Lecture 2 Flashcards

0
Q

What two prominences form the 1st branchial arch?

A

maxillary and mandibular

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1
Q

When does the face develop?

A

during the 4th-5th week of development, neural crest and ectoderm cells form the branchial arches = pharyngeal arches

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2
Q

These separate the branchial arches.

A

pharyngeal cleft (groove) externally and pharyngeal pouch internally

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3
Q

The branchial apparatus consists of:

A

branchial arches (mesoderm), branchial grooves or clefts (ectoderm), pharyngeal pouches (endoderm), branchial membranes (ectoderm and endoderm)

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4
Q

1st Branchial Arch

A

CN V, muscles of mastication

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5
Q

2nd Branchial Arch

A

CN VII, muscles of facial expression

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6
Q

3rd Branchial Arch

A

CN IX, stylopharyngeus (swallowing)

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7
Q

4th and 6th Branchial Arches

A

CN X, superior and recurrent laryngeal nerves and XI, all infrahyoid muscles except stylopharyngeus

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8
Q

5th Branchial Arch

A

rudimentary, nothing develops from this

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9
Q

Direction of facial development.

A

rostral to caudal

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10
Q

Develops from frontonasal prominence.

A

V1 - opthalmic division of trigeminal, forehead and dorsum apex of nose

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11
Q

Develops from lateral nasal prominences.

A

sides (alae) of the nose

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12
Q

Develops from medial nasal prominences.

A

nasal septum

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13
Q

Develops from the maxillary prominences.

A

V2 - maxillary division of trigeminal, upper cheek region and most of the upper lip, nasal placodes and lateral aspects of face

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14
Q

Develops from the mandibular prominences.

A

V3 - mandibular division of trigeminal, chin, lower lip, and lower cheek regions, innervates mylohyoid, masseter, temporalis

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15
Q

Develops from the mesenchyme in the facial prominences.

A

fleshy derivatives and various bones

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16
Q

What develops from the ectodermal stomodeum (ventral)?

A

mouth

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17
Q

The pinna of the ear arises from:

A

otic placode

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18
Q

What failure results in cleft palate?

A

philtrum (medial nasal prominences) to fuse with mandibular prominences, medial palatine processes fail to fuse with another, not all will have cleft lip

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19
Q

Microtia

A

deformation of the ear, accompanied by deafness

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20
Q

What results in cleft lip?

A

maxillary process fails to fuse with medial nasal process

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21
Q

What is more common: cleft lip or cleft palate?

A

cleft lip (1:1000) vs. cleft palate (1:2500); also cleft lip is much more common in men

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22
Q

Coronal section of the head will reveal these layers of the SCALP.

A

skin, connective tissue, aponeurosis and muscle, loose connective tissue, periosteum

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23
Q

Branches of CN VII Facial.

A

posterior auricular, temporal, zygomatic, buccal, marginal mandibular, cervical

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24
Q

Branches of V1 of the trigeminal nerve.

A

supraorbital, supratrochlear, infratrochlear, external nasal, lacrimal

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25
Q

Branches of V2 of trigeminal nerve.

A

infraorbital, zygomaticofacial, zygomaticotemporal

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26
Q

Branches of V3 of trigeminal nerve.

A

buccal, mental, auriculotemporal

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27
Q

Nerve to lateral and medial pterygoid is a branch of what nerve?

A

V3 - mandibular branch of trigeminal nerve

28
Q

Branchial disorders associated with malformation from 1st and 2nd arches.

A

cleft lip and palate, craniofacial microsomia (CFM), Treacher-Collins syndrome (TCS), micrognathia, otomandibular dysostosis, micrognathia, microtia

29
Q

What branches of CN VII are associated with Bell’s palsy?

A

cervical, mandibular, buccal, zygomatic, temporal

30
Q

What is associated with Bell’s palsy?

A

damage to the facial nerve terminal branches, depending on location of the lesion may see symptoms such as loss of motor, taste, and autonomic function (lacrimal secretions if damaged near pontine origin or geniculate ganglion), paralyzed platysma, orbicularis oris, buccinator, orbicularis oculi

31
Q

Which arteries arise from the external carotid artery to irrigate the face?

A

facial (inferior labial, superior labial, lateral nasal, angular), transverse facial, infraorbital, mental

32
Q

Which arteries arise from the internal carotid artery to irrigate the face?

A

supraorbital, supratrochlear

33
Q

Which two arteries primarily irrigate the face?

A

arteries arising from the external and internal carotid arteries

34
Q

Most of the lymphatics of the face drain into which vein?

A

external jugular

35
Q

Parotid region contents.

