Skull Osteology Flashcards
What allows anatomical comparison of skulls?
The Frankfurt Horizontal (FH) plane
What does this black line illustrate?
the Frankfurt Horizontal plane
The Frankfurt Horizontal plane is defined by which 3 points?
Right and left porion points
Left orbitale
Where are the right and left porion points located?
at top of each external acoustic meatus
Where is the left orbitale located?
At bottom of left orbit
What are the 5 standard perspectives that Frankfurt Horizontal skulls are viewed from, anatomical and lame terminology?
- Norma verticalis - from above
- Norma lateralis - from side
- Norma occipitalis - from behind
- Norma frontalis - from front
- Norma basilaris - from below
How many bones contribute to the versatility of the skull?
23 at least
3 ways in which a large number of bones contributes to the versatility of the skull?
More joints enables:
- Babies with bigger heads to be born (sutures overlap)
- Facilitates complex growth patterns (primary cartilaginous/synchondroses joints)
Increase resilience (suture lines stop fracture spreading further)
What can the skull be divided into, 2 things?
Neurocranium (brain case)
viscerocranium (facial skeleton)
What is this part of the skull called?
Neurocranium
What is this part of the skull called?
Viscerocranium
The neurocranium can be divided into what 2 parts?
Membranous neurocranium (Dermatocranium)
Cartilaginous neurocranium (chondrocranium)
Which part of the neurocranium Is responsible for forming the majority of the neurocranium?
Membranous (Dermatocranium)
The membranous neurocranium is composed of which bones?
Flat bones of the skull cap e.g. frontal, parietal
How is the membranous neurocranium formed?
By intramembranous ossification
Membrane bone role?
Protective
The cartilaginous neurocranium is composed of which bones?
Bones of the base of the skull e.g. ethmoid, sphenoid
How is the cartilaginous neurocranium formed?
By endochondral ossification
Endochondral bone role?
Supportive
where is the infratemporal fossa?
below the zygomatic arch in a lateral view of the skull
ridges on the occipital bone are caused by?
muscle attachment
The flat, thin part of the occipital bone is called
squamous part
The mastoid process is caused by
attachment of the sternocleidomastoid muscle
what does the sternocleidomastoid muscle do?
allows the head to turn from side to side
The hard palate is formed from what 4 bones?
Right maxilla
Left maxilla
Right palatine
Left palatine
What are the 5 design features of the adult skull?
- Lightness
- Strength
- Keeping airway open
- Warming & humidifying air breathed in through nose
- Supporting muscles involved in chewing & swallowing
How is the lightness of the skull optimised? 4 things
- Diploe
- Orbits
- Cavities
- Paranasal sinuses
What is diploe?
A meshwork of trabecular spicules between an outer and inner thick layer of cortical bone.
How is the strength of the skull maximised? 5 things
- Near-spherical shape of neurocranium
- Suture joints
- Crumple zones in viscerocranium (Le Fort fractures)
- The buttress system
- Orbital rims protect eyeballs
What are the two design features of the neonatal skull to facilitate birth?
- Deformable head (“moulding”)
- Minimal development of inessential parts
How are babies heads deformable? 3 things
- Wide sutures
- Fontanelles (soft spots)
- Thin, deformable bones of the neurocranium
What is a fontanelle?
Membranous areas that havn’t turned into bone
Name two parts of the neonatal skull that are minimally developed? 2 things
- Small jaws - liquid diet - no chewing
- Small nose - no sense of smell
What is the mode of ossification for the diploe of the Dermatocranium?
Intramembranous ossification
What is intramembranous ossification?
Bone that’s forming from within a membrane
What is endochondral ossification?
bone forming from a cartilaginous template
What are the two types of forces to the facial skeleton?
- Traumatic forces
- Masticatory forces
What are the two types of traumatic force to the facial skeleton?
- Blows to the mid-face (maxillary region)
- Blows to the lower face (mandible)
What is the risk from a blow to the mid-face (maxillary region)
Maxillae pushed into the base of the skull piercing the neurocranium and damaging the brain
How is the risk from a blow to the mid-face (maxillary region) prevented? 2 things
Bones of the maxillae are thin so crumple, dissipating the force
Le Fort fracture pattern, fractures separate from the base of the skull
What is the risk from a blow to the lower face (mandible)?
Mandibular condyle is driven up through the base of the skull via its temporomandibular articulation
How is the risk from a blow to the lower face (mandible) prevented? 2 things
Mandible is dense so can absorb forces
Mandible fractures in specific places before damage to neurocranium
How does the mandible deal with masticatory forces?
