Special Senses Anatomy Flashcards
What are the 3 main foramina into the orbit?
Optic foramen, superior orbital fissure and inferior orbital fissure
What structures go through the optic foramen
Optic nerve and ophthalmic artery
What structures go through the superior orbital fissure?
Cranial Nerves III, IV and VI, branches of ophthalmic division of Cr N 5 and ophthalmic veins
What structure goes through the inferior orbital fissure?
Maxillary division of cranial nerve V
What does the optic nerve carry?
Visual impulses
Where does the troachlear nerve arise?
Dorsal part of the midbrain
What does the trochlear nerve supply?
Superior oblique
What does the abducent nerve supply?
Lateral rectus
What does the oculomotor nerve supply?
The muscles of the eye and eyelid (except SO and LR) and carries the parasympathetic supply to the eye
Which sinuses are closely related to the orbit?
Frontal, ethmoidal and maxillary
What structures make up the fibrous coat of the eye?
Cornea (anterior 1/6) and Sclera (posterior 5/6)
What is the function of the ciliary body?
Suspends the lens and produces aqueous humor
What is the function of the iris?
To control the diameter of the pupil and therefore control the amount of light rays entering the eyeball
What is the function of the retina?
It has rods and cones which transform the light rays into nerve impulses
What is the function of the choroid?
Supplying blood to the outer layers of retina
What is the function of the aqueous humor?
To maintain intraocular pressure
What is the function of the vitreous humor?
To cushion the retina
What are the three intrinsic eye muscles?
Ciliaris, constrictor pupillae and dilator pupillae
What is the innervation of the intrinsic eye muscles?
Ciliaris and constrictor pupillae - parasympathetic (CrN 3)
Dilator pupillae - sympathetic (from plexus around the blood vessels
What are the four straight extrinsic muscles of the eye?
Medial, lateral, superior and inferior rectus
What are the two oblique extrinsic muscles?
Superior and inferior oblique`
Where do the recti muscles arise from?
Annular fibrous ring at the apex of the orbit
Where does the superior rectus arise from?
Roof of the orbit posteriorly
Where does the inferior oblique arise from?
Floor of the orbit anteriorly
What is the innervation of the extrinsic muscles?
SO - Trochlear (4)
LR - Abducent (6)
Everything else - Oculomotor (3)
What type of joint is found between the ossicles?
Synovial
What are the muscles found in the middle ear?
Tensor tympani and stapedius
Which part of the temporal bone houses the middle and inner ear?
Petrous part
Which cranial nerves go through the internal acoustic foramen?
CrN 7 (facial) and CrN 8 (vestibulocochlear)
What type of saliva is produced in the parotid gland?
Serous
What type of saliva is produced in the sublingual gland?
Mucous
What type of saliva is produced in the submandibular gland?
Mixed - serous and mucous
What type of epithelium is the filiform papillae?
Keratinised stratified squamous epithelium
What type of epithelium is the fungiform papilla?
Non-keratinised epithelium
What are the main contents of the orbit?
Eyeballs, extrinsic ocular muscles, ligaments supporting the eye, optic nerve, branches of the ophthalmic artery, lacrimal apparatus and eyelids
What structures make up the outer fibrous layer of the eye
Sclera - 5/6
Cornea - 1/6
What structures make up the middle vascular layer of the eye?
Choroid, ciliary body and iris
What structure makes up the inner sensory layer?
Retina
What is the name of the fluid found in the anterior segment of the eye?
Aqueous humor
What is the name of the gel found in the posterior segment of the eye?
Vitreous humor
What part of the eye produces aqueous humor?
Ciliary epithelium
What is the action of the ciliaris muscle?
Accommodation
What is the innervation of the ciliaris muscle?
Parasympathetic via CrN III
What is the action of the constrictor pupillae?
Pupillary constriction
What is the innervation of the constrictor pupillae?
Parasympathetic via CrN III
What is the action of the dilator pupillae?
Dilates the pupil
What is the innervation of the dilator pupillae?
Sympathetic innervation
What is the action of the medial rectus?
Adduction
What is the action of the lateral rectus?
Abduction
What is the action of the superior rectus?
Elevation, adduction and intorsion
What is the action of the inferior rectus?
Depression, adduction and extorsion
What is the action of the superior oblique?
Depression, abduction and intorsion
What is the action of the inferior oblique?
Extorsion, elevation and abduction
What is the only muscle that does not arise from the posterior of the orbit?
Inferior oblique
Which ligaments that prevent over-adduction and over-abduction of the eye?
Medial and lateral check ligaments
What is the function of the suspensory ligament of the eye?
Resisting the posterior pull on the eyeball produced by the rectus muscles
Which branch of the internal carotid artery that supplies the orbit and the eye?
Opthalmic artery
Which foramina in the orbit do the ophthalmic veins pass through?
Superior orbital fissure
Are there lymphatics in the orbit?
No
What type of joint is found between the ear ossicles?
Synovial
Which ossicle is in contact with the tympanic membrane?
Malleus
Which ossicle is in contact with the oval window?
Stapes
Name the two muscles related to the ossicles
Tensor tympani and stapedius
What is the action of the tensor tympani muscle?
Dampening loud sounds e.g. chewing, shouting etc.
What is the action of the stapedius muscle?
