Nerve & blood supply of head and neck Flashcards
What is the blood supply to the orbit?
Branches of the opthalmic artery:
- Lacrimal artery:
1. Lacrimal gland
2. Eyeball
3. Lateral side of eyelid - Central artery of the retina: Retina
- Ciliary arteries
- Supraorbital artery: Forehead and scalp
- Supra-trochlear artery: Forehead and scalp
- Posterior ethmoidal artery: Ethmoidal air cells & nose
- Anterior ethmoidal artery: Ethmoidal air cells, nose anterior meninges (anterior meningeal artery)
What are the branches of the opthalmic nerve [V1]?
- Lacrimal nerve:
1. Parasympathetic to lacrimal gland
2. Sensation to lacrimal gland
3. Conjunctiva - Frontal nerve
- Nasociliary nerve
What are the branches of the frontal nerve?
- Supra-trochlear nerve
- Supra-orbital nerve
What are the branches of the nasociliary nerve?
- Long ciliary nerve: Eyeball
- Posterior ethmoidal nerve:
1. Ethmoidal air cells
2. Sphenoidal sinus - Anterior ethmoidal nerve:
1. Nasal cavity
2. Ethmoidal air cells
3. Meninges in ACF - Infratrochlear nerve:
1. Lacrimal sac
2. Skin of upper half nose
What is the blood supply to the pinna?
- Superficial temporal artery
- Posterior auricular artery
- Occipital artery
What is the innervation of the pinna?
- Auriculotemporal nerve - [V3]: Antersuperior
- Occipital nerve - C2: Posterosuperior
- Greater auricular nerve - C2,3: Inferior
What is the innervation of the external auditory meatus?
- Anterior + superior walls: Auriculotemporal nerve ([V3])
- Posterior + inferior walls: Auricular branch of [X]
- Contributions from [VII]
What is the innervation of the tympanic membrane?
- External: Auriculotemporal nerve - [V3]
- Internal: [IX]
What is the blood supply of the middle ear?
- ECA:
1. Tympanic branch - Maxillary artery
2. Mastoid branch - ICA: Tympanic branch
What is the innervation of the middle ear?
Tympanic nerve - [IX]
What is the blood supply to the inner ear?
- Bony labyrinth: Maxillary artery
- Membranous labyrinth: Labrynthine artery (Basilar artery)
What is the blood supply of the scalp?
- Anterior & superior aspects (up to vertex) of the scalp supplied by branches of the opthalmic artery (from ICA):
1. Supratrochlear artery
2. Supra-orbital artery - Lateral & posterior aspects of the scalp supplied by branches of the ECA:
1. Posterior auricular artery: Supplies area posterior to pinna and pinna itself
2. Occipital artery: Supplies posterior aspects of scalp
3. Superficial temporal artery: Supplies lateral aspects of scalp
What is the innervation of the scalp?
Anterior:
- Supratrochlear nerve (branch of Va)
- Supra-orbital nerve (branch of Va)
- Zygomaticotemporal nerve (branch of Vb)
Lateral:
- Lesser occipital nerve (posterior ramus of C2)
- Auriculotemporal nerve (branch of Vc)
Posterior:
- Greater occipital nerve (posterior ramus of C2)
- Third occipital nerve (posterior ramus of C3)
- Greater auricular nerve (anteiror rami of C2/3)
- Lesser occipital nerve (anterior ramus of C2)
How can the maxilary be divided?
- 1st part: Between neck of mandible and sphenomandibular ligament
- 2nd part: Between ramus of mandible and superficial surface of lateral pterygoid
- 3rd part: In pterygopalatine fossa
What are the branches of the 1st part of the maxillary artery?
- Tympanic branch (middle ear)
- Middle meningeal artery
- Inferior alveolar artery (mandibular teeth)