-
Both the origin of the frontal belly of the epicranial muscle and the insertion of the occipital belly are at the?
epicranial aponeurosis
-
What are the muscles of mastication?innervated by?
- masseter
- temporalis
- medial pterygoid
- lateral pterygoid
- all are innervated by cranial nerve V(specifically mandibular division V3)
-
The origin of a muscle is considered to be?
least movable muscle end
-
Muscle pair divided by a medium septum?
transverse
-
Paired muscles that unite medially to form the floor of the mouth?
mylohyoid
-
Muscle group that serves to depress the hyoid bone?
infrahyoid muscles
-
Muscle that has two bellies, which gives it two origins?
- lateral pterygoid
- 2 origins:(2 heads)
- 1.superior head-inferior surface of the greater wing of sphenoid bone
- 2. inferior head-lateral side of lateral pterygoid plate of sphenoid bone
-
Most commonly used muscle when patient closes lips around the saliva ejector?
orbiculari oris(also for kissing & pouting)
-
Muscle group involved in both elevating hyoid bone and depressing the mandible?
Suprahyoid muscles
-
Infrahyoid muscles are innervated by what kind of nerves?
cervical
-
Which muscle can make patient's oral vestibule more shallow, therefore making dental work more difficult?
mentalis
-
Muscles of facial expression are innervated by?
facial nerve(VII)
-
Muscle groups that insert directly on the hyoid bone?
geniohyoid, stylohyoid, and omohoid muscles
-
Muscle used when patient grimaces?
risorius
-
Extrinsic muscles of the tongue?
- Named for origin & insertion, all move tongue
- Genioglossus-origin:genial tubercles, insert:base of tongue, action:(dual)protusion of tongue outside oral cavity & depression of tongue
- Styloglossus-origin:styloid process, insert:lateral side of tongue, action:retracts tongue posteriorly & speriorly
- Hyoglossus-origin:hyoid bone, insert:lat.side of tongue, action:depress tongue
- all innervated by cranial nerve XII (Hypoglossal)
-
Which muscle of facial expression compresses the cheeks during chewing, asisting the muscles of mastication?
buccinator
-
The superior pharyngeal constrictor muscle inserts where?
on the median pharyngeal raphe
-
Masseter muscle originates from?
the zygomatic arch
-
Muscle that forms anterior facial pillar in oral cavitiy?
palatoglossus
-
What happens when both sternocleidomastoid muscles are used?
head flexes at neck
-
3 muscles that assist in smiling?
- zygomatic major & minor
- levator anguli oris muscle
-
Which muscle is located just deep to the skin on the neck?
platysma
-
Which muscle when contracted cause a frown(2)?
- depressor anguli oris muscle
- corrugator supercilii
-
Intrinsic muscles of the tongue?
- Named for orientation, all shape tongue:
- Superior and inferior longitudinal(extend length of tongue)-shorten & thicken tongue
- Transverse(horizontal, extend from side to side)- narrow tongue
- Vertical(extend superiorly to inferior)- flatten tongue
- all innervated by cranial nerve XII (Hypoglossal)
-
Muscles of the tongue are innervated by?
Cranial nerve XII
-
All muscles of the pharynx are known to be involved in?
- middle ear function
- speaking
- swallowing
-
The posterior belly of the digastric muscle is also condidered to be?
posterior suprahyoid muscle
-
What nerve innervates the temporalis muscle?
mandibular branch of the trigeminal nerve
-
Which muscles activity helps to prevent tongue from sinking back & obstructing respiration?
genioglossus
-
Basic movements performed by TMJ?
gliding and rotational movement
-
What landmark associated with the TMJ is located on mandible?
condyle
-
Muscle involved in lateral deviation of the mandible?
lateral pterygoid muscle
-
Protrusion is action of the mandible that primarily involves?
bringing lower jaw forward
-
The temporalis muscles assists the lower jaw in what movements?
mandibular elevation and retraction
-
Which ligament associated with TMJ has the inferior alveolar nerve decend nearby to gain access to mandibular foramen?
sphenomandibular ligament (from sphenoid bone to lingula of mandible)- is peirced during alvelor nerve block & resists excessive movements in protrusion & lateral excursions
-
Which ligament associated with the TMJ reinforces the joint capsule?
