Head and Neck Flashcards
What is another term for superficial muscles of the face
Expressional muscles
What are the superficial muscles of the face called expressional muscles
Because when we move and act they change your expression as they all have attachments on the skin and move the skin when they move
What are all the superficial muslces of the face innervated by
Cranial nerve 7 aka facial nerve
What are the 3 classifications of superficial face muscles
Orbital
Nasal
oral
based on location
Where is the occipitofrontalis located
Has two bellies one from deep forehead and one on back of skull
What connects the two bellies of the occipitofrontalis
Epicranial aponeurosis
What is an aponeurosis
a flat layer of dense connective tissue which connects two bellies
When is the action of the occipitofrontalis
raise eyebrow or put fold in skin. If both bellies are working together you can move the skin on the skull back and forth
Where is the nasalis muscle
Arises from the left and right maxilla and join in the middle making a muscular bridge
When is the action of the nasalis
flattening the norstrils and increases airflow in and out
Where is the orbicularis oris found
surround oral cavity. Forms core of upper and lower lips
What is the action of orbicularis oris
close your mouth or purse your lips
What does the size of your lips depend on
How many muscle fibers you have have in your orbicularis oris
What is the action of the risorius muscle
helps in smiling (widening the mouth)
Is risorius present in all humans
no - slowly disappearing
How many sets of fibers are found in orbicularis oculi muscle
3
What are the 3 different sets of fibres found in the orbicularis oculi
- Palpebral fibres
- Orbital fibres
- Lacrimal fibres
Where do you find the palpebral fibres
extend into upper and lower eyelid
What is the action of the palpebre fibres
to close you eye (as in sleep)
Where do you find the orbital fibres
They circle around the orbit
What is the action of the orbital fibres
They close the eyes but more in a squinting way
Where are the lacrimal fibres of the orbicularis oculi located
attach to the beginning of a duct know as nasal lacrimal duct
What occurs when you blink
the lacrimal fibres pull on the nasal lacrimal duct opening it and allowing drainage
What are 6 superficial muscles of the face
Occipitofrontalis Nasalis Orbicularis oris Orbicular Oculi Risorius muscle Buccinator
What are 4 deep muscles of the face
- Masseter
- Medial pterygoid
- lateral pterygoid
- Temporalis
All deep muscles of the face are innervated by what nerve
Cranial nerve 5 aka trigenial nerve
What is another term for the deep muscles of the face
Muscles of mastication - because they move your mandible when chewing
Does the temporalis have more than 1 function? why?
yes, due to different fibres running different directions
Where is the temporalis muscle located
From the temporal lobe and fibres converge to insert on the coronoid process of the mandible
What do the anterior fibres of the temporalis do? the posterior?
Elevation of the mandible
Retraction of the mandible
Where do you find the masseter muscle
arises from the zygomatic arch and inserts on the lateral surface of the angle of the mandible
What does the masseter do?
lifts mandible
Where do you find the medial pterygoid
originates from the ptergoid process of the sphenoid bone and then runs inferiorly to attach to medial surface of the angle of the mandible
How do the muscle fibres of the medial pterygoid run?
obliquely
What does the medial pterygoid do?
elevates and protrude mandible can also move mandible to contralateral side
When you contract the left medial pterygoid, which way does the mandible move
right
Where do you find the lateral pterygoid? superior and inferior fibres
comes from posterior surface of maxillar on pterygoid surface fibres run forward - the superior fibres insert to a disk which sits in temporal mandibular joint. Inferior fibres attach to neck of mandible -
What is the action of the superior fibres of the lateral pterygoid
pull disk forward
What is the action of the inferior lateral pterygoid fibres, why is there role important?
can move mandible to contralateral side but primarily pulls mandible forward, when mouth is closed temporal mandibular joint is locked in order to unlock you must move it forward slightly preparing the joint to be open
How many branches of the trigemial nerve are there?