Is thick, strong bone that spreads occlusal forces across itself
How does the maxilla deal with masticatory forces?
Thin, hollow bone that dissipates occlusal forces away from itself and onto the neurocranium via the buttress system
what is a buttress?
dense area of bone along which forces travel
how many craniofacial buttresses?
3
what are the 3 craniofacial buttresses called?
frontonasal buttress
zygomatic buttress
pterygoid buttresses
where is the frontonasal buttress?
past nasal bone into frontal bone
where is the zygomatic buttress?
past zygomatic arch into the neurocranium
where are the pterygoid buttresses?
posterior upper dentition along the lines of the pterygoid plates of sphenoid into the neurocranium
how many Le Fort fractures of the facial skeleton?
3
what does the Le Fort I fracture of the facial skeleton separate?
upper dentition from the facial skeleton
what does the Le Fort II fracture of the facial skeleton separate?
majority of maxilla separated from the facial skeleton
what does the Le Fort III fracture of the facial skeleton separate?
viscerocranium separated from the neurocranium
which craniofacial buttress is this?
frontonasal buttress
which craniofacial buttress is this?
zygomatic buttress
which craniofacial buttress is this?
Pterygoid buttresses
which Le Fort fracture is this?
Le Fort I
which Le Fort fracture is this?
Le Fort II
which Le Fort fracture is this?
Le Fort III
which Le Fort fracture is this?
Le Fort III
the mandible can fracture at what 5 areas?
- Body
- Angle
- Ramus
- Coronoid process
- Condylar process of the mandible
name this cranial bone?
frontal
name this cranial bone?
parietal
name this cranial bone?
temporal
name this cranial bone?
nasal
name this cranial bone?
sphenoid
name this cranial bone?
zygomatic
name this cranial bone?
maxilla
name this cranial bone?
mandible
name this cranial bone?
lacrimal
name this cranial bone?
vomer
name this cranial bone?
parietal
name this cranial bone?
occipital
name this cranial bone?
temporal
name this cranial bone?
zygomatic
name this cranial bone?
mandible
name this cranial bone?
maxilla
name this cranial bone?
nasal
name this cranial bone?
sphenoid
name this cranial bone?
frontal
name this cranial bone?
parietal
name this cranial bone?
occipital
name this cranial bone?
temporal
name this cranial bone?
sphenoid
name this cranial bone?
maxilla
name this cranial bone?
mandible
name this cranial bone?
maxilla
name this cranial bone?
zygomatic
name this cranial bone?
sphenoid
name this cranial bone?
temporal
name this cranial bone?
occipital
name this cranial bone?
palatine
name this cranial bone?
frontal
name this cranial bone?
spenoid
name this cranial bone?
temporal
name this cranial bone?
occipital
name this cranial bone?
parietal
name this cranial bone?
ethmoid
name this cranial bone?
inferior nasal concha
name this cranial bone?
ethmoid
name this cranial bone?
hyoid
what 3 bones are in the base of the skull
sphenoid
temporal
occipital
what 5 bones are in the calvaria of the skull
frontal
parietals
temporals
sphenoid
occipital
what 5 bones make up the face of the skull
frontal
zygomatics
nasals
lacrimals
maxillae
what is the calvaria of the skull
roof and sides
name this suture
coronal suture
name this suture
squamosal suture
name this suture
zygomatico-frontal suture
name this suture
zygomatico-maxillary suture
name this suture
lambdoid suture
name this joint
temperomandibular joint
name this suture
zygomatico-temporal suture
name this suture
sagittal suture
name this suture
lambdoid suture
name this suture
squamosal suture
name this suture
basilar suture / sphenooccipital synchrondosis
name this part of the occipital bone
occipital condyles
what is the atlanto-occipital joint between
occipital condyles and superior articulating facets of atlas C1
what is the Atlanto-axial joint between
inferior articulating facets of atlas C1 and superior articulating facets of axis C2
what is the infratemporal fossa
area below the zygomatic arch
name this major surface feature
supraorbital foramen/notch
name this major surface feature
supraorbital margin
name this major surface feature
temporal lines
name this major surface feature
temporal fossa
name this major surface feature
mastoid process
name this major surface feature
external acoustic meatus
name this major surface feature
styloid process
name this major surface feature
zygomatic arch
what are neuchal lines?
superior and inferior muscle markings from sternocleidomastoid
name this major surface feature
neuchal lines
name this major surface feature
external occipital protuberance
what bones is the hard palate made up of 4?
2 maxilla
2 palatine
What is the infratemporal fossa?
Area below the zygomatic arch