HBS Exam 3- Head and Neck Flashcards
CN I
olfactory
CN II
optic
CN III
oculomotor
CN IV
trochlear
CN V
trigeminal
CN VI
abducens
CN VII
facial
CN VIII
vestibulocochlear
CN IX
glossophayngeal
CN X
vagus
CN XI
accessory
CN XII
hypoglossal
CN I cranial exit
cribiform plate
CN II cranial exit
optic canal
CN III cranial exit
superior orbital fissure
CN IV cranial exit
superior orbital fissure
CN V cranial exit V1
superior orbital fissure
CN V cranial exit V2
foramen rotundom
CN V cranial exit V3
foramen ovale
CN VI cranial exit
superior orbital fissure
CN VII cranial exit
enters skull via internal acoustic meatus
CN VIII cranial exit
enters skull via internal acoustic meatus
doesn’t exit skull
CN IX cranial exit
jugular foramen
CN X cranial exit
jugular foramen
CN XI cranial exit
jugular foramen
CN XII cranial exit
hypoglossal canal
CN I category
sensory
CN II category
sensory
CN III category
motor
CN IV category
motor
CN V category
sensory
motor
CN VI category
motor
CN VII category
sensory
motor
CN VIII category
sensory
CN IX category
sensory
motor
CN X category
sensory
motor
CN XI category
motor
CN XII category
motor
CN I functions
smell
CN II functions
vision
CN III functions
Motor to four muscles that move eye Eye accommodation (focusing) and constriction
CN IV functions
Motor to superior oblique muscle (eye movement)
CN V functions
General sensation from face (V1: superior face;
V2: middle face; V3: inferior face)
Motor to muscles of mastication (via V3)
CN VI functions
Motor to lateral rectus muscle (eye movement)
CN VII functions
Motor to muscles of facial expression;
Taste from palate and anterior 2/3 of tongue
Stimulate lacrimal glands (tears) and 2/3 of salivary glands
CN VIII functions
hearing
balance
CN IX functions
Motor to stylopharyngeus muscle (a muscle in the
pharynx)
Taste from posterior tongue and vallate papillae.
Poorly localized general sensation (pain, temperature,
touch and pressure) from the posterior part of the tongue
& pharynx
Stimulate 1/3 of salivary glands
CN X functions
Poorly localized general sensation (pain, temperature,
touch, and pressure) in the lining of the larynx and upper
esophagus.
Motor innervation to striated muscles of the palate,
larynx, pharynx, and upper esophagus
CN XI functions
Motor to trapezius & sternocleidomastoid muscles
CN XII functions
Motor to muscles of tongue
kissing muscles
obicularis oris
buccinator
mentalis
what 7 bones form the cranium/calvaria?
frontal 2 parietal occipital 2 temporal sphenoid
what 8 bones form the facial skeleton
Ethmoid Lacrimal Nasal Inferior nasal concha Vomer Zygomatic Maxilla Palatine
what forms the lateral walls of the skull?
2 temporal bones
what separates the left and right nasal cavity?
vomer
what bone contributes to the nasal, orbit, and and oral cavities?
palatine
sutures
fibrous joints of the skull that don’t allow movement
4 main sutures of the skull
Sagittal suture
Coronal suture
Lambdoid suture
Squamous suture
lambda
where lambdoid and sagittal sutures meet
bregma
anatomical point on the skull at which the coronal suture is intersected perpendicularly by the sagittal suture
what passageways of the skull are seen on anterior view
Optic canal Superior orbital fissure Inferior orbital fissure Supraorbital foramen Infraorbital foramen Mental foramen
what passageways of the skull are seen on inferior view
foramen magnum jugular foramen carotid canal foramen ovale foramen rotundum foramen spinosum foramen lacerum
what runs through the foramen magnum?
spinal cord
what runs through the jugular foramen?
sigmoid sinus
where is the jugular foramen?
between occipital and temporal bones
where is the foramen ovale?
in the sphenoid bone
where is the foramen rotundum?
in the sphenoid bone
what runs through the foramen rotundum?
CN V
where is the foramen spinosum?
sphenoid bone
what passageways of the skull are seen on lateral view
external acoustic meatus
what is in the internal region of the head?
brain, cranial meninges, inner table of skull
how does the brain receive blood?
