Head & Neck Structures Flashcards
Sternocleidomastoid (SCM)
Origin
Mastoid process, lateral half of superior nuchal line
Sternocleidomastoid (SCM)
Insertion
Sternal head: Anterior surface of manubrium of sternum
Clavicular head: superior surface of medial one-third of clavicle
Sternocleidomastoid (SCM)
Action
- Unilateral: Laterally flexes the head and rotates face to opposite side
- Bilateral: Extends head
Sternocleidomastoid (SCM)
Innervation
Spinal accessory n. (CN XI)
Platysma
Origin
Mandible, skin of the cheek, angle of the mouth, and orbicularis oris muscle
Platysma
Insertion
Superficial fascia of the deltoid and pectoral regions
Platysma
Action
Tenses the skin of the neck, depresses the mandible
Platysma
Innervation
Cervical branch of the facial nerve (CN VII)
Sternohyoid
Origin
Body of hyoid bone
Infrahyoid m.
Sternohyoid
Insertion
Posterior surface of manubrium of sternum
Sternohyoid
Action
Depresses the hyoid
Sternohyoid
Innervation
Ansa cervicalis (C1–C3)
Omohyoid
Origin
Inferior border of hyoid bone
Infrahyoid m.
Omohyoid
Insertion
Superior border of scapula near suprascapular notch
Omohyoid
Action
Depresses and retracts the hyoid
Omohyoid
Innervation
Ansa cervicalis (C1–C3)
Sternothyroid
Origin
Oblique line of the thyroid cartilage
Infrahyoid m.
Sternothyroid
Insertion
Posterior surface of manubrium of sternum
Sternothyroid
Action
Depresses thyroid cartilage and larynx
Sternothyroid
Innervation
Ansa cervicalis (C1–C3)
Thyrohyoid
Origin
Inferior border of body and greater horn of hyoid
Infrahyoid m.
Thyrohyoid
Insertion
Oblique line of thyroid cartilage
Thyrohyoid
Action
Depresses hyoid and elevates the thyroid cartilage and larynx
Thyrohyoid
Innervation
C1 via hypoglossal n. (CN XII)
AKA Nerve to the thyrohyoid
Digastric
Origin
Digastric fossa of mandible (anterior belly)
Suprahyoid m.
Digastric
Insertion
Mastoid process of the temporal bone (posterior belly)
Digastric
Action
Elevates hyoid and depresses mandible
Digastric
Innervation
- Nerve to mylohyoid (CN V3) (anterior belly)
- Facial n. (CN VII) (posterior belly)
Stylohyoid
Origin
Styloid process of temporal bone
Suprahyoid m.
Stylohyoid
Insertion
Body of the hyoid
Stylohyoid
Action
Elevates hyoid
Stylohyoid
Innervation
Facial n. (CN VII)
Mylohyoid
Origin
Mylohyoid line of mandible (lateral attachment)
Suprahyoid m.
Mylohyoid
Insertion
Hyoid bone and the mylohyoid raphe (medial attachment)
Mylohyoid
Action
Supports the floor of the oral cavity
Mylohyoid
Innervation
N. to mylohyoid (CN V3)
Anterior scalene
Origin
TP of C4–C6
Anterior scalene
Insertion
First rib
Anterior scalene
Action
Flexes neck, elevates first rib during inspiration
Anterior scalene
Innervation
Anterior rami C4–C6
Middle scalene
Origin
Posterior tubercles of TP of C2–C7
Middle scalene
Insertion
First rib
Middle scalene
Action
Flexes neck, elevates first rib during inspiration
Middle scalene
Innervation
Anterior rami C2–C6
Posterior scalene
Origin
Posterior tubercles of TP of C4–C6
Posterior scalene
Insertion
Second rib
Posterior scalene
Action
Flexes neck laterally, elevates second rib during inspiration
