Face, Scalp, Muscles of Facial Expression, Parotid Gland, and Skull Flashcards
Neurocranium
portion of skill containing brain and brainstem, includes meninges
Viscerocranium
the portion of skull making up the face, made from neural crest cells
bones are derived from pharyngeal arches
cranial base
bones underlying the base
also called basocranium
cranial vault
bones covering the brain
also called calvaria
sensory capsules
bones encapsulating sensory organs
endonchrondral ossification bones
bones composed of hylaine cartilage replaced by bone
cranial base bones
intramembranous ossification bones
bone tissue directly replaces mesenchyme
skull vault (calvaria), maxilla, mandible, zygomatic, squamous portion of temporal bone
pharyngeal arch derivatives
neural crest cells migration into arches and from bones
malleus, incus, stapes, styloid, process of temporal bone, hyoid bone
non-ossified bones
nasal septum and speno-occipital synchordosis (SOS)
supraorbital foramen
above eye in frontal bone
infraorbital foramen
in the maxillae bone
mental foramen
in the chin, mandible bone
temporal bone processes
zygomatic process
external acoustic meitus
mastoid process
styloid process
coronal suture
in between frontal and parietal
squamosal suture
in between parietal and temporal
pterion
H shape of the sutures (coronal and squamosal) comes together
vulnerable point in the skull
on lateral side
sagital suture
separates the two parietal bones
bregma
center point of the coronal suture and saggital suture
lamboid suture
in between parietal and occipital bone
lambda
center point between lamboid and saggital suture
craniosynotosis
premature closure of a suture in the infant
causes abnormal head shape because skull can only grow parallel to close suture
scaphaocephaly
premature closure of saggital suture
narrow elongated head
plagiocephaly
premature suture of coronal or lamboid suture on one side only
assymetric, twisted head
brachycephaly
premature closure of the coronal suture
tall flat head
Layer of the scalp
skin
connective tissue (dense) - contains nerves and vessels
aponeurosis - connecting the frontalis muscle and the occipitalis m
loos connective tissue - associated with venous communication, infection
pericranium - periosteum of skull
muscles of facial expression
come from the 2nd pharyngeal arch
facial nerve (cranial nerve VII)
occipitofrontalis
elevates eyebrows, wrinkles forehead - surprise
orbicularis occuli
closes eyelids
nasalis
compresses and dilates nostrils
orbicularis oris
purses lip to kiss
buccinator
presses cheek against molar teeth
important for chewing
mentalis
wrinkles chin
platsyma
depresses mandible, conveys stress
partoid sheath
covers with parotid gland
continous with investing layer of deep cervical fascia
motor innervation of the face
facial nerve (cranial nerve VII)
passes the internal auditory meatus, through the geniculate ganglion, exits the stylomastoid foramen
for ANS: internal auditory meitus –> petroympanic fissuere –> lingual nerve –> submandibular ganglion –> causes taste from the anterior 2/3 of the tongue and submandibular and sublingual gland
Facial nerve
gives off the posterior auricular nerve (not in plexus)
branches within in the parotid gland
two zebras bit my cookies
temporal
zygomatic
buccal
mandibular
cervical
bell’s palsy
facial nerve paralysis
unilateral
cannot close eyes, chew foot, puff cheeks, drooping mouth
spontaneous recovery
herpes zoster oticus
reactivation of varicella zoster along the facial nerve (the posterior auricular branch)
painful skin lesions
can also affect CN VIII (vertigo, hearing loss)
CN V
V1 - sensory
V2- sensory
V3 - sensory and motor, muscles of mastication and other
arise from the trigeminal ganglion
CN V1 sensory innervation - opthalmic nerve
forehead, upper eyelids, dorsum of nose
CN V2 - maxillary nerve
cheeks, lower eyelids, upper lip
CN V3 - mandibular nerve
lateral sides of head, lower lip, chin
herpes zoster of trigeminal nerve
involves the trigeminal ganglion
opthalmic division is most commonly affected
trigeminal neuralgia
sudden attacks of facial pain with trigger zones
unknown cause
maxillary n most commonly affect, opthalmic least affected
Blood supply to scalp and face
branches of ECA - facial a, superfical temporal a, occipital a, posterior auricular a
branches of ICA - supraorbital a, supratrochlear a
angular vein
branch of facial v
anastomizing with ophthalmic veins in the cavernous sinus
pterygoid plexus of veins
anastomoses with facial and cavernous sinus (danger zone)
another route of infection
cavernous sinus thrombosis
infection from face travels into cavernous sinus
caused via the danger triangle of the face
headache, fever, periorbital edema, eye swelling
life threatening
Retromandibular vein
formed by superifical temporal and maxillary veins
divides into anterior + facial vein = common facial vein
and posterior branch + posterior auricular vein = external jugular vein
Sympathetics of head neck
preganglionic neurons are in T1-L2 –> enter sympathetic chain
travel up to cervical region, go through cervical sympathetic ganglia, conveyed via the vasculature (periarterial plexuses)
Parsymp of head and neck
synapse in ganglion - not the wall of the viscera
COPS
3977
CN III synape
synpase at ciliary ganglion
CN IX synapse
synapse in otic ganglion
CN VII synapse
pterygopalatine ganglion or submandibular ganglion
Post ganglion parasymp fibers
are distrubuted by branches of trigeminal n (CN V)
olfactory foramina/cribiriform foramina
axons of olfactory cells that make up the CN I
optic cancal
has the optic nerve (CN II) and ophthalmic arteries
superior orbital fissure
CN V1, CN III, CN IV, CN VI
foramen rotundum
CN V2
foramen ovale
CN V3 and accessory meningeal a.
foramen spinosum
middle meningeal artery, meningeal branch of V3
foramen lacerum
deep petrosal n
internal auditory meatus
vestibulocochlear nerve (CN VIII), facial nerve (CN VII)
jugular foramen
CN IX, X, and XI, internal jugular v.
hypoglossal canal
Hypoglossal n. (CN XII)
foramen magnum
Vertebral aa., CN XI, anterior/posterior spinal aa.
CN I
olfactory
CN II
optic
CN III
oculomotor
CN IV
trochleamotor
CN V
trigeminal
CN V1
opthlamic
CN V2
maxillary
CN V3
mandibular
CN VI
abducens
CN VII
facial
CN VIII
vestibulococlear
CN IX
glossopharyngeal
CN X
vagus
CN XI
accesory
CN XII
hypoglossal