Head And Neck Week 3- Eyes and Ears Flashcards
three foramina at the apex of the orbit
optic foramen
superior orbital fissure
inferior orbital fissure.
contents of eye foramen: optic foramen x2
optic nerve
ophthalmic artery
contents of eye foramen: superior orbital fissure x5
opthalmic veins
Rest of nerves relating to the eye:
oculomotor nerve CN III
trochlear nerves CN IV)
ophthalmic division of the trigeminal nerve CN VI with its frontal, lacrimal, and nasociliary branch
abducens nerve CN VI
contents of eye foramen: Inferior orbital fissure x3
maxillary division of trigeminal
ophthalmic vein
sympathetic nerves
3 layers of the eye
outer fibrous
middle vascular
inner sensory
layers of the eye contents and completeness: outer fibrous
sclera
cornea
complete- extends throughout eye
layers of the eye contents and completeness: middle vascular
iris
ciliary body
choriod
incomplete anteriorly- pupil
layers of the eye contents and completeness: inner sensory
retina
incomplete- stops short just in front of equator of eye
fluid in anterior eye vs posterior
Anterior = Aqueous humour
posterior = virtuous humour
intrinsic muscles of eye x3
overall function
individual function
ciliaris- lense shape
constrictor papillae- constrict pupil
dilator papillae- dilate pupil
control pupils
extrinsic muscles of the eye x6
and functions
medial- adduction
lateral- abduction
superior- elevation, adduction, intorsion
inferior rectus- depression, adduction, extorsion
superior oblique- depression, intorsion, abduction
inferior oblique- elevation, extorsion, abduction
extrinsic muscles: what does the medial rectus do
adduct eye- pull it in
extrinsic muscles: what does the lateral rectus do
abduct eye- pull it out
extrinsic muscles: what does the superior rectus do
elevates
adducts
intorts
its superior so does 2 extra
extrinsic muscles: what does the inferior rectus do
depress
adduct
extort
extrinsic muscles: what does the superior oblique do
depress
intort
abduct
everything opposite to sup rectus except intorsion/ extorsion
extrinsic muscles: what does the inferior oblique do
elevate
extort
abduct
what produces aqueous humour
ciliary body
innervation of intrinsic muscles
ciliaris and constrictor- parasympathetic oculomotor CN III
dilator papillae- sympathetic
name for looking towards and away from the nose
towards- adduction
away- abduction
name for rotating towards and away from the eye
towards- intorsion
away- extortion
what innervates the LPS
oculomotor CNIII
Which is the only muscle that does not arise from the posterior aspect of the orbit?
inferior oblique- floor
the ligaments that prevent over-adduction and over-abduction of the eye
medial and lateral ligaments
What is the function of the suspensory ligament of the eye
prevent downward displacement of eyeball
what artery supplies the orbit and eye
and what’s it a branch of
ophthalmic
ICA
Which foramina in the orbit do the ophthalmic veins pass through to enter into the
cavernous venous sinus in the cranial cavity
sup orbital fissure
where does the lacrimal gland sit
lateral part of orbit
what cranial nerve is parasympathetic innervation come from to lacrimal duct
facial nerve CN VIII
where does lacrimal duct drain into
name of duct
inferior nasal meatus
via nasolacrimal duct
What types of joints are found between the ossicles
synovial
Which ossicle is in contact with the tympanic membrane
malleus
Which ossicle is in contact with the oval window
stapes
Name two muscles related to the ossicles
and their action
tensor tympani- reduce transmission/ vibrations of sound
stapedius- stabilise stapes
Within which part of the temporal bone do the middle and inner ear lie?
petrous part
fluid in ear: bony labyrinth vs membranous labyrinth
bony- perilymph
membranous- endolymph
Through which foramen does the facial nerve exit the posterior cranial fossa
stylomastoid
2 cranial nerves that leave stylomastoid foramen
facial
vestibulocochlear CN VIII
where does the facial nerve lie
in a canal (facial canal) on the medial wall of the middle ear cavity.
what happens to the facial nerve in middle ear
it turns into chorda tympani
functions of the chorda tympani
- Parasympathetic (preganglionic) efferent fibres in submandibular and sublingual salivary glands. These are secretomotor.
- Sensory fibres carrying the special sense of taste to ant 2/3 of tongue
what vein is near deep cervical lymph nodes
and where do they sit
IJV
fascia of carotid sheath
what makes up the jugular lymph trunk
deep cervical lymph nodes
+ efferent lymphatic vessels
Where do the efferent lymphatics from these jugular lymph trunks drain into right vs left
right- right lymphatic duct
left- thoracic duct
what do parotid ducts drain x3
Scalp around parotid gland
lateral parts of the eyelids
middle ear.
what do submental nodes drain x2
Anterior tongue tip
central part of the floor of the mouth and chin
what do the submandibular nodes drain x4
Front of scalp
nose
lips
air sinuses
what do the mastoid nodes drain x2
Middle region of scalp
external auditory meatus
havent finished lymph of face or neck
Which bone forms the posterior boundary of the anterior cranial fossa?
sphenoid
Which bone forms the anterior boundary of the middle cranial fossa?