Posterior scalene
Innervation
Anterior rami C7–C8
Orbicularis oculi
Origin
Medial orbital margin, medial palpebral ligament, and lacrimal bone
Orbicularis oculi
Insertion
Skin around the orbital margin
Orbicularis oculi
Action
Tightly closes the eye (orbital part)
Blinking (palpebral part)
Orbicularis oculi
Innervation
Facial n. (CN VII)
Levator labii superioris
Origin
Upper lip (inferior attachment)
Levator labii superioris
Insertion
Maxilla just below the orbital margin (superior attachment)
Levator labii superioris
Action
Elevates upper lip
Levator labii superioris
Innervation
Facial n. (CN VII)
Zygomaticus major
Origin
Angle of the mouth
Zygomaticus major
Insertion
Zygomatic bone
Zygomaticus major
Action
Draws angle of mouth superiorly and posteriorly
Zygomaticus major
Innervation
Facial n. (CN VII)
Orbicularis oris
Origin
Maxilla, mandible, and skin in the median plane
Orbicularis oris
Insertion
Angle of the mouth
Orbicularis oris
Action
Sphincter of the mouth
Orbicularis oris
Innervation
Facial n. (CN VII)
Buccinator
Origin
Angle of the mouth
Buccinator
Insertion
Pterygomandibular raphe and the lateral surfaces of the alveolar processes of the maxilla and mandible
Buccinator
Action
Compresses cheek against molar teeth, keeping food on the occlusal surfaces during chewing
Buccinator
Innervation
Facial n. (CN VII)
Depressor anguli oris
Origin
Angle of the mouth
Depressor anguli oris
Insertion
Mandible
Depressor anguli oris
Action
Depresses the angle of the mouth
Depressor anguli oris
Innervation
Facial n. (CN VII)
Depressor labii inferioris
Origin
Lower lip (superior attachment)
Depressor labii inferioris
Insertion
Mandible
Depressor labii inferioris
Action
Depresses lower lip
Depressor labii inferioris
Innervation
Facial n. (CN VII)
Masseter
Origin
Inferior border and medial surface of zygomatic arch
Masseter
Insertion
Lateral surface of ramus and angle of mandible
Masseter
Action
Elevates and protrudes mandible
Masseter
Innervation
CN V3 via mandibular n.
Temporalis
Origin
Floor of temporal fossa and deep surface of temporal fascia
Temporalis
Insertion
Tip and medial surface of coronoid process and anterior border of ramus of mandible
Temporalis
Action
Elevates and retrudes mandible
Temporalis
Innervation
CN V3 via deep temporal nn.
Medial pterygoid
Origin
Deep head: Medial surface of lateral pterygoid plate
Superficial head: Tuberosity of maxilla
Medial pterygoid
Insertion
Medial surface of ramus of mandible
Medial pterygoid
Action
Elevates and protrudes mandible (bilateral)
Side to side movement of mandible (unilateral)
Medial pterygoid
Innervation
CN V3 via medial pterygoid n.
Lateral pterygoid
Origin
Infratemporal surface and infratemporal crest of greater wing of sphenoid (superior head)
Lateral surface of lateral pterygoid plate (inferior head)
Lateral pterygoid
Insertion
Neck of mandible, articular disc, and capsule of TMJ
Lateral pterygoid
Action
Depresses and protrudes mandible (bilateral)
Side-to-side movement of mandible (unilateral)
Lateral pterygoid
Innervation
CN V3 via lateral pterygoid n.
