Head 2 Flashcards
What divides the parotid gland into deep and superficial lobes
Facial nerve
The secretions from the parotid gland are transported to the oral cavity by which structure
And where does it open out
Stensen duct
Near the second upper molar
Which muscle is pierced by the stensen duct
Buccinator (Stenson duct = parotid duct)
Which structures pass through the parotid gland
Facial nerve
External carotid artery
Retromandibular vein
In which gland does the facial nerve branch and into which branches
Within the parotid gland
Branches into - Temporal branch, zygomatic branch, buccal branch, marginal mandibular branch and cervical branches
What is the blood supply of the parotid glands
Posterior auricular and superficial temporal arteries (branches of external carotid within the gland)
What is the venous drainage of the parotid gland
Retromandibular vein
What forms the retromandibular veins
Superficial temporal and maxillary veins
through which pathway is the parotid gland stimulated to form saliva
Glossopharyngeal nerve
to otic ganglion
PSNS fibres travel with auriculotermporal nerve to gland
Where are the sublingual glands found
In the sublingual fossa on the floor of the mouth
What is the PSNS innervation of the sublingual glands
Originates in the superior salivary nucleus
through pre-synaptic fibres in the chorda tympani
What is the blood supply of the sublingual gland
Sublingual and submental arteries
Describe the 2 arms of the submandibular glands
Superficial arm - larger part of the gland
Deep arm - hooks around the posterior margin of mylohyoid
What duct transmits secretions from the submandibular gland to the oral cavity
Wharton’s duct
Which nerves are closely related to the submandibular gland
Lingual nerve
Hypoglossal nerve
Facial nerve (marginal mandibular branch)
What is the blood supply to the submandibular gland
Arterial supply - submental artery
Venous drainage - facial vein, sublingual vein
Which salivary duct is most at risk of developing a calculi
Submandibular
What is the vestibule of the oral cavity
It is the space between the lips/cheeks, and the gums/teeth
What forms the floor of the oral cavity
Muscular diaphragm - formed by the bilateral mylohyoid muscles
Geniohyoid muscles
Tongue
Salivary ducts
Which nerves are involved in the gag reflex
Afferent nerve - glossopharyngeal
Efferent nerve - vagus
Where do the sympathetic nerve fibres to the head and neck originate
T1-T6
What are the 3 ganglia of the sympathetic trunk
Superior cervical ganglion
Middle cervical ganglion
Inferior cervical ganglion
What originates from the superior cervical ganglion
Internal carotid nerve
External carotid nerve
Nerve to pharyngeal plexus
Superior cardiac branch
Nerves to CN II III IV VI and IX
Gray rami communiantes
What originates from the middle cervical ganglion
Grey rami communicates
Thyroid branches
Middle cardiac branch
What originates from the inferior cervical ganglion
Grey rami communicates
Branches to subclavian and vertebral arteries
Inferior cardiac nerve
Which organs are innervated from branches of the superior cervical ganglion
Eyeball
Face
Nasal glands
Pharynx
Glands of the palate and nasal cavity
Salivatory glands
Lacrimal glands
Sweat glands
Pineal gland
Dilator pupillae
Superior tarsal muscle
Carotid body
Heart
Arterial smooth muscle
Which organs are innervated from branches of the middle cervical ganglion
Larynx
Trachea
Pharynx
Upper oesophagus
Heart
Arterial smooth muscle
Which organs are innervated from branches of the inferior cervical ganglion
Heart
Arterial smooth muscle
What are the 4 parasympathetic ganglia located in the head
the ciliary, otic, pterygopalatine and submandibular ganglion
The ciliary ganglion is supplied by fibres from which brainstem nucleus
Edinger-Westphal nucleus
What does the efferent fibres from the ciliary ganglion innervate
Sphincter pupillae
Ciliary muscles
The pretygopalatine ganglion is supplied by fibres from which brainstem nucleus
Superior Salivatory nucleus
What are the target organs of the pterygopalatine ganglion
secretomotor innervation to lacrimal gland, mucous glands of posterosuperior nasal cavity, nasopharynx, and the palate.
