Head and Neck Exam Flashcards
What structures pass through the parotid gland ?
transverse facial CN VII retromandibular ext. carotid auriculotemporal of V3 lymph nodes
plastysma m is in what layer of fascia
superficial fascia
the great auricular nerve runs with…..
external jugular v
prevertebral fascia that extends over the apex of the lung is called
sibson’s fascia
prevertebral fascia that covers the brachial plexus is called
axillary sheath
in between the two heads of sternocleidomastoid you will find what vessel
IJV
what is the inferior attachment of omohyoid
scapula
what two structures can be smooshed between the two scalene muscles
brachial plexus and subclavian artery
what two scalene attach to rib 1
anterior and middle
what scalene attaches to rib 2
posterior
What are the branches off the external carotid artery
superior thyroid ascneding pharyngeal lingual facial posterior auricular superficial temporal maxillary artery
carotid sinus is innervated by
CN IX
carotid body is innervated by
CN IX and X
ansa cervicalis innervates what three muscles
sternohyoid, sternothyroid and omohyoid
what are the cutaneous nerves of the neck
transverse cervical-anterior neck
supraclavicular-trap area
great auricular- ear ear
lesser occipital-behind ear
where does ansa cervicalis sit on top of
internal carotid artery
external laryngeal nerve has a friend which is
superior thyroid artery
the hypoglossal nerve loops around what artery
occipital artery off ECA
the phrenic nerve should lie
on top of the anterior scalene
the ____________ drains the tonsils and tonsillar region
jugulodigastric
the ___________________ drains the tongue
juguloomohyoid
internal laryngeal nerve runs with
superior laryngeal artery
what is the function of the arachnoid granulations
allow CSF to exit the subarachnoid space and enter the venous system
laceration of the middle meningeal artery will result in
extradural hemoatoma
rupture of a bridging vein will result in a
subdural hemoatoma
anterior cranial fossa innervated by
v1
middle cranial fossa innervated by =
v2 and v3
posterior cranial fossa innervated by
C1, C2, and C3 and vagus
four major arteries of the fface
facial, maxillary, optalmic and superficial temporal
which facial space can extend down throught eh mediastinum and to the diaphragm
fascia space within the prevertebral alyer
what two veins form the external jugular
posterior retromandibular and posterior auricular vein
posterior retromandibular vein is from
superfficial temporal and maxillary
posterior maxillary vein and facial vein form
common facial vein
innervation of stylohyoid
facial
innervation of anterior digastric
nerve to mylohyoid from mandibular
posterior diagastric innnervation
facial VI
innervation of mylohyoid
nerve to mylohyoid from mandibular V3
innervation of geniohyoid
ant. rami of C1 carriers with hypoglossal
sternohyoid innervated by
ant rami of c1-c3 ansa cervicalis
omohyoid innervated by
ant rami of c1-c3 ansa cervicalis
thyrohyoid innervated by
ant rami of c1 carried along with hypoglossal XI
sternothyroid innervated by
ant rami of c1-c3 ansa cervicalis
what artery is found level to the hyoid bone
lingual artery
nerve innervates trapezius
accessory
nerve innervates sternocleidomastoid
accessory
scalene muscles innervated by
antterior rami of C5-C7
omohyoid innervated by
ansa cervicalis
rectus capitus anterior innervated by
ant rami c2-c2
rectus capitus lateralis innervated by
ant rami c1-c2
longus capitus and longus coli innervated by
ant rami
branches off subclavian artery
vertebral thyrocervical trunk inferior thyroid ascending cervical transverse cervical suprascapular, internal thoracic, costocervical truink deep cervical supreme intercostal arter
menumonic for subclavian artyer branches
very tired individuals sip strong coffee served daily
external ear consists of ….
auricle, and external auditory meatus
muscles of the auricle are innervated by
facial
blood supply to the ear includes
superficial temporal, posterior auricular, deep auricular
middle ear is located within
temporal bone
the middle ear opens to the pharnyx via
pharyngotympanic tube and mastoid antrum
three mechanisms that prevent damage to internal ear
auditoryt ube, shape of ossicle joints, middle ear muscles
what bone seperates the middle ear cavity from the middle brain
tegman tympani
nerves within middle ear cavity
VIII
lesser petrosal
corticotympanic plexus, typanic plexus, typanic nerve, chordatympany
which bone can you see through the tynpanic membrane
malleus
external surface of the typanic membrane innervated by
3/4 via auriculotemporal, X, VII
internal surface of tympanic membrane innervated by
CN IX
what ear structure goes through the superior constrictor muscle
pharyngotympanic tube
fracture of the external auditory meatus can result in
bleeding ear and leakage of CSF
incus malleus joint is
saddle
incus stapedial is what type of joint
ball and socket
malleus head articulates with
incus
tensor tympani innervated by
V
stapedius msulce innerated by
nerve to stapedius from facial
function of stapedius muscle
dampens vibrations from the ossicles
external ear lymph
mastoid
middle ear lymph
parotid, jugulodigastric
auditory tube
retropharyngeal
inner ear is found in what part of the temporal bone
petrous portion
outer surface of the ear cutaneous innervation
great auricular nerve and lesser occipital and auriculartemporal
deeper portion of the ear is innervated by
vagus nerve (x) and facial VII
tympanic nerve is a branch off _________
glossopharyngeal and internal carotid plexus