A

parotid gland and duct, CN IX, auriculotemporal nerve, external carotid plexus, branches of the greater auricular nerve, facial branches forming the parotid plexus, external carotid artery, external jugular vein, retromandibular vein, masseter, lymph nodes

36
Q

Auriculotemporal Nerve

A

sensory and GVE to parotid gland to increase salivation, branch of V3 of trigeminal nerve

37
Q

Which cranial nerves pass through the superior orbital fissure?

A

III, IV, V1 of trigeminal, VI

38
Q

What artery passes through the optic canal in addition to CN II?

A

opthalmic artery

39
Q

Ganglia involved in the autonomic innervation of the lacrimal gland.

A

pterygopalatine ganglion (CN VII to greater petrosal nerve), superior cervical sympathetic ganglion (T1 & T2 spinal cord segments)

40
Q

Flow of tears:

A

lacrimal gland–>excretory lacrimal ducts–>superior or inferior lacrimal canal–>lacrimal sac–>nasolacrimal duct–>nasal cavity

41
Q

Lacrimal apparatus autonomics:

A

superior salivatory gland–>CN VII–>greater petrosal nerve–>pterygoid canal nerve–>pterygopalatine ganglion–>to lacrimal gland via zygomatic and lacrimal nerves

42
Q

Muscles associated with the infratemporal fossa:

A

primary - lateral and medial pterygoids; secondary - temporalis, masseter, buccinator

43
Q

Which nerve innervates ALL of the muscles of mastication?

A

V3 of trigeminal (from 1st branchial arch don’t forget)

44
Q

Chorda tympani is a branch of the facial nerve but it also is associated with which other nerve?

A

V3

45
Q

Which artery supplies the infratemporal fossa?

A

maxillary artery (branch of external carotid), 3 parts

46
Q

The 2nd part of the maxillary artery is sandwiched between which muscles?

A

medial and lateral pterygoid muscles

47
Q

Arteries of the 1st part of the maxillary artery.

A

deep auricular, anterior tympanic, accessory meningeal, middle meningeal, inferior alveolar

48
Q

Arteries of the 2nd part of the maxillary artery.

A

deep temporal, buccal, branches to masseterics and pterygoids

49
Q

Arteries of the 3rd part of the maxillary artery.

A

sphenopalatine, infraorbital, posterior superior alveolar, pharyngeal, descending palatine

50
Q

The __________ prominence contributes most of the otic placode.

A

mandibular

51
Q

With Bell’s palsy, what will determine whether or not the patient has lacrimal secretion function intact?

A

Damage to the nerve close to its pontine origin or nearby the geniculate ganglion (loss of motor, taste and autonomic functions - lacrimal secretions); Damage to the nerve distal the geniculate ganglion, proximal to the chorda tympani, lacrimation is preserved

52
Q

Most of the veins of the face drain into which vein?

A

external jugular

53
Q

What serves the function of lymph nodes intracranially?

A

glial cells

54
Q

Sensory information of parotid gland is contained in this nerve.

A

auriculotemporal (CN V3)

55
Q

What passes through the superior orbital fissure?

A

CN III, IV, V1, VI

56
Q

Opthalmic division of the Trigeminal nerve includes:

A

lacrimal, frontal, nasociliary

57
Q

Caldwell view

A

frontal view of head for fractures or sinusitis

58
Q

Waters view

A

chin on table, used for fractures of facial bones/nerves, used for maxillary sinuses, x-ray runs superior to inferior

59
Q

SMV view

A

tangential view, used to see if the pt. has corrected alveolar plates (cleft palate surgery), used to diagnosis deviated septum/supported by CT of skull

61
Q

Lateral view (of skull)

A

fractures for zygomatic bones, frontal bones; used to look for sphenoid sinusitis

62
Q

The superior sagittal sinus lies between what two layers?

A

dura and arachnoid

63
Q

What is found between the arachnoid and pia?

A

CSF

64
Q

Although most of the face blood flows into the internal jugular veins, there is some drainage into the ________ _____ and ________ ______ plexuses deep to the petrous ridges of the temporal bones.

A

cavernous sinus; pterygoid venous

65
Q

Retromandibular, facial veins are directly associated with superficial temporal vein; and they all drain into?

A

external jugular vein

66
Q

GVE and GVA for the parotid gland?

A

auriculotemporal branch of CN V3

67
Q

The _________ nerve, branch of (CN IX), carries the presynaptic nerve for the parotid gland.

A

tympanic

68
Q

Pre- and post-synaptic fibers for otic ganglion?

A

presynaptic - CN IX; postsynaptic - auriculotemporal nerve (CN V3)