Parker's SG Flashcards
What muscle splits the digastric tendon to insert on the hyoid bone?
- Stylohyoid m.
What muscles are innervated by C1 fibers that are traveling with CN XII?
- Geniohyoid
2. Thyrohyoid
What two muscles are innervated by the nerve to mylohyoid?
- Innervation type (GSE, BE, GVE, GSA, SA)
- Where does mylohyoid nerve come from
- Anterior Digastric
- Mylohyoid
- Innervation = BE (both muscles derived from the 1st arch)
- Nerve to mylohyoid is a branch of the inferior alveolar branch of CN V3
What are the differences between the anterior and posterior divisions of the mandibular n. (V3)?
Anterior:
- All motor branches, except one sensory branch
Posterior:
- All sensory branches, except one motor branch
What are all of the GSA branches of the mandibular n.?
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Auriculotemporal n.
Inferior Alveolar n.
Lingual n.
Buccal n.
Which division of V3 is associated with the submandibular ∆?
- Exception?
Sensory Branches:
- Auriculotemporal n.
- Inferior Alveolar n.
- Lingual n.
One Motor Branch:
- Nerve to Mylohyoid
Lingual n (V3)
- what does it innervate?
- Cell bodies
- GSA to anterior 2/3 of the tongue, floor of the mouth, lingual gingiva
- GSA cell bodies in the Trigeminal Ganglia
What fibers are CARRIED by the Lingual n. (V3)
- Fiber type
GVE - FROM Chorda Tympani (CN VII)
SA - TO Chorda Tympani (CN VII) from the anterior 2/3 of the tongue
Where are the Cell bodies for the Sensory and Motor branches of the Chorda Tympani?
Motor:
- Submandibular ganglion
Sensory:
- Geniculate Ganglion
What structures are innervated by the chorda typmani GVE component?
Motor innervation to:
- Submandibular gland
- Sublingual Gland
Where does Chorda Typmani (CN VII) join the lingual n.?
- as it Exits the skull via PETROTYMPANIC FISSURE
What fiber types are associated with the lingual n. itself and which are associated with Chorda Tympani?
- gangilia
GSA - Lingual n.
- Trigeminal Ganglia
GVE - Chorda Tympani (CN VII)
- Submandibular Ganglia
SA - Chorda Tympani
- Geniculate Ganglia
What artery and vein travel superficial to mylohyoid?
- Facial a.
- Facial v.
Describe the course of the facial artery. (relative to submandibular gland)
Deep to (or within) SUPERFICIAL part of the submandibular gland
Describe the course of the facial vein? (relative to submandibular gland)
Superficial to the SUPERFICIAL part of the submandibular gland
What structures run DEEP to mylohyoid but SUPERFICIAL to Hyoglossus?
*****Important
- Hypoglossal n.
- Lingual n.
- Submandibular Duct
- Deep part of the Submandibular Gland
- Sublingual Gland
- Submandibular Ganglion
T or F: the lingual a. is superficial to the hyoglossus m.
False, it is deep to hyoglossus
What is the course of the lingual n.?
- Passes Laterally, then inferiorly, and medially to submandibular duct to reach the tongue
Where does the submandibular duct empty into the oral cavity?
- Sublingual Caruncle
What artery runs with the nerve to the mylohyoid?
- where does this artery branch from?
- Submental a. (=> facial a. => External jugular)
What innervates the epiglottic region of the tongue?
- GSA
- SA
GSA and SA are both done by CN X (internal branch of superior laryngeal)
What innervates the posterior 1/3 of the tongue and lingual tonsils?
- GSA
- SA
GSA and SA are both CN IX (lingual and tonsilar branches)
What innervates the anterior 2/3 of the tongue?
- GSA
- SA
GSA - Lingual n. (V3)
SA - Chorda Tympani (VII)
All muscles of the tongue are innervated by 1. __________ except for 2. ________ that is innervated by 3. _________.
- Hypoglossal n. (CN XII)
- Palatoglossus
- CN (X)
Where will the tongue deviate in hypoglossal nerve palsy?
To the side of the affected nerve
You ask a patient to say ahh and when they say ahh you notice that the uvula deviates to the left. What nerve is injured?
- RIGHT vagus n. (CN X)
**Uvula deviates to the side OPPOSITE of the injury
What bones make up the hard palate?
Anterior 3/4:
- Palatine Process (maxillary bone)
Posterior 1/4:
- Horizontal Process (palatine bone)
What supplies GSA innervation to the hard palate?
- Soft palate?
Anterior 1/3:
Nasopalatine n. (V2) via INCISIVE FORAMEN
Posterior 2/3:
Greater Palatine n. (V2)
Soft Palate:
Lesser Palatine n. (V2)
What 3 things contribute to the nasal septum?
PVC
- Perpendicular Plate of Ethmoid
- Vomer
- Cartilage (septal)
What bones contribute to the lateral nasal wall?
- Ethmoid
- Inferior Turbinate
- Frontal
- Maxillary
- Palatine
- Sphenoid
Two areas does the sphenopalatine foramen connect?
- Pterygopalatine Fossa to Nasal Cavity
What passes through the sphenopalatine Foramen?
- Nasopalatine n. (=> Maxillary n. (V2))
2. Sphenopalatine a. (=> Maxillary a.)
What nerve is responsible for smell in the nasal cavity?
- How does this nerve access the cavity?
- Olefactory n. (CN I)
- Goes through foramina in the cribiform plate of ethmoid bone
What two branches of trigeminal are responsible for all of the GSA innervation to the Nasal Cavity?
- Opthalmic (V1)
- Maxillary (V2)
What areas of the nasal cavity get GSA innervation from the Opthalmic and Maxillary nn.?
- name these branches
Anterior:
- Anterior Ethmoid Branch of Nasociliary => Opthalmic (V1)
Posterior:
- Posterior Lateral Branches of Nasopalatine => Maxillary (V2)
Where do each of the nerve responsible for GSA innervation of the nasal cavity enter the space?
Antherior Ethmoid n.
-Anterior Ethmoid Foramen (from orbit)
Nasopalatine n.
- Sphenopalatine foramen
Branches of what two arteries provide blood supply to the nasal cavity?
- Opthalmic. a (=> INTERNAL carotid)
2. Maxillary a. (=> EXTERNAL CAROTID)
What are the named branches of the opthamic a. and maxillary a. that are found in the nasal cavity?
Anterior Nasal Cavity:
Anterior ethmoidal a. (=> opthalmic a. => ICA)
Posterior Nasal Cavity:
Sphenopalatine a. (=> maxillary a. => ECA)
How the the anterior ethmoidal and sphenopalatine aa. enter the oral cavity?
Anterior Ethmoidal a.
- Anterior Ethmoid Foramen (w/ ethmoid n. (V1))
Sphenopalatine a.
- Sphenopalatine a. (w/ nasopalatine n. (V2))