superior epicranial aponeurosis

145
Q

What is the action of frontalis?

A

Wrinkles forehead, raises eyebrows

146
Q

What innervates frontalis?

A

Facial nerve

147
Q

What is the origin of occipitalis?

A

Lateral part of the superior nuchal line

148
Q

What is the insertion of occipitalis?

A

Epicranial aponeurosis

149
Q

What is the action of occipitalis?

A

Draws scalp backwards

150
Q

What innervates occipitalis?

A

Facial nerve

151
Q

What is the origin of orbicularis oris?

A

No bony origin, from the muscles in the maxillary and mandibular area

152
Q

What is the insertion of oribularis oris?

A

Attaches to the lips

153
Q

What is the action of orbiculares oris?

A

Closes and protrudes the lips

154
Q

What innervates orbiculares oris?

A

Facial nerve

155
Q

What is the origin of buccinator?

A

Posterior part of maxilla and mandible

156
Q

What is the insertion of buccinator?

A

Blends onto orbiculares oris and the lips

157
Q

What is the action of buccinator?

A

Presses cheek against the teeth, compresses cheek when they are distended (helps with chewing)

158
Q

What innervates buccinator?

A

Facial nerve

159
Q

Is the facial artery a branch if the internal or external carotid?

A

External carotid

160
Q

Which 2 vessels does the facial artery anastomose with?

A

Superficial temporal artery
Orbital and scalp vessels

161
Q

Describe the pathway of the facial artery

A

Passes across the mandible and moves past mouth to the side of the nose, then anastomoses

161
Q

Describe the pathway of the facial artery

A

Passes across the mandible and moves past mouth to the side of the nose, then anastomoses

162
Q

Describe the pathway of the facial vein

A

Follows the pathway of the facial artery

163
Q

What does the facial vein drain into?

A

Joins the retromandibular vein to form the common facial vein. This then drains into the internal jugular vein

164
Q

With which veins does the facial vein communicate with?

A

Orbital veins
Intracranial sinuses

165
Q

What is the clinical importance of the facial vein being connected to the intracranial region via the intracranial sinuses?

A

Means infections can easily spread form the region of the face or orbit and into the cranium

166
Q

Is the facial nerve entirely motor or sensory?

A

The facial nerve has only motor control

166
Q

Is the facial nerve entirely motor or sensory?

A

The facial nerve has only motor control

167
Q

Which muscles are innervated by the facial nerve?

A

All facial muscles apart from muscles of mastication

167
Q

Which muscles are innervated by the facial nerve?

A

All facial muscles

168
Q

Name the 6 main terminal branches of the facial nerve

A

Temporal
Zygomatic
Buccal
Mandibular
Cervical
Posterior auricular

169
Q

What does the posterior auricular branch of the facial nerve innervate?

A

Posterior belly of the digastric
Stylohyoid

170
Q

What nerve branch gives sensory innervation to the face?

A

Cutaneous branches of the maxillary, mandibular, ophthalmic division of the facial nerve

170
Q

What nerve branch gives sensory innervation to the face?

A

Cutaneous branches of the maxillary division of the facial nerve

171
Q

Is Bell’s palsy an upper or lower motor neurone lesion?

A

It is a LMN lesion

172
Q

Is stroke an upper or lower motor neurone lesion?

A

It is an UMN lesion

172
Q

Is stroke an upper or lower motor neurone lesion?

A

It is an UMN lesion

173
Q

What is the visible difference oil a patient between Bell’s palsy and stroke?

A

Bell’s palsy -> whole face droops, all facial muscles affected
Stroke -> eyebrows can still be raised as they are innervated by both left and right side of the brain

174
Q

Which branches of the facial nerve supply the platysma muscle?

A

Cervical branches

175
Q

From which cranial nerve is the greater petrosal nerve a branch of?

A

Facial nerve

176
Q

From which cranial nerve is the greater petrosal nerve a branch of?

A

Facial nerve

177
Q

What does the greater petrosal nerve supply?

A

Lacrimal gland

178
Q

From which cranial nerve is the chords tympani a branch of?

A

Facial nerve

179
Q

What does chords tympani supply?

A

Anterior 2/3 of the tongue (taste)

179
Q

What does chords tympani supply?

A

Anterior 2/3 of the tongue (taste)

180
Q

Parasympathetic fibres to which 2 glands travel with chords tympani?

A

Submandibular and sublingual glands

181
Q

Which 2 congenital abnormalities can rise from incomplete fusion of the maxillary and mandibular arch in development?

A

Cleft lip
Cleft palate

181
Q

Which 2 congenital abnormalities can rise from incomplete fusion of the maxillary and mandibular arch in development?

A

Cleft lip
Cleft palate

182
Q

At which part of the mandible are fracture more serious and may need intervention?

A

Ascending ramus of the mandible

182
Q

At which part of the mandible are fracture more serious and may need intervention?

A

Ascending ramus of the mandible

183
Q

What is the main indication of Bell’s palsy?

A

Inability to screw eyes shut or show teeth on one side or both sides

184
Q

What is the main indication of stroke?

A

Can still voluntarily move muscles around eye and forehead

185
Q

During swallowing, there is a brief interruption of _________

A

Breathing

186
Q

What is a symptom of bulbar’s palsy?

A

Choking and passing of food up into nose

187
Q

What is a symptom of bulbar’s palsy?

A

Choking and passing of food up into nose

188
Q

Contraction of which muscle of the pharynx initiates passage of food bolus through oesophagus?

A

Cricopharyngeus