Orbit Flashcards
The bony orbits are bounded by
medially- ethmoid paranasal sinuses
inferiorly- maxillary paranasal sinuses
Accessory structures of the eye
eyebrows
eyelids
Eyelids
separated by a palpebral fissure and reinforced by dense CT
Levator palpebrae superioris lifts the superior eyelid
orbicularis oculi closes the eyelid
Conjunctiva
a transparent mucous membrane that covers the inner surfaces of the eyelids and anterior surface of the eyeball
Lacrimal apparatus
keep the surface of the eyelid moist
Lacrimal gland
produces lacrimal fluid, lies in a fossa in the superolateral orbit
Lacrimal ducts
convey fluid to the conjunctival sac
Lacrimal canaliculi
connect to the nasolacrimal duct- a passage that conveys lacrimal fluid to the nasal cavity
Lacrimal production is stimulated by parasympathetic impulses of
CN VII
7 extra-ocular muscles of the orbit
levator palebrae superioris
4 recti- superior, inferior, medial, and lateral
2 obliques- superior and inferior
Common tendinous ring
origin of the 4 recti
surrounds the optic canal
Levator palpebrae superioris
elevates the superior eyelid
innervated by CN III
4 recti muscles
mainly run anteriorly to attach to the superior, inferior, medial, and lateral aspects of the eyeball
Superior oblique
originates posteriorly, runs anteriorly along the medial orbital wall, and loops thru the trochlea in the anteromedial part of the orbital roof insert on the posterolateral eye surface
out and down
Inferior oblique
abducts and elevates the pupil
out and up
Nerves of orbit
general sensory- CN V1
Special sensory- CN II for vision
brachial motor- CN VII to orbicularis oculi
somatic motor- CN III, CN IV, CN VI
arteries of the orbit
receives arterial blood supply from branches of the ophthalmic artery off the internal carotid artery
the central retinal artery is a terminal branch
Nasal cavity
lined with mucosa continuous with the lining of all chambers that communicate with the nasal cavity
Nasopharynx posteriorly
paranasal sinuses superiorly and laterally
lacrimal sac and conjunctiva superiorly
Nasal cavity boundaries
roof (frontal)-
ethmoid
sphenoid bones
floor-
maxilla
palatine
lateral walls-
nasal conchae
Lateral nasal wall
3 mucosa covered scrolls of bone form the lateral nasal walls-
superior, middle, and inferior nasal conchae
Paranasal air sinuses
air-filled extensions of the respiratory part of the nasal cavity located within the frontal, ethmoid, sphenoid, and maxillary
spheno-ethmoidal recess
opening of the sphenoidal sinus
Superior meatus
entrance to the posterior ethmoidal sinuses
Middle meatus
entrance to the frontal, ethmoidal, and maxillary sinuses
Inferior meatus
opening of the nasolacrimal duct
CN I
special sensory- olfactory epithelium covers the superior nasal concha and superior portions of the nasal septum
CN V1 and 2
general sensory- to the nasal mucosa and palate via the nasopalatine and greater palatine nerves
Visceral motor- post-synaptic parasympathetics to glands in the mucosa
Oral region
includes oral cavity, teeth, gums, tongue, palate, and region of the palatine tonsils
2 parts of the oral cavity
oral vestibule
oral cavity proper
Oral fissure is controlled by
orbicularis oris
Boundaries of the oral cavity proper
laterally and anteriorly- upper and lower dental arcades
roof- palate, posterior communication with the oropharynx
Palate
arched roof of the oral cavity proper and floor of the nasal cavity
Hard palate
formed by parts of the maxillae and palatine bones
covered by a mucous membrane
Soft palate
movable posterior 1/3 of the palate
extends postero-inferiorly as a curved free margin with a conical process- uvula
Tongue
a mobile muscular organ found partly in the oral cavity and partly in the oropharynx
Tongue functions
assists in mastication, taste, swallowing, speech, and oral cleaning
Tongue muscles
extrinsic muscles- genioglossus, hyoglossus, styloglossus, palatoglossus
Motor innervation of the tongue
all tongue muscles are supplied by CN XII except the palatoglossus
Salivary glands
includes the large parotid, submandibular, and sublingual glands
Salivary glands function
keep the oral mucous membranes moist, lubricate food during mastication, begin starch digestion, assist in preventing tooth decay, support the ability to taste
muscles of mastication
temporalis
masseter
medial and lateral pterygoids
innervated by mandibular nerve CN V3
Temporalis
elevates the mandible
closing the jaw
retracts the mandible
Masseter
elevates the mandible
helps protrude the mandible
Lateral pterygoid
acting bilaterally
protracts the mandible and depresses the chin
acting unilaterally
swings the jaw to the contralateral side
Medial pterygoid
acts with the masseter to elevate the mandible
assists in protrusion
Ear
a receptor organ for both hearing and equilibrium
External ear
functions in hearing
transference of sound to the internal ear
Middle ear
functions in hearing
Internal ear
participates in both hearing and equilibrium
Auricle
elastic cartilage
External acoustic meatus
a short canal running medially from the auricle to the tympanic membrane and conducting sound waves
Tympanic membrane
forms the boundary between the external and middle ear
typically translucent and pearly grey
moves in response to air vibrations that pass to it thru the external acoustic meatus
Tympanic membrane innervation
external surface- auriculotemporal nerve CN V3
small area supplied by CN X
internal surface CN IX
Middle ear
a narrow, air-filled space lined by a mucous membrane
located within the petrous portion of the temporal bone
Auditory ossicles
malleus
incus
stapes
Stapedius and tensor tympani muscles
damped or resist movement of the ossicles
Pharyntympanic tube
Connects the tympanic cavity to the nasopharynx where it opens posterior to the inferior nasal meatus
Pharyngotympanic tube structure
posterolateral 1/3 is bony
remainder of the tube is cartilaginous
lined with a mucous membrane continuous with the lining of the nasopharynx
Pharyngotympanic tube function
equalize pressure in the middle ear with the atmosphere pressure to allow free movement of the tympanic membrane
Internal ear
contains the vestibulocochlear organ- sound reception and balance maintenance
Vestibulocochlear nerve
CN VIII passes thru the internal acoustic meatus and divides near the lateral end of the meatus into two parts-
cochlear nerve for hearing
vestibular nerve for equilibrium
Sound transmission thru the ear
Sound waves enter the external ear and strike tympanic membrane
vibrations are transmitted thru the ossicles
the best of stapes vibrates in the oval window which transmits amplified vibrational energy to the fluids of the cochlea
vibrations from the stapes at the oval window are transmitted thru the perilymph chamber to the cochlear duct where CN VIII
vibrations are dissipated back into the middle ear cavity at the round window