Levator palpebrae superioris
Origin
Tarsal plate of the upper eyelid
Levator palpebrae superioris
Insertion
Sphenoid bone
Levator palpebrae superioris
Action
Elevation and retraction of the upper eyelid
Levator palpebrae superioris
Innervation
Superior division of oculomotor n. (CN III)
Superior rectus
Origin
Sclera (anterior, superior surface)
Superior rectus
Insertion
Common tendinous ring
Superior rectus
Action
Elevation and adduction of the eye
Superior rectus
Innervation
Superior division of oculomotor n. (CN III)
Superior oblique
Origin
Sclera (posterior, lateral, superior surface)
Superior oblique
Insertion
Sphenoid bone
Superior oblique
Action
Depression, intorsion, and abduction of the eye
Superior oblique
Innervation
Trochlear n. (CN IV)
Lateral rectus
Origin
Sclera (anterior lateral surface)
Lateral rectus
Insertion
Common tendinous ring
Lateral rectus
Action
Abduction of the eye
Lateral rectus
Innervation
Abducent n. (CN VI)
Medial rectus
Origin
Sclera (anterior, medial surface)
Medial rectus
Insertion
Common tendinous ring
Medial rectus
Action
Adduction of the eye
Medial rectus
Innervation
Inferior division of oculomotor n. (CN III)
Inferior rectus
Origin
Sclera (posterior, lateral, inferior surface)
Inferior rectus
Insertion
Common tendinous ring
Inferior rectus
Action
Depression and adduction of the eye
Inferior rectus
Innervation
Inferior division of oculomotor n. (CN III)
Inferior oblique
Origin
Sclera (anterior, inferior surface)
Inferior oblique
Insertion
Maxilla
Inferior oblique
Action
Elevation, extorsion, and abduction of the eye
Inferior oblique
Innervation
Inferior division of oculomotor n. (CN III)
Superior pharyngeal constrictor
Origin
Pterygoid hamulus and pterygomandibular fascia
Superior pharyngeal constrictor
Insertion
Pharyngeal tubercle and pharyngeal raphe
Superior pharyngeal constrictor
Action
Constrict wall of pharynx during swallowing
Superior pharyngeal constrictor
Innervation
Vagus n. (CN X) via pharyngeal plexus
Middle pharyngeal constrictor
Origin
Greater horn of the hyoid bone and inferior portion of the stylohyoid ligament
Middle pharyngeal constrictor
Insertion
Pharyngeal raphe
Middle pharyngeal constrictor
Action
Constrict wall of pharynx during swallowing
Middle pharyngeal constrictor
Innervation
Vagus n. (CN X) via pharyngeal plexus
Inferior pharyngeal constrictor
Origin
Oblique line of the thyroid cartilage and lateral surface of the cricoid cartilage
Inferior pharyngeal constrictor
Insertion
Pharyngeal raphe
Inferior pharyngeal constrictor
Action
Constrict wall of pharynx during swallowing
Inferior pharyngeal constrictor
Innervation
Vagus n. (CN X) via pharyngeal plexus
Stylopharyngeus
Origin
Styloid process (superior attachment)
Stylopharyngeus
Insertion
Posterior and superior borders of thyroid cartilage with palatopharyngeus (inferior attachment)
Stylopharyngeus
Action
Elevate pharynx and larynx during swallowing and speaking
Stylopharyngeus
Innervation
Glossopharyngeal nerve (CN IX)
Palatoglossus
Origin
Palatine aponeurosis
Palatoglossus
Insertion
Lateral aspect of the tongue
Palatoglossus
Action
Elevates tongue and depresses soft palate
Palatoglossus
Innervation
Vagus n. (CN X) via pharyngeal plexus
Palatopharyngeus
Origin
Hard palate and palatine aponeurosis
Palatopharyngeus
Insertion
Thyroid cartilage and pharyngeal wall
Palatopharyngeus
Action
Elevates larynx during swallowing and speaking
Palatopharyngeus
Innervation
Vagus n. (CN X) via pharyngeal plexus
Salpingopharyngeus
Origin
Cartilage of pharyngotympanic tube
Salpingopharyngeus
Insertion
Thyroid cartilage and pharyngeal wall
Salpingopharyngeus
Action
Elevates larynx during swallowing and speaking
Salpingopharyngeus
Innervation
Vagus n. (CN X) via pharyngeal plexus
Musculus uvulae
Origin
Posterior nasal spine (anterior attachment)
Musculus uvulae
Insertion
Palatine aponeurosis
Musculus uvulae
Action
Elevates and retracts uvula
Musculus uvulae
Innervation
Vagus n. (CN X) via pharyngeal plexus
Levator veli palatini
Origin
Cartilage of pharyngotympanic tube and petrous part of temporal bone
Levator veli palatini
Insertion
Palatine aponeurosis
