The Mouth and Face 2 Flashcards

1
Q

Which muscles form a muscular bed for the tongue to rest on and provide a framework for 2 important salivary glands - the submandibular gland and the sublingual glands?

A
  • 2 muscles run into the floor of the mouth from the skull base
  • another spans the mandible from side to side
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2
Q

How does the posterior belly of the digastric muscle arise?

A

It arises as a fleshy belly from a groove on the inner side of the mastoid process.

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3
Q

How does the posterior belly of the digastric muscle change?

A

It tapers to a tendon which slides through a fibrous sling that is attached near the lesser cornu of the hyoid bone.

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4
Q

What is the intermediate tendon of the posterior belly of the digastric muscle surrounded by?

A

It is surrounded by a synovial sheath.

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5
Q

What is the path of the anterior belly of the digastric muscle?

A

It passes forwards on the undersurface of the mylohyoid muscle.

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6
Q

Where does the anterior belly of the digastric muscle insert?

A

It inserts into the lower border of the mandible beneath the chin.

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7
Q

What is the function of the anterior belly of the digastric muscle when it acts with the lateral ptergoid muscle?

A

It depresses the chin and opens the mouth when it acts with the lateral pterygoid muscle.

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8
Q

Where does the stylohyoid muscle arise from?

A

It arises from the styloid process.

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9
Q

What does the stylohyoid muscle run along?

A

It runs along the upper border of the digastric muscle.

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10
Q

What happens to the stylohyoid muscle at the hyoid bone?

A

It splits and inserts into the greater cornu of thje hyoid bone.

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11
Q

What are the posterior belly of the digastric muscle and the stylohyoid muscle derivitives of?

A

They are derivitives of the second pharyngeal arch.

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12
Q

What is the nerve supply to the posterior belly of the digastric and the stylohyoid?

A

Facial nerve.

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13
Q

What is the function of the stylohyoid muscle?

A

It retracts and elevates the hyoid and is active during swallowing.

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14
Q

What does the mylohyoid form across the floor of the mouth?

A

It forms a sling or diaphragm across the floor of the mouth.

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15
Q

Where does the mylohyoid muscle arise from?

A

It arises on both sides from the inner aspect of the mandible.

On the inner aspect of the mandible it raises an oblique ridge on the body of the mandible that is called the mylohyoid line.

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16
Q

Where does the mylohyoid muscle insert?

A

It inserts into the front of the body of the hyoid bone.

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17
Q

Where do the 2 mylohyoid muscles meet?

A

They meet in the midline at a raphe or seam that extends from the front of the hyoid bone to the mandibular symphysis anteriorly.

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18
Q

What is the function of the mylohyoid muscle?

A

Like the digastric and the stylohyoid muscle, it can elevate the hyoid bone.

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19
Q

What does contraction of the mylohyoid muscle bring about?

A

It raises the whole floor of the mouth.

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20
Q

What is the nerve supply to the mylohyoid bone?

A

This is supplied by a branch of the mandibular nerve that leaves the inferior alveolar nerve by the mandibular foramen at the posterior end of the mylohyoid line.

This nerve gives motor supply to the mylohyoid muscle and the anterior belly of the digastric muscle. Therefore these muscles are derived from the first pharyngeal arch.

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21
Q

What is the facial artery a branch of?

A

This is a branch of the external carotid artery.

22
Q

At first what does the facial artery lie deep to?

A
  • It lies deep to the digastric and stylohyoid muscles and on the surface of the superior constrictor muscle lateral to the tonsillar fossa.
    • Here the facial artery gives off an important branch that pierces the superior constrictor muscle to reach the tonsilar bed.
  • Then it passes up and over the top of the digastric and stylohyoid muscles and down to the free posterior edge of the mylohyoid muscle, where it is contact with the submandibular salivary gland.
    • Here, it lies against the inner aspect of the body of the mandible.
  • From here, it curls around the lower border of the mandible and then up to the face.
23
Q

Where is the submandibular gland/ what structures is this gland between?