sphenoid
Which bones form the floor of the middle cranial fossa?
body and greater wing of sphenoid
temporal bone
Which bone forms the posterior border of the middle cranial fossa?
temporal
name for the point where 4 bones join in skull
what bones form
blood vessel just behind it
pterion
parietal, frontal, temporal, sphenoid
middle meningeal- branch of maxillary and carotid
Which bone forms the anterior and which the posterior border of the posterior cranial fossa?
anterior- temporal
posterior- occipital
contents of foramen of skull: cribriform plate x1
olfactory nerve CNI
contents of foramen of skull: optic x2
optic nerve
ophthalmic artery
contents of foramen of skull: superior orbital fissure x5
oculomotor
trochlear
abducens
ophthalmic
superior ophthalmic vein
contents of foramen of skull: foramen rotundum x1
maxillary trigeminal
contents of foramen of skull: foramen ovale x1
mandibular branch or trigeminal
contents of foramen of skull: foraman spinosum x1
middle meningeal artery
contents of foramen of skull: foramen lacerum x1
ICA
contents of foramen of skull: carotid canal x3
ICA
venous plexus
sympathetic plexus
contents of foramen of skull: internal acoustic foramen x2
vestibulocochlear nerve VIII
facial nerve VII
contents of foramen of skull: jugular foramen x4
9, 10, 11:
glossopharyngeal IX
vagus X
accessory XI
internal jugular vein
contents of foramen of skull: hypoglossal foramen x1
hypoglossal nerve
contents of foramen of skull: foramen magnum x3
spinal medulla
vertebral and spinal artery
posterior spinal vein
where are the inner cranial vein sinuses found betweeen
the inner and outer layers of dura
– the inner layer is the dura proper and the outer layer the periosteum
What artery and its branches make the groove that begins just lateral to the foramen spinosum
middle meningeal- branch of ECA
what are the sinuses called that run
laterally on both sides starting from the internal occipital protuberance called?
what do they contain
what do they eventually continue as
transverse sinus
intracranial veins
S shaped sigmoid sinus
Into which foramen does the groove for the sigmoid sinus lead?
jugular foramen
Which major vein emerges into the neck from the jugular foramen
IJV
In the body of which cranial bone is the sella turcica found?
whats found on either side of it
sphenoid
cavernous sinus
where are the clinoid processes found
what joins to them
on either side of the sella turcica,
give attachment to a fold of dura mater, the tentorium cerebelli.
Which foramen lies immediately anterior to the groove for the cavernous sinus?
optic canal
whats the purpose of the pits on either side of superior saggital sinus
little finger like projections from the arachnoid mater
into the superior sagittal sinus
which help CSF to be reabsorbed into the systemic circulation.
what bone is the pterygoid plate and hamulus a part of
sphenoid
muscles that attatch to:
medial pterygoid plate and
lateral pterygoid plate
medial- medial pterygoid muscle and sup pharyngeal constrictor
latarel- inf ed of pterygoid muscle
ossification in flat and irregular skulls bones
flat- intramembranous
irregular- endochondral
ossification in flat and irregular skulls bones
flat- intramembranous
irregular- endochondral
age of fontanelle closure
anterior- 9 to 18 months
posterior- 1-2 months
What type of epithelium lines the dorsal surface of the tongue?
squamous stratified nonkeratinizing- (check)
What type of muscle fibres underlies the epithelium of the tongue?
stratiated skeletal muscle
mucus vs serous colour on H&E stain
mucous- white
serous- purple
type of secretion in salivary glands
parotid- serous so purple P-P
submandibular- mixed so white and pink
sublingual- mucous so white
nerve supply to
intrinsic
extrinsic
sensory
eye lid
muscles of eye
intrinsic- oculomotor
extrinsic- oculomotor, trochlear, abducens
sensory- ophthalmic trigeminal
eyelid- facial- orbicularis oculi
branches of facial nerve x5
frontal (or temporal)
zygomatic
buccal
mandibular
cervical
Free Zebras Buy Many Chocolates
identify the 3 sinuses
blue = frontal
yellow = ethmoid
purple = maxilary
what are the dark purple and blue boxes
purple = macula
blue = optic disc
what are the light purple, yellow and red boxes
light purple = orra serata
red = ciliary body
yellow = zonules
whats the grey thing
trochelea ligamentous sling
whats the red muscle
LPS
what are all the blue muscles
what are they supplied by
all by oculomoter
dark blue = sup rectus
medium blue = medial rectus
light blue = inferior rectus
trochlear:
grey blue = sup oblique
what are all the blue muscles
what are they supplied by
Ocullomotor:
dark blue = superior rectus
light blue = inf rectus
bottom grey blue = inferior oblique
medium blue = LATERAL rectus- ABDUCENS
top grey blue = sup oblique- TROCHLEAR
name the parts on the tympanic membrane
dark blue = manubrium of malleus
yellow = cone of light
pink = pars tensa
light blue = ant malleolar fold
what are the 3 purple bits
dark purple : malleus
light purple : incus
pinky purple : stapes
what are the red brown and yellow boxes
red = temporal bone
brown = tympanic membrane
yellow = eustachian tube
