HNS-3 Flashcards
Which nerve are the facial muscles innervated by
Branches of the facial nerve (CN7):
- Temporal
- Zygomatic
- Buccal
- Mandibular
- Cervical
Does the facial nerve innervate the parotid gland
NO
What type of joint is the temporomandibular joint?
Synovial
What is the function of the TMJ
Moving mandible (jaw) up and down for mastication
How are the muscles of MASTICATION innervated?
by the mandibular branch of the trigeminal nerve
What are the 4 main movements of the mandible
- Protrusion
- Retraction
- Elevation
- Depression
What is the origin and insertion of the temporalis muscle
ORIGIN: temporal fossa
INSERTION: Coronoid process of the mandible
What movements does the temporalis allow?
Elevation and retraction
What is the origin and insertion of the masseter muscle
ORIGIN: zygomatic arch
INSERTION: Lateral surface of ramus and angle of mandible
What movements does the masseter allow?
Elevates muscle ( involved in forced closure of the mouth)
What is the origin and insertion of the lateral pterygoid muscle
ORIGIN: Sphenoid bone
INSERTION: Neck of mandible
What movements does the LPtM allow
Depression and protraction (OPENING MOUTH)
What is the origin and insertion of the medial pterygoid muscle?
ORIGIN: lateral pterygoid plate
INSERTION: angle of mandible
Whatt movements does the medial pterygoid muscle allow
Elevation
Protraction
Lateral movement (for chewing and grinding)
What is number 1 on this diagram of the facial muscles?
Frontal belly of the occipitofrontalis muscle
What is number 2 on this diagram of the facial muscles?
Corrugator supercilli muscle (for eyebrow)
What is number 3 on this diagram of the facial muscles?
Palpebral part of the orbicularis oculi muscle
What is number 4a on this diagram of the facial muscles?
Transverse part of nasalis muscle
What is number 4b on this diagram of the facial muscles?
Alar part of the nasalis muscle
What is number 5 on this diagram of the facial muscles?
Levator labii superioris alaeque muscle
What is number 6 on this diagram of the facial muscles?
Levator labii superioris muscle
What is number 7 on this diagram of the facial muscles?
Zygomaticus major muscle
What is number 8 on this diagram of the facial muscles?
Levator anguli oris muscle
What is number 9 on this diagram of the facial muscles?
Parotid duct
What is number 10 on this diagram of the facial muscles?
Orbicularis oris muscle
What is number 11 on this diagram of the facial muscles?
Masseter muscle
What is number 12 on this diagram of the facial muscles?
Depressor anguli oris muscle
What is number 13 on this diagram of the facial muscles?
Mentalis muscle
What is number 14 on this diagram of the facial muscles?
Sternocleidomastoid muscle
What is number 15 on this diagram of the facial muscles?
Procerus
What is number 16 on this diagram of the facial muscles?
Depressor supercilli muscle
What is number 17 on this diagram of the facial muscles?
Orbital part of the orbicularis oculi muscle
What is number 18 on this diagram of the facial muscles?
Zygomaticus minor
What is number 19 on this diagram of the facial muscles?
Buccinator muscle
What is number 20 on this diagram of the facial muscles?
Risorius
What is number 21 on this diagram of the facial muscles?
Depressor labii inferioris muscle
What is number 22 on this diagram of the facial muscles?
Platysma muscle
What is number 23 on this diagram of the facial muscles?
Galea aponeurotica
What is number 24 on this diagram of the facial muscles?
Temporoparietalis muscle
What is number 25 on this diagram of the facial muscles?
Occipital belly occipitofrontalis muscle
What is number 26 on this diagram of the facial muscles?
Parotid gland w fascia
What is number 27 on this diagram of the facial muscles?
Temporal fascia
What is number 28 on this diagram of the facial muscles?
Orbicularis oculi muscle
What is number 29 on this diagram of the facial muscles?
Parotid duct and masseter muscle
What nerve innervates the uvula?
vagus nerve
If there is a lesion in the vagus nerve what happens to the uvula?
It will deviate to the OPPOSITE side of the lesion
EG. if lesion is on the right the uvula will deviate to the left
What is number 1 on this diagram of the mouth
Palatopharageal fold
What is number 2 on this diagram of the mouth
Palatine tonsil
What is number 3 on this diagram of the mouth
Palatoglossal fold
What is number 4 on this diagram of the mouth
Posterior wall of oropharynx
What is number 5 on this diagram of the mouth
Uvula
How does the tongue help to break food down
It pushes food onto the hard palate
What are the three sets of muscles in the pharynx?
Superior, middle and inferior constrictors
What nerves provide sensory info from the pharynx
The pharyngeal plexus:
- CN9 - Glossopharyngeal
- CN10 - Vagus
What nerves provide motor innervation for the pharynx
CN10- Vagus (pharyngeal branch)
some from CN11-Accessory nerve
How do the constrictors of the pharynx aid swallowing?