- temporomandibular(joint)ligament (from zygomatic process of temporal bone, to the head of the condyle) - resists excessive retraction/retrusion of mandible posteriorly
-
Area of the mandible that articulates with the temporal bone at the TMJ?
condyle
-
Facts about TMJ disc?
- articular disc or meniscus
- in between head of condyle & mandibular fossa
- divides TMJ into upper and lower synovial cavity
- membranes lining these cavities secrete synovial fluid that lubricate joint
- as person ages perforations can happen
-
During both mandibular protrusion and retraction, the rotation of articulating surface of the mandible against the disc in lower synovial cavity is prevented by the?
muscles of mastication
-
List in order most anterior structure to most posterior structure in TMJ?
articular eminance, articular fossa, postglenoid process
-
At what position does a displaced disc of TMJ usually lie?
anterior to usual position
-
The joint capsule of the TMJ wraps around which structure?
mandibular condyle
-
What happens during subluxation of TMJ?
- head of condyle moves too far anteriorly on the articular eminance
- usually caused by opening too wide causing maxillary depression and protrusion of the mandible
- dislocation of both joints of TMJ
- must relax muscle & guide head of condyle over articular eminance & back n2 glenoid process
-
3 landmarks located on the TMJ?
- articular eminance
- articular/mandibular/glenoid fossa
- postglenoid process(located posterior to articular fossa)
-
Nerve that innervates TMJ?
trigeminal nerve
-
Posterior superior alveolar artery and its branches supply the?
maxillary posterior teeth and periodontium
-
The pterygoid plexus drains the?
maxillary & mandibular dental tissue
-
What vein results from the mergimg of the superficial temporal and maxillary vein?
retromandibular
-
What artery arises from the inferior alveolar artery before the artery enters the mandibular canal?
mylohyoid artery
-
Middle meningeal artery's transmitting foramen pair match? (which foramen)
foramen spinosum(idk if these will be on there I just put all the chapter questions!!)
-
Which arteries supply the mucous membranes and glands of the hard and soft palates?
greater & lesser palatine arteries
-
Vascular lesion that is result when a clot on the inner blood vessel wall becomes dislodged & travels in the vessel?
embolus
-
Which artery enters the pterygopalatine fossa & forms terminal branches?
maxillary artery
-
Blood filled space between two layers of tissue within the vascular system is?
venous sinus
-
5 facial artery branches & what they supply?
- ascending palatine artery-supplies soft palate, palatine muscles, palatine tonsils
- submental artery-supplies submandibular gland, submandibular lymphnodes, mylohyoid muscle and digastric muscle
- inferior and superior labial arteries-supply upper and lower lips
- angular artery-(terminal branch of facial artery)supplies side of nose & medial canthus
-
What are smaller vessels that branch off an arteriole to supply blood directly to tissue?
capillary
-
The carotid pulse can be palpated by emergency personnel at the level of the?
thyroid cartilage
-
The tongue is supplied mainly by a branch of from the?
external carotid artery
-
Artery that is sometimes visible under the skin of the temporal region on a patient?
superficial temporal
-
What artery anastomoses with the anterior superior alveolar artery?
posterior superior alveolar artery
-
Vascular lesion that is a result of a small amount of blood escaping into the surrounding tissue and clotting?
hematoma
-
For the left side of the body, the common carotid & subclavian arteries arise directly from the?
aorta
-
What is the larger terminal branch of the external carotid artery?
- maxillary artery
- (the other terminal branch of external carotid artery is superficial temporal artey)
-
The brachiocephalic veins unite to form the?
superior vena cava
-
Structure contained within the carotid sheath?
internal jugular vein
-
Within the vascular system a large network of blood vessels is called a?
plexus
-
Travels to the heart and carries blood?
vein
-
In most cases what drains the capillaries of a tissue within vascular system?
venule
-
What is mostly absent in the vascular system of head and neck area that is unlike the rest of the body?
valves in the veins
-
What can cause narrowing & blockage of the arteries leading to pathologic changes?
fatty plaque
-
When a blood vessel is seriously damaged large amounts of blood can leak into surrounding tissues without clotting causing a?
hemorrhage
-
Which veins are an exceptional example of variability within vascular system?
lingual veins
-
Which artey is hidden by the sternocleidomastoid muscle?
internal carotid artery
-
Besides common carotid artery, what other major artery supplies the head and neck?
subclavian artery
-
Blood vessels communicate with one another by?
anastomoses
-
Just before the common carotid artery bifurcates into external and internal carotid artery it exhibits?
carotid sinus
-
Specific muscle that becomes enlarged with excessive bruxism?
masseter
-
Lateral deviation to one side involve both gliding and rotational movement of?
