face Flashcards

(166 cards)

1
Q

features of the parotid gland

A

salivary gland - serous acini only
CT capsule and dense fibrous capsule - becomes stylomandibular ligament
single duct below zygomatic arch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

route of the parotid duct

A

pierces buccal fat pad and buccinator to enter oral cavity
oblique passage that is palpable when masseter is tense
opens at upper second molar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

branches of the facial nerve (supply muscles of facial expression) (superior to inferior)

A
temporal
zygomatic
buccal
marginal mandibular 
cervical
posterior auricular
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

vessels passing behind the parotid gland (artery vein and nerve) (posterior to anterior) (9)

A

accessory nerve
vagus nerve
hypoglossal nerve
lingual nerve

internal carotid artery
external carotid artery
facial artery

external jugular vein *beside
internal jugular vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
vessels surrounding the parotid gland:
piercing posteriorly
piercing superiorly
piercing anteriorly
anterior and inferior
A

posterior auricular vessels
superficial temporal vessels and auriculotemporal nerve
transverse facial artery
facial vessels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

branches of the external carotid artery that appear near the parotid gland

A

superficial temporal

maxillary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what vein is formed through the union of the superficial temporal and maxillary veins

A

retromandibular vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what nerve divides the parotid gland into deep and superficial parts

A

facial nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

where does the nerve supply of the parotid gland originate and pass
type of innervation

A
glossopharyngeal nerve (CN IX)
through jugular foramen -> some to ear as tympanic branch -> middle ear as tympanic plexus -> leaves as lesser petrosal -> passes through foramen ovale to form otic ganglion -> merge with auriculotemporal 

parasympathetic secretomotor supply

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

name muscles of mastication (4)

and origin of innervation

A

temporalis
masseter
lateral pterygoid
medial pterygoid

anterior division of mandibular division of trigeminal (CN V3)
*medial pterygoid - main trunk of mandibular division

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

attachment of temporalis

A

temporal fossa and fascia to coronoid process and anterior border ramps of mandible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

action of temporalis

nerve branch

A

anterior and superior fibres elevate mandible
posterior fibres retract mandible

deep temporal nerves (x2)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

attachment of masseter

A

zygomatic arch to lateral rams of mandible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

masseter action

nerve branch

A

elevate mandible

masseteric nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

attachment of lateral pterygoid:
upper head
lower head

A

upper head - infra temporal surface of great wing of sphenoid to neck of mandible and articular disc
lower head - lateral pterygoid plate (lateral side) to neck of mandible and articular disc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

action of lateral pterygoid

nerve branch

A

pull neck of mandible forward with articular disc - protrusion
lateral chewing movements with medial pterygoid

nerve to lateral pterygoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

attachment of medial pterygoid:
superficial head
deep head

A

superficial head - tubercle of maxilla to medial surface of angle of mandible
deep head - medial surface of lateral pterygoid to medial surface of angle of mandible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

action of medial pterygoid

nerve branch

A

assist in elevation

nerve to medial pterygoid
*straight from main trunk of mandibular division

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

movements of mandible/muscles of mastication (5)

A

movements are of head of mandible and articular disc:
elevation - both backward and head rotates on undersurface of disc
depression - head rotates on under surface of disc - mandible forward
protrusion - both forward
retrusion - both backward into mandibular fossa
lateral chewing = protrusion + retrusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

branches of the mandibular division of trigeminal (CN V3) (superior to inferior)

A

sensory and motor

meningeal
through foramen ovale - medial pterygoid

anterior division
motor - masseteric nerve, nerve to lateral pterygoid, 2x deep temporal
sensory - buccal

posterior division:
sensory - auriculotemporal, lingual
motor+sensory - inferior alveolar, mylohyoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what does the buccal nerve (from anterior division of CN V3)

A

skin of cheek and mucous membrane of mouth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what does auriculotemporal nerve supply (from posterior division of CN V3) (5)

A

scalp, auricle, tympanic membrane, TMJ, external auditory meatus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what does lingual nerve supply (from posterior division of CN V3)

A

mucous membrane floor of mouth and anterior 2/3 tongue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what does the inferior alveolar nerve supply (from posterior division of CN V3)