3
What are the 3 branches of the trigeminal nerve
- supra-orbital nerve
- infraorbitalnerve
- Mental nerve
The highest point of the skull is called …
the vertex
Where does the supra-orbital nerve supply
from the upper eyelids to the forehead up until the vertex
What does the infraorbital nerve supply
lower eyelid to upper lip
What does the mental nerve supply
skin covering the mandible
How do all 3 trigeminal nerves exite the skull
by foramens of the same name
What is special about the location of the foramen of the supra-orbital nerve, infraorbital nerve, mental nerve
all 3 foramen line up in a vertical line and are sitting 2 inches from midline
What are the three division of the trigeminal nerve
Ophthalmic
Maxillary
Mandibular
The opthalmic division gives you the ____ branch
superorbital nerve
The maxillary division gives you the ____ branch
Infra-orbital branch
The mandibular division gives you the ____ branch
Mental branch
Which divisions of the trigeminal nerve carry sensory fibres
all 3
Which divisions of the trigeminal nerve carry moto fibers for the muscles of mastication
only the mandibular division
What is the Bell’s palsy
a peripheral nerve lesion that involves the motor branches of the cranial nerve 7 (facial nerve).
What are the symptoms of the Bell’s palsy
The patient usually is unable to blink or whistle, and the corners of the eyes and mouth are not symmetric (drooping). Commonly tears and/or saliva is also dripping.
Does Bell’s palsy effect motor or sensory fibres
motor
What is the cause of Bell’s palsy
There is a tiny opening on base of skull (stylomastoid foramen), that only the fibres of cranial nerve 7 ???? help
What are the 2 main types of joints
- solid joints
2. synovial joints
What are the 2 types of solid joints
- fibrous joint
2. cartilaginous joints
what are the 4 subdivisions of synovial joints
- Monoaxial
- biaxial
- Multiaxial
- non-axial
what are the types of fibrous joints
- Sutures
- Gomphosis
- Syndesmosis
What are the types of cartilaginous joints
- Synchondrosis
- Symphysis
What are solid joints
bones attached together by connective tissue
What are Synovial joints
Have a capsule and the bones are not attached together
What are fibrous joints
bones are attached together by dense connective tissue
What are cartilaginous joints
bones are connected together by cartilage
What are sutures
a very thin little bit of connective tissue
Where do you find sutures
in the skull
What are gomphosis joints
bones are attached by ligament
What is an example of a gomphosis joint
root of tooth and the bones
What is an example of syndesmosis
bones are held together by membrane of connective tissue
what is an example of a syndesmosis joint
between ulna and radius
What are non-axial joints
small synovial joint in which joints can glide together (gliding or planar joints)
What is the name of the joint between the jaw and rest of the skull
Temporomandibular joint
What type of joint is the TMJ
synovial condylar joint (multiaxial_
what are the 3 articular surfaces of the TMJ
- Mandibular fossa of temporal bone
- Condylar process of mandible
- Articular tubercle of temporal bone
What does the intra articular discs of the tmj do
increases the congruency of the articular surfaces and cushions them. Makes them fit better. Divides the joint cavity into two separate spaces
What is the articular surface of the TMJ covered in
Fibrocartilage - not the typical hyaline cartilage
What is the benefit of fibrocartilage
More resistant - stronger joint
what is the disadvantage of the fibrocartilage
Can not repair itself - does not have stem cells
Cartilage tissue is surrounded by…
a perichondrium
What does the perichondrium contain ?
stem cells -
Which types of cartilage contain the perichondrium
Elastic cartilgae and hyaline cartilage NOT fibrocartilage
What causes the stability of a closed jaw
The head of the mandible is in a concave surface
What is the normal ROM of the TMJ
3 knuckles between your teeth
What are intrinsic ligaments
ligaments part of a capsule
What are extrinsic ligaments
ligaments outside of the capsule or not part of the capsule
The TMJ is supported laterally by ___ intrinsic ligament, the ___
1
LAteral temporomandibular ligament
The TMJ is supported medially by ___ intrinsic ligament, the ___
2
Sphenomandibular
Stylomandibular
To complete the range of movement the head of the mandible must be…
pulled forward by later pterygoid muslce