Skeletal and Neurovascular Organization of the Head Flashcards
What are the 10 regions associated with the skull?
- ) Orbits
- ) Nasal Cavities
- ) Oral Cavity
- ) Ear
- ) Infratemporal Fossa
- ) Pterygopalatine Fossa
- ) Anterior Cranial Fossa
- ) Middle Cranial Fossa
- ) Posterior Cranial Fossa
- ) Neck
Can be considered the crossroads of the skull since many neurovascular structures pass through its openings en route to other regions of the head
Sphenoid bone
What are the bony features of the sphenoid bone?
Lesser and greater wings, body, sella turcica, and medial and lateral pterygoid plates
These bony features form parts of which regions of the head?
Orbit, nasal cavity, oral cavity, infratemporal fossa, pterygopalatine fossa, anterior cranial fossa, and nearly all of the middle cranial fossa
What are the 5 openings of the sphenoid bone?
- ) Optic canal
- ) Superior orbital fissue
- ) Foramen Rotundum
- ) Foramen Ovale
- ) Foramen Spinosum
Which of the two openings connect the middle cranial fossa and orbit?
Optic canal and superior orbital fissure
The foramen rotundum is an opening in the sphenoid bone that connects the
Middle cranial fossa and the pterygopalatine fossa
The Foramen ovale AND foramen spinosum are openings in the sphenoid bone that connects the
Middle cranial fossa and the infratemporal fossa
Houses and protects structures of the inner and middle ear and forms the bony portion of the external ear
Temporal Bone
What are the 6 bony portions of the Temporal bone?
Squamous and petrous portions, zygomatic, styloid, and mastoid processes, and the mandibular fossa
These bony features form parts of which regions of the head?
Ear, infratemporal fossa, middle cranial fossa, and posterior cranial fossa
What are the four openings of the temporal bone?
- ) External auditory meatus
- ) Internal auditory meatus
- ) Stylomastoid foramen
- ) Carotid canal
The external auditory meatus is an opening in the temporal bone that
Opens externally
The internal auditory meatus is an opening in the temporal bone that connects which regions of the head?
Posterior cranial fossa and inner ear
The stylomastoid foramen is an opening in the temporal bone that connects which regions of the head?
Petrous portion and Neck
The carotid canal is an opening in the temporal bone that connects which regions of the head?
Middle Cranial fossa and the Neck
The Trigeminal nerve (Cranial Nerve 5) is divided into which three parts?
Opthalmic (V1), Maxillary (V2), and Mandibular (V3) divisions
The opthalmic division is made up of which three nerves?
Frontal, Lacrimal, and Nasociliary nerves
Enters the orbit via the superior orbital fissure, superior to the central ring tendon
Frontal and Lacrimal nerves
The frontal nerve divides into the
Supraorbital and supratrochlear branches
The frontal nerve exits via the
Supraorbital and supratrochlear foramina
The frontal nerve exits via the supraorbital and supratrochlear foramina to supple
Skin over orbit and forehead
The lacrimal nerve courses laterally in orbit to provide sensory innervation to the
Lacrimal gland
Reach the lacrimal gland by hitchhiking on the lacrimal nerve
Postganglionic parasympathetic fibers
Enters orbit via the superior orbital fissure WITHIN the central ring tendon
Nasociliary nerve
Courses from lateral to medial by crossing Superior to the optic nerve
Nasociliary nerve
The nasociliary nerve connects to the ciliary ganglion via the
Sensory root
The nerve gives off long ciliary nerves to the
Eye
The nasociliary nerve has ethmoidal branches to ethmoidal sinuses that are all
Sensory
The maxillary division of the Trigeminal nerve gives off which three nerves?
