face Flashcards
(166 cards)
features of the parotid gland
salivary gland - serous acini only
CT capsule and dense fibrous capsule - becomes stylomandibular ligament
single duct below zygomatic arch
route of the parotid duct
pierces buccal fat pad and buccinator to enter oral cavity
oblique passage that is palpable when masseter is tense
opens at upper second molar
branches of the facial nerve (supply muscles of facial expression) (superior to inferior)
temporal zygomatic buccal marginal mandibular cervical posterior auricular
vessels passing behind the parotid gland (artery vein and nerve) (posterior to anterior) (9)
accessory nerve
vagus nerve
hypoglossal nerve
lingual nerve
internal carotid artery
external carotid artery
facial artery
external jugular vein *beside
internal jugular vein
vessels surrounding the parotid gland: piercing posteriorly piercing superiorly piercing anteriorly anterior and inferior
posterior auricular vessels
superficial temporal vessels and auriculotemporal nerve
transverse facial artery
facial vessels
branches of the external carotid artery that appear near the parotid gland
superficial temporal
maxillary
what vein is formed through the union of the superficial temporal and maxillary veins
retromandibular vein
what nerve divides the parotid gland into deep and superficial parts
facial nerve
where does the nerve supply of the parotid gland originate and pass
type of innervation
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
name muscles of mastication (4)
and origin of innervation
temporalis
masseter
lateral pterygoid
medial pterygoid
anterior division of mandibular division of trigeminal (CN V3)
*medial pterygoid - main trunk of mandibular division
attachment of temporalis
temporal fossa and fascia to coronoid process and anterior border ramps of mandible
action of temporalis
nerve branch
anterior and superior fibres elevate mandible
posterior fibres retract mandible
deep temporal nerves (x2)
attachment of masseter
zygomatic arch to lateral rams of mandible
masseter action
nerve branch
elevate mandible
masseteric nerve
attachment of lateral pterygoid:
upper head
lower head
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
action of lateral pterygoid
nerve branch
pull neck of mandible forward with articular disc - protrusion
lateral chewing movements with medial pterygoid
nerve to lateral pterygoid
attachment of medial pterygoid:
superficial head
deep head
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
action of medial pterygoid
nerve branch
assist in elevation
nerve to medial pterygoid
*straight from main trunk of mandibular division
movements of mandible/muscles of mastication (5)
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
branches of the mandibular division of trigeminal (CN V3) (superior to inferior)
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
what does the buccal nerve (from anterior division of CN V3)
skin of cheek and mucous membrane of mouth
what does auriculotemporal nerve supply (from posterior division of CN V3) (5)
scalp, auricle, tympanic membrane, TMJ, external auditory meatus
what does lingual nerve supply (from posterior division of CN V3)
mucous membrane floor of mouth and anterior 2/3 tongue
what does the inferior alveolar nerve supply (from posterior division of CN V3)
lower teeth and skin