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46 Cards in this Set
- Front
- Back
o Tectorial membrane
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superior continuation of posterior longitudinal ligament
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o Cruciate ligament of the atlas
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cross-shaped ligament that wraps behind dens of axis bone
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Cruciform ligament is in between
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Atlas (C1) and C2
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Alar ligaments are behind
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Cruciform ligament
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Cruciform ligament fibers
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Superior Longitudinal
Inferior longitudinal |
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Transverse ligament of atlas is at what facet
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articular facet of dens
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o Alar ligament: attach to the
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dens of axis bone
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o Atlanto-occipital joint-between
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between occipital condyle of occipital bone and atlas; for nodding motion
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Anterior to retropharyngeal space
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• Anterior part of investing layer (incl. SCM)
• Infrahyoid fascia • Carotid sheath • visceral fascia contents |
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Posterior to retropharyngeal space
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• Prevertebral fascia contents
• Posterior part of investing layer (incl. trapezius |
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• Sympathetic trunk, anterior to
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cervical vertebra
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o Internal carotid n comes off
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superior extension of sympathetic trunk, goes into the cranial vault
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o Superior cervical sympathetic ganglion-near
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base of neck
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o Inferior cervical sympathetic ganglion/stellate ganglion-near
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subclavian a/v
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o Rectus capitis lateralis m
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occipital bone to transverse process of atlas
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o Rectus capitis anterior m
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occipital bone to anterior arch of atlas
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o Longus capitis m
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Base of occipital bone to anterior tubercle of cervical vertebrae, “truly prevertebral muscle within prevertebral fascia”
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o Longus colli m
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extends on anterior vertebra from CV2 to ~TV3 “truly prevertebral muscle within prevertebral fascia”
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o Buccopharyngeal fascia-adventitia, continuous with
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buccinator m
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o Muscular layer of the pharynx
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outer circular, inner longitudinal
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o Inferior pharyngeal constrictor m attachment
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Anterior attachment: oblique line of thyroid cartilage + cricoid cartilage
Posterior attachment: pharyngeal raphe |
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o Middle pharyngeal constrictor m attachment
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Anterior attachment: greater horn of hyoid bone + inferior stylohyoid ligament
Posterior attachment: pharyngeal raphe |
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o Superior pharyngeal constrictor m attachment
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Anterior attachment: pterygomandibular raphe
Posterior attachment: pharyngeal tubercle of occipital bone |
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o Stylopharyngeus m passes between
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superior and middle pharyngeal constrictor m.m.
This is the only skeletal muscle innervated by CN IX. |
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o Palatoglossus m
This is the only “glossus” muscle NOT innervated by |
CN XII.
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o Glossopharyngeal (CN IX): fibers
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GVE, SVE, GSA, GVA, SVA
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To innervate pharyngeal mucosa (GVA) the glossopharyngeal passes between
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internal/external carotid
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Glossopharyngeal is afferent to the tongue and pharyngeal mucosa, but efferent to
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stylopharyngeus and parotid gland
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o Vagus (CN X): fibers
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SVE, GVE, GSA, SVA, and GVA
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Vagus branch the superior laryngeal nerve innervates
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the larynx and runs with the superior laryngeal artery
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Superior laryngeal artery gives branches to
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palate, pharynx and larynx
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SVE of vagus to
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Muscles of soft palate, all larynx muscles, and pharyngeal muscles via the pharyngeal plexus
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GVA of vagus to
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mucosa of the larynx, mucosa of inferior pharynx
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SVA:of the vagus to
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palate, uvula and carry sensory of taste from the roof of the tongue and the taste buds on the epiglottis
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Spinal accesory fibers
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GSE
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what nerves join spinal accesory at posterior cervical region?
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C2-C4
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o Hypoglossal (CN XII) fibers
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GSE
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After the hypoglossal exits the hypoglossal canal it its joined by
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by a branch of the cervical plexus conveying general somatic motor fibers from C1 and C2 spinal nerves and general somatic motor fibers from the spinal ganglion of C2 (these spinal nerves hitch a ride with CN 12 to reach the hyoid muscles)
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Hypoglossal passes
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lateral to the internal and external carotids
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Hypoglossal innervates
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styloglossus, hyoglossus, genioglossus and intrinsic muscles of the tongue
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o Superior cervical sympathetic ganglion & Sympathetic Trunk characterisitcs
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Vasomotor
Posterior and medial to the carotid sheath Internal carotid nerve: passes from the superior end of the cervical ganglion to the internal carotid artery |
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Pharyngeal Plexus includes innervation from
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CN 9, 10 & 11. CN 10 and 11 provide motor innervation and CN 9 provides sensation/sensory to the pharynx
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o Nasopharynx ends at
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Choana
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Pharyngotympanic (Auditory/Eustachian) tube-connect to
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middle ear
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Pharyngeal tonsil: at
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pharyngeal recess
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o Oropharynx-posterior to oral cavity~epiglottis contains
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Palatoglossal fold/palatoglossus m
Palatopharyngeal fold/palatopharyngeus m Palatine tonsil: between palatoglossal and palatopharyngeal folds Fauces |