Anatomy Flashcards
1
Q
What component fibers make up the facial nerve?
A
- Branchial Motor
- All muscle of facial expression, stapedius, stylohyoid, and posterior belly of digastric
- Visceral Motor
- Pregang para to sublingual and submandibular salivary glands, lacrimal galnd, and nasal mucosa
- Special Sensory
- Tast sensation to anterior 2/3 of tongue
- General Sensory
- Some sensation to external ear and auditory canal and a small area of orophrynx
2
Q
What is the course of the facial nerve?
A
- Emerges from brainstem
- Passes through subarachnoid space
- Enters internal auditory meatus
- Passes through petrous temporal bone displaying geniculate ganglion
- Continues along facial canal and gives off chorda tympani
- Emerges from the skull through sytlomastoid foramen
- Passes through parotid gland lobes
- Distribues to muscles
3
Q
Where can the facial nerve commonly be injured?
A
Near mastoid process
4
Q
Vestibulocochlear Nerve Comonent Fibers
A
Special Sensory- auditory information from the cochlea and positiona/balance information from the semicircular canals
5
Q
Vestibulocochlear Nerve Course
A
6
Q
Glossopharyngeal Nerve Component Fibers
A
- General Sensory - touch, pain, temp., etc.
- Special Sensory - taste posterior 1/3 of tongue
- Visceral Sensory - baroreceptors/chemoreceptors in carotid sinus and carotid bodies
- Branchial Motor - stylopharyngeus
- Visceral Motor - pregang, para innervation of parotid gland
7
Q
Glossopharyngeal Nerve Course
A
- Rootlets emerge from brainstem and converge in jugular fossa
- Gives off tympanic before main trunk exits jugular foramen
- In jugular foramen displays superior and inferior glossopharyngeal ganglia
- Contain sensory nerve cell bodies
- From carotid body and sinus carotid nerves join inferior ganglion
- From tongue and pharynx, lingual and pharyngeal branches join the inferior ganglion
- Branchial motor fibers distribute to stylopharyngeus
8
Q
Vagus Nerve Component Fibers
A
- General Sensory - epiglottis, pharynx, larynx, upper esophagus, etc.
- Special Sensory - small area for tase in the epiglottis and epiglotic valleculae
- Visceral Sensory - widespread input concerning fuctional status of cardoi, pulmonary, gi and renal systems
- Branchial Motor -
- Visceral Motor - Pregang, para innervation to thoracic and abdominal organs to level of descending colon
9
Q
Vagus Nerve Course
A
- Emerges from brainstem
- Converge to form two roots that exit jugular foramen
- Displays 2 ganglia (superior/jugular and inferior/nodose) located within jugular fossa of petrous temporal bone
- Receive fibers from CN XI (accessory)
- Lies between internal jug and internal carotid, descends vertically within carotid sheath
- From root of neck takes a different path on each side to reach cardiac, pulmonary, and esophageal plexi
- From esophageal plexus, R and L gastric nerves arise to supply abdominal viscera as far as splenic flexure
10
Q
Accessory Nerve Component Fibers
A
- Branchial Motor - SCM and Trapezius
11
Q
Accessory Nerve Course
A
- Emerges from lateral white matter of spinal cord
- Forms trunk that extends cranially and laterally passing from the spinal canal into the foramen magnum to enter posterior fossa
- Fiber join with vagus and then separate from them within jugular foramen
- Emerges from skull through jugular foramen, descends obliquely
- Distributes to SCM and trapezius
12
Q
Hypoglossal Nerve Component Fibers
A
- Somatic Motor - all intrinsic muscles and all but one extrinsic muscle of the tongue
13
Q
Hypoglossal Nerve Course
A
- Emerge from brainstem
- Converge to form XII (hypoglossal) and exit through hypglossal canal
- Lies medial to IX, X, and XI
- Descends and passes laterally to carotid bifurcation
- Loops anteriorly about the greater horn of the hyoid bone, runs on the lateral surface of the hyoglossus muscle, passing above the free posterior border of the mylohyoid
- Divides to supply muscles of the tongue
14
Q
Medial Wall of Orbit
A
Formed by:
- Frontal Process of Maxilla
- Lacrimal
- Orbital Plate of Ethmoid Bone
- Sphenoid Bones
Weakest Wall
15
Q
Lateral Wall of Orbit
A
Formed:
- Anteriorly by Frontal Process of Zygomatic Bone
- Posteriorly by Greater Wing of Sphenoid