Oral And Nasal Cavities And Pterygopalatine Fossa Flashcards

1
Q

Anterior 2/3 of palate is ____; posterior 1/3 is soft and muscular composed of ____ and contains the ____ hanging off of the glossopharyngeal arch.

When swallowing, the soft palate and uvula _____ the opening to the nasopharynx.

A

Hard and bony; skeletal muscle; uvula

Close off

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2
Q

____ represent the opening between the oral cavity and oropharynx.

It is bounded by paired muscular folds of ____ and _____. ______ are housed between the arches.

A

Fauces

Glossopalatine arch (anterior) and pharyngopalatine arch (posterior)

Palatine tonsils

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3
Q

Adenoid tonsils (pharyngeal tonsils) can swell and close off nasal airway and affect _____.

A

Eustachian tube

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4
Q

Posterior surface of the tongue contains _____.

Tongue moves by ____.

Inferior surface of the tongue attaches to the floor of the oral cavity by the ____.

A

Lingual tonsils

Skeletal muscles

Lingual frenulum

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5
Q

_____ duct opens into the oral vestibule next to the second upper molar.

Most of the saliva is produced by ____. A duct from this gland opens through a papilla in the floor of the mouth on the lateral side of the ______.

____ stimulate mucus secretion from the parotid gland.

A

Parotid

Submandubular glands

Lingual frenulum

Sympathetic stimulation from cervical ganglia

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6
Q

_____ has ducts that open to the inferior surface of the oral cavity, posterior to the submandibular duct papilla.

Parotid duct opens into the oral vestibule next to the ____.

A

Sublingual gland

Second upper molar

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7
Q

Saliva contains ____ that breaks down carbs. It contains antibodies and an antibacterial element called ____ that inhibit bacterial growth in oral cavity.

Food molecules dissolved in saliva so ____ can be stimulated.

A

Amylase

Lysozyme

Taste receptors

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8
Q

Tooth has an exposed crown, neck, and roots that anchor it to jaw. Roots fit into ____, which are sockets within the alveolar processes of maxillae and mandible.

The roots, dental alveoli, and periodontal L bind the roots to the alveolar process, forming a ____ joint.

What are the two sets of teeth?

____ teeth cannot erupt because of the angle of their growth

A

Dental alveoli

Gomphosis joint

Deciduous teeth (20 teeth, 6 months); Permanent teeth (32)

Impacted teeth (wisdom teeth can become impacted)

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9
Q

What are four bones of the external nose?

Fiver cartilages?

A

Nasal bones
Frontal process of maxilla
Nasal part of frontal bone and nasal spine
Bony part of nasal septum

2 lateral cartilages
2 alar cartilages
Septal cartilage

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10
Q

All the nasal cavity is lined with ___ except the vestibule of the nose.

The mucosa is connected to the periosteum of the bony parts and perichondrium of the cartilaginous parts.

Oral area of nasal cavity is ____, respiratory area is ___.

A

Nasal mucosa

Support 1/3; inferior 2/3

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11
Q

What five arteries supply the lateral and medial walls of the nasal cavity?

What three veins drain the nasal cavity?

Where do all five arteries come together in a capillary bed? They can bleed profusely causing chronic nose bleeds.

A

Opthalmic A -> anterior and posterior ethmoidal A

Maxillary A -> sphenopalatine A, greater palatine A

Facial A -> superior labial A, lateral nasal branches

Sphenopalatine V, facial V, ophthalmic V

Kiesselbach area

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12
Q

What are the four paranasal sinuses?

A

Maxillary
Ethmoid
Sphenoid
Frontal

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13
Q

The pharynx is all ____ muscle. And the esophagus is all _____ muscle.

A

Skeletal

Smooth

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14
Q

Tensor veli palatini is innervated by _____; it tenses soft palate and acts on the pharyngotympanic tube for depressurizing the middle ear.

The levator veli palatini is innervated by _____; elevates the tensed palate and acts on the pharyngotympanic tube.

Paralysis of either muscle can cause reflux of oral contents into the _____ and cause _____.

How is the pharyngotympanic tube different in infants?

A

CN V3

CN X

Nasal cavity; pharyngotympanic tube dysfunction

Tube is shorter and flatter in infants; bacteria can more easily get into auditory tube

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15
Q

Stage 1 of swallowing

How?

CN?

A

Bolus compressed against palate and pushed from mouth into oropharynx

Movements of tongue and soft palate

CN XII, X, V3

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16
Q

Stage 2 of swallowing

A

Soft palate is elevated, closing off nasopharynx; pharynx widens and shortens to receive bolus of food

Suprahyoid muscles and longitudinal pharyngeal muscles contract, elevating the larynx

17
Q

Stage 3 of swallowing

CN?

A

Contraction of all three pharyngeal constrictor muscles forces food bolus inferiorly into esophagus

CN X

18
Q

What three structures are contained in the pterygopalatine fossa?

A

Maxillary N (V2)
Pterygopalatine ganglion
3rd part of maxillary A

19
Q

Path of the maxillary N in the pterygopalatine fossa?

A

Maxillary N (V2) -> zygomatic N -> zygomaticotemporal N -> lacrimal N (V1) (carrying parasympathetic fibers)

20
Q

What are the boundaries of the nasal cavity?

A

Roof: frontal bone, ethmoid bone, sphenoid bone

Floor: palatine process of maxilla, horizontal plate of palatine bone

Medial wall: nasal septum (perpendicular plate of ethmoid, vomer, septal cartilage, nasal crests of maxillary and palatine bone)

Lateral wall: superior, middle, inferior nasal conchae

21
Q

Superior and middle concha are part of the ____ bone.

Inferior concha is its own bone.

A

Ethmoid bone

22
Q

What are the four passages of the nasal cavity and what opening to the sinuses do they contain?

A

Spheno-ethmoidal recess (opening of sphenoid sinus)

Superior nasal meatus (openings of posterior ethmoidal sinuses)

Middle nasal meatus (openings of frontal sinus and anterior, middle ethmoid sinus; opening to maxillary sinus in posterior part of semilunar hiatus below ethmoid bulla)

Inferior nasal meatus (opening of nasolacrimal duct)

23
Q

____ drains the maxillary sinus.

Arterial supply?

Innervation?

A

Maxillary ostium into middle meatus

Superior alveolar branches of maxillary A; greater palatine A

Superior alveolar N branches

24
Q

____ are located between the orbits. Anterior and middle ethmoidal cells drain into the ____. Posterior drain into the ____.

Arterial supply?

Innervation?

A

Ethmoid air cells

Middle meatus

Superior meatus

Ethmoidal A (from ophthalmic A)

Nasociliary N (V1)

25
Q

Sphenoid sinus is divided by bony part of _____. It drains by the ____.

Arterial supply?

Innervation?

A

Nasal septum

Spheno-ethmoidal recess

Posterior ethmoidal A

Posterior ethmoidal N

26
Q

Frontal sinus is between inner and outer tables of frontal bone, posterior to _____. Drains via ____ into semilunar hiatus of middle meatus.

Arterial supply?

Innervation?

A

Superciliary arches

Frontonasal duct

Supraorbital A, anterior ethmoidal A

Supraorbital N (V1)