skull face and scalp Flashcards
the viscerocranium protects
facial bones to protect airway
the importance of the pteryon
easily broken because middle meningeal artery is there
foramen that line up on the skull
mental, supraorbital, infraoribital
bones of the face
nasal (2) Maxilla (2) Zygomatic (2) Mandible Lacrimal (2) Vomer Inferior nasal conchae (2) Palatine (2)
teeth processes for maxilla and mandible
alveolar processes
foramen of the mandible
mental foramen
foramen of the maxillae
infraorbital foramina
the valley between the condyl and the coronoid process of the mandible
mandibular notch
opening on the infernal surface of the ramus of the mandible
mandibular foramen
what passes through the mandibular foramen
mandibular nerve and b.v.
the grove that appears after the mandibular foramen
mylohyoid groove
a small projection of bone on the posterior aspec of the mandible in the midline for attachment of the geniohyoid and genioglossus
mental spine
boundries of the orbit
Frontal bone- roof zygonmatic bone- lat wall maxilla - floor and part of medial wall lacrimal and ethmoid - medial wall sphenoid- posterior wall
where is the supraoribital foramen
in the superciliary arch
where is the optic canal
in the medial wall
where is the superior orbital fissure
in the medial wall
where is the inferior orbital fissure
in the floor
the lacrimal groove communicates with what
the nasal cavity
projection of the lat wall of the nasal cavity
nasal conchae
what bone has the superior nasal conchae
ethmoid
what bone has the middle nasal conchae
ethmoid
what bone has the inferior nasal conchae
separate bones
role of the paranasal sinuses
bone lightening
resonance to voice
what lines paranasal sinuses
mucousal membranes
what are the paranasal sinuses continuous with
nasal cavity
paranasal sinuses
frontal
ethmoid air cells
sphenoid
mmaxillary
amount of ethmoid paranasl sinuses
3-14
what nerve does the cribiform plate transmit
olfactory nerve (CNI)
what does the optic canal transmit
optic Nerve (CN II), ophthalmic a
what does the superior orbital fissure transmit
CN III, CN IV, CN VI, ophthalmic (CN V1)
what does the foramen rotundum transmit
maxillary n (CN V2)
what does the foramen ovale transmit
mandibular n (CN V3)
what does the foramen spinosum transmit
middle meningeal a
what does the foramen lacerum transmit
infernal carotid a
what does the jugular foramen transmit
internal jugular vein, CN IX, CN X, CN XI
what does the internal acoustic foramen transmit
CN VII, CN VIII
what does the stylomastoid foramen transmit
CN VII
what does the hypoglossal canal transmit
CN XII
what does foramen magnum transmit
Vertebral arteries, spinal cord and CN XI
what does the carotid canal transmit
internal carotid a
Scalp covers from
supraorbital rim of eye to external occipital protuberance
layers of the scalp
skin connective tissue (Dense) aponerotic layer loose connective pericranium
what fills the dense connective tissue layer of the scalp
nerves and vessels
a superficial wound to the dense connective tissue layer of scalp leads to
high bleeding that can cause death
deep wounds to apponeurosis layer leads to
a large gape
superfical temporal artery branches from
external carotid
posterior auricular artery branches from
external carotid
occiptial artery branches from
external carotid
supratrochlear and supraorbital branches from
opthalmic artery through the eye (branch of internal carotid
the danger space of the scalp
loose areolar tissue
why is the loose areolar tissue danger space
infections travel easily (into cranial cavity through emissary veins, through the calvaria to meninges
fluid can move anterior to eyelids and root of nose
how emmisary veins travel through the skull
caniculi
action of the occipitofrontalis m
moves scalp back and forward
action of the 3 auricularis mm
protract, elevate, & retract ears
what consists of the occipitofrontalis m
occipitalis m.