Maxillary, infraorbital, and zygomatic nerves
The maxillary nerve enters the pterygopalatine fossa from the MCF via the
Foramen Rotundum
Within the fossa it is attached to the Pterygopalatine ganglion
Maxillary nerve
Via branches from the pterygopalatine ganglion, the maxillary nerve provides sensory innervation to the
Nasal and oral cavities
The maxillary nerve branches, creating the zygomatic nerve, and continues as the
Infraorbital nerve
The infraorbital nerve exits the pterygopalatine fossa via the
Inferior orbital fissure to enter the floor of the orbit
Within the orbital floor, the infraorbital nerve inters the infraorbital canal and exits the skull via the
Infraorbital foramen
Within the orbital floor, the infraorbital nerve inters the infraorbital canal and exits the skull via the infraorbital foramen to supply
The face between the mouth and orbit
Exits the pterygopalatine fossa via the inferior orbital fissure
Zygomatic and infraorbital nerves
Courses in the lateral wall of the orbit, sending a branch to the lacrimal nerve
Zygomatic nerve
The branch that the zygomatic nerve sends to the lacrimal nerve is made up of
Post ganglionic parasympathetic fibers
The zygomatic nerve exits the orbit as the
Zygomaticofacial and temporal nerves
The mandibular division of the Trigeminal nerve gives off which 5 nerves?
- ) Mandibular nerve
- ) Buccal Nerve
- ) Auriculotemporal Nerve
- ) Inferior Alveolar nerve
- ) Lingual Nerve
Enters the infratemporal fossa via the foramen ovale
Mandibular nerve
Innervates muscles of mastication and gives off 4 sensory branches
Mandibular nerve
The mandibular nerve gives off a mylohyoid branch that gives motor control to the
Mylohyoid and anterior belly of the digastric muscle
The buccal nerve pierces the buccinator muscle to supply sensory innervation to the
Mucosa of the cheeks
Splits around the middle meningeal artery and continues laterally to the parotid gland and skin anterior to the ear
Auriculotemporal nerve
The auriculotemporal nerve splits around the middle meningeal artery and continues laterally to the
Parotid gland and skin anterior to the ear
Hitchhike on the auriculotemporal nerve to the parotid gland
Postganglionic parasympathetic fibers from the octic ganglion
Enters the mandibular foramen and supplies the mandibular teeth
Inferior alveolar nerve
The inferior alveolar nerve exits themandible via the mental foramen to supply
SKin on the chin
Courses anterior into the floor of the mouth where it provides sensory innervation to the anterior two thirds of the tongue
Lingual nerve
The lingual nerve provides sensory innervation to the
Anterior 2/3 of the tongue
Join the lingual nerve in the infratemporal fossa
PREganglionic parasympathetic and taste fibers from the chorda tympani nerve (VII branch)
The chorda tympani nerve is a branch of the
Facial Nerve (VII)
Attached to the lingual nerve in the floor of the mouth
Submandibular ganglion
The facial nerve (VII) Branches into the
Greater petrosal nerve, Chorda tympani nerve, and the nerve to stapedius
The facial nerve enters the inner ear within the temporal bone via the
Internal auditory meatus
Enters the facial canal still ithin the temporal bone
Facial nerve
The facial nerve exits the temporal bone via the
Stylomastoid foramen
The facial nerve exits the temporal bone via the sylomastoid foramen where it provides MOTOR innervation to the
Stylohyoid and posterior belly of the digastric muscles
The facial nerve exits the temporal bone via the sylomastoid foramen where it provides SENSORY innervation to the
Skin posterior to the ear
The facial nerve continues through the parotid gland to course ANTERIORLY and MEDIALLY to provide motor innervation to the
Muscles of facial expression
Branches from the facial nerve within the facial canal
Greater petrosal nerve
The greater petrosal nerve exits the inner ear via the hiatus for the greater petrosal nerve to enter the
Middle Cranial Fossa
Traverses the superior aspect of the foramen lacerum and enters the pterygoid canal to reach the pterygopalatine fossa
Greater petrosal nerve
Branches from the facial nerve within the facial canal to enter the middle ear cavity
Chorda Tympani nerve
The chorda tympani nerve exits the middle ear cavity via the
Petrotympanic fissure
The chorda tympani nerve exits the middle ear cavity via the petrotympanic fissure to enter the
Infratemporal fossa
Branches from the facial nerve within the facial canal to enter the middle ear cavity where it innervates the stapedius muscle
Nerve to stapedius
