Head and Neck 4 Flashcards
What is A?
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Coronoid process
What is B?
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Condyler process
What is C?
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Mandibular foramen
What is D?
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Angle
What is E?
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Mental foramen
What is F?
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Mental protrubence
What are the different types of teeth?
Incisor
Canines
Premolars
Molars
How many of each type of deciduous teeth are there?
Incisor 8
Canines 4
Molars 8
How many of each type of permanent teeth are there?
Incisors 8
Canines 4
Premolars 8
Molars 12
What type of joint is the temporomandibular joint (TMJ)?
Hinge (synovial)
What are the 2 articular processes that form the temporomandibular joing?
Mandibular fossa of the temporal bone
Condyler process of the mandible
What movements of the mandible occur at the TMJ?
Elevation (close mouth)
Depression (open mouth)
Protrusion (protude chin)
Retrusion (retrude chin)
Side to side movements (grinding and chewing)
What are the muscles of mastication?
Temporalis
Masseter
Medial pterygoid
Lateral pterygoid
What are the bony attachments of the temporalis muscle?
Temporal fossa
Coronoid process of mandible
How do the fibres of the temporalis differ?
Anterior fibres are nearly vertical
Posterior fibres are nearly horizontal
What happens when the anterior fibres of the temporalis contract?
Elevation
What happens when the posterior fibres of the temporalis contract?
Lateral movement of same side and retrusion
What are the bony attachments of the masseter?
Zygomatic arch
Outer surface of the ramus and coronoid process of the mandible
What are the actions of the masseter?
Elevation (mainly)
Protrusion
Retrusion
Lateral movement
What does the medial pterygoid muscles attach to?
Lateral surface of the lateral pterygoid plate of the skull
What does the medial pterygoid muscle attach to?
Medial surface of the lateral pterygoid plate
To which part of the mandible does the lateral pterygoid muscle attach?
Enters into joint capsule of the TMJ to insert onto neck of mandible and also the articular disc of this joint
To which part of the mandible does the medial pterygoid muscle attach?
Medial surface of ramus and angle of mandible
What are the actions of pterygoid muscles?
Protrusion and depression (when both lateral contract)
Lateral movement (when lateral pterygoid contracts with medial of same side)
Elevation and protrusion (when two medial contract)
What is A?
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Temporalis
What is B?
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Zygomatic arch
What is C?
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Masseter
What is D?
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Mandible
What is E?
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Medial pterygoid
What is F?
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Lateral pterygoid
What group of muscles produce depression of the mandible?
Not the muscles of mastication, but the suprahyoid muscles (run from mandible to hyoid bone)
What are the suprahyoid muscles that depress the jaw?
Anterior digastric
Geniohyoid
Mylohyoid
What is A?
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Digastric (anterior belly)
What is B?
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Mylohyoid
What is C?
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Digastric (posterior belly)
What is D?
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Stylohyoid
What muscles produce elevation of the mandible?
1) Masseter
2) Temporalis
3) Medial pterygoid
What muscles produce depression of the mandible?
1) Anterior digastric
2) Geniohyoid
3) Mylohyoid
What muscles produce protrusion of the mandible?
1) Lateral pterygoid (main)
2) Masseter
3) Medial pterygoid
What muscles produce retraction of the mandible?
1) Temporalis (posterior)
2) Masseter
What muscles produce side to side movements of the mandible?
1) Temporalis of same side
2) Pterygoids of same side
3) Masseter
Innervation of the muscles of mastication is done by branches of what?
Mandibular division of trigeminal mnerve
Where does the mandibular nerve emerge from?
Oval foramen
Where do the motor branches of the mandibular nerve supply the muscles of mastication?
Infratemporal fossa
What sensory branch of the mandibular nerve enters the mandibular foramen and supplies sensory innervation to the mandibular area?
Inferior alveolar
The vestibule of the oral cavity refers to the space between what?
Lips and teeth
The muscle innervated by the facial nerve that lies in the lateral walls of the oral cavity is?
Buccinator
The buccinator is innervated by what?
Facial nerve
The muscle of facial expression whose contraction causes closing/pursing of the lips is?
Orbiculolaris oris
The posterior opening of the oral cavity is called the?
Oropharyngeal pharynx
Where does the hard palate lie relative to the soft palate?
Hard palate is anterior to the soft palate, both forming the roof of the oral cavity
What 2 bones form the hard palate?
Palatine process of maxilla
Horizontal plate of palatine
What are the muscles of the soft palate?
Tensor vali palatini
Levator vali palatini
Palatoglossus
Palatopharyngeus
Muscularis uvuias
What is A?
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Tensor veli palatini muscle
What is B?