A

lower teeth and skin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
what does the mylohyoid nerve supply (from posterior division of CN V3)
mylohyoid and anterior belly of digastric
26
what doe the CN V3 act as a carrier for
part of medial pterygoid passes through otic ganglion to give tensor veli palatini and tensor tympani auriculotemporal nerve carries postganglionic parasympathetic fibres (CN IX) from otic ganglion to parotid lingual nerve joined by chorda tympani (parasympathetic fibres from facial to submandibular ganglion and sublingual glands
27
what does chorda tympani take parasympathetic information from
taste fibres from anterior 2/3 tongue
28
branches of the external carotid artery (posterior to anterior around top of head)
``` occipital posterior auricular superficial temporal (terminal) maxillary (terminal) facial lingual superior thyroid ```
29
lymph nodes of the face (posterior to anterior - neck to chin)
``` deep cervical superficial cervical occipital parotid submandibular submental ```
30
``` boundaries of the infra temporal fossa anterior posterior superior medial lateral ```
``` anterior - posterior surface of maxilla posterior - styloid process superior - infra temporal surface of great wing of sphenoid medial - lateral pterygoid plate lateral - ramus of mandible ```
31
space behind the infra temporal fossa
pterygomaxillary fissure
32
content of the infra temporal fossa (7)
``` lateral and medial pterygoid mandibular division of the trigeminal and branches maxillary artery and branches pterygoid venous plexus chorda tympani otic ganglion ```
33
branches of the maxillary artery (posterior to anterior around the top of the head)
``` deep auricular and anterior tympanic middle meningeal deep temporal infraorbital posterior superior alveolar buccal inferior alveolar mylohyoid ```
34
what 3 parts can the meningeal branches be split into
mandibular pterygoid pterygopalatine
35
what are the pterygopalatine branches
``` posterior superior alveloar infraorbital anterior superior alveolar palatine pharyngeal sphenopalatine ```
36
what does the posterior superior alveolar branch supply
upper molar and premolar
37
what does the infraorbital branch supply
canal in floor of orbit, foramen
38
what does the anterior superior alveolar branch supply
upper incisor and canine
39
what surrounds the lateral pterygoid
pterygoid venous plexus
40
what does the pterygoid plexus communicate with
cavernous sinus and facial vein (drains areas maxillary artery supplies)
41
what is the pterygoid plexus drained by
maxillary vein (route for infection)
42
what nerves pass through the otic ganglion
lesser petrosal nerve (CN IX) postganglionic sympathetic fibres nerve to tensor tympani and tensor veli palatini (CN V3)
43
what type of joint is the temporomandibular joint
synovial joint
44
where is the temporomandibular joint between
head of mandible and mandibular fossa and the articular tubercle on squamous of temporal bone
45
what are the articular surfaces composed of
fibrocartilage (membranous ossification)
46
what surrounds the temporomandibular joint
fibrous capsule
47
what nerves supply the temporomandibular joint
auriculotemporal and massetric
48
what ligaments reinforce the temporomandibular joint
``` temporomandibular ligament (lateral) stylomandibular ligament (medial) sphenomandibular joint (medial) ```
49
what muscle attached to the articular disc and capsule of the temporomandibular joint
lateral pterygoid
50
what is the cavity of the temporomandibular disc divided by
fibrous articular disc
51
what is the purpose of the fibrous articular disc of the TMJ
increase congruity of articular surfaces
52
when the head of mandible and disc are together what is the action at the TMJ
elevation and depression (hinge)
53
what is against the articular disc of the TMJ during protrusion and retraction
mandibular fossa and articular process
54
what two movements are required at the TMJ to close the mouth
elevation and retraction pull condyle backwards
55
what movements are required at the TMJ to open the mouth
depression and protrusion lslide disc and condyle forward towards tubercle
56
what causes chewing at the TMJ
asynchronous gliding
57
features of the fascia of the face
superficial fascia and fat covers the whole face fascia of the scalp blends with the fascia of the neck posteriorly and temporalis laterally deep cervical fascia covers the parotid gland and masseter muscle
58
muscles of facial expression (13)
``` frontalis orbicularis oculi orbicularis oris platysma zygomaticus minor zygomaticus major buccinator depressor anguli oris depressor labii inferrioris levator labii superioris levator anguli superioris mentalis nasalis ```
59