Contralateral TMJ
-
The insertion of a muscle is considered to be the?
most movable end
-
The duct of the parotid gland pierces what muscle as it treks into the oral cavity?
buccinator
-
Wrinkling of the skin of the neck is accomplished by the?
platysma muscle
-
If the left lateral pterygoid muscle contracted the action would be?
right lateral excursion
-
Widening of the mouth would be accomplished by what muscle?
risorius
-
A straight protrusion of the mandible would be accomplished by the?
right and left pterygoid muscles
-
2 muscles that make up mandibular sling?
-
5 branches of the facial nerve traverse thru which major salivary gland?
parotid
-
The masseter muscle inserts where?
into the angle of the mandible
-
If the horizontal fibers of the temporalis muscle contract the action would be?
retrusion of the mandible
-
Buccinator and Platysma muscles are innervated by?
facial nerve
-
Sternocleidomastoid and Trapezius muscles are innervated by?
Cranial nerve XI-(Spinal)Accessory nerve
-
Medial pterygoid muscle is innervated by?
mandibular branch of trigeminal nerve
-
The hard palate is supplied with blood from which arteries?
- greater palatine
- nasopalatine
-
The mandibular teeth are supplied with blood from the?
inferior alveolar artery
-
The basilar artery is formed by the anastomoses of the?
vertebral arteries
-
The maxillary molars are supplied with blood from the?
posterior superior alveolar artery
-
Which of the TMJ ligaments attaches to the lingula on the mandible?
stylomandibular ligament
-
The digastric muscle recieves nerve innervation from which nerves?
facial
-
What muscle plays a role in closing off communication between the nasopharynx & oropharynx?
pharyngeal constrictor muscles
-
The Circle of Willis insures blood supply to the?
tongue
-
2 cervical muscles?
- sternocleidomastoid
- trapezius
-
2 actions of the muscles of the uvula?
- play a role in swallowing
- closing off communication to the nasopharnx during swallowing
-
2 bones that articulate in the TMJ?
- temporal bone(specifically mandibular or glenoid fossa of temp. bone)
- mandible(head of condyle of mandible)
-
What nerve innervates and what artery supplies TMJ?
- innervated by: nerve V(trigeminal)
- supplied by: external carotid artery
-
Muscles of the pharynx?
- Stylopharngeus-origin:styloid process,insert:lateral & posterior wall of pharynx,action:raises pharynx,innervated:cranial nerve IX(glossopharyngeal)
- Constrictor muscles-superior group-origin:pterygoid hamulus,mandible,pterygomandibular raphe.middle group-origin:hyoid bone & stlohyoid ligament.inferior group-origin:thyroid cartilage & cricoid cartilage of larynx.insert:all overlap/insert into median pharyngeal raphe.action:raises pharynx & drives food inferiorly toward esophagus.innervated:pharyngeal plexus, from cranial nerve X(Vagus)
-
What are infrahyoid muscles(3) & their basic actions(2)?
- sternothyroid
- sternohyoid
- omohyoid
- named for where they originate&insert
- innervated by cranial nerves
- 2 basic actions:stabalize & depress hyoid bone
-
Suprahyoid Muscles(4)?
- Digastric(anterior & posterior bellies)
- Mylohyoid
- Stylohyoid
- Geniohyoid
-
Digastric muscle of suprahyoid (o/i/a/ni)?
- origin:posterior belly-mastoid notch(anterior to mastoid process).anterior belly-intermediate tendon of hyoid bone
- insert:posterior belly-into intermediate tendon. anterior belly-symphisis(where right&left portions of mandible fused together) of mandible
- action:(dual)when mandible is stationary-raising hyoid bone/when hyoid bone is stationary-depressing mandible
- nerve innervation:(dual)posterior belly-digastric nerve from VII(facial) anterior belly-branch off of mylohyoid nerve which branches from V3
-
Mylohyoid muscle of suprahyoid (o/i/a/ni)?
