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64 Cards in this Set
- Front
- Back
Cutaneous Innervation of
the face, Divisions+ main branches |
V1-Ophthalmic-supraorbital N
V2- Maxillary-infraorbital V3- Mandibular-mental |
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Branches of V1
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1. Supraorbital
2. Supratrochlear 3. Infratrochlear 4. External Nasal 5. Lacrimal |
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Branches of V2
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1. Infraorbital
2. Zygomatictemperal 3. Zygomaticofacial |
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Branches of V3
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1. Mental
2. Buccal 3. Auriculotemporal |
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Clinical Note: Trigeminal Neuralgia:
Nerve? Symptons? Most common division? |
1. CNV
2. Sharp pain/paroxysm 3. V2>V3>V1 |
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Scalp Innervation:
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1. Supraorbital(V1)
2. zygomaticotemperoal(V2) 3. Auriculartemporal(V3) 4. Lesser Occipital(C2/C3) 5. Greater Occipital(C2)-->doral ramus |
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Dermatomal Map
V1 V2 V3 C2 C3 C4 |
V1: temporal-eye-edge of nose
V2-nose to lips V3. Lips to chin C2-ear-bottom neck C3-neck C4-lower |
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Innervation of facial muscles?
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CVII
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Occiptalfrontalis
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Draw eye brows up(frontal belly)
Draws scalp back(occiptal belly) |
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Obicularis Oris
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Palperbral:eyelids
Orbital: around eye Closes eyes |
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Corrugator Supercilli
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draws eyebrows medially and downwards
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Procerus
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Draws medial angle of eyebrows downwards
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Nasalis
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Compresses nasal aperature, Opens nostrils laterally
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Zygomatic Major
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Draws corner of mouth upwards
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Zygomatic Minor
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Draws upper lip upwards
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Obicularis Oris
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Closes lips, protrudes lips
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Mentalis
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Protrudes lower lip, raises lower lip
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Depressor labii inferiorius
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draws lower lip downwards
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Depressor Anguli oris
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draws corner of mouth downwards and laterally
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Buccinator
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keeps food on occlusal surface
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Risorious
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retracts corner of mouth
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Platysma
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Depresses lower jaw, tightens skin around neck
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Branches of the CNVII(facial),
where does it originate from? |
Temperoal, Zygomatic, Buccal, Mandibular, Cervical
stylomastoid foramen |
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Clinical Note: Bells Palsy
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swelling of facial nerve near s
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Arteries of the face:
main branch |
External Carotid
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Branches of External Carotid
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1.Occipital
2.Superficial Temporal 3. Maxillary 4. Facial 5. Lingual 6. Superior Thyroid 7. Ascending pharyngeal |
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Occiptal artery
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1. Occipital: hooks around hypoglossal nerve then posterior
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Superficial Temporal artery
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2.Superficial Temporal: Terminal Branch
3. Transverse facial branch: superior parotid |
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Maxillary artery
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3. Maxillary: Terminal, goes deep to mandible to infratemproal fossa
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Facial artery
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Deep to mandible, courses around body.
Branches: Superior Labial Inferior labial, Angular |
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Arteries of the Scalp
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Supraorbital(ICA)
Superficial Temporal(ECA) Occipital(ECA) |
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External Carotid vs Internal
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External Anterior
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External Jugular vs. Internal
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External Posterior
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Branches of External Jugular Vein
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Retromandibular
superficial temporal Maxillary |
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External drains into..?
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subclavian
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Branches off the internal Carotid
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Facial
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Retromandibular
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connects maxillary and superfical temporal
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Maxillary
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Anastomoses with pterygoid plexus-->cavernous sinus INFECTION
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Facial
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common facial-->facial-->deep Facial-->pterygoid plexus
facial-->superior labii/inferior labii Facial-->superior/inferior opthalmic, supraorbital, supratrochlear Superior/inferior opthalmic leads to cavernus sinus |
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Dangerous Triangle
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drainage into cavernous sinus
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SCALP
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Skin
Connective Tissue Apeneurosis Periosteum |
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Skin
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Hair/follicles, lymphatics, arteries, veins
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Connective Tissue
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cutaneous nerves
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Aponerousis
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white tendon connecting frontal body and occiptal body of the
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3 layers SCA are? 4th?
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fused, 4th loose
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Periosteum
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is dense layer of connective tissue covering the bone
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Emissary vein
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Pass through bones of the calvaria(skull cap) to drain blood from the scalp into intra cranial venous sinuses
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Parotid Gland innvervations
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para/post from otic ganglion which run with auriculotemporal
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Which motor branches pierce the parotid?
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CNVII-temporal, zygomatic, buccal, mandibular, cervical
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Stensen's Duct
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crosses masseter, pierces buctinator opens into oral cavity opposite of 2nd molar
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Parotid Sheath?
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dense connective tissue continuous investing fascia
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Clinical Note: Mumps
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viral infection that causes inflammation and swelling of the parotid gland
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Clinical note Salivary Tumors
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occur in the parotid gland-->excision carefully
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Lymphatics groups
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1. Pericervical collar
2. superficial cervical nodes 3. deep cervical nodes |
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Draining pattern of lymphatics?
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Superficial cervical, pericervical collar-->deep cervical-->right lymphatic/thoracic-->jxn internal jugular/subclavian veins
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Pericervical lymph nodes
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1. Parotid
2. Buccal 3. Submental 4. Submandibular 5. Occipital 6. Mastoid |
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Superficial lymph nodes
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1. Anterior jugular
2. External jugular |
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Deep Cervical Chain of nodes
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Surrounds jugular vein, deep to SCM
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Branchial Arch Development:
Where? When? |
Neck/head region, also called pharyngeal
4-5 weeks |
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Branchial Arch components
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1. part of aorta
2. cartilage 3. cranial nerve 4. certain muscles |
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BA1
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CN5
muscles of mastication anterior belly of digastric mylohyoid tensor villi palatini tensor tympani |
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BA2
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Facial nerve CNVII, facial exp, post. belly of digastric, sylohyoid, stapedius muscles
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BA3
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glossopharyngeal CN IV + stylopharygenous muscle
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BA 4/6
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Vagus nerve(CNX and CN XI via X fibers), muscles of palate, pharyxn, larynx
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