galea aponeurotica
frontalis m
muscles of facial expression attach to what eye
bone or fascia and insert on the skin
action of the muscles of facial expression
pull on skin
surround orifices of the face (mouth, eyes, nose) to act as sphincters and dilators
action of frontalis
raise eyebrow
action of corrugator supercilii
draws eyebrow in
action of orbicularis oculi
close eye
the part of the orbicularis oculi that covers the eye lid
palpebral
action of procerus
wrinkles bridge of nose
action of nasalis
compresses and dilates nostril
action of levator labii superioris alaeque nasi
dilates nostril
action of the orbiceriorisularis oris
closes mouth
action of the levator labii supioris
elevate upper lip
action of zygomaticus major/minor
draws mouth up
action of depressor anguli oris
depresses angle of mouth
action of risorius
retract the corner of the mouth
action of mentalis
protrudes lower lip
action of buccinator
compresses cheek and assists with mastication
action of levator anguli oris
elevate angle of the mouth
action of depressor labii inferioris
depresses lower lip
deep muscles of the mouth
buccinator, levator anguli oris, depressor labii inferioris
what covers buccinator
buccal fat pad
action of temporalis
elevate and retract mandible
action of masseter
elevate and clenches mandible
action of medial pterygoid
elevate, protract, and rotates mandible
action of lateral pterygoid
protrudes & rotates mandible; opens mouth
inferior lateral pterygoid head inserts between
superficial and deep medial pterygoid heads
what provides sensory to the face and scalp
trigeminal (CN V)
what provides sensory to the back head, ears, and jaw
cervical
what provides motor the muscles of facial expression
facial CN VII
what provides motor to the muscles of mastication
mandibular CN V3
what provides sensory innervation to jaws, ears, posterior scalp
cervical n (C2,3)
how far does the sensory from CN V1 go
all the way down the nose to the very tip, and superior to palpebral fissure
what separates CN V2 and CN V3
oral fissure
location of the parotid gland
anterior/inferior to ear
role of the parotid (Stensen’s) Duct
transmits saliva from gland
travel of parotid (Stensen’s) Duct
crosses masseter 1-2 cm below zygomatic arch
turn 90 degrees to pierce buccinator m
where does the parotid (stensen’s) duct open
into oral cavity opposite 2nd molar
marked by elevated parotid papilla
calculus formation in the parotid gland is associated with
chronic parotiditis
most common gland to get calculus formation
submandibular
salivary fistulas of parotid gland result from
a duct like thing made due to surgery that usually close, but may not
what percentage of mixed tumors involve parotid
85-90%
Gustatory sweating
Frey’s syndrom
b/c the facial n (CN VII) passes through the parotid gland, what dangers may occure
nerve in danger during parotidectomy
must watch for branches when removing a tumor
Damage to facial nerve may result in
paralysis of facial mm on affected side
branches of the facial nerve
temporal zygomatic buccal marginal mandibular cervical posterior auricular (To zandibar by motor car) (People)
where might the facial nerve b/c inflamed
at stylomastoid farmen
Edema and compression of nerve in facial canal
the most common non-traumatic cause of facial paralysis
bell’s palsy
location of the buccal fat pad
anterior of the masseter m
what does the buccal fat pad protect
parotid duct and CN VII (buccal branch)
the motor and sensory nerves of the buccinator muscle
Motor: buccal branch of CN VII
Sensory: Buccal branch of trigeminal nerve (long buccal nerve)
-to buccal mucosa and skin of cheek
the superficial temporal artery is a branch of
external carotid a
the superficial temporal vein drains to
retromandibular vein
travel of the superficial temporal artery and vein
anterior to ear to go to temporal region, through the parotid gland, traveling with the auriculotemporal n
transvers facial artery and vein branch off
superficial temporal vessesl
travel of the transverse facial artery and vein
cross masseter m between zygomatic arch and parotid duct
what does the transverse facial artery and vein supply
blood to upper cheek region (parotid gland, duct and masseter m)
relation of facial artery and vein to one another
artery is tortuous and anaterior to vein
travel of facial artery and vein
cross mandible at the anterior border of the massseter
what can be felt from the facial artery
pulse
branches of the facial artery and vein at the angle of the mouth
inferior and superior labial branches to the lips
continue to medial angle of eye to angular artery and vein
what drains into internal jugular
superior thyroid retromandibular facial angular pterygoid plexus (deep temporal vv)
what drains into the external jugular vein
retromandibular v occipital v posterior auricular v superficial temporal maxillary anterior jugular pterygoid plexus
lymphatic drainage ipsa or contra lateral
ipsilateral
drainage of lymphatics of neck
medial to lateral
Inferiorly
superfical to deep
ultimately where do lymphatics drain
right lymphatic duct
thoracic duct
lymph nodes of the mandibule
submental
submandibular
pre-auricular and parotid
top lymph node of the deep cervicals
jugulodigastric node (large)
most inferior node of the deep cervicals
jululo-omohyoid node
where deep cervical nodes are found
along the internal jugular vein
where nodes may cross midline if at all
submental
prelaryngeal
pretracheal
where may lymphatics flow inferior to superior in the neck
near the thyroid gland