- origin:right&left myohyoid line on medial aspect of mandible
- insert:right&left fibers fuse together & form floor of mouth, also inserts n2 body of hyoid bone
- action:elevation of hyoid bone, elevation of tongue, depression of mandible
- nerve innervation:nerve to thr myloyoid from V3
-
Stylohyoid muscle of suprahyoid (o/i/a/ni)?
- origin:styloid process of temporal bone
- insert:body of hyoid bone
- action:raises hyoid bone during swallowing
- nerve innervation:stylohyoid nerve branch from VII
-
Geniohyoid muscle of suprahyoid (o/i/a/ni)?
- origin:genial tubercles of anterior medial aspect of mandible
- insert:body of hyoid bone
- action:raises hyoid bone,depresses mandible
- nerve innervation:C1 (first cervical nerve)
-
Masseter (o/i/a)?
- origin:(2 heads) superficial head- anterior 2/3 of lower border of zygomatic arch. deep head- posterior 1/3 & entire medial surface of zygomatic arch
- insert:superficial head-lateral surface of angle of mandible deep head-lateral surface of ramus superior to angle of mandible
- action:elevation of mandible, closing mouth
-
Temporalis (o/i/a)?
- origin:temporal fossa;superiorly boundary @ the inferior temporal line & infratemporal crest of the sphenoid bone
- insert:coronoid process of the mandible
- action:if entire muscle contracts-elevation of mandible/closing of mouth. if only posterior fibers contract-retrusion of the mandible
-
Medial Ptreygoid (o/i/a)?
- origin:medial side of lateral pterygoid plate of sphenoid bone
- insert:medial side of mandible @ the angle
- action:elevation of mandible;closing the mouth
-
Lateral Pterygoid (o/i/a)?
- origin:(2 heads) superior head-inferior surface of the greater wing of sphenoid bone inferior head-lateral side of lateral pterygoid plate of sphenoid bone
- insert:anterior aspect of the head of the condyle @ the pterygoid fovea
- action:one side contracts-lateral excursion of opposite side; both muscles contract @ same time-(straight) protrusion
-
Epicranial
- muscle of facial expression (VII)
- raises eyebrows
- wiggles hair
-
Orbicularis oculi
- muscle of facial expression (VII)
- closes eyelid;squinting
-
Corrugator supercilii
- muscle of facial expression(VII)
- draws eyebrow medially & inferiorly
-
Orbicularis oris
- muscle of facial expression (VII)
- 4 actions-pursing lips, tightening(thinning) of lips, rolling lips inward to teeth, thrusting lips outward(kissing/pouting)
-
Buccinator
- muscle of facial expression (VII)
- pulls angle of mouth laterally & shortens cheek
- pushes food back onto teeth for chewing
- expels air thru lips(imp. 4 playing instrument)
-
Risorius
- muscle of facial expression (VII)
- stretches lips laterally
- widens opening of oral cavity
- grimace
-
Levator labii superioris
- muscle of facial expression (VII)
- elevates upper lip
-
Levator labii superioris alagque nasi
- muscle of facial expression (VII)
- elevates upper lip & dilates nostrils
-
Zygomaticus major
- facial expression (VII)
- elevates upper lip in smile
-
Zygomaticus minor
- facial expression (VII)
- assists in elevating upper lip & smiling
-
Levator anguli oris
- facial expression (VII)
- assists in smiling
-
Depressor anguli oris
- Facial expression (VII)
- frowning
-
Depressor labii inferioris
- facial expression (VII)
- depresses lower lip; express irony
-
Mentalis
- facial expression(VII)
- raises chin/protrudes lower lip/narrows vestibule/can displace dentures/express doubt/associated with thinking & concentration
-
Platysma
- facial expression (VII)
- wrinkles skin of neck/pulls corners of mouth down-grimace
-
Nasalis
- facial expression (VII)
- compresses nostrils
-
Sternocleidomastoid muscle (o/i/a/ni)?
- origin:sternum, clavicle
- insert:mastoid process
- action:rotation of the head to right or left, if both(L&R) contract head flexes @ neck & extend @ the junction between the head & neck
- nerve innervation:cranial XI (spinal)accessory nerve
-
Trapezius (o/i/a/ni)?