The submandibular ganglion supplies which gland
Sublingual
Submandibular
Which Salivatory nucleus is the submandibular ganglion associated with
Superior
Which salivatory nucleus is the otic ganglion associated with
Inferior
What is the target organ of the otic ganglion
Parotid gland
Which nuclei are associated with the trigeminal nerve
Mesencephalic nucleus
Principle sensory nucleus
Spinal nucleus
Motor nucleus of the trigeminal nerve
Where is the trigeminal ganglion found
Lateral to the cavernous sinus
In Meckel’s cave (depression of the temporal bone)
What are the 3 main branches of the opthalmic nerve
Frontal nerve
Lacrimal nerve
Nasociliary nerve
What are the branches of the frontal branch of the opthalmic nerve (CN V1)
Supraorbital
Supratrochlear
What are the branches of the nasociliary branch of the opthalmic nerve (CN V1)
Anterior ethmoid nerve
Posterior ethmoid nerve
Infratrochlear nerve
Long ciliary nerve
With which branch of the opthalmic nerve are sympathetic fibres found
Nasociliary nerve (long ciliary)
With which branch of the opthalmic nerve are parasympathetic fibres found
Lacrimal nerve
From which pharyngeal arch does the trigeminal nerve originate
First
What are the sensory branches of the maxillary nerve
Superior alveolar nerve (anterior, posterior and middle)
Middle meningeal nerve
Infraorbital nerve
Zygomatic nerve
Inferior palpebral nerve
Superior labial nerve
Pharyngeal nerve
Greater and lesser palatine nerves
Nasopalatine nerve
What is the sensory function of the maxillary nerve
Lower eyelid and its conjunctiva
Inferior posterior portion of the nasal cavity (superior anterior is CNV1)
Cheeks and maxillary sinus
Lateral nose
Upper lip, teeth and gingiva
Superior palate
What are the 4 branches of the maxillary nerve
Auriculotemporal nerve
Buccal nerve
Inferior alveolar nerve
Lingual nerve
Which branch of the maxillary nerve acts a conduit for special sensory fibres of the chorda tympani
Lingual nerve
Which muscles does the mandibular nerve innervate
Masseter
Medial and lateral pterygoids
Temporalis
Tensor Veli Palatini
Tensor tympani
Anterior belly of digastric
Mylohyoid
The mental nerve arises from which nerve
Inferior alveolar nerve (branch of CN V3)
What is a chalazion
Painless granuloma of the miebomian glands
How many permenant teeth do we have
32
16 in each arch
What are the 4 different types of teeth and how many of each do we have
incisors, canine, premolars, molars
In each quadrant
2 x incisors
1 x canine
2 x premolars
3 x molars
Which type of tooth is only present in permenant dentition
Premolar
What are the 3 foramina in the hard palate
Incisive canal
Greater palatine foramen
Lesser palatine foramen
What are the 5 muscles of the soft palate
Tensor veli palatini
Levator veli palatini
Palatoglossus
Palatopharyngeus
Musculus uvulae
The muscles of the soft palate are innervated by which nerve
Apart from which muscle and what innervates this
Pharyngeal branch of the vagus nerve
Tensor veli palatini - innervated by medial pterygoid (CN V3)
What are the 4 intrinsic muscles of the tongue
Superior longitudinal
Inferior longitudinal
Transverse and vertical muscles of the tongue.