The glossopharyngeal nerve branches into the
Tympanic and Lesser Petrosal Nerves
Enters the neck via the Jugular foramen
Glossopharyngeal nerve
The glossopharyngeal nerve enters the neck via the jugular foramen. It then courses LATERAL to the
Stylopharyngeus Muscle
The glossopharyngeal nerve innervates the stylopharnheus muscle and then enters the
Oropharynx between the superior and middle constrictor muscles
Here, the glossopharyngeal nerve innervates the
Pharyngeal mucosa and continues to posterior 1/3 of the tongue
What innervates the posterior 1/3 of the tongue
Glossopharyngeal nerve
Branches from the glossopharyngeal nerve within the neck and enters the middle ear cavity to form the tympanic plexus
Tympanic nerve
Preganglionic parasympathetic fibers from the tympanic nerve leave the tympanic plexus as the
Lesser petrosal nerve
The lesser petrosal nerve then exits the middle ear cavity via the
Hiatus for the lesser petrosal nerve
The lesser petrosal nerve exits the middle ear cavity via the hiatus for the lesser petrosal nerve to enter the
Middle cranial fossa
The lesser petrosal nerve then exits the skull through the
-enters infratemporal fossa
Foramen ovale
Arterial supply to the head and neck is substantial and is provided by branches from the
Subclavian and Carotid arteries
Branches from these four (right and left) major arteries then freely anastomose with one another to provide excellent
Collateral circulation through head and neck
In general, branches from the SUBCLAVIAN artery supply the
Brain and deep neck
The common carotid artery bifurcates at the level of
C4
The common carotid artery bidurcates at the level of the C4 vertebral body into the
Internal and external carotid arteries
Has ZERO branches in the neck and supplies mostly the brain
Internal carotid artery
Supplies all other regions not supplied by the internal carotid artery
External carotid artery
What are the three subclavian arterial branches?
- ) Vertebral branch
- ) Thyrocervical trunk
- ) Costocervical trunk
The vertebral branch of the subclavian artery supplies the
Deep neck, brain, and spinal cord
The thyrocervical trunk is made up of which three branches?
- ) Inferior thyroid artery
- ) Suprascapular artery
- ) Transverse cervical artery
The branches of the thyrocervical trunk (inferior thyroid, suprascapular, and transverse cervical arteries) supply which regions?
Deep neck, thyroid gland, and shoulder
The costocervical trunk supplies which regions?
Deep neck only
What are the three branches of the internal carotid artery?
- ) Opthalmic artery
- ) Middle cerebral artery
- ) Anterior cerebral artery
The opthalmic artery supplies the
Orbit and supraorbital face
The middle cerebral artery supplies the
Brain
The anterior cerebral artery supplies the
Brain
What are the 8 branches of the external carotid artery?
- ) Superior thyroid artery
- ) Ascending pharyngeal artery
- ) Lingual artery
- ) Facial artery
- ) Occipital artery
- ) Posterior Auricular artery
- ) Maxillary artery
- ) Superficial temporal artery
The superior thyroid artery supplies the
Thyroid gland
The ascending pharyngeal artery supplies the
Pharynx
The lingual artery supplies the
Floor of the mouth and tongue
The facial artery supplies the
Superficial and deep face
The occipital artery supplies the
Posterior neck and scalp
The posterior auricular artery supplies the
Posterior ear and scalp
The maxillary artery branches into which 8 arteries?
- ) Deep auricular
- ) Muscular branches
- ) Middle meningeal
- ) Inferior alveolar
- ) Posterior superior alveolar
- ) Sphenopalantine
- ) Descending palatine
- ) Infraorbital
The maxillary artery and its branches supply the
Ear, muscles of mastication, meninges, mandibular and maxillary teeth, nasal cavity, palate, orbit, and infraorbital face
The superficial temporal artery supplies the
Superficial temple
What are the 5 important anastomoses of the head and neck?
- ) External carotid - Subclavian
- ) Internal carotid - subclavian
- ) Right external carotid -Left external carotid
- ) Right subclavian - Left subclavian
- ) Internal carotid - External carotid
The external carotid - subclavian anastomoses are an anastomoses between the
Superior and inferior thyroid arteries
The internal carotid -Subclavian anastomoses is an anastomoses between the
Internal carotid and vertebrobasilar system
The right external carotid and left external carotid anastamoses is an anastamoses between the
Superior thyroid and superior thyroid artery and the facial and facial artery