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LCSCO6 Biosciences for SLT Head & Neck 1 Surface Anatomy & Bones Marianne Bos-Clark MSc BA(Hons) MRCSLT HPC [email protected] This session • • • • Surface anatomy head/neck Bones of the skull, inclu mandible Sinuses Cranial fossa Surface Head & Neck Anatomy Surface Head & Neck Anatomy Surface Head & Neck Anatomy Refs images this section: (http://www.daviddarling.info/encyclopedia/S/surface_anatomy.html) (http://www.bartleby.com/107/279.html) (http://anatomy.med.umich.edu.surface/head_neck) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Upper eyelid Lower eyelid Upper lid Lower lip Sub-mental region Hyoid region Sub-hyoid region Laryngeal region Thyroid region Supra-sternal region Lateral neck region Mandibular region Mastoid region Auricular region Surface H&N Anatomy Surface H&N Anatomy Surface H&N Anatomy: neck triangles Surface H&N Anatomy: neck triangles • • • • • • Posterior Anterior Muscular Submental Submandibular Carotid Surface H&N Anatomy: neck triangles Surface H&N Anatomy: facial landmarks Surface H&N Anatomy: anterior neck Surface H&N Anatomy: anterior neck • • • • Hyoid bone Thyroid cartilage Cricoid bone Thyroid gland Surface H&N Anatomy: lymph nodes Surface H&N Anatomy: sinuses Surface H&N Anatomy: sinuses • • • • Frontal Sphenoid Ethmoid Maxillary Surface H&N Anatomy: oral cavity Surface H&N Anatomy: teeth Surface H&N Anatomy: Eye Surface H&N Anatomy: Ear Spot Check Spot Check Spot Check Spot check Locate on each other: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Upper eyelid Lower eyelid Upper lid Lower lip Sub-mental region Hyoid region Sub-hyoid region Laryngeal region Thyroid region Supra-sternal region Lateral neck region Mandibular region Mastoid region Auricular region Surface anatomy Bones: Skull Cranium (8 bones): Single: frontal; occipital; sphenoid; ethmoid Paired: parietal; temporal Facial bones (14) Single: mandible; vomer Paired: inferior nasal conchae; nasal bones; lacrimal bones; zygomatic bones; palatine bones; maxillae (hyoid bone) Ear: 3 small bones Bones of the cranial skeleton • • • • • • Ethmoid bone Sphenoid bone Frontal bone Parietal bone Occipital bone Temporal bone H&N: Skull & bones Anterior view skull bones Lateral view skull bones Posterior view skull bones Inferior view of skull bones Lateral skull bones inclu. mandible Bones of the face Bones of the face: • Mandible • Maxillae • Nasal bone • Palatine bone and nasal conchae • Vomer • Zygomatic bone • Hyoid bone Mandible Mandible • Lower jaw and face • Initially a paired bone which fuses at midline by childs first birthday Landmarks • Symphysis mente or mental symphysis • Mental foramen • Corpus • Angle • Ramus • Condyar and coronoid processes • Alveolar arch Mandible 2 The mandible 3 Maxillae 1 Paired bones of upper jaw • Hard palate • Nose • Upper dental ridge Landmarks: • Fontal process • Infraorbital margin • Orbital process • Infraorbital foramen • Zygomatic process • Anterior nasal spine • Alveolar process maxillae 2 inferior aspect Landmarks: • Palatine process • Median palatine suture a.k.a. intermaxillary suture • Incisive foramen Maxillae 3 Maxillae 4 Maxillae Zygomatic process Orbital surface Bones of the face Bones of the face: • Mandible • Maxillae • Nasal bone • Palatine bone and nasal conchae • Vomer • Zygomatic bone • Hyoid bone Nasal bones and vomer Nasal bones and vomer Nasal bone Nasal bones 1 Small bones which make up the superior nasal surface Nasal bones 2 Vomer Articulates with the: • Perpendicular plate of ethmoid • Cartilaginous septum Forms the nasal septum Nasal bones and vomer Nasal bones and vomer Nasal bone Bones: nasal cavity TMJ TemporoMandibular Joint Zygomatic bone • Prominent structures: cheek bones Articulates with: • Maxillae • Frontal bone • Temporal bone Forms the cheek bone Zygomatic bone Lacrimal bone Small bones almost completely hidden in the intact skull • Articulate with: • maxillae • frontal bone • nasal bone Bones & Fossae Cranial Fossae ‘Fossae’= depressions Cranial fossae Bones: Palpation • • • • • • • • • • • • • External occipital protuberance (jctn skin neck/head) Superior nuchal line; median nuchal crest Mastoid process Zygomatic arch (front of ear) Parietal & frontal eminences Superciliary arches (frontal sinuses, F:small ) Glabella (triangular, smooth Nasion/frontonasal suture (depression root nose) Nasal bones vs cartilage Orbital margin Supraorbital notch (tubercule: lacrimal sac) Zygomatic bone Mandible (condyle; posterior border ramus; angle; symphysis; anterior border ramus; alveolar process) • Hyoid bone (http