They contract sequentially from top to bottom to move a bolus of food through the pharynx
What is number 1 on this diagram of the pharynx
Nasopharynx
What is number 2 on this diagram of the pharynx
Oropharynx
What is number 3 on this diagram of the ph
Laryngopharynx
What is number 4 on this diagram of the pharynx
Oesophagus
What is number 5 on this diagram of the pharynx
Soft palate
What is number 6 on this diagram of the pharynx
Uvula
What is number 7 on this diagram of the pharynx
Tongue
What is number 8 on this diagram of the pharynx
Epiglottis
What is number 9 on this diagram of the pharynx
Laryngeal inlet
What is number 10 on this diagram of the pharynx
Piriform fossa
What are the three salivary glands?
- Parotid gland
- Submandibular gland
- Sublingual gland
What type of saliva is produced by each salivary gland?
Parotid - serous
Submandibular - serous
Sublingual - Mucous
Describe the passage of saliva from the parotid gland into the mouth?
- Saliva exits the parotid glad via the parotid gland and enters mouth via the upper part of the mouth
What nerve innervates the parotid gland?
CN9 - Glossopharyngeal
What nerve innervates the submandibular gland?
CN7 - Facial nerve
What nerve innervates the sublingual gland?
CN7 - Facial nerve
What nerve innervates the muscles that control the movement of the tongue
CN12- Hypoglossal nerve
If there is a lesion in a branch of the hypoglossal nerve what happens to the tongue?
The tongue will deviate towards the site of the lesion.
Eg. if there is a lesion on the right side the tongue will deviate to the right.
What is number 1 on this diagram of the tongue?
Palatoglossus
What is number 2 on this diagram of the tongue?
Styloglossus
What is number 3 on this diagram of the tongue?
Lingual nerve
What is number 4 on this diagram of the tongue?
Submandibular ganglion
What is number 5 on this diagram of the tongue?
Hyoid bone
What is number 6 on this diagram of the tongue?
Hypoglossal nerve
What is number 7 on this diagram of the tongue?
Genioglossus
What is number 8 on this diagram of the tongue?
Mandible
What is number 9 on this diagram of the tongue?
Tongue
What nerve relays touch sensation in the anterior 2/3 of the tongue
Trigeminal nerve -CN5
What nerve relays touch sensation in the posterior 1/3 of the tongue
Glossopharyngeal nerve - CN9
What nerve relays taste sensation in the anterior 2/3 of the tongue
Facial nerve CN7
What nerve relays taste sensation in the posterior 2/3 of the tongue
Glossopharyngeal nerve CN9
Recall the mapping of umami flavours on the tongue
All over the tongue
Recall the mapping of sour flavours on the tongue
Lateral parts of the tongue
Recall the mapping of bitter flavours on the tongue
Back of the tongue (posterior part)
Recall the mapping of sweet flavours on the tongue
Anterior part of tongue
Recall the mapping of salty flavours on the tongue
Tip of the tongue
What is the first stage of swallowing?
Oral preparatory phase:
- Food/liquids chewed and formed into a bolus
- Bolus held on centre of tongue
- Lip, jaw, tongue and palate sensory and motor function needed
What nerves innervate the first stage of swallowing?
- Trigeminal
- Facial nerve
- Glossopharyngeal
- Vagus
- Hypoglossal
Is the first stage of swallowing voluntary or involuntary?
Voluntary
What is the 2nd stage of swallowing?
Oral transit
- Bolus propelled to back of mouth
- Palate seals entrance to nasal cavity
- Lip, jaw, tongue and palate sensory and motor function needed
- Airway is open
What nerves innervate the 2nd stage of swallowing?
- Trigeminal
- Facial
- Glossopharyngeal
- Vagus
- Hypoglossal
Is the 2nd stage of swallowing voluntary or involuntary?
Voluntary
What is the 3rd stage of swallowing?
Pharyngeal phase 1
-Triggered when bolus reaches faucial arch (palatoglossal fold area)
- Palate stays elevated
- Tongue retracts to push bolus to pharynx
- Tongue, palate and laryngeal sensory and motor function needed
- Airway closed
What nerves innervate the 3rd stage of swallowing?
- Glossopharyngeal
- Vagus
- Hypoglossal
Is the 3rd stage of swallowing voluntary or involuntary?
Involuntary - reflex action
What is the 4th stage of swallowing?
Pharyngeal phase 2
- Bolus propelled through pharynx
- Tongue, palate and laryngeal sensory and motor function needed
- Airway closed by epiglottis, vocal cords and arytenoid action
What nerves innervate the 4th stage of swallowing?
- Glossopharyngeal
- Vagus
- Hypoglossal
Is the 4th stage of swallowing voluntary or involuntary?
Involuntary - Reflex action
What is the 5th stage of swallowing?
- Oesophagus opens
- Airway closed
- Breath held
- Bolus propelled through oesophagus
- Respiration then resumes with an exhalation, to clear any food particles from airway entrance
What nerves innervate the 5th stage of swallowing?
- Glossopharyngeal
- Vagus
Is the 4th stage of swallowing voluntary or involuntary?
Involuntary - Reflex action