tympanic plexus gives rise to what nerve
lesser petrosal nerve
sensory to upper ant portion of ear
trigeminal via auriculotemporal nerve
concha area of ear sensory is
vagus and glossopharyngeal
posterir helix portion is sensory
facial
lower ear lobe
cervical plexus, lesser occipital nerves and greater auricular nerve
anterior 2/3 sensory to tongue is via
lingual v3 and vII chorda tympani via lingual
posterior 1/3 of tongue sensory is
IX and a small X
sublinqual absorption of drugs
drugs quickly enter sulingual vein and then inter IJV
sublingual caruncles
raised papilla like openigs of submandibular glands
sublingual folds
opens for sublingual ducts
deep portion of the submandibular gland over lies
mylohyoid muscle
_____________supplies the palatine tonsil
tonsillar artery
What are the sumandibular branches of facial
ascneding palatine, tonsillar, submental, glandular
submandibular and sublinqual glands arterial supply
submental a
parasympathetic innervation to submandibular glands and sublingual glands is via
facial N l chorda tympani
anterior nasal cavity drains
facial/submandibular nodes
posterior nasal cavity drains
submucosal plexus to torus tubarius to jugulodigastric
what are the three points of attachment for the lateral walls of the pharynx
medial plate of the pterygoid, hammulus
stylohyoid lig
thyroid/cricoid cartialge
the hyoid seperates what constrictors of the pharnyx
middle and inferior
constrictors of the pharnyx are innervated by
vagus nerve
the ___________is posterior to the stylopharyngeus muscle and then moves lateral to it
glossopharyngeal
What are the three longitudinal muscles that elevate the pharyngeal wall
salpingopharyngeus
palatopharygeus
styloparyngeus
longitudinal muscles of pharyngeal wall innervated by
vagus nerve
what structures pass superior to superior constrictor
levator veli palatini, tendon of tensor veli palatini
what passes throuh the thyrohyoid membrane
superior laryngeal a/v
internal laryngeal nerve
what passes below the inferior constrictor
recurrent laryngeal
what lies beneath torus levatorius
levator palatini
sensory innervation of nasopharnyx
v2
sensory innervation of oropharnyx
glossopharyngeal
sensory to laryngopharnyx
vagus
what is at risk when a tonsilectomy is performed
tonsilar artery
tonsilar vein
glossopharyngeal N
cricothyroid innervated by
superior laryngeal nerve
laryngeal muscles innervtaed by recurrent laryngeal branch of vagus
thyroarytenoid
transverse arytenoid
oblique arytenoid
posterior crico-arytenoid
what muscle lowers pitch
thyroarytenoid
what provides sensory innervation above the vocal folds
internal branch of superior laryngeal nerve
what provide sensory innervation below vocal folds
recurrent laryngeal
what are the layers of the scalp
skin connective tissue (dense) aponeurosis loose connective tissue pericranium
where is the muscle found in the scalp
aponeurotic layer
what arteries supply the anterior scalp
supratrochelar and supraorbital
what arteries supply infront of the ear of the scalop
superficial temporal
what arteris supply behind the ear of the scalp
posterior auricular
what artery supplys the back of the scalp
occipital
what nerve supplies cutaneous to back of scalp
greater occipital (dorsal rami c2)
what nerve supplies behind the ear of scalp
lesser occipital
what nerve supplies infront of the ear of the scalop
auriculotemporal n
what nerve supplies infront of the ear of the scalp more anteiror
zygomaticotemporal
what nerve supplies anterior portion of scalp
supratrochlear, supraorbital via frontal nerve
upper eye lid sensory
v1
point of nose
v1
lower eyelid
v2
upper lip
v2
lower lip
v3
inner ear
v3
outer ear
great auriicular
notrils
v2
arteries of the face
superficial temporal gives transverse facial artery facial -in/sup labial -lat nasal angular facial
maxillary artery gives what branch of artery to help supply below the eyeball
infraorbital a
opthalmic artery give rise to what arteries of the face
supratrochlear, supraorbital, dorsal nasal, zygomaticotemporal, zygomaticofacial
what are the branches off facial nerve
temporal zygomatic buccal mandibular cervical
motor innervation of the face is via
facial n
where does the facial nerve exit the skull
stylomastoid foramen
sensory to parotid gland
great auricular nerve
parasympatehtics to parotid gland
lesser petrosal n, synpases in otic ganglion, hitchikes on auriculotemporal N (V3)
sympathetic to parotid gland
superior cervical ganglion
what are the two layers of dura mater called
periosteal and meningeal layers
dural venous sinuses are within what meningeal layers
dura
anterior dura innervated by
v1
middle dura innervated by
v2 and v3
poterior fossa innervated by
c1,c2,c3 and vagus
blood supply to the dura is
mostly middle meningeal a
between arachnoid and dura bridging cerebral veins
subdural hematoma
masster muscle innervated by
trigeminal v3
temporalis muscle innervated by
trigeminal
what muscles function in protrusion of mandible
lateral pterygoid and medial pterygoid
what muscles function in retraction of mandible
temporalis, masseter and geniohyoid and digastric
muscles that function in elevation
temporalis, masseter and medial pterygoid
depression of mandible is by what muscles
gravity, digastric, geniohyoid and mylohyoid
contents of infratemporal fossa
sphenomandibular ligament, medial and lateral pterygoid maxillary artery pterygoid venous plexus V3 chorda tympani lesser petrosal post sup alveolar
accessory meningeal artery enters what part of the skull
foramen ovale
middle meningeal artery enters what part the skull
formane spinosum