ORBIT & OCULAR ADNEXAE - The Orbit Flashcards

Orbit

1
Q

What are the bones in the roof of the orbit?

A

Frontal bone and lesser wing of sphenoid.

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2
Q

What are the bones in the floor of the orbit?

A

Maxilla, Palatine, Zygomatic bones.

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3
Q

What are the medial wall bones of the orbit?

A

Medial - MELS.
, Maxilla, Ethmoid, Lacrimal and Sphenoid bones.

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4
Q

What are the lateral bones of the orbit?

A

Zygomatic and greater wing of sphenoid.

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5
Q

How does the sphenoid bone form? How was it made embryologically?

A

From cartilaginous precursors which ossify.

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6
Q

What are the parts of the sphenoid bone (4)

A
  1. Body - contains sella turcica
  2. Greater wing - contributes to facial skeleton
  3. Lesser wing - separates anterior and middle cranial fossa
  4. Pterygoid Process
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7
Q

What are the main structures in the body of the sphenoid? (4)

A
  1. Sphenoid sinuses -
  2. Sella turcica - contains tuberculum sellae (anterior wall), hypophyseal fossa (deepest part where pituitary gland is located), dorsum sellae (posterior wall)
  3. Chiasmatic groove - sulcus formed by optic chiasm
  4. Clinoid processes (anterior and posterior) - serve as attachments for tentorium cerebelli
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8
Q

What holes are found within the sphenoid bone (5)

A

ROSSO

  1. Optic canal
  2. SOF
  3. Foramen rotundum
  4. Foramen ovale
  5. Foramen spinosum
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9
Q

What does the greater wing of the sphenoid contribute to in terms of structures? (3)

A
  1. Floor of middle cranial fossa
  2. Lateral wall of the skull
  3. Lateral wall of orbit.
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10
Q

What does the lesser wing of the sphenoid contribute to in terms of structure? (2)

A
  1. Roof of the orbit
  2. Lateral border of optic canal
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11
Q

What do the pterygoid process contain? (2)

A

Medial pterygoid plate - supports opening of nasal cavity
Lateral pterygoid plate - site of origin of medial and lateral pterygoid muscles

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12
Q

What does the temporal bone contribute to - the orbit or the skull?

A

The lower lateral walls of the skull. (does not form the orbit)

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13
Q

What are the 5 components of the temporal bone?

A
  1. Squamous
  2. Zygomatic process
  3. Tympanic
  4. Styloid process
  5. Petromastoid
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14
Q

What does the squamous part of the temporal bone articulate with?

A

Anteriorly - sphenoid bone
Laterally - parietal bone

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15
Q

Which muscle is connected to the zygomatic process/arch?

A

The masseter

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16
Q

Which hole does the tympanic part of the temporal bone form?

A

external auditory meatus of the external ear.

17
Q

What attaches to the styloid process of the temporal bone?

A

stylomandibular ligament of TMJ.

18
Q

What does the petromastoid of the temporal bone contain? (2)

A
  1. Mastoid process - site of attachment of sternocleidomastoid
  2. Mastoid air cells - resovoir of air equalising pressure of middle ear in case of auditory tube dysfunction.
19
Q

What are the 3 parts of the ethmoid bone?

A
  1. Cribiform plate (crista galli –> falx cerberi attachment)
  2. Perpendicular plate
  3. Ethmoidal air cells
20
Q

What is the supraorbital margin formed by in the orbit?

A

Frontal bone

21
Q

What is the infraorbital margin of the orbit formed by?

A

Zygomatic and maxilla.

22
Q

What is the volume of the orbit in cm2

A

30cm3

23
Q

What is the depth of the orbit in mm

A

40-50mm

24
Q

What does the orbital roof separate the orbit from? I.e. cranial structure

A

The anterior cranial fossa

25
Q

What structure does the superior orbital rim contain and what structures pass through it

A

The superior orbital notch - a notch which transmits supraorbital nerve and vessels which supply the forehead.

26
Q

What structure is the largest part of the medial orbital wall?

A

The orbital plate of ethmoid - separates orbit from ethmoid sinuses

27
Q

Where is the frontoethmoidal suture line and what is its clinical significance?

A

Marks approximate level of ethmoidsal sinus roof - any dissection above this line should be avoided as it will expose the cranial cavity

28
Q

Where are the anterior and posterior ethmoidal foramina located?

A

behind medial orbital rim at junction of medial wall and roof

29
Q

Where is the lacrimal fossa located? Which bones are involved? What does it contain?

A

depression in the inferomedial orbital rim formed by maxillary and lacrimal bone.

Holds the lacrimal sac, tears from the sac drain through the nasolacrimal duct into the nasal cavity.

30
Q

What is the thickest wall of the orbit?

A

Lateral wall

31
Q

What is whitnall’s tubercle? Where is it located?

A

Small prominence on the orbital surface of the zygomatic bone

Attachment site for the 5 Ls

found on the zygomatic bone, inferior to frontozygomatic suture

32
Q

What are the attachments to whitnall’s tubercle? (5)

A

THE 5 Ls

  1. Lateral rectus check ligament
  2. Lateral palpebral ligament
  3. Lockwood susponsory ligament
  4. Levator aponeurosis
  5. Lacrimal gland fascia

WHITNALLS TUBERCLE AND LIGAMENT IS NOT THE SAME THING.

33
Q

Which structure weakens the orbital floor?

A

inferior orbital fissure

34
Q

What is the difference between the infraorbital groove and the infraorbital foramen?

A

A groove on the floor of the orbit that transmits the infraorbital nerve, artery, and vein. The groove continues forward into the maxilla as the infraorbital canal, which ends at the infraorbital foramen.