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55 Cards in this Set

  • Front
  • Back
What are the 5 muscles of the suprahyoid?
-Digastric (ant/post belly), geniohyoid, stylohyoid, mylohyoid
What are the 4 muscles of infrahyoid?
- thyrohyoid, omohyoid (upper/lower belly), sternohyoid, sternothyroid
What 4 muscles do the mandibular nerve CN V3 innervate?
- Temporalis, massester, lateral pterygoid, medial pterygoid
What innervates digastric?
- facial and mandibular nerves
What innervates styolohyoid?
- facial nerve
What innervates mylohyoid?
Mandibular nerve
What innervates geniohyoid?
Nerve to geniohyoid
What 3 muscles do the ansa cervicalis from cervical plexus (C1-C3)?
- omoyhoid, sternohyoid, sternohyoid,
What innervates thyrohyoid?
- C1 via hypoglossal
What action does the lateral pterygoid perform?
- acting bilaterally, protracts mandible and depresses chin; acting unilaterally, swings jaw toward contralateral side; alternate unilateral contraction produces larger lateral chewing movements
What 2 muscles elevate the mandible?
- temporalis
- masseter
First Mandibular Artery
- middle meningeal artery- via foramen spinosum, dura mater
- inferior alveolar artery- supplies mandible, mandibular teeth, chin, mylohyoid muscle
Second Pterygoid Artery
- Deep temporal artery- mainly muscle
- Buccal artery- runs w/ buccal nerve~fat pad, buccinators, oral mucosa
Third Pterygoidpalatine Artery
Posterior superior alveolar artery- maxilarry molar and premolar teeth
- infra orbital artery- inferior oblique, maxillary caninines and incisors
- Sphenopalatine Artery- terminal branch of maxillary artery; nasal cavity, frontal, ethmoidal, sphenoid, maxially sinuses, anteriormost palate
What are the arteries of SALFOPSM?
- Superior thyroid artery, Ascending pharyngeal artery, Lingual artery, Facial artery, Occipital artery, posterior auricular artery, superior temporal artery, maxillary artery.
What does the precentral gyrus make up?
- motor area
what does postcentral gyrus make up?
- sensory area
Cerebrum
- consist of hemispheres and lobes
o temporal, occipital, frontal, parietal
• hearing, vision, higher learning, spatial awareness
- central sulcus
- precentral gyrus
- postcentrral gyrus
Dienchephalon
- consists of thalamus (relay system) and hypothalamus (hunger, thirst)
Brainstem (necessary for life)
- consist of medulla oblongata, pons and midbrain
Cerebellum
- balance and motor coordination
Motor (efferent)
Motor fibers to voluntary skeletal muscles [GSE]
– Motor fibers to involuntary cardiac/smooth muscles or glands [GVE] *hint...this is all autonomic nervous system control!
– Motor fibers to voluntary skeletal muscles in the head & neck that undergo a specific process during development [SVE] – these are known as “branchiomeric” structures; pharyngeal arches
• Sensory (afferent)
General sensation (touch, heat, pressure, etc.) [GSA]
- – Sensations from the viscera (stretching, etc.) [GVA]
- – Unique/special sensations (hearing, balance, smell, etc.) [SSA/SVA]
Olfactory CN 1
Olfactory CN 1
Type: Sensory (nose)
• Foramen: cribiform plate of the ethmoid bone
• Function: Sense of smell
– Also plays an important aspect in regards to taste (bring back memories of eating foods while having a sinus infection...didn’t taste the same did it?)
• Clinical Correlates: anosmia, olfactory hallucinations
Optic CN II
Type: Sensory (eyes)
• Foramen: Optic canal of sphenoid bone
• Function: Vision
– Lack of vision in certain areas can be indicative of several pathologies
• Clinical Correlates: Visual field deficits demyelinating diseases, optic neuritis
Oculomotor CN III
Type: Motor (eye)
• Foramen: Superior orbital fissure of the sphenoid bone
• Function: Motor to the majority of the muscles of the eye (AO3)
– Assists with movements of the eye; constriction of the pupil (GVE)
• Clinical Correlates: movement deficits; pupillary light response, cerebral aneurysms
Trochlear CN IV
Type: Motor (eye)
• Foramen: Superior orbital fissure of the sphenoid bone
– Arises from the dorsal side of the contralateral brainstem
• Function: Motor to the superior oblique muscle (SO4)
• Clinical Correlates: diplopia while looking down (as in walking down stairs)
Trigeminal CN V
Type: Both motor & sensory to face
• Foramen:
– V1:superiororbitalfissure – V2:foramenrotundum
– V3:foramenovale
• Function: Motor to the muscles of mastication & sensation to the face
- V1:OphthalmicNerve – V2:MaxillaryNerve
– V3:MandibularNerve
• Clinical Correlates: tic douloureux; loss of corneal reflex; dental anesthesia
Abducens CN VI
Type: Motor (eye)
• Foramen: Superior orbital fissure of the sphenoid bone
• Function: motor to the lateral rectus muscle (LR6); abduction of the eye
• Clinical Correlates: medial strabismus, abducent nerve palsy
Facial CN VII
Type: Both motor & sensory to the face
• Foramen: Internal acoustic meatus & Stylomastoid foramen
• Function: Motor to the muscles of facial expression & branchial motor (SVE); sensation; parasympathetic innervation to a few salivary glands (GVE); taste from the anterior 2/3 of the tongue
• Clinical Correlates: Bell Palsy, corneal reflex
Vestibulocochlear CN VIII
Type: Sensory (ear)
• Foramen: Internal acoustic meatus
• Function: Balance & hearing – Vestibular Nerve: balance
& equilibrium
– Cochlear Nerve: hearing
• Clinical Correlates: Vertigo, deafness: conductive & sensorineural
Glossopharyngeal CN IX
Type: Both motor & sensory to the throat
• Foramen: Jugular foramen
• Function: Motor to the stylopharyngeus muscle; sensation of the pharynx; innervation carotid sinus & body & parotid gland; sensation of taste from the posterior 1/3 of the tongue
• Clinical Correlates: Gag reflex, lesions
Vagus CN X
Type: Both motor & sensory to the pharynx & rest of the body
• Foramen: Jugular foramen
• Function: A WHOLE LOT!
