Skull and face Flashcards
Differences between the adult and neonatal skull
8
- Smaller facial skeleton by comparison to cranial vault; relatively large orbits
- Little or no development of the paranasal sinuses
- No development of the mastoid process
- No bony external auditory meatus – just tympanic ring
- Open metopic (midfrontal) suture
- Fontanelles at junctions of skull bones (anterior, posterior, lateral)
- No teeth and therefore small jaw, low oblique jaw ramus
- No obvious muscle scars
Adult skull Bones (external)
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- nasal;
- frontal;
- maxilla;
- parietal;
- occipital;
- temporal;
- zygomatic;
- sphenoid;
- lacrimal;
- ethmoid;
- palatine
Temporal Line
Edge of crest for insertion of the temporalis muscle
Nuchal Lines
Inserts of muscles into the occipital bone
Stutures
3
Sagittal
Coronal
Lambdoid
Infratemporal fossa
3
- cavity below and medial to the zygomatic arch.
- The bulk of this is taken up by lateral and medial pterygoids.
- Does not open into the cranial cavity
Palate includes
Incisive Foramen
Palatine process of Maxilla
Palatine bone
Greater & Lesser Palatine foramen
What are 1 and 2 and what (3) are they divided by?
- Pterion
- Anerion
- Sphenoparietal Stuture
Mandible Parts
8
- Head
- Chondylar Process
- Ramus
- Angle
- Body
- Coronoid Process
- Mental protuberance
- Mandibular Foramen
Cranial Fossae
- Anterior
- Middle
- Posterior
- Frontal
- Temporal
- Occipital
Cribiform plate
Foramen for 1
- Bone
- Cranial Fossa
- Features
- Afferents to olfactory bulb from Nasal conchae
- Ethmoid
- Anterior
- Crista galli
Optic Canal
Foramen for 2
- Bone
- Cranial Fossa and location
- Features
- Optic nerve
- Ophthalmic artery
- Sphenoid
- Middle
- Combines with inputs of orbital fissure
Orbital Fissure
Foramen for 5
Bone
Cranial Fossa
- Oculomotor Nerve
- Abducent
- Ophthalmic division of trigeminnal
- Trochlear
- Ophthalmic vein
Between lesser and greater wings of the sphenoid
Middle
Foramen rotundum
- Foramen for 1
- Bone
- Cranial Fossa
- Maxilliary division of trigeminal
- Anteroinferior sphenoid
- Middle Fossa
Foramen Ovale
Foramen for 2
- Bone
- Cranial Fossa
- Features
- mandibular nerve
- Lesser Petrosal Nerve
Posterior Sphenoid
Middle
Oval shaped, Posterolateral to Foramen rotundum
Foramen Spinosum
- Foramen for 2
- Bone
- Cranial Fossa
- Features
- Middle meningeal artery
- Middle Meningeal Vein
- Sphenoid
- Middle fossa
- Lateral to the foramen ovale.
Foramen Lacerum
Foramen for 2
- Bone
- Cranial Fossa
- Features
- Internal carotid PASSES OVER IT
- Greater and Deep Petrosal nerve: Sypmathetics and Parasympathetics respectively
- Multiple, inc. Medial Pterygoid plate and Petrous temporal bone.
- Middle fossa
- Triangular internal end of carotid canal
Jugular Foramen
Foramen for 4
Bone
Cranial Fossa
Features
- Sigmoid sinus and inferior petrosal sinus becoming Internal jugular
- Glossopharyngeal
- Vagus
- Accessory
- Between Petrous temporal and Occipital bones
- Posterior Fossa
- Divided into anterior and posterior part.
Internal Auditory Meatus
Foramen for 3
- Bone
- Cranial Fossa
- Facial Nerve (Exits via facial canal and styloid foramen)
- Vestibulocochlear
- Labyrinthine artery
- Central Posterior petrous temporal.
- Posterior fossa
Hypoglossal Canal
Foramen for 1
- Bone
- Cranial Fossa
- Hypoglossal Nerve
- Occipital
- Posterior Fossa
Skull’s Blood Supply and route
3
- Internal carotids enter carotid canals, entering the foramen lacerum of the skull
- Vertebral arteries enter via the foramen Magnum
- Middle Meningeal arteries enter via the foramen spinosum.
Skull’s venous drainage
Cranial Venous sinuses groove the inner surface of the skull and the inferior petrosal and sigmoid sinuses converge on the jugular foramen. Thence, the internal jugular
Vertebral veins drain the occipital sinus.
The Oflactory nerve rests on
the cribiform plate of the ethmoid
The Optic nerve enters
The orbit via the optic canal
The Oculomotor nerve exits via
the superior opthalmic fissure