what muscles of facial expression are innervated by the temporal branch of the facial nerve
frontalis | orbicularis oculi
60
what muscles of facial expression are innervated by the zygomatic branch of the facial nerve
orbicularis oculi
61
what muscles of facial expression are innervated by the buccal branch of the facial nerve
``` zygomaticus major zygomaticus minor levator labii superioris levator anguli oris buccinator orbicularis oris nasalis ```
62
what muscles of facial expression are innervated by the marginal mandibular branch of the facial nerve
depressor anguli oris depressor labii oris mentalis
63
what muscles of facial expression are innervated by the cervical branch of the facial nerve
platysma
64
what muscles of facial expression are innervated by the posterior auricular branch of the facial nerve
occipitalis stylohyoid posterior belly of digastric
65
arteries of the face
branches of external carotid artery: facial transverse facial superficial temporal branches of internal carotid: supraorbital supratrochlear
66
branches of the facial artery
submental superior and inferior labial lateral nasal
67
venous drainage of the face
``` supratrochlear supraorbital superficial temporal transverse facial facial ``` all drain into internal jugular
68
layers of the scalp
``` skin connective tissue aponeurosis loose areolar connective tissue periosteum ```
69
blood supply to scalp
internal carotid: supratrochlear supraorbital external carotid: superficial temporal posterior auricular occipital
70
what forms communications between superficial veins of the scalp and the dural venous sinus
emissary veins
71
what layer are the superficial veins of the scalp found in
connective tissue layer
72
nerve supply to the scalp and origin (7)
``` supratrochlear nerve (CN V1) supraorbital nerve (CN V1) zygomaticotemporal (CN V2) auriculotemporal (CN V3) lesser occipital (C2) greater occipital (C2) third occipital (C3) ```
73
Divisions of the trigeminal nerve (CN V)
CN V1 - opthalmic CN V2 - maxillary CN V3 - mandibular
74
branches of CN V1
frontal | nasociliary
75
branches of CN V2
infraorbital | superior alveolar
76
branches of CN V3
lingual inferior alveolar auriculotemporal
77
bones involved in forming the orbit
``` sphenoid - lesser and greater wing frontal zygoma ethmoid maxilla lacrimal ```
78
canals and ducts found in orbit
superior orbital fissure optic canal naso-lacrimal duct
79
content of the orbit
eyeball fat and CT extraocular muscles nerves and blood vessels
80
what are the tarsal plates
dense CT that supports eyelid and glands
81
ligaments of the eyeball
medial and lateral check ligaments attach to medial and lateral rectus muscles suspensory ligament attach to inferior oblique and medial, lateral and inferior rectus muscles
82
action of the suspensory ligaments
check ligaments restrict medial and lateral recti | suspensory ligaments support eyeball
83
composition of the eyeball
sclera and cornea - fibrous layer (outer coat) choroid, ciliary body and iris - vascular layer (middle coat) retina (inner coat)
84
properties of the retina
rods and cones optic disc - optic nerve head - blind spot fovea - maximum image resolution - just cones (macula lutea)
85
cycle of the aqueous humor
produced by ciliary body | drains into schlemm's canal at corneo-scleral junction
86
where is the aqueous humor located and its function
anterior to lens | maintains intra-ocular pressure
87
what is the vitreous humor, where is it found and what does it do
transparent jelly posterior to lens supports retina
88
intrinsic muscles of the eye, general role and innervation
dilator pupillae sphincter pupillae change the shape of the lens for accommodation oculomotor nerve
89
action of the dilator papillae muscle and type of innervation
radial muscle - increases the diameter of the pupil | sympathetic, carried on blood vessels
90
action of the sphincter pupillae muscle and type of innervation
constrictor muscle - decreases the diameter of pupil | parasympathetic
91
extraocular muscles of the eye (7)
``` levator palpebrae superioris superior rectus inferior rectus medial rectus lateral rectus superior oblique inferior oblique ```
92
attachment of extraocular muscles of eye
levator palpebrae superioris - orbital roof to upper eyelid recti - annular ring to sclera (anterior to equator) superior oblique - lesser wing of sphenoid to sclera (posterior to equator) inferior oblique - orbital floor to sclera (posterior to equator)
93
why do the axis of orbit and optical axis differ
allows eye to move in more than one direction
94
``` action an innervation of: levator palpebrae superioris superior rectus inferior rectus medial rectus lateral rectus superior oblique inferior oblique ```
