Head and Neck Anatomy Flashcards
What are the different areas of the neck?
Deep cervical fascia (surrounds neck) Prevertebral fascia (muscle compartment) Pretracheal fascia (visceral compartment) Carotid sheath (neurovascular compartment)
How many bones does the cranium have?
8
How many bones does the facial skeleton have?
14
What are the bones of the skull?
Frontal Parietal Sphenoid Temporal Ethmoid Mandible Maxilla Zygomatic
Layers of the scalp
Skin Cutaneous tissue Aponeurosis Loose connective tissue Periosteum of the cranium/pericranium
What is the function of the loose connective tissue of the scalp?
Allows the scalp to move slightly
Why do bleeding injuries from the scalp bleed profusely?
The blood vessels go through the connective tissue
The aponeurosis does not let them contract
What are emissary veins and what is the clinical significance?
Valve less veins that transverse dipole
They can spread infection intracranially
Function of emissary veins
They transverse the skull and connect the superficial layers of the scalp with the venous sinuses that are inside the cranium
These are collections of blood draining the cranium
What is the dipole?
Spongey flat bone in the midddle
What occurs in the dipole?
Red blood cell production
Where does storage of the RBCs occur?
Yellow marrow
What are the triangles of the neck?
Anterior triangle
Posterior triangle
What do triangles of the neck contain?
Arteries
Veins
Muscles
Nerves
What two muscles divide the triangles of the neck?
Sternocleidomastoid
Trapezius
What is found in the carotid sheath?
Carotid arteries
Internal jugular vein
CN X / Vagus nerve
What does the right common carotid artery (CCA) arise from?
The brachiocephalic artery
What does the left common carotid artery arise from?
Arch of the aorta
What does the common carotid artery rise up in the neck and divide into?
External carotid artery (ECA)
Internal carotid artery (ICA)
What does ECA supply?
Neck
Face
Scalp
What does the ICA supply?
Brain
What are the two jugular veins of the head and neck?
Internal jugular veins (IJVs)
External jugular veins (EJVs)
Where is the orbicularis oculi?
Around the eye
Where is the orbicularis oris found?
Around the mouth
Function of orbicularis oris
Helps with
- closing mouth
- pursing lips
Where is the occipitofrontalis found?
Where the eyebrows are
What is the occipitofrontalis connected to?
Aponeurosis in 3rd level of scalp all the way over to the back and the occipital part of the skull
Function of buccinator
Gives shape to your cheeks
At what time would you use the buccinator?
When blowing into a balloon
What muscles does the parotid gland lie in relation to?
Travels masseter
Reaches buccinator
Opens into mouth above 2nd molar tooth
What fibres does the facial nerve contain?
Motor fibres
Sensory fibres
Special sensory fibres
Parasympathetic fibres
Where does the facial nerve emerge from?
Stylomastoid foramen
What are the two terminal branches of the external carotid artery?
Superficial temporal artery
Maxillary artery
Where does the maxillary artery run?
Along the maxilla and goes deep
What forms the cervical plexus?
Ventral rami of C1-C5
What arises from the cervical plexus?
Sensory and motor branches innervating skin and muscles of the neck region
What is the hyoid bone moved by?
Supra and infrahyoid muscles
What are the strap muscles?
Mylohyoid Digastric Stylohyoid Sternohyoid Omohyoid Sternothyroid Sternocleidomastoid Cricothyroid Thyrohyoid
What are the thyroid veins?
Superior thyroid veins
Middle thyroid veins
Inferior thyroid veins
Where does the middle thyroid veins drain into?
IJV
Where does the inferior thyroid veins drain into?
Brachiocephalic vein
Do spinal nerves have any parasympathetic fibres?
No
Which part of the spinal cord pathways on a diagram do the motor fibres go?
Bottom fibres
What part of the spinal cord pathways on a diagram do the sensory fibres go?
Top fibres
What type of fibres can spinal nerves carry?
Ventral - motor
Dorsal - sensory
What type of fibres can a cranial nerve carry?
Sensory
Motor
Parasympathetic
Can cranial nerves carry sympathetic fibres?
No
What are the only vertebral levels which have sympathetic output?
T1 - L4
What is involved in general sensory?
Ordinary sensations
- touch
- temp
- pain
What is involved in special sensory?
Vision
Hearing
Olfaction
Taste
How do sympathetic fibres reach the regions supplied by cranial nerves?
By post ganglionic fibres from the sympathetic chain from a plexus and hitch a ride with the blood vessels
What are the 3 main branches of the trigeminal nerve?
Ophthalmic division (V1) Maxillary division (V2) Mandibular division (V3)
What fibres do the trigeminal V1 nerve contain?
Sensory
What fibres do the trigeminal V2 nerve contain?
Sensory
What fibres do the trigeminal V3 nerve contain?
Sensory
Motor
What parts of the head and neck does the trigeminal nerve supply sensation to?
Face
Anterior part of the scalp
What are the muscles of mastication?
Temporalis
Masseter
Pterygoids
What opens into the spheno ethmoidal recess?
Sphenoid sinus
What opens into the superior meatus?
Posterior ethmoidal air cells
What opens into the middle meatus?
Maxillary sinus
Frontal sinus
Anterior ethmoidal air cells
Middle ethmoidal air cells
What opens into the inferior meatus?
Nasolacrimal duct
What innervates the frontal sinus?
V1
What innervates the maxillary sinus?
V2
What innervates the ethmoidal sinus?
V1
What innervates the sphenoidal sinus?
V1 and V2
Function of the epicranial aponeurosis
Connects occipito and frontalis
What is the loose areolar tissue composed of? What is its function?
Layers 1 - 3
Allows free movement of the scalp proper
How is the pericranium firmly attached to the bones?
By connective tissue fibres called sharpeys fibres
What are the retractors of the angles of the mouth?
Zygomaticus major
Depressor anguli oris
Risorius
Platysma
What is the sphincter of the mouth?
Orbicular oris
What are the elevators of the upper lip?
Zygomaticus minor
Levator labii superioris
Nasalis
Zygomatic major
What are the depressors of the lips?
Depressor labii inferioris
Platysma
Depressor anguli oris
Mentalis
What muscles are attached to the nose?
Nasalis Levator labii, superioris alaeque nasi Levator labii superioris Zygomaticus minor Procerus