2 paired systems: carotid and subclavian which communicate through the circle of willis
what structures are located at the carotid bifurcation?
carotid body
carotid sinus
carotid body
chemoR sensitive to O2, CO2, temp
carotid sinus
baroR sensitive to BP changes
what innervates the carotid body and sinus?
glossopharyngeal nerve
carotid sheath
Fascial sheath through which the carotid artery, internal jugular vein, and vagus nerve pass vertically through the neck
branches of the external carotid artery
superior thyroid ascending pharyngeal lingual facial occipital posterior auricular maxillary superficial temporal
where does the transverse facial artery come from?
superficial temporal from external carotid
how does the maxillary artery travel?
medially across the infratemporal fossa
where is the occipital artery?
back of head
where is the lingual artery?
tongue
what does the ascending pharyngeal artery supply?
sides of pharynx
how does the internal carotid artery travel?
superiorly within the carotid sheath to the base of the skull and passes through a canal in the bond to emerge into the middle cranial fossa
what do branches of the internal carotid artery supply?
eye, orbit, forehead and much of cerebrum
4 parts of internal carotid artery
cervical
petrous
cavernous
cerebral
what 2 branches form the termination of the internal carotid artery?
anterior cerebral
middle cerebral- larger
what does the anterior cerebral artery supply?
medial aspects of the anterior cerebral hemispheres
what does the middle cerebral artery supply?
temporal lobe, anterolateral frontal lobe, parietal lobe
where does the central artery of the retina travel?
optic nerve
what is the only artery that can be directly seen?
central artery of retina
what do the right and left vertebral arteries form?
basilar artery
what does the basilar artery divide into?
right and left posterior cerebral arteries
2 layers of dura mater
outer- periosteal
inner- meningeal
epidural space
btwn dura and bone
epidural hematoma
Artery between dura and skull breaks and bleeds into the epidural space
Periosteal dura is slowly pushed away from bone → characteristic lens shaped defect
subdural space
btwn dura and arachnoid
subdural hematoma
Low pressure venous bleeding from bridging veins
Dissects arachnoid away from dura
Brain shift away from bleed and ventricles may appear compressed
subarachnoid space
btwn arachnoid and pia
subarachnoid hemorrhage
Extravasation of blood into space between pial and arachnoid membranes
Blood follows pia layer and appears diffusely through the brain
Caused by trauma or aneurysm
dural venous sinuses
endothelium-lined channels in the spaces where the layers of the dura diverge
what is the main venous structure in the neck?
internal jugular vein
how does the IJV originate?
as a continuation of the S-shaped sigmoid (dural) sinus
where does the IJV terminate?
superior to the sternoclavicular joint
Unites with subclavian vein to form the brachiocephalic vein
what overlies the IJV?
sternocleidomastoid muscle
face
anterior aspect of the head in between the eyebrow and chin, base of mandible from ear to ear
scalp
covers the superior, lateral and posterior of the calvaria
layers of scalp
skin CT aponeurosis loose areolar tissue periosteum
aponeurosis of scalp
Thin tendinous sheet connects the occipital and frontal bellies of occipitofrontalis muscle
loose areolar tissue of scalp function
Allows movement of scalp proper
Contains emissary veins
Occipitofrontalis muscle function
moves scalp, wrinkles forehead, raises eyebrow
Occipitofrontalis muscle innervation
CN VII
Occipitofrontalis muscle arterial supply
branches of internal carotid artery and external carotid artery
muscles in orbital facial group
orbicularis oculi
corrugator supercilii
Orbicularis oculi orbital region function
forcefully closes eyelid
Orbicularis oculi palpebral region function
gently closes eyelid
Orbicularis oculi innervation
CN VII
Corrugator supercilii function
move eyebrows medially and downward
Corrugator supercilii innervation
CN VII
muscles in nasal facial group
nasalis
procerus
depressor septi
transverse nasalis function
compresses nasal aperture
alar nasalis function
opens nostril
nasalis innervation
CN VII
procerus function
moves medial eyebrows downward
makes transverse wrinkles over the bridge of the nose
proceurs nerves
CN VII
depressor septi function
pulls nose inferiorly
depressor septi innervation
CN VII
what innervates the kissing muscles?
CN VII
orbicularis oris function
Closes lips
protrudes lips
buccinator function
Compresses cheeks
pressing cheeks against teeth
mentalis function
Raises and protrudes lower lip and wrinkles skin on chin
muscles of smiling
LLSAN
levator labii superioris
Zygomaticus major and minor
Levator anguli oris
LLSAN position
most medial
LLSAN function
lift upper lip
open nostrils
LLSAN innervation
CN VII
Levator labii superioris postition
lateral to LLSAN