raise upper eyelid - oculomotor (CN III) elevation, adduction, intorsion - oculomotor (CN III) depression, adduction, extorsion - oculomotor (CN III) adduction - oculomotor (CN III) abduction - abducent (CN VI) intorsion, depression, abduction - trochlear (CN IV) extorsion, elevation, abduction - oculomotor (CN III) RADSIN LR6SO4
95
what cranial nerves innervate the orbit
CN II CN III - inferior division forms a ciliary body that has both long ciliary and short ciliary nerve CN IV CN V1 - lacrimal, frontal and nasociliary stem of this CN VI
96
branches of the frontal nerve (from CN V1)
frontal divides into supraorbital and supratrochlear pass over the eye and exit through the supra orbital notch
97
blood supply to the orbit
``` internal carotid artery - ophthalmic - branches: lacrimal - zygomaticotemporal - zygomaticofacial long ciliary links lacrimal back to ophthalmic central artery of retina ethmoidal supratrochlear supraorbital ```
98
venous drainage of the orbit
facial vein: superior ophthalmic drains to cavernous sinus infraorbital drains to ptergoid plexus inferior ophthalmic between both drainage points facial vein continues as angular vein then supraorbital vein
99
what does the lacrimal apparatus of the orbit produce and what is it innervated by
tears | secretomotor fibres from facial (CN VII) carried in trigeminal (CN V1)
100
describe the components of the lacrimal apparatus
lacrimal gland - punctum (at tear ducts) - cannaliculi (channel from punctum) - lacrimal sac - drains to nasolacrimal duct - into inferior meatus
101
root of the facial (CN VII) nerve towards the orbit
joins greater petrosal nerve of pterygoid canal branches to lacrimal sympathetic fibres join as deep petrosal at nerve od pterygoid canal CN V1 forms pterygoppalatine ganglion which joins at level of nerve of pterygoid canal
102
what are the external muscles of the nose (outermost to innermost) and innervation
naris levator labii superioris alaeque nasi nasalis facial nerve (CN VII)
103
cartilage of the nose
``` minor alar cartilage septal cartilage major alar cartilage lateral process of septal cartilage superior margin of septal cartilage ```
104
blood supply to the medial and lateral walls of the nose and origin
anterior and posterior ethmoidal (ophthalmic artery) sphenopalatine and greater palatine (maxillary artery) septal branch of the superior labial and lateral nasal (facial artery)
105
nerve supply to the external nose
CN V1 - infratrochlear and external nasal branch of the anterior ethmoidal alae (nasal branches of the infraorbital)
106
bones forming the nose
nasal vomer perpendicular plate of ethmoid bone
107
bones of the nasal cavity (anterior and superior - posterior and inferior)
frontal nasal maxilla ``` ethmoid - cribriform plate - superior concha - middle concha inferior concha maxilla ``` palatine sphenoid
108
name of area at opening of nose
vestibule
109
area at back of nasal cavity
nasopharynx and auditory tube
110
area under nasal cavity
soft palate
111
spaces between the conchae and purpose
meatus | warm, filter, turbulence
112
the paranasal sinuses, innervation and their purpose
resonance and lighten skull frontal - supra-orbital (CN V1) sphenoidal - posterior ethmoidal (CN V1) ethmoidal (anterior, middle and posterior) - nasociliary (CN V1) maxillary - superior alveolar (CN V2)
113
where do the paranasal sinus drain out into
frontal, anterior and middle ethmoidal and maxillary - middle meatus - frontal follows ethmoidal infundibulum into semilunar hiatus.... - anterior and middle ethmoidal follow infundibulum and direct... - maxillary follows maxillary osmium into semilunar hiatus... posterior ethmoidal (form ethmoidal bulla - air cells) - superior meatus sphenoidal - sphenoethmoidal recess
114
blood supply to the nasal cavity
internal carotid: ophthalmic - posterior and anterior ethmoidal external carotid: maxillary - sphenopalatine and greater palatine descending palatine inside nose - kiesselbach's area *also contributions from facial
115
nerves of the nasal cavity
anterior ethmoidal (branch of nasociliary (CN VI) nerves from the olfactory bulb nasal branches of CN V2 posterior superior lateral nasal and inferior lateral nasal branches of the greater palatine nerve medial nasopalatine of CN V2
116
veins draining the nasal cavity
under nose: to facial vein behind frontal nasal sinus: vein in foramen caecum either side of olfactory bulb: to cavernous sinus under the sphenoid nasal sinus: to pterygoid plexus
117
foramen and canals of the nasal cavity
``` foramen caecum cribiform plate sphenopalatine foramina on lateral wall incisive canal naris ```
118
features of the oral cavity
``` frenulum hard palate soft palate palatoglossal arch uvula palatopharyngeal arch palatine tonsil ```