A

It is sandwiched between muscles of the floor of the mouth.

24
Q

Where is part of the submandibular squeezed out on to?

A

It is squeezed out on the external surface of the mylohyoid underneath the floor of the mouth.

25
Q

Where does the facial artery groove the gland and is sometimes found in the substance of the gland?

A

Where part of the gland is squeezed on to the external surface of the mylohyoid underneath the floor of the mouth.

26
Q

What can we see if we remove the digastric, stylohyoid and mylohyoid muscle and the facial artery and the superficial part of the of the submandibular gland?

A

We can see another group muscles within the floor of the mouth (hypoglossus and styloglossus), as well as the main body and the duct of the submandibular gland and 2 more nerves.

27
Q

What do the hypoglossus and styloglossus act on?

A

They act on the tongue and they are in the deep plane.

28
Q

What shape is the lateral outline of the hypoglossus?

A

It is square in its lateral outline.

29
Q

Where does the hypoglossus muscle arise from?

A

Arises from the sides of the hyoid.

30
Q

Why does hypoglossus insert?

A

Passes up to insert into the tongue

31
Q

What is the function of the hypoglossus?

A

To pull the tongue down into the mouth.

32
Q

What is the path of the styloglossus nerve?

A
  • passes from the styloid process
  • passes between the external and internal carotid arteries
  • enters the back of the tongue
33
Q

What are the muscles of the tongue supplied by?

A

Except the palatoglossus they are supplied by the hypoglossal nerve.

34
Q

Out of the submandibular and sublingual salivary gland which is smaller?

A

The sublingual salivary gland is smaller.

35
Q

What type of gland is the submandibular gland?

A

This is a mixed salivary gland therefore it contains both serous and mucous secreting acini.

36
Q

What type of acini is more common in the sublingual gland?

A

There are more mucous secreting acini in the gland.

37
Q

What are the 2 parts of the submandibular glands?

A

There is a deep and superficial part.

38
Q

Where is the deep part of the submandibular gland found?

A

It is found on the surface of the hypoglossus.

39
Q

Where does the superficial part of the submandibular gland lie?

A

It lies on the inferior surface of the mylohyoid, in reality in the neck.

40
Q

What nerve lies above the submandibular gland?

A

The lingual nerve

41
Q

What nerve lies below the submandibular gland?

A

The hypoglossal nerve = 12th cranial nerve.

42
Q

What part of the submandibular gland does the submandibular duct leave?

A

It leaves the deep part of the duct.

43
Q

Where does the submandibular gland open?

A

It opens at a small papilla in the floor of the mouth near the midline at the front of the tongue.

Lies to the side of the lingual frenulum that ties the tip of hte tongue to the mucous membrane of the floor of the mouth.

44
Q

What is the path of the lingual nerve?

A

It hooks underneath the submandibular gland before ascending medial to it and up into the tongue.

45
Q

What can block the submandibular duct?

A

Stones are occassionally formed in the submandibular gland and they can block the duct. They are felt in the floor of the mouth and they are usually removed by opening the duct through the mucous membrane in the floor of the mouth.

46
Q

What does the sublingual gland lie close to?

A

It lies close to the lingual nerve just deep to the mucous membrane of the floor of the mouth under the tongue.

47
Q

What is the sublingual gland drained by?

A

It is drained by several small ducts, some of these enter the submandibular duct and others open directly into the floor of the mouth.

48
Q

What nerves have important relations in the floor of the mouth?

A

The lingual branch of the mandibular division of the trigeminal nerve and the hypoglossal nerve

49
Q

What is the hypoglossal nerve the motor nerve to?

A

It is the motor nerve to all the muscles of the tongue except the palatoglossus.

50
Q

How does the hypoglossal nerve leave the skull?

A

Through the anterior condylar foramen.