Head and Neck Flashcards
What structures pass through the cribriform plate?
Olfactory (I) nerve bundles
What structures pass through the optic canal?
Optic nerve (II) including central artery of retina
Ophthalmic artery
What structures pass through the superior orbital fissure?
Oculomotor nerve (III)
Trochlear nerve (IV)
Lacrimal, front and nasociliary branches of ophthalmic nerve (V1)
Abducens nerve (VI)
Superior ophthalmic vein
What structures pass through foramen rotundum?
Maxiliary nerve (v2)
What structures pass through Foramen ovale?
O tic ganglion
V3 (Mandibular nerve:3rd branch of trigeminal)
A ccessory meningeal artery
L esser petrosal nerve
E missary veins
What structures pass through foramen spinosum?
Middle meningeal artery and vein
What structures pass through foramen lacerum?
nothing
What structures pass through carotid canal?
internal carotid artery
internal carotid nerve plexus
What structures pass through internal acoustic meatus?
facial nerve (VII)
vestibulocochlear nerve (VIII)
labyrinthine artery
What structures pass through jugular foramen?
Inferior petrosal sinus
Glossopharyngeal nerve (IX)
Vagus nerve (X)
Accessory nerve (XI)
Sigmoid sinus -> internal jugular vein
Posterior meningeal artery
What structures pass through hypoglossal canal?
Hypoglossal nerve (XII)
What structures pass through the foramen magnum?
medulla oblongata
meninges
vertebral arteries
meningeal branches of vertebral arteries
spinal roots of accessory nerves
What passes through the mandibular foramen?
inferior alveolar neurovasscular bundle
what does the inferior alveolar neurovascular bundle innervate?
mandibular teeth and supplies them with blood
What are the first and 2nd most commonly fractured facial bones?
- nasal bone
- mandible (at cuspid area and 3rd molar)
What sort of joint is the TMJ?
synovial joint between the mandibular fossa and the articular tubercle of the temporal bone and head of mandible
How many synovial cavities in TMJ?
2 separated by an articular disc of fibrocartilage
What is a Jefferson fracture?
fracture of the atlas usually across the anterior and posterior arches (method blow to top of head)
What is a hangman fracture?
fracture of the axis involving the dens or across the neural arch between superior and inferior articular facets
What type of joint is the Atlanto- occipital joint?
biaxial condyloid synovial joint between atlas and occipital condyles (nodding)
What type of joint is the Atlanto-axial joint?
uniaxial synovial joints (head turning)
what is the purpose of the alar internal craniocervical ligaments?
limit rotation
What are the 3 ear ossicles?
malleus, incus, stapes
Which muscles attache to the auditory ossicles?
tensor tympani (to malleus)
stapedius (to stapes)
dampen large vibrations
what is the function of the ossicles?
they amplify sonic vibrations from the tympanic membrane and transmit them to the inner ear
Where are all muscles of facial expression derived from embryologically?
2nd pharyngeal (branchial) arch
what are all muscles of facial expression innervated by?
terminal branches of the facial nerve (CNVII)
What structures pass through the parotid gland?
Facial nerve (Mnemonic: The Zebra Buggered My Cat; Temporal Zygomatic, Buccal, Mandibular, Cervical)
External carotid artery
Retromandibular vein
Auriculotemporal nerve
Anterior relations of the parotid?
masseter, medial pterygoid, superficial temporal and maxillary artery, facial nerve, stylomandibular ligament
Posterior relations of the parotid?
posterior belly digastric muscle, sternocleidomastoid, stylohyoid, internal carotid artery, mastoid process, styloid process
Innervation of the parotid?
Parasympathetic-Secretomotor
Sympathetic-Superior cervical ganglion
Sensory- Greater auricular nerve
What supplies common sensation to the anterior 2/3 of the tongue?
