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What are the contents of the occipital triangle (2)
- occipital artery
- accessory nerve
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what are the contents of the subclavian triangle (3)
- inferior part of the external jugular vein
- subclavian vein
- third part of subclavian artery
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contents of the submental triangle (2)
- submental lymph nodes
- anterior jugular vein
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contents of the digastric (submandibular triangle) (5)--right below the inferior boarder of the mandible
- submandibular gland
- submandibular lymph nodes
- facial artery and vein
- hypoglossal vein
- mylohyoid nerve
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Contents of the carotid triangle (below digastric) (9)
- common carotid artery
- internal and external carotid arteries
- internal jugular vein
- branches of the external jugular artery (superior thyroid,lingual, facial, ascending pharyngeal, occipital arteries)
- vagus nerve and laryngeal branches
- accessory nerve
- hypoglossal nerve
- ansa cervicalis
- deep cervical lymph nodes
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contents of the muscular triangle (6) (below the hyoid to the sternum)
- sternohyoid muscle
- sternothyroid muscle
- thyrohyoid muscle
- thyroid and parathyroid
- cricothyroid muscle
- larynx and trachea
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N: dorsal rami of the middle cervical spinal nerves
A: acting together (with the splenius cervicis muscles) draw head directly backward; acting separately they drive the head to the same side acting synergistically with the contralateral SCM
splenius capitus
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N: dorsal scapular nerve and ventral rami C3 and C4
A: elevates the scapula, tilts the glenoid cavity downward, helps retract the scapula
levator scapulae
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N: ventral rami of cervical nerves
A: elevates the second rib, laterally flexes and rotates the cervical part of the vertebral column (neck)
posterior scalene
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N: ventral rami of cervical nerves
A: elevates the first rib, laterally flexes and rotates the cervical part of the vertebral column (neck)
middle scalene
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N: ventral rami of the fourth, fifth and sixth cervical nerves
A: elevates the first rib, laterally flexes and rotates the cervical part of the vertebral column (neck)
anterior scalene
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N: mandibular division of the trigeminal nerve (_____ ___) and facial nerve (____ ____)
A: elevates the hyoid or depresses the mandible
digastric m
anterior belly; posterior belly
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N: ansa cervicalis
A: depresses or fixes the hyoid bone
omohyoid muscle
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N: ____ nerve from the inferior alveolar branch of the mandibular branch of CN V
A: raises the hyoid, floor of the mouth and the tongue during swallowing or depresses the mandible
Mylohyoid
mylohyoid muscle (forms the floor of the mouth
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N: C1 via the hypoglossal nerve
A: raises the hyoid or depresses the mandible
geniohyoid (deep to the mylohyoid)
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4 suprahyoid muscles
- mylohyoid
- digastric
- geniohyoid
- stylohyoid
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N: CN 7 (facial)
A: raises the hyoid and pulls it posteriorly
stylohyoid
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4 infrahyoid muscle
- sternohyoid
- omohyoid
- sternothyroid
- thyrohyoid
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N: ansa cervicalis
A: depresses the hyoid bone after elevation during swallowing
sternohyoid
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N: ansa cervicalis
A: draws the larynx (thyroid cartilage) and hyoid downward
Sternothyroid
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N: C1 via hypoglossal
A: depresses hyoid bone but when hyoid bone is fixed it raises the larynx (i.e. when high notes are sung)
thyrohyoid
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why is the mesencephalic nucleus unique?
The cells are unique and are the only primary sensory neurons (first order neurons) incorporated into the CNS rather than in a ganglion
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Where are the first order nerve fibers cell bodies that are involved in the following from the face and mucous membranes:
pain and temperature
crude touch
2 point discriminative touch
pressure
vibration
trigeminal ganglion
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Where are the first order nerve fibers cell bodies that are involved in the following:
proprioceptive impulses from the muscles innervated from the trigeminal nerve
muscles innervated by the facial nerve
extra-ocular muscles
tissues related to the upper and lower teeth
mesencephalic nucleus
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first order fibers associated with discriminative touch, pressure, vibration and proprioceptive sensations synapse where?
main (pontine) sensory nucleus
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first order fibers associated with pain and temperature and some crude touch synapse where?
pars caudalis portion of the spinal nucleus
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the spinal nucleus is the trigeminal equivalent of the
spinothalamic tract
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the main sensory nucleus is the trigeminal equivalent of the
dorsal column nuclei (nucleus gracillus and nucleus cuneatus)
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What CN synapse in the spinal nucleus and for what?
- CN V: pain and temperature
- CN 7, 9, 10: all general sensory
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what is the principle PATHWAY to the thalamus?
the crossed ventral trigeminothalamic tract
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what is the tract that uncrossed fibers take?
the dorsal trigeminothalamic tract
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where do the second order fibers synapse (third order neurons)
the ventral posteriomedial nucleus (VPM) in the thalamus
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the fibers from the pontine and spinal nucleus concerned with unconscious proprioception proceed to the ____ via the ____ ___ ____
cerebellum
superior cerebellar peduncle
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the superior cerebellar peduncle is the trigeminal equivalent of
the spinocerebellar tract
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where do the fibers from the motor nucleus go?
they join with the mandibular division which contains all motor fibers of the trigeminal nerve
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what are lower motor neurons for cranial nerves?
the neurons in the motor nucleus for that nerve (aka the final common pathway)
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lower part of the nucleus supplies the
lower portion of the face
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the upper portion of the nucleus supplies the
upper portion of the face
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the lower portion of the face receives corticonucelar fibers from the
contralateral cerebral hemisphere ONLY
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the upper portion of the face receives corticonuclear fibers from
BOTH cerebral hemispheres
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what is the source of the preganglonic PS fibers in the facial and glossopharnygeal nerves?
parasympathetic nucleus (salivary nucleus)
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what nerve supplies the:
mucous membrane of the maxillary sinus
upper molar teeth (EXCEPT MB root of the first maxillary molar)
buccal bone
gingival tissue
posterior superior alveolar nerve
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what nerve supplies the:
mucous membrane of the maxillary sinus
premolar teeth
MB root of the first maxillary molar
buccal bone
gingival tissue
middle superior alveolar nerve
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what nerve supplies the:
mucous membrane of the maxillary sinus
upper three anterior teeth
labial bone
labial gingival tissue
anterior superior alveolar nerve
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what nerve supplies the
nasal floor
inferior meatus
adjacent mucous membrane
anterior superior alveolar nerve
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cranial nerves with general sensory cell bodies
5, 7, 9 and 10
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cranial nerves with taste neuron cell bodies
7, 9, 10
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-
-
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CN derived from BA 4 and 6
10
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CN thought to be derived from BA beyond 6
11
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what is the only muscle innervated by CN IX
stylopharyngeus
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the lingual branch of CN IX is responsible for what two things in the posterior 1/3 of the tongue?
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the pharyngeal branch of CN X supplies all muscles of the pharynx except
Stylopharngeus
innervated by CN IX
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the pharyngeal branch of CN X innervates all muscles of the palate except which?
tensor of the palate (V3)
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what is the one muscle of the larynx the recurrent laryngeal nerve doesn't supply?
cricothyroid m
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cricothyroid m is supplied by the
external laryngeal nerve
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what supplies the palatoglossus muscle of the tongue?
vagus
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