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Levator veli palatini muscle
What is C?
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Superior pharyngeal constrictor muscle
What is D?
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Palatopharyngeus muscle
What is E?
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Palatoglossus muscle
What is F?
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Hamulus
What is the nerve supply to the muscles of the soft palate?
Pharyngeal branch of CN X (vagus) via pharyngeal plexus
(except tensor veli palatini which is branch of V3)
What is the collective action of the muscles of the soft palate?
Closes of nasal passage during swallowing
What is the anterior border of the oropharynx?
Right and left palatoglossal arches
Where does the oropharynx extend from and to?
Extends from the uvala of the soft palate to the tip of the epiglottis below
What type of cellular tissues makes up the palatine tonsils?
Lymphoid
What is A?
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Palatoglossal arch
What is B?
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Palatopharyngeal arch
What is C?
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Uvula
What is D?
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Palatine tonsil
What are the functions of the tongue?
Moving food during chewing
Taste
Speech
What can the tongue be divided into?
Anterior 2/3 and posterior 1/3 by a V shaped sulcus called the terminal sulcus
What is the embryological significance of the foramen caecum?
Remnant of the thyroglossal duct
What does the anterior 1/3 of the tongue have on the dorsal surface?
Surface projections of mucosa mambrane that make it rough, called papillae
What are the 3 types of papillae?
Filiform
Fungiform
Vavate
In what papillae are taste buds present?
Fungiform and vavate
(not filiform)
What are the projections on the dorsal posterio 1/3 of the tongue?
Elevations produced by submucosal lymphoid tissue collection, called lingual tonsil
What is the inferior surface of the tongue covered by?
Smooth mucous membrane
What is the fold of mucous membrane that fixes the tongue to the floor of the mouth called?
Frenulum
What is A?
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Deep lingual vein
What is B?
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Frenulum
What is C?
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Opening of duct from sublingual gland
What provides general sensory innervation (touch, pain, temperature) to:
- anterior 2/3 of tongue
- posterior 1/3 of tongue
Anterior 2/3 - lingual branch of mandibular (V3) division of trigeminal nerve
Posterior 1/3 - glossopharyngeal nerve (IX)
What provides taste sensory innervation to:
- anterior 2/3 of tongue
- posterior 1/3 of tongue
Anterior 2/3 - chorda tympani branch of facial nerve
Posterior 1/3 - glossopharygeal
What are the 2 types of muscles of the tongue?
Intrinsic (originate and insert within the tongue)
Extrinsic (attach from the tongue to surrounding bones or soft palate)
What do the extrinsic muscles of the tongue do?
Change the position of the tongue
What do the intrinsic fibres of the tongue do?
Alter shape of tongue
What are the extrinsic muscles of the tongue?
Genioglossus
Hyoglossus
Styloglossus
Palatoglossus
What is the attachment of the genioglossus?
Inner surface of the hyoid close to midline
What is the action of the genioglossus?
Protrudes tongue to opposite side
What is the attachment of the hyoglossus?
Upper border of body of mandible
What is the action of the hyoglossus?
Depresses tongue
What is the attachment of the styloglossus?
Anterior border stylohyoid process
What is the action of the styloglossus?
Helps narrow oropharynx in swallowing
What is the attachment of the palatoglossus?
Soft palate
What is the action of the palatoglossus?
Helps narrow oropharynx in swallowing
When the nerve innervating the right genioglossus is damaged, which direction would you expect the patients tongue to deviate if you ask them to protrude it?
Right
What is A?
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Genioglossus
What is F?
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Geniohyoid
What is B?
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Hyoglossus
What is C?
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Stylohyoid
What is D?
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Styloglossus
What is E?
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Palatoglossus
What are the extrinsic and intrinsic muscles of the tongue innervated by?
Hypoglossal nerve
Apart from the palatoglossus which is innervated by the pharyngeal plexus (CN X)
What are the 3 paired salivary glands?
Parotid
Submandibular salivary gland
Sublingual
What are the 2 parts of the submandibular gland?
Superficial/deep lobes
What muscle seperates the superficial and deep lobes of the submandibular glands?
Myohyoid muscle
Where in relation to the floor of the mouth does the submandibular gland lie?
Inferior to the floor of the mouth
Where does the submandibular salivary duct open into?
Sublingual caracles
How does parasympathetic innervation affect the salivary glands?
Secretomotor
What nerve supplies parasympathetic innervation to the parotid gland?
Glossopharyngeal
What nerve supplies parasympathetic innervation to the submandibular salivary gland?
Chordis tympani nerve (from submandibular ganglion)
What nerve supplies parasympathetic innervation to the sublingual gland?
Submandibular ganglion