119
muscles forming boundaries around the oral cavity
anterior digastric below mylohyoid floor - mylohyoid - diaphragm in floor of the mouth geniohyoid attach to inferior geniotubercles genioglossus attach to superior geniotubercles lateral walls - buccinator
120
suprahyoid muscles contributing to oral cavity and collective job
elevate the hyoid bone stylohyoid (facial (CN VII) posterior belly of digastric (facial (CN VII) - depress mandible mylohyoid (mandibular division of the trigeminal CN V3) - and oral floor / depress mandible geniohyoid (C1 in hypoglossal)
121
salivary glands around the oral cavity
``` submandibular gland (CN VII) - duct towards frenulum and sits above the hypoglossus and mylohyoid sublingual gland (CN VII) (floor of mouth) parotid gland (CN IX) ```
122
root of lingual nerve
chorda tympani joins in lateral wall of mouth giving sensory fibres to submandibular gland and sublingual gland hypoglossal nerve and lingual artery run just below glossopharyngeal nerve passes behind hypoglossus
123
what do the intrinsic muscles of the tongue do and innervation
change shape of the tongue fibres in different orientations hypoglossal nerve (CN XII)
124
posterior to the tongue
epiglottis and vallecula
125
sections of the tongue and innervation
posterior 1/3 - lingual tonsils, separated from anterior 2/3 by sulcus terminals glossopharyngeal CN IX anterior 2/3 - circumvallate papilla, filiform papilla and fungiform papilla facial CN VII - taste trigeminal CN V3 - sensory
126
lymph drainage of the tongue
posterior tongue and middle tongue - deep cervical nodes lateral tongue - submandibular nodes tip of tongue - submental nodes
127
the extrinsic muscles of the tongue, innervation, role and blood supply
change position of tongue - speech palatoglossal - elevate tongue / move soft palate styloglossus - elevate and retract tongue hypoglussus - depress tongue genioglossus - depress tongue and protrude all hypoglossal CN XII except palatoglossus - vagus nerve CN X facial and lingual artery
128
features of the hard palate
incisive papilla and palatine rugae
129
sections of the hard palate and blood and nerve supply
nasopalatine - nasopalatine nerve through incisive foramen greater palatine - greater palatine nerve and artery through greater palatine foramen lesser palatine - lesser palatine nerve and artery through the lesser palatine foramen lingual and division of the ascending pharyngeal behind the lesser palatine blood supply are branches of the maxillary anterior the teeth: anterior 2/3 - labial and alveolar branches of the infraorbital nerve posterior - buccal sensory - CN V2
130
soft palate and surrounding muscles / structures and innervation
palatoglossus + tonsil joined to palatopharyngeus which joins soft palate tensor palate and levator palate extend from either side of the auditory tube (salpingopharyngeus extends between the two from the auditory tube) sensory - CN IX
131
nerves at the auditory tube
CN V2 ganglion + CN VII + sympathetics - branch to join pterygopalatine ganglion
132
venous drainage of the palate
inferior alveolar posterior superior alveolar anterior superior alveolar all drain into the pterygoid plexus which drains into the maxillary vein then internal jugular vein
133
nerve innervation to the palate
ganglion - CN V2 and CN V3 branches: CN V2: - posterior superior alveolar - infraorbital - superior alveolar plexus - middle superior alveolar - anterior alveolar CN V3: - inferior alveolar - incisive and mental
134
what is the external division of the ear composed of
auricle external auditory meatus external surface of the tympanic membrane
135
what is the middle division of the ear composed of
internal surface of the tympanic membrane tympanic cavity ossicles - malleus, incus and stapes pharyngotympanic tube
136
what is the internal division of the ear composed of
``` auditory apparatus vestibular apparatus internal auditory meatus wextibulococchlear nerve (CN III) oval window round window ```
137
relations surrounding the middle ear cavity (musculature bony and vessels)
``` tensor tympani mastoid antrum mastoid air cells internal carotid artery internal jugular vein facial nerve -> chorda tympani ```
138
what are the different parts of the auricle called, what is it composed of and where to does lymph drain
``` helix antihelix tragus antitragus pinna ``` elastic cartilage and muscles of facial expression (vestigial) lymph to parotid and cervical nodes
139
bloody supply and nerve innervation to the auricle
``` external carotid: - posterior auricular - anterior auricular - superficial temporal all form perforating branches ``` superior anterior 1/4 - auriculottemporal nerve (CN V3) middle 1/4 - CN IX and CN X remainder - CN VII pinna of ear - lesser occipital and great auricular nerve (from cervical plexus)