What is the motor innervation of the intrinsic muscles of the tongue
Hypoglossal nerve (CN XII)
What are the extrinsic muscles of the tongue
Genioglossus
Hyoglossus
Styloglossus
Palatoglossus
All extrinsic muscles of the tongue are innervated by the hypoglossal nerve (CN XII) apart from which and what innervates it
Palatoglossus
Innervated by the vagus nerve
Describe the taste sensation supply of the tongue
Anterior 2/3 - Chorda tympani - branch of the facial nerve (CN VII)
Posterior 1/3 - Glossopharyngeal nerve (CN IX)
What is the somatic sensory supply of the tongue
Anterior 2/3 - Lingual nerve - branch of V3 (mandibular branch of the trigeminal nerve)
Posterior 1/3 - glossopharyngeal nerve
What is the blood supply of the tongue
Lingual artery - main supply
Tonsillar artery - branch of the facial artery
Describe the lymphatic drainage of the tongue
Anterior 2/3 - Submental and submandibular nodes which empty into the deep cervical nodes
Posterior 1/3 - Directly into deep cervical nodes
What is the nerve supply of the muscles of facial expression
Facial nerve (CN VII)
The temporal branch of the facial nerve supplies which facial muscles
Temporalis
Obicularis oculi
Corrugator supercilli
The zygomatic branch of the facial nerve supplies which facial muscles
Obicularis oculi
The buccal branch of the facial nerve supplies which facial muscles
Obicularis Oris
Buccinator
Zygomaticus
The marginal mandibular branches of the facial nerve supplies which facial muscles
Mentalis
Depressor labi inferioris
Depressor anguli Oris
The cervical branches of the facial nerve supply which facial muscles
Platysma
What is the action of corrugator supercili
Draws eyebrows together- wrinkling of brow of frowning
What are the nasal muscles
Nasalis
Procerus
Depressor Septi Nasi
What are the muscles of mastication
Masseter
Temporalis
Medial pterygoid
Lateral pterygoid
From which pharyngeal arch do the muscles of mastication develop from
1st
What is the nervous innervation of the muscles of mastication
Trigeminal nerve
Which muscle lies superficial to pterygoids and temporalis muscles
Masseter
Which facial muscle can be harvested to perform a myringoplasty
Temporalis
What does the internal carotid artery branch into distal to the cavernous sinus
Opthalmic artery
Posterior communicating artery
Anterior choroidal artery
Anterior cerebral artery
The middle cerebral artery is a continuation of which artery
Internal carotid artery
Which branches arise from the vertebral arteries within the cranial vault
Meningeal branch
Anterior and posterior spinal arteries
Posterior inferior cerebellar arteries
What forms the basilar artery
The 2 vertebral arteries
What are the 3 main paired components of the circle of Willis
Anterior cerebral arteries
Internal carotid arteries
Posterior cerebral arteries
What are the communicating arteries in the circle of Willis
Anterior communicating artery
Posterior communicating artery
What does the anterior communicating artery connect
The two anterior cerebral arteries
What does the posterior communicating artery connect
The internal carotid artery to the posterior cerebral artery
What is the arterial supply to the spinal cord
Anterior spinal artery
2x posterior spinal artery
Which blood vessel reinforces circulation to the inferior 2/3 of the spinal cord
The greater anterior segmental artery of Adamkiewicz
How many venous sinuses are there in total
11
The straight sinus is a continuation of what
Great cerebral vein and the inferior sagittal sinus
What converges at the confluence of sinuses
Straight, superior and inferior sagittal sinus
What structures overlies the internal occipital protuberance
The confluence of sinuses
What is the great cerebral vein
The Vein of Galen
Forms by the union of 2 of the deep veins and drains into the straight sinus
What is found within the cavernous sinus
Abducens nerve
Carotid plexus
Internal carotid artery
What is found within the wall of the cavernous sinus
Oculomotor nerve
Trochlear nerve
Opthalmic nerve
Maxillary nerve
Which veins drain into the cavernous sinus
Superior and inferior opthalmic veins
Central vein of retina
Sphenoparietal sinus
Superficial middle cerebral vein
Pterygoid plexus
What do the cavernous sinus drain into
Superior and inferior petrosal sinuses
What connects the lateral ventricles to the third ventricle
Foramen of Munro
What connects the third and fourth ventricles
Cerebral aqueduct
What is the blood supply to the cerebellum
Superior cerebellar artery
Anterior inferior cerebellar artery
Posterior inferior cerebellar artery
Where is the pineal gland found
Between the two hemispheres, attached to a stalk by the posterior wall of the third ventricle
What is the anterior pituitary derived from
Rathke’s pouch
What is the posterior pituitary derived from
Embryonic forebrain- in essence an extension of the hypothalamus
Which hormones are released from the posterior pituitary
ADH
Oxytocin
Describe the hypophyseal portal system
Superior hyophyseal artery supplies the anterior pituitary after forming a capillary network around the hypothalamus
Allows the hypothalamus to communicate with the anterior pituitary
Which CN exicts between the peduncles of the midbrain
Oculomotor - CN III
What nerve is first affected in cerebellopontine angle syndrome
Vestibulocochlear - CN VIII
What are the ascending tracts
Dorsal column medial lemniscus
Spinothalamic
Spinocerebellar
Where does the DCML pathway crossover
Medulla
Where does the spinothalamic tracts cross over
Spinal cord
What are the descending tracts
Corticospinal
Corticobulbar
Vestibulobulbar
Reticulospinal