The lingual branch of the mandibular division of the trigeminal nerve
What nerve supplies taste to the anterior 2/3 of the tongue?
chorda tympani branch of the facial nerve
What supplies common sensation + taste to the posterior 1/3 of the tongue?
lingual branch of the glossopharyngeal nerve
Which nerve supplies the intrinsic muscles of the tongue?
All intrinsic muscles of the tongue are supplied by the hypoglossal nerve
What are the branches (in order) of the external carotid artery?
She Always Likes Friends Over Papa, Sister and Mama
Superior thyroid artery
Ascending pharyngeal artery
Lingual artery
Facial artery
Occipital artery
Posterior auricular artery
Superficial Temporal artery
Maxillary artery
Where does the external carotid artery terminate?
It terminates by dividing into the superficial temporal and maxillary arteries in the parotid gland.
Which lymph nodes do the lateral surface of the upper half of the ear drain to?
superficial parotid lymph nodes
Which lymph nodes do the cranial surface of the superior half drain to?
mastoid nodes and deep cervical lymph nodes
Which lymph nodes do the lower half and lobule drain into?
superficial cervical lymph nodes
Paired cartilaginous aspects of the larynx?
arytenoid, corniculate and cuneiform
Single cartilaginous aspects of larynx?
thyroid, cricoid and epiglottic
Structures within the parotid gland- superficial to deep?
Facial nerve
Retromandibular vein
External Carotid
Motor functions of the trigeminal nerve (v3)?
Motor
Distributed via the mandibular nerve.
The following muscles of mastication are innervated:
Masseter
Temporalis
Medial pterygoid
Lateral pterygoid
Other muscles innervated include:
Tensor veli palatini
Mylohyoid
Anterior belly of digastric
Tensor tympani
Contents of cavernous sinus?
Mnemonic for contents of cavernous sinus:
O TOM CAT
Occulomotor nerve (III)
Trochlear nerve (IV)
Ophthalmic nerve (V1)
Maxillary nerve (V2)
Carotid artery
Abducent nerve (VI)
T
OTOM=lateral wall components
CA= components within sinus
What is the cavernous sinus?
cavernous sinuses are paired and are situated on the body of the sphenoid bone
lateral /medial relations of the cavernous sinus?
Lateral: Temporal lobe
Medial:Pituitary fossa
Sphenoid sinus
Cavernous sinus blood supply
Ophthalmic vein, superficial cortical veins, basilar plexus of veins posteriorly.
Drains into the internal jugular vein via: the superior and inferior petrosal sinuses
What does the vagus carry afferent fibres from?
pharynx, larynx, oesophagus, stomach, lungs, heart and great vessels
What are the two types of efferent vagus fibres?
- preganglionic parasympathetic fibres -> innervate smooth muscle of the innervated organs
- direct skeletal muscle innervation -> larynx and pharynx
Where does the vagus arise from in the brain?
medulla oblongata
cranial and caudal relations of the vagus?
cranial - glossopharyngeal
caudal - accessory
Muscular contributions of first pharyngeal arch?
Muscles of mastication:
-Anterior belly of digastric
-Mylohyoid
-Tensor tympanic
-Tensor veli palatini
Skeletal contributions of first pharyngeal arch?
Maxilla
Meckels cartilage
Incus
Malleus
Artery contributions of first pharyngeal arch?
Maxillary
External carotid
Muscular contributions of 2nd pharyngeal arch?
Buccinator
Platysma
Muscles of facial expression
Stylohyoid
Posterior belly of digastric
Stapedius
Cranial nerve for first pharyngeal arch?
CNV - trigeminal
Cranial nerve for 2nd pharyngeal arch?
CNVII - facial
Skeletal contributions for 2nd pharyngeal arch?
Stapes
Styloid process
Lesser horn and upper body of hyoid
Artery contributions of 2nd pharyngeal arch?
Inferior branch of superior thyroid artery
Stapedial artery
Muscular contributions 3rd pharyngeal arch?
Stylopharyngeus