140
external auditory meatus composition, blood and nerve supply
lateral 1/3 - elastic cartilage, hair follicles, set and sebaceous glands medial 2/3 - bone lined by stratified squamous epithelium external carotid artery - auricular branches auricotemporal from CN V3 auricular branches form CN VII and CN X
141
structures surrounding the tympanic membrane and its composition
chorda tympani crosses inner surface malleus attached to inner surface stratified squamous epithelium and inner mucous membrane
142
nerve supply to outer and inner surface of the tympanic membrane
outer surface - auriculotemporal nerve (CN V3) and auricular branch of vagus (CN X) inner surface - tympanic branches of glossopharyngeal nerve (CN IX)
143
what type of joints present between the ossicles
plane synovial joints
144
what opening is posterior to the ossicles
adieus to mastoid antrum
145
nerves passing through the tympanic cavity
CN VII goes behind through the facial canal (prominence) | lesser petrosal enters and tympanic nerve and they form the tympanic plexus over the promontory (bulge of bone)
146
canals passing through the tympanic cavity
lateral semicircular and facial nerve canal
147
muscles within the tympanic cavity
tensor tympani | stapedius
148
attachments, nerve innervation and action of the tensor tympani
wall of auditory tube o handle of malleus CN V3 tense tympanic membrane
149
attachments, nerve innervation and action of the stapedius
pyramid of the ear to neck of the stapes CN VII pull footplate of the stapes laterally
150
sensory supply to the tympanic cavity
CN IX
151
blood supply to the tympanic cavity
tympanic branches of: posterior auricular ascending pharyngeal maxillary carticotympanic branch from internal carotid
152
root of the facial nerve through bone of tympanic cavity
enters through stylomastoid foramen (along with stylomastoid artery) - gives chorda tympani branch (which enters tympanic cavity through petrotympanic fissure) - forms geniculate ganglion - gives greater petrosal branch (which forms internal carotid plexus and exits through hiatus to be joined by deep petrosal branch and form nerve of pterygoid canal) - facial nerve exits through internal auditory meatus
153
root of the chorda tympani
branches off the facial nerve to cross the medial surface of the tympanic membrane and handle of meatus - runs alongside the anterior tympanic artery - lives tympanic cavity via petrotympanic fissure - joins the lingual nerve
154
type of innervation and what does the chorda tympani supply
parasympathetic sublingual and submandibular salivary glands taste for anterior 2/3 tongue
155
route and lining of the auditory tube
connects nasopharynx with tympanic cavity lateral (1.2cm) - bony canal lined mucosa medial (2.5cm) - cartilaginous and membranous tube
156
purpose of the auditory tube
closed but when tensor veli palatini contracts (swallow / yawn) lumen opens equalises pressure on both sides of tympanic membrane
157
innervation of the auditory tube
sensory - CN IX
158
content of the inner ear
semicircular canals utricle saccule cochlea - scali vestibuli, cochlear duct, scala tympani, helicatrima
159
what supplies the cochlear and vestibular apparatus
CN VIII (vestibulococchlear nerve) through internal auditory canal cochlear - cochlea (become modiolus) vestibular - vetibule
160
labyrinths of the inner ear: bony membranous
bony: cochlea vestibule semicircular canals membranous: continuous system of ducts and sacs in bony labyrinth
161
what surrounds the labyrinths of the ear and what do they contain
bony: surrounded by otic capsule (within petrous temporal bone) filled with perilymph membranous: suspended in perilymph contains endolymph perilymph and endolymph conduct sound vibration and respond to mechanical forces (movement and acceleration)
162
where are the semicircular canals found and what do the contain
posterior and lateral to the vestibule anterior, posterior and lateral duct ``` semicircular canals (continuous with utricle) swelling at end called ampullae ```
163
what does the ampulla contain
equilibrium receptors called crista ampullaris | respond to angular movements of the head
164
what are the 2 membranous sacs in the vestibule
utricle and saccule
165
what do the utricle and saccule contain
equilibrium receptors called maculae | respond to pull of gravity and changes in head position
166
blood supply and drainage to/from the internal ear
basilar artery - anteroinferior cerebellar artery - internal auditory artery - two branches; vestibular artery and common cochlear artery vein of cochlear aqueduct and vein of vestibular aqueduct drain to the internal auditory vein