– Sensationofthepharynx
– Parasympathetic innervation & sensation of/from the organs
– Branchialmotortothe palate/pharynx
– Tastenearepiglottis;vocal chords
• Clinical Correlates: dysphagia, dyaphonia or aphonia, respiratory stidor, and various issues with the organs if damaged
Spinal Accessory CN XI
Type: Motor (neck)
• Foramen: Jugular foramen & Foramen magnum
• Function: Motor to the sternocleidomastoid and the trapezius muscles
• Clinical Correlates: deficits
Hypoglossal CN XII
-Type: Motor (tongue)
• Foramen: Hypoglossal canal
• Function: motor to the muscles of the tongue (intrinsic & extrinisic)
• Clinical Correlates: ipsilateral tongue paralysis & atrophy
Carotid Sinus
- baroreceptor reacts to changes in arterial blood pressure; innervated mostly by the CN IX as well as CN X
Carotid Body
chemoreceptor -monitors the level of oxygen in the blood
-stimulated by low levels of oxygen in the blood and initiates a reflex to increase heart rate and respiration -supplied mainly by CN IX and CNX
Parotid Gland-
Large, paired salivary gland
- Duct system pierces the buccinator muscle to empty into the oral cavity just opposite the 2nd maxillary molar
- CN V travels through (but does not innervate it!) the middle of the gland and can often be damaged
- Innervation is mostly by CN IX
Parasympathetic (rest and digest)
- Increasessecretionofsalivafordigestion – Glossopharyngeal(CNIX)nerve
• Presynaptic fibers to otic ganglion
• Postsynaptic fibers from otic ganglion to the gland
– These hitch-hike along the auriculotemporal nerve to get to their destination
Sympathetic (fight or flight)
– Decreasessecretionofsalvation
• Ifyouareabouttobemauledbyatiger,youaren’tworriedabout that steak you just ate
• Nervefiberstravelalongbloodvesselstogettothegland
TMJ
Modified hinge synovial joint
− Permits gliding (translation)
− Flexion (elevation) & extension (depression)
− Small degree of rotation (pivoting)
􏰀 Includes mandibular fossa, articular tubercle of temporal bone, head
(condyle) of mandible
• 􏰀 Articular disc separating cavities
• 􏰀 Ligaments
Lateral ligament of TMJ–
strengthens joint laterally with postglenoid tubercle & acts to prevent posterior dislocation
Stylomandibular-
thickening of capsule over parotid that runs from styloid to angle of mandible & does not contribute to the joint strength
Sphenomandibular¬
spine of sphenoid to lingula of mandible & is the primary passive support of the mandible; ligament serves as a swinging hinge for the mandible as a fulcrum & check for movements
Elevation
temporalis, massester, medial pterygoid
Depression-
lateral pterygoid, suprahyoid, infrahyoid muscles
Protrusion-
lateral pterygoid, masseter, medial pterygoid
Retrusion
- temporalis, masseter
Lateral movements
temporalis of same side, pterygoids of opposite side, masseter
Of the 4 muscles of mastication which is the only one responsible for depression?
-Lateral pterygoid
What does V1 do?
-sensation to the superior face and orbit
What does V2 do?
- sensation of the face of near the maxilla
What does the V3 do?
- motor to the muscles of mastication; sensory to the area of the mandible
What does chorda tympani do?
-branch of facial nerve CN VII
- conveys taste of the anterior 2/3 of the tongue
Lingual Nerve
- Sensory fibers from the anterior 2/3 of the tongue?
- Branch of CN V3