what are the grey blue and magenta boxes
grey = semi-circular canals
blue = vestibulocochlear nerve
magenta = cochlea
name the nodes in the right box
easier than it looks- just think about what area/muscle they’re near
pink = parotid
red = buccal
dark blue = submandibular
blue = submental
purple = inf deep cervical
what are the nodes in the left box
green = mastoid
blue = occipital
dark purple = superficial cervical
light purple = sup deep cervical
whats this called
what artery sits just behind it
pterion
middle meningeal
whats yellow foramen
what passes through it
cribiform plate
olfactory nerve
whats grey blue foramen
what passes through it x2
optic canal
optic nerve
ophthalmic artery
whats middle blue foramen
what passes through it x5
superior orbital fissure
oculomotor
trochlear
abducens
ophthalmic trigeminal nerves
sup ophthalmic vein
whats purple foramen
what passes through it x1
foramen rotundum
maxillary trigeminal nerve
whats pink foramen
what passes through it x3
foramen ovale
mandibular trigeminal nerve
accessory meningeal artery
lesser petrosal vein
whats red foramen
what passes through it x1
foramen lacerum
greater petrosal nerve
whats orange foramen
what passes through it x3
foramen spinosum
meningeal branch of mandibular trigeminal
middle meningeal artery
middle meningeal vein
whats magenta foramen
what passes through it x2
carotid canal
sympathetic nerve plexus
ICA
whats green foramen
what passes through it
internal acoustic meatus
facial nerve
vestibulocochlear nerve
labyrinthine artery
whats dark blue foramen
what passes through it x6
jugular foramen
glossopharyngeal nerve
vagus nerve
accesory nerve
sigmoid sinus
inf petrosal sinus
post meningeal artery
whats light purple foramen
what passes through it x3
hypoglossal canal
hypoglossal nerve
whats brown foramen
what passes through it x3
foramen magnum
medulla
spinal roots of accessory nerve
vertebral arteries
name the foramen on the bottom of the skull
pink = foramen ovale
orange = foramen spinosum
red = foramen lacerum
magenta = carotid canal
blue = jugular foramen
purple = hypoglossal
what are the 2 yellow bits
light yellow = lesser wing
yellow = greater wing
what are the 2 purple bits
light purple = lateral pterygoid plate
purple = medial pterygoid plate
what are the 2 green bits
dark green = ant clinoid process
light green = post clinoid process
what are the blue and red bits
blue = optic canal
red = sella turcica
what are the 2 purple bits
dark purple = medial pterygoid plate
light = lateral pterygoid plate
what are the 2 purple bits
dark purple = medial pterygoid plate
light = lateral pterygoid plate
what is the blue, yellow and orange bits
blue = maxilla
yellow = palatine
orange = vomer
what are the green and red bones
green = temporal
red = occipital
what sinus is this
sphenoid sinus
identify the blue, green and red bits
blue = maxillary
green = TMJ
red = mastoid air cells
what are the blue and red bits
blue = IJV
red = common carotid
what are the grey, brown and yellow bits
grey = trachea
brown = oesophagus
yellow = vertebrae
whats the red and blue vertebra
blue = C1 ATLAS
red = C2 AXIS
whats the orange bit on C2
odontoid peg
whats this from
tongue
what are the purple and red boxes
purple = papilla
red = submucosal muscle
What type of epithelium lines the dorsal surface of the tongue?
squamous stratified
what type of acinus is A and B
A = serous- proteins so purple
B = mucous
what gland is this from
what type of secretion is most predominant
parotid
serous- really purple
what gland is this from
what type of secretion is more predominant
sublingual
mucous- more white
what gland is this from
what type of secretion is more predominant
submandibular
mixed- so white and pink
name the 3 bits highlighted
yellow = handle of malleus
green = chordae tympani
blue = facial nerve
name the 3 parts highlighted
green = utricle
yellow = saccule
purple = ampula
name the parts of the ear
orange = utricle
purple = macule
green = sacule
pink = crista
red = ampulla
what muscles open and close the eye
close = obicularis ocoli
(Palpebral part – gently closes the eyelids.
Orbital part – tightly closes the eyelids)
open = LPS
what artery passes through A
opthalmic- its optic canal
identify B and C
B = lacrimal bone
C = greater wing of sphenoid
identify the layer labled B
choriod
what does contraction of ciliary body cause
suspensory ligaments to lax
- lense gets bigger
whats muscle A
LPS
whats B
lacrimal gland
whats C
frontal branch of CN V V1- opthalmic
actions of SO
ABduction- its superior so can abduct like an alien
Intorsion
depression
Which muscle is being tested when you ask your patient to elevate the eye in adduction?
inferior oblique
whats B
utricle
what group of lymph could this spread to
buccal
what passes through each of these foramin
what is the process labled A
what attatches to it
crista gali
part of ethmoid
falx cerebri
what nerve passes through A
VII, VIII- internal acoustic maetus
what passes through A
ICA- carotid canal
what passes through A
V3- foramen ovale
whats the arrow pointing to
isthmus of thyroid
whats B and C
B = mastoid air cells
C = internal acoustic canal