- origin:occipital bone & posterior midline
- insert:clavicle & scapula
- action:shrug shoulders
- nerve innervation:cranial XI (spinal) accessory nerve
-
Muscles of soft palate(4)?
- palatoglossus
- palatopharyngeus
- levator veli palatini
- tensor veli palatine
-
Palatoglossus (o/i/a/ni)?
- origin:median palatine raphe
- insert:lateral surface of tongue
- action:elevates tongue/depress soft palate/closes communication of oral cavity from oropharynx
- nerve innervation:pharyngeal plexus from X (vagus)
- *muscle of palatoglossal fold(anterior faucial pillar)*
-
Palatopharyngeus (o/i/a/ni)?
- origin:soft palate
- insert:walls of laryngopharynx & thyroid cartilage
- action:moves soft palate post. & inf./moves pharynx sup. & ant. to close of communication with nasopharynx during swallowing
- nerve innervation:pharyngeal plexus from X (vagus)
- *muscle of palatopharyngeal fold(posterior faucial pillar)
-
Levator veli palatini (o/i/a/ni)?
- origin:temporal bone(inferior surface)
- insert:median palatine raphe
- action:elevates soft palate closing communication with nasopharynx during speech &b swallowing
- nerve innervation:pharyngeal pluxus from X (vagus)
-
Tensor veli palatini (o/i/a/ni)?
- origin:auditory tube & sphenoid bone
- insert:passes between medial pterygoid muscle and plate, forming tendon that wraps around the pterygoid hamulus forming a pulley that tenses/flattens soft palate insert n2 median palatine raphe
- action:tenses & lowers soft palate; also allows air flow from between pharynx & middle ear cavity
- nerve innervation:from V3,mandibular division of V(trigeminal)
-
What is TMJ capsule; where does it attach on mandible & temporal bone?
fibrous tissue attches on the articular eminance, postglenoid process, and completely surrounds joint. attches to the neck of the condyle on mandible
-
Explain blood flow thru heart>lungs>aortic arch
- Deoxygenated blood returns to heart n2 right atrium
- from right atrium to right ventricle
- blood flows to lungs via pulmonary artery
- lungs oxygenate blood
- leaves lungs via pulmonary vein to left atrium
- from left atrium to left ventricle out thru aorta
- aorta bends & turns backward (bend=aortic arch)
-
Differences for R and L sides for blood supply to the head and neck?
- R side:brachiocephalic artery comes off aortic arch>branches n2 R common carotid artery & R subclavian artery(R vertebral artery comes off R subclavian artery)
- L side:L common carotid artery & L subclavian come directly off aortic arch(L vertebral artery comes off L subclavian like R side)
-
4 blood vessels that supply brain and how they enter?
- *common carotid artery branches n2 internal & external carotid arteries*
- Brain supplied with blood from: R & L internal carotid arteries(enter thru carotid canal) and R & L vertebral arteries(enetr thru foramen magnum)
-
Explain flow of blood in brain and circle of willis?
- 2 veretbral arteries join to form basilar artery
- 2 posterior communicating arteries connect to 2 internal carotid arteries
- 2 anterior communicating arteries connect to 2 internal carotid arteries
- *these altogether form Circle of willis which-ensure blood to brain should any of 4 major arteries get blocked
-
External carotid artery: anterior branches(3), medial branch(1), posterior branches(2), terminal branches(2)?
- anterior branches:superior thyroid, facial, lingual
- medial branch:ascending pharyngeal artery
- posterior:posterior auricular, occipital
- terminal branches:maxillary(dental), superficial temporal
-
What do the superior thyroid and lingual arteries supply?
- superior thyroid-thyroid gland, sternocleidomastoid, larynx, & infrahyoid muscles
- lingual-tongue, suprahyoid muscles, floor of mouth
-
Branches of facial artery(including terminal branch) & what they supply?
- ascending palatine artery> soft palate, palatine muscles & tonsils
- submental artery> submandibular gland & lymphnodes, mylohyoid and digastric muscles
- inferior & superior labial arteries>lower & upper lips
- angular artery(terminal branch)>side of nose & medial canthus
-
What does ascending pharyngeal artery supply?
pharyngeal walls, anastomoses with the ascending palatine artery to help supply soft palate
-
What are the 2 posterior external carotid artery branches & what areas do they supply?
