Head and Neck Anatomy Flashcards
What kind of bones compromise the cranial portion of the head?
Flat bones.
Name the cranial bones.
Ethmoid, frontal, occipital, parietal (x2), sphenoid temporal (x2)
What kind of bones compromise the facial portion of the head?
Irregular bones.
Name the facial bones.
Lacrimal (x2), Maxilla (x2), Nasal (x2), Inferior concha (x2) Palatine bone (x2) volmer Zygoma (x2) Mandible.
Name the cranial sutures.
Fused in adults
Coronal (at the front)
Sagittal (down the middle)
Lambdoid (at the back)
What are fontanelles?
(Babies) Membranous gaps between the cranial bones, before the sutures fuse.
Relevance of fontanelles during birth.
Shift and overlap to allow the baby to travel though the birth canal. Eventually take normal position.
When does the anterior fontanelle fuse?
2 years old.
When does the posterior fontanelle fuse?
2 months old.
Name a characteristic of the temporal bone?
Petrous = bumpy.
What is the weakest point of the skull?
Temporal.
Why is trauma to the temporal region dangerous?
A large vessel runs beneath the pterion (where cranial bones meet posterior to the temple) can burst and cause large bleeds.
Where does the brain and spinal cord communicate?
Foramen magnum.
What happens when there is increased inter cranial presser?
Brain is forced down the foramen magnum where the brainstem sits. Affects breathing, heart rate etc.
What facial bone absorbs impact from trauma? “Crash barrier”
Zygoma.
What is the structure called that ONLY the optic nerve runs through?
Optic foramen
What does the superior orbital fissure contain?
All the other nerves that innervate the eye (except the optic nerve)
What does the infraorbital canal contain?
Infraorbital foramen is the exit hole in the face
Infraorbital artery, vein and nerve
What nerve supplies the front 6 teeth?
Nasopalatine nerve.
Does the internal or external carotid artery have branches?
External has branches in the neck.
What does the external carotid artery supply?
External structures
What does the internal carotid artery supply?
80% brain blood supply.
Head and neck structures.
Arterial blood supply to the pharynx.
Ascending pharyngeal artery.
Arterial blood supply to the thyroid.
superior thyroid artery.
Arterial blood supply to the floor of the mouth.
Lingual artery.
Arterial blood supply to the face.
The facial artery.
Arterial blood supply to the back of the scalp.
Occipital artery.
Arterial blood supply to the ear.
Posterior auricular.
What vascular components does the parotid gland contain?
Facial nerve,
External carotid artery.
Retromandibular vein.
What is the function of the INTERNAL jugular vein?
Drains the brain (inside of the skull) and neck.
What is the function of the EXTERNAL jugular vein?
Drains external structures.
What is contained within the cavernous sinus?
Internal carotid artery,
Large vein that joint all of the veins at the font of the face.
(Drains the front of the face)
What kind of sinus is the cavernous sinus?
Dura venous sinus
What cranial nerves supply the head and neck?
Trigeminal (5) , facial (7), glossopharyngeal (9) and the hypoglossal (12).
What type of joint is the temporomandibular joint?
Synovial joint (filled with fluid)
What is unique about the TMJ?
Partial dislocation every time it moves.
What is the only muscle that opens the jaw?
Lateral pterygoid.
What prevents permeant dislocation of the jaw?
The articular eminence.
What nerve passes through he mandibular foramen?
Exit hole called the mental foramen
Inferior alveolar nerve (division of the trigeminal nerve)
What muscle attaches to the coronoid process?
Temporalis
What is the articular surface of the TMJ covered by?
fibrocartilage cartilage. NOT HYALINE
What is the function of the styloid process?
Small piece of bone that allows muscle/ligament attachment for stabilisation of the TMJ.
What is the danger associated with the styloid process?
Located near the INTERNAL carotid artery, can puncture.
What position is the TMJ most stable at?
Occluded position.
What is the blood supply to the TMJ?
Superficial temporal and the maxillary branch of the external carotid artery.
What is the nerve supply of the TMJ?
Trigeminal nerve. Mandibular branch.
What is the only muscle of mastication responsible for elevating the mandible (opening)?
The lateral pterygoid.
What are the muscles of mastication responsible for closing the mouth?
Temporalis, masseter and the medial pterygoid.
What is the superior limit of the neck?
Mandible and base of the skull
What is the interior limit of the neck?
Thoracic inlet.
What muscle divides the neck into anterior and posterior divisions?
Sternocleidomastoid
Characteristics of the mastoid process?
Part of temporal bone that is filled with air cells to lighten the skull.
Name the boundaries of the anterior triangle.
Sternocleidomastoid, the midline and the mandible.
Name the muscles of the anterior triangle of the neck?
Mylohyoid
(floor of mouth)
Anterior belly of digastric (slightly pulls down the mandible)
Strap muscles.
Name the strap muscles.
Infrahyoid, omohyoid, sternohyoid, sternothyroid and the thyrohyoid.
Name the skeletal elements present in the anterior triangle of the neck.
Thyroid cartilage (testosterone influence)
Cricoid cartilage
hyoid bone.
Name the glands of the anterior triangle.
Thyroid and the parathyroid.
What is the thyroid enclosed in? What is the clinical test to assess the function of this?
Pre-tracheal fascia.
Clinical test: Give patient water and ask them to swallow. The enclosed thyroid will move up and and down.
What is the blood supply to the thyroid?
The superior external carotid artery and the thyrocervical trunk of the subclavian artery.
what is the levator glandular thyroidae?
A fibrous or muscular band that can extend from the foramen caecum (posterior section) of the tongue.
What is a frozen section?
After an operation on the thyroid has been carried out a sample of tissue from around the parathroid is taken and sent to the lab to ensure none of the parathyroid tissue has been accidentally removed.
What condition occurs if parathyroid tissue is removed?
Tetany: Abnormal muscle movements due to lack of calcium.
What nerves supply the anterior triangle of the neck?
Vagus, phrenic and the hypoglossal.
What is the blood supply to the anterior division of the neck?
Common carotid artery. (bifurcation at C3-5)
Internal jugular vein.
Name the nerves f the posterior triangle of the neck.
Accessory nerve (motor function to sternocleo and the trapezius) Brachial plexus (motor and sensory function to the upper limbs) Cutaneous cervical nerves (supply the skin)
where does the brachial plexus start and finish in relation to the spine?
Starts: C5
Ends: T1
What is the brachial plexus composed of?
Roots, trunks, cords and terminal branches. (anterior and posterior divisions)
What structure in the posterior divisions of the neck filter infection and start the immune response?
Lymph Nodes.
What is the nerve supply to the oblicularis oculi?
The temporal and zygomatic branch of the facial nerve.
What bone in the base of the skull does the facial nerve pass through?
The petrous temporal bone.
Where does the facial nerve exit the skull?
The stylomastoid foramen.
List the terminal branches of the brachial plexus.
Musculotaneous, ulnar, radial, median and axillary.