Levator veli palatini
Action
Elevates soft palate
Levator veli palatini
Innervation
Vagus n. (CN X) via pharyngeal plexus
Tensor veli palatini
Origin
Scaphoid fossa and spine of sphenoid bone
Tensor veli palatini
Insertion
Palatine aponeurosis
Tensor veli palatini
Action
Tenses the soft palate
Tensor veli palatini
Innervation
Mandibular division of trigeminal n. (CN V3)
Geniohyoid
Origin
Inferior mental spine of mandible (anterior attachment)
Geniohyoid
Insertion
Body of hyoid bone (posterior attachment)
Geniohyoid
Action
Pulls the hyoid bone anteriorly
Geniohyoid
Innervation
C1 via the Hypoglossal n. (CN XII)
Genioglossus
Origin
Superior mental spine of the mandible (anterior attachment)
Genioglossus
Insertion
Hyoid bone and tongue (posterior attachment)
Genioglossus
Action
Depresses and protrudes tongue
Genioglossus
Innervation
Hypoglossal n. (CN XII)
Hyoglossus
Origin
Side and inferior aspect of tongue
Hyoglossus
Insertion
Body and greater horn of the hyoid bone
Hyoglossus
Action
Depresses and retracts tongue
Hyoglossus
Innervation
Hypoglossal n. (CN XII)
Styloglossus
Origin
Styloid process and stylohyoid ligament
Styloglossus
Insertion
Side and inferior aspect of tongue
Styloglossus
Action
Retracts tongue and draws it superiorly
Styloglossus
Innervation
Hypoglossal n. (CN XII)
Cricothyroid
Origin
Inferior margin and inferior horn of thyroid cartilage
Cricothyroid
Insertion
Anterolateral surface of cricoid cartilage
Cricothyroid
Action
Tilts the thyroid cartilage anteriorly to lengthen (tense) the vocal folds
Cricothyroid
Innervation
External branch of the superior laryngeal n. (CN X)
Posterior cricoarytenoid muscle
Origin
Muscular process of arytenoid cartilage
Posterior cricoarytenoid muscle
Insertion
Posterior surface of the lamina of cricoid cartilage
Posterior cricoarytenoid muscle
Action
Rotates arytenoid cartilage laterally to abduct vocal folds
Posterior cricoarytenoid muscle
Innervation
Inferior laryngeal branch of the recurrent laryngeal n. (CN X)
Lateral cricoarytenoid muscle
Origin
Muscular process of arytenoid cartilage
Lateral cricoarytenoid muscle
Insertion
Arch of cricoid cartilage
Lateral cricoarytenoid muscle
Action
Rotates arytenoid cartilage medially to adduct vocal folds
Lateral cricoarytenoid muscle
Innervation
Inferior laryngeal branch of the recurrent laryngeal n. (CN X)
Thyroarytenoid
Origin
Muscular process of arytenoid cartilage
Thyroarytenoid
Insertion
Posterior surface of thyroid cartilage
Thyroarytenoid
Action
Tilts arytenoid cartilage anteriorly to relax vocal folds
Thyroarytenoid
Innervation
Inferior laryngeal branch of the recurrent laryngeal n. (CN X)
Branches of External Carotid Artery
Inferior to Superior:
- Superior thyroid artery
- Ascending pharyngeal
- Lingual artery
- Facial artery, going up
- Occipital artery
- Posterior auricular
- Maxillary
- Superficial temporal artery
Foramina in anterior cranial fossa and what they contain
Anterior cranial fossa:
Cribriform foramina in cribriform plate: Axons of olfactory cells in olfactory epithelium form olfactory nerves (CN I)
Foramina in Middle cranial fossa and what they contain
- Optic canal: Optic nerve (CN II)
- Superior orbital fissure: Ophthalmic nerve (CN V1) and branches, oculomotor nerve (CN III), trochlear nerve (CN IV), and abducent nerve (CN VI)
- Foramen rotundum: Maxillary nerve (CN V2)
- Foramen ovale: Mandibular nerve (CN V3)
Formina in Posterior cranial fossa and what they contain
- Foramen magnum: Spinal accessory nerve (CN XI)
- Jugular foramen: Glossopharyngeal nerve (CN IX), vagus nerve (CN X), and spinal accessory nerve (CN XI)
- Hypoglossal canal: Hypoglossal nerve (CN XII)
Branches of Subclavian
- Vertebral artery
- Internal Thoracic artery
- Thyrocervical trunk
- Costcervical trunk
- Dorsal scapular artery
Branches of Costocervical Trunk
- Supreme intercostal artery
- Deep cervical artery
Cutaneous nerves on neck
Transverse cervical n. (C2,C3) - runs across SCM
Great auricular N. (C2, C3)- goes to anterior aspect of ear
Lesser occipital n. (C2) - post border SCM and sup to occiput
Supraclavicular n. (C3, C4)- goes to shoulder skin/around clavicle