- posterior aurical artey>internal ear & mastoid air cells (in mastoid process)
- occipital artery>sternocleidomastoid muscle & back of head
-
What are branches of superficial temporal artery & what do they supply?
- transverse facial>parotid gland
- middle temporal artery>temporalis muscle
- frontal & parietal branches>scalp in those areas
-
What forms the common facial vein and where does it drain?
- facial vein and retromandibular vein join to form common facial vein
- empties n2 internal jugular vein
-
List 2 conglomerations of veins in head & their clinical significance?
- cavernous venous sinus & pterygoid venous plexus
- spread of infection(infection in h&n can spread 2 cav.ven.plexus-brain infection is difficult 2 treat can b fatal)
- local anesthesia(injection directly n2 cav.ven sinus can lead to coma or brain damage)
-
Cavernous venous plexus
- important conglomeration of vein in head & neck
- located on both sides of body of sphenoid bone n brain
- connecting veins connect R & L cavernous venous sinuses
- sinus also connects with opthamolic veins & pterygoid venous plexus
-
Pterygoid venous plexus
- important conglomeration of vein in head & neck
- recieves blood from:facial vein, posterior superior alveolar vein(drains all maxillary teeth)
- connects with cavernous venous sinus
- maxillary vein comes off plexus recieving blood from inferior alveolar vein(drains mandibular teeth)
-
Large veins that get blood back to heart?
- subclavian vein & internal jugular vein join to form brachiocephalic vein
- R & L brachiocephalic vein join to form superior vena cava
- superior vena cava empties n2 R atrium
-
Explain blood drainage of the face?
drainage from the face follows facial vein, picking up blood from superior & inferior labial veins, & submental vein
-
What is the terminal branch of the maxillary artery and what does it supply?
- sphenopalatine artery>supplies nasal cavity
- *nasopalatine artery branches off sphenopalatine artery, goes thru nasopalatine(incisive)foramen>supplies blood to hard palate, incisors, & canine area
-
Explain drainage of blood in the brain?
- brain blood drains via sinuses
- superior&inferior sagittal sinus(& others) drain to confluence of sinuses(located @ occipital protuberance)
- >from conf.of sinuses blood drians horizontally n2 transverse sinus>n2 sigmoid sinus>exits brain thru jugular foramen as internal jugular vein
-
Explain blood drainage from side of head?
- superficial temporal vein drains parietal & temporal areas. superficial temporal vein & maxillary vein join to form retromandibular vein.
- retromandibular vein recieves blood from posterior auricular vein
- occipital vein drains back of head. connecting vein from retromandibular vein joins with occipital vein to form external jugular vein
- external jugular vein recieves blood from anterior jugular vein & empties n2 subclavian vein
-
Maxillary artery(dental artery) within temporal fossa
- middle meningeal artery>enters foramen spinosum-supplies menings of brain
- inferior alveolar artery>enters mandibular foramen-supplies lower teeth(mental artery>branches off @ mental foramen-supply chin;b4 inf. alveolar enters mand. foramen, mylohyoid artery>branches off-supplies floor of mouth & mylohyoid muscles)
- deep temporal artery>temporalis muscle
- pterygoid artery>pterygoid muscles
- masseteric aretry>masseter muscle
- buccal artery>buccinator & soft tissue of cheek
-
Just before maxillary artery enters pterygopalatine fossa..
- b4 max.artery enters pterygopalatine fossa--posterior superior alveolar branhes off>enters the posterior alveolar foramen on maxillary tuberosity-supplies posterior teeth(molars),facial gingiva,& max. sinus(sinus of Highmore)
- it anastomoses with middle superior alveolar artery
-
Maxillary sinus enters pterygopalatine fossa:
- Infraorbital artery>treks along floor of orbit>enters @ infraorbital canal>(in canal)sends off:middle superior alveolar artery-supply premolars>sends off anterior superior alveolar artery-supply incisors/canines.exits from infraorbital foramen-supply tissue under eyes
- Descending palatine artery>branches n2>greater palatine artery-supply hard palate in molar/premolar area & lesser palatine artery-supply soft palate
- *
fyi terminal branch next- sphenopaletine>nasoplalatine
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