Head and Neck Anatomy Flashcards
What cranial nerve supplies the muscles of facial expression?
Facial nerve (the terminal 5 motor branches of the facial nerve)
Which pharyngeal arch do the muscles of facial expression come from?
2nd pharyngeal arch
What is the innervation of the buccinator muscle?
Facial – it is not a muscle of mastication (and therefore innervated by trigeminal nerve)
How does the facial nerve exit the skull base?
Internal acoustic meatus
How does the facial nerve exit the skull?
Stylomastoid foramen
What are the 5 terminal motor branches of the facial nerve?
Temporal, Zygomatic, Buccal, Marginal Mandibular + cervical
The facial nerve gives off a branch named ‘nerve to stapedius’ which innervates the stapedius muscle. What is the function of this muscle?
To contract and dampen down vibrations
The facial nerve is one of our four parasympathetic nerves. What structures does it innervate for it to be given this title?
Submandibular + Sublingual salivary glands + Lacrimal gland
How does the facial nerve innervate the tongue?
Special sensation to the anterior 2/3 via the chorda tympani branch
At what vertebral level does the hyoid bone lie?
C3
How many cervical spinal nerves do we have?
8 (and 7 vertebrae)
What is the innervation of the posterior belly of the digastric muscle?
Facial nerve
What is the innervation to the sternocleidomastoid muscle?
Accessory nerve (CNXI)
What is the function of the SCM muscle?
Bilateral contraction: Neck extension.
Unilateral contraction: Contralateral rotation + Ipsilateral neck flexion
What nerve roots create the ansa cervicalis?
Ventral rami of C1-C3
What structures lie within the carotid sheath?
- Common carotid artery
- Internal jugular vein
- Vagus nerve (CN X)
What are the borders of the anterior triangle of the neck?
Midline of the neck, anterior border of SCM, inferior surface of the mandible
What are the borders of the posterior triangle of the neck?
Posterior border of the SCM, anterior border of trapezius, middle third of the clavicle
What part of the thyroid gland connects to the two lobes?
Isthmus
What vertebral level does the thyroid span?
C4🡪 C7/T1
What is the blood supply to the thyroid gland?
Superior thyroid artery (from E. Carotid) + Inferior thyroid artery (from Thyrocervical trunk 🡪 from subclavian)
At what vertebral level does the common carotid bifurcate?
C4
If a patient presents with a midline neck lump that produces on tongue protrusion, what is the diagnosis?
Thyroglossal cyst
How do olfactory nerve fibres pass into the nasal cavity?
Through Cribiform plate of the ethmoid bone
What nerves deliver general sensation to the nasal cavity?
V1 (ophthalmic division) + V2 (maxillary division)
What sinuses drain via the middle meatus?
FAM – Frontal, Anterior ethmoid, Maxillary
Through which meatus does the posterior ethmoid sinus drain to get into the nasal cavity?
Superior meatus
Through which opening does the sphenoid sinus drain to get into the nasal cavity?
Sphenoethmoid recess (above superior turbinate)
The lacrimal gland drains via the nasolacrimal duct. Through which meatus will the nasolacrimal duct empty its secretions into the nasal cavity?
Inferior meatus
What is the medical term for a nosebleed?
Epistaxis
What type of epithelium lines the paranasal sinuses and bronchial tree?
Pseudostratified ciliated columnar epithelium
At what vertebral level does the cricoid cartilage lie?
C6
What is the only muscle to abduct (open) the vocal cords?
Posterior cricoarytenoid
The cricoid thyroid muscle tenses the vocal cords allowing an increase in pitch (often referred to as the singer’s muscle). What is the innervation of this muscle?
External branch of the superior laryngeal nerve
What is the anatomical name of the false vocal cords?
Vestibular folds
What is the function of the internal branch of the superior laryngeal nerve?
Sensory innervation of the mucosa above the vocal cords
Why do we need to adduct (close) the vocal cords?
Phonation
How can we differentiate between the true and false vocal cords?
True vocal cords lie below the false and are responsible for sound production (unlike the false cords which serve a protective function)
What muscle lies on the posterior aspect of the trachea functioning to expel a foreign body if it ends up in the trachea?
Trachealis
Which structure does the right recurrent laryngeal nerve loop underneath on its way up to the larynx?
Right Subclavian artery
Which structure does the left recurrent laryngeal nerve loop underneath on its way up to the larynx?
Arch of aorta
What is the sensory and motor innervation of the recurrent laryngeal?
Sensory: Mucosa below the vocal cords. Motor: All muscles other than cricothyroid
If a foreign body enters the respiratory tract which bronchi is it most likely to become lodged in?
Right main bronchus – it is more vertical + wider (and shorter)
What two additional features is the left lung going to have?
Cardiac notch + lingula
How many lobes in the right lung?
3 (divided by two fissures – horizontal + oblique)
What is the relationship of the Vagus and Phrenic nerves to the hilum?
Phrenic nerve travels anterior to the hilum. Vagus nerve travels posterior to the hilum
The pleura surround the root/hilum of the lung is going to continue inferiorly as what structure?
The Pulmonary ligament
Where does the apex of the lung project?
Above the first rib
What nerves pass through the superior orbital fissure?
Cranial Nerve 3, 4, 5(1), 6
How does the maxillary division of trigeminal get out of the skull?
Foramen rotundum
How does the mandibular division of the trigeminal get out of the skull?
Foramen ovale