Week 4 - head and neck (eyes and ears) Flashcards
What is the posterior nasal aperture?
Choana - between nasal cavity and nasopharynx
What are the functions of the eustachian tube/pharyngotympanic tube?
Aeration of middle ear, equalisation of pressure, clearance of secretions, protection of the middle ear
What is the torus tubarius?
The cartilaginous portion of the eustachian tube, and a arch-shaped prominence over the opening into the nasopharynx
Where is the pharyngeal recess/ fossa of Rosenmuller?
On the posterolateral aspect of the nasal cavity, lateral to the superior nasal conches
Where are the adenoids?
On the posterosuperior wall of the nasopharynx
What are the two mucosal folds at the back of the soft palate?
Palatoglossal arch (anteriorly)
Palatopharyngeal arch (posteriorly)
Where do the palatine tonsils sit?
Between the palatoglossal and palatopharyngeal arches
What is the fauces?
The transitional region between the oral cavity and the oropharynx
Which muscles helps to open the eustachian tube?
levator veli palatini, tensor veli palatini, (salpingopharyngeus)
How much of the palate is hard and soft?
2/3rds hard palate, posterior 1/3rd = soft
What is the name of the foramen on midline of the maxilla behind the front teeth?
Incisive foramen
Where are the greater and lesser palatine foramina?
Either side, between the lateral aspect of the palatine bone and the maxillary bone (greater is anterior to lesser)
What happens to the soft palate during swallowing?
It rises and completely blocks the nasal cavity from the mouth
Which part of speech is the soft palate involved in?
Pronunciation of consonants
What is the innervation to the muscles of the soft palate?
Pharyngeal plexus (from vagus)- except tensor veli palatini (mandibular branch of the trigeminal nerve)
What are the five palatine muscles?
Palatoglossus, palatopharyngeus, tensor veli palatini, levator veli palatini, musculus uvulae
What are the actions of tensor veli palatini and levator veli palatini?
Levator - elevates the soft palate
Tensor - broadens the soft palate
Where is the pterygoid hamulus?
A hook at the point where the palatine and sphenoid bones meet - acts as a pulley for tensor veli palatini
Which muscle elevates the uvula?
The musculus uvulae
Which muscles contract to close off the nasopharynx?
musculus uvulae and levator veli palatini
What are the attachments of the palatopharyngeus muscles?
O: posterior hard palate
I: posterior border of thyroid cartilage
What does the palatoglossus muscle do?
Elevates the tongue
Where are the palatine tonsils?
Between the palatoglossal arch anteriorly and the palatopharyngeal arch posteriorly
Which nerve does the greater and lesser palatine nerves come from?
Maxillary division of Trigeminal
What does the greater palatine nerve supply?
Majority of gingiva, mucosa and glands of the hard palate
What does the lesser palatine nerve supply?
Soft palate, with contributions from glossopharyngeal, and taste with contributions from greater petrosal nerve (from facial nerve)
Where are the greater palatine foramina?
At the lateral edge of the join of the palatine and maxillary bones. lesser palatine foramina are just posterior to it.
What structures pass through the greater palatine foramina?
Greater palatine nerves and vessels
Where is the palatine raphe?
The midline of the palate, on the underside
Where are the sublingual and submandibular salivary gland orifices?
Under the tongue, submandibular is more central to sublingual
What are the three divisions of the tongue?
apex, body, root
Where is the terminal sulcus?
A horizonal line across the upper surface of the back of the tongue, dividing the body with the root of the tongue
Where are the lingual tonsils?
Posterior to the terminal sulcus on the root of the tongue
Where are the sublingual glands?
Bilateral structures, under the tongue, bordered by mandible anteroinferiorly and genioglossus muscle posteroinferiorly, myohyoid inferiorly.
Which nerve innervates the sublingual gland?
Facial nerve via chorda tympani
Where are the submandibular glands?
Paired structures in the submandibular fossa of each side of the mandible
What is the submandibular duct?
(Wharton’s duct) drains the submandibular gland contents into the floor of the mouth,
What is the sublingual caruncle?
The opening papilla of the submandibular duct either side of the frenulum
Which nerve does the lingual nerve come from?
Mandibular division of the trigeminal nerve
What does the lingual nerve supply?
Sensory: mucosa of anterior 2/3rds of the tongue, floor of the mouth and lingual gingiva
Special sensory: anterior 2/3rds of the tongue
Parasympathetic: submandibular and sublingual glands
What does the lingual nerve supply?
Sensory: mucosa of anterior 2/3rds of the tongue, floor of the mouth and lingual gingiva
Special sensory: anterior 2/3rds of the tongue
Parasympathetic: submandibular and sublingual glands
What is the submandibular ganglion?
The parasympathetic ganglia suspended from the lingual nerve, inferior to submandibular duct - near 3rd molar, supplies secretomotor fibres to sublingual and submandibular glands
What are the intrinsic muscles of the tongue?
Superior longitudinal, inferior longitudinal, transverse and vertical muscles
What are the extrinsic muscles of the tongue?
Genioglossus, hyoglossus, styloglossus and palatoglossus (get high stop pain)
What is the innervation to the muscles of the tongue?
Hypoglossal nerve for all except palatoglossus which is innervated by vagus
What is the pathway for taste in the anterior 2/3rds of the tongue?
facial nerve (CN VII) → chorda tympani → geniculate and otic ganglia → anterior solitary tract nucleus→ central tegmental tract → thalamus → gustatory cortex
What is the pathway for taste in the posterior 1/3rd of the tongue?
superior laryngeal and glossopharyngeal (CN IX) nerves → inferior glossopharyngeal and inferior vagal ganglia → anterior solitary tract nucleus→ central tegmental tract → thalamus → gustatory cortex
What do the intrinsic muscles of the tongue do?
Alter the shape of the tongue
What do the extrinsic muscles of the tongue do?
Alter the position of the tongue
What are the attachments of genioglossus?
O: superior mental spine of mandible
I: dorsum of tongue, body of hyoid bone
What is the action of genioglossus?
Depresses and protrudes tongue (bilateral contraction), Deviates tongue contralaterally (unilateral contraction)
What are the attachments of hyoglossus?
O: body and greater horn of hyoid bone
I: interior parts of the lateral tongue
What are the actions of hyoglossus?
Depresses and retracts tongue
What are the attachments of styloglossus?
O: anterolateral aspect of styloid process, stylomandibular ligament
I: blends with inferior longitudinal muscle and hyoglossus muscle
What are the actions of styloglossus?
Retracts and elevates lateral aspect of the tongue
What are the attachments of palatoglossus?
O: palatine aponeurosis of soft palate
I: Lateral margins of tongue, blends with intrinsic muscles
What are the actions of palatoglossus?
Elevates root of tongue
Which nerve innervates palatoglossus?
Vagus nerve
Where does the hypoglossal nerve lie in relation to the lingual nerve?
Inferior to it
Which two muscles does the hypoglossal nerve run between?
Hypoglossus and mylohyoid
Which artery is the sublingual artery a branch of?
The lingual artery - from external carotid
What are the four types of papilla found on the tongue?
Fungiform, filiform, vallate, foliate
What do the filiform papillae look like?
Tiny irregularities
What do the fungiform papilla look like?
White bumps
What do the foliate papilla look like?
Ridges (at the side of the tongue)
What do vallate papilla look like?
red ulcers - at the back of the tongue
What are the internal nares/naris?
the choana - posterior nasal opening into nasopharynx
What are the cartilages that make up the external nose?
Septal cartilage, lateral nasal cartilages (sides of nose), alar cartilages (nostrils and front of nose)