Download Anatomy nose bones external: nasal processes of frontal bones

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Transcript
Anatomy
nose
bones
external: nasal processes of frontal bones, nasal bones, frontal processes of
maxillae
internal: ethmoid, sphenoid, occipital, pterygoid, palatine, maxilla, conchae,
vomer
arteries
facial: lateral nasal branch and others
superior labial: septal and alar branches
ophthalmic: dorsal nasal and anterior and posterior ethmoidal branches
maxillary: nasal branch of infraorbital branch, sphenopalatine branch
innervation
special sensory
smell (I) through cribriform plate
sensory
external
V1 via anterior ethmoidal and external nasal branches of the
nasociliary nerve to bridge and tip
V2 via nasal branches of infraorbital nerve
internal
external nasal and infraorbital branches to vestibule
septum: V1 anterior ethmoidal branch anterosuperiorly, V2
nasopalatine branch from pterygopalatine ganglion
posteroinferiorly
lateral wall: V1 anterior ethmoidal, V2 anterior superior alveolar
branch, posterior and inferior nasal branches and greater
palatine nerves from pterygopalatine ganglion
motor: VII to muscles of facial expression
mouth
innervation
special sense
VII to palate via greater petrosal nerve
VII chorda tympani to lingual nerve supply anterior 2/3 of tongue
IX to posterior 1/3
sensory
V2 and V3 via infraorbital, superior alveolar, nasopalatine, greater and
lesser palatine, buccal, lingual, inferior alveolar and mental nerves
IX to posterior parts
motor
VII to muscles of facial expression
V3 to tensor veli palatini and muscles of mastication
IX, X and XI via pharyngeal plexus to palatoglossus
XII to tongue and floor of mouth
Head & Neck Anatomy
3.G.6.1
James Mitchell (December 24, 2003)
Larynx
Skeleton
Hyoid bone above, firmly attached by 3 thyrohyoid ligaments and thyrohyoid
membrane
Three unpaired midline cartilages
Thyroid cartilage
Two laminae, fused in midline
Superior border attached to hyoid
Posterior borders attached to stylopharyngeus and palatopharyngeus
External surface attached to sternothyroid, thyrohyoid and inferior
constrictor muscles
Inferior synovial joint with cricoid posteriorly and lateral and median
cricothyroid ligaments
Internally attached to stem of epiglottis, vocal and vestibular ligaments
and thyroarytenoid, thyroepiglottic and vocalis muscles
Cricoid cartilage
Complete ring of cartilage at level of C6
Attached to thyroid cartilage above
Inferior attachment to trachea
Posterior insertion of oesophageal muscle
Posterolateral origin of posterior cricoarytenoid muscle
Lateral and anterior origin of cricothyroid and inferior constrictor
Superior edge origin of lateral cricoarytenoid muscle and posteriorly
articulation with arytenoid cartilages
Epiglottis
Leaf-shaped elastic cartilage
Inserts into thyroid cartilage
Anterior attachment to hyoepiglottic ligament
Median and lateral glossoepiglottic folds attach to tongue
Lateral aryepiglottic folds
Three paired cartilages
Arytenoids
Tetrahedral cartilages
Anterior vocal process attaches to vocal ligament
Lateral muscular process attaches to posterior and lateral
cricoarytenoid muscles
Posterior surface attaches to transverse arytenoid muscle (to other
arytenoid)
Anterolateral attachment to vocalis and thyroarytenoid muscle
Rotates to open or close vocal cords
Cuneiforms
Corniculates
Contained in aryepiglottic folds
Muscles
Extrinsic
Move the larynx
Intrinsic
Sphincter muscles
Transverse and oblique arytenoid, and aryepiglottic muscles bring the
opening of the larynx closed
Muscles of vocal folds
Tensing of vocal cords by cricothyroid
Slackening of vocal folds by thyroarytenoid and vocalis muscles
Adduction of vocal folds by lateral cricoarytenoid and transverse
arytenoid muscles
Head & Neck Anatomy
3.G.6.2
James Mitchell (December 24, 2003)
Abduction of vocal cords by posterior cricoarytenoid muscles
All supplied by recurrent laryngeal nerve except cricothyroid (external
laryngeal nerve). Fibres from XI travelling in X.
Sensory innervation
X internal laryngeal nerve above vocal cords
X recurrent laryngeal nerve below vocal cords
Head & Neck Anatomy
3.G.6.3
James Mitchell (December 24, 2003)