Stabilising the stapes bone and dampening loud sounds
Name two areas with which the cavity of the middle ear communicates?
Nasopharynx via the Eustachian tube and mastoid air cells
Which part of the temporal bone do the middle and inner ear lie?
Petrous
What is the fluid that lies within the bony labyrinth?
Perilymph
What is the fluid that lies within the membranous labyrinth?
Endolymph
What is the function of the cochlea?
Producing nerve impulses from sound waves (hearing)
What is the function of the semicircular canals?
Balance (part of the vestibular system)
Through which foramen does the facial nerve exit the posterior cranial fossa?
Stylomastoid foramen
Which nerve exits the stylomastoid foramen alongside the facial nerve?
Vestibulocochlear
What nerve does the facial nerve give off in the middle ear?
Chorda tympani
What fibres does the chorda tympani carry and where are they destined for?
Parasympathetic - submandibular and sublingual glands
Sensory fibres - taste from anterior 2/3 of the tongue
Where are the deep cervical lymph nodes located?
Around the internal jugular vein and within the carotid sheath from the base of the skull to the thoracic inlet
Where do the parotids nodes drain lymph from?
Scalp around the parotid gand, lateral parts of the eyelids and the middle ear
Where do the buccal nodes drain lymph from?
Cheek region
Where do the submental nodes drain lymph from?
Anterior tongue tip, central part of the floor of the mouth and chin
Where do the submandibular nodes drain lymph from?
Front of scalp, nose, lipa, air sinuses - ethmoidal, frontal and maxillary, teeth, gums, anterior tongue, floor of the mouth and efferent lymphatics from the submental nodes
Where do the mastoid nodes drain lymph from?
Middle region of the scalp and external auditory meatus
Where do the occipital nodes drain lymph from?
Back of the scalp
Where do the anterior cervical nodes drain lymph from?
Superficial structures of the anterior neck
Where do the superficial cervical nodes drain lymph from?
Parotid nodes, angle of the mandible and junction between the neck, face and scalp
Where do the retropharyngeal nodes drain lymph from?
Nasopharynx, auditory tube and the upper cervical vertebral column
Where do the laryngeal nodes drain lymph from?
Larynx and adjacent
Where do the tracheal nodes drain lymph from?
Trachea and thyroid gland
Which bones form the posterior boundary of the anterior cranial fossa?
Mostly sphenoid but also frontal and a very small part of the parietal bone
Which bone forms the anterior boundary of the middle cranial fossa?
Sphenoid
Which bones form the floor of the middle cranial fossa?
Sphenoid and temporal bones
Which bone forms the posterior border of the middle cranial fossa?
Temporal
Which bones form the pterion?
Frontal, temporal, parietal and sphenoid
Which bone forms the anterior border of the posterior cranial fossa?
Temporal
Which bone forms the posterior border of the posterior cranial fossa?
Occipital
What structures pass through the small foramina of the skull?
Small emissary veins and arteries
What nerve passes through the foramina of the cribriform plate?
Olfactory nerve
What structures pass through the optic foramen?
Optic nerves and ophthalmic arteries
What structures pass through the superior orbital fissure?
Oculomotor, trochlear, ophthalmic (CrN 5 V1) and abducens
What nerve passes through foramen rotundum?
CrN V2
What nerve passes through foramen ovale?
CrN V3
What structure passes through foramen spinosum?
Middle meningeal artery
What does foramen lacerum contain?
Cartilage
What vessel does the carotid canal contain?
ICA
What nerves pass through the internal acoustic foramen?
Facial and vestibulocochlear
What structures pass through the jugular foramen?
Glossopharyngeal, vagus, accessory and internal jugular vein
What nerve passes through the hypoglossal canal?
Hypoglossal nerve
What structures pass through the foramen magnum?
Medulla, meninges and vertebral arteries
Into which foramen does the groove for the sigmoid sinus lead?
Jugular foramen
What is the sella turcica?
A deep depression in the middle of the cranial fossa which houses the pituitary gland
In which bone is the sella turcica found?
Sphenoid bone
Which processes give attachment to the tentorium cerebelli?
Anterior and posterior clinoid processes
Which foramen lies immediately anterior to the groove for the cavernous sinus?
Superior orbital fissure
What muscle attaches to the medial pterygoid plate?
Constrictor pharyngeus superior
What muscles attach to the lateral pterygoid plate?
Medial and lateral pterygoid muscles
What are the advantages of neonates having a reasonably flexible skull?
Allows for passage through the birth canal, brain growth and in the event of accidents/falls it allows for swelling of the brain
What type of ossification occurs in the vault of the skull?
Intramembranous
What type of ossification occurs in the irregular bones of the base of the skull?
Endochondral
At what age does the anterior fontanelle fuse?
9-18 months
At what age does the posterior fontanelle fuse?
1-2 months
What type of epithelium lines the dorsal surface of the tongue?
Stratified squamous keratinized epithelium
What type of muscle fibres underlie the epithelium of the tongue?
Skeletal muscle
What is the function of a myoepithelial cell?
Controls secretions of exocrine glands
What type of secretion is secreted from the parotid gland?
Serous
What type of secretion is secreted by the submandibular gland?
Serous and mucous
What type of secretion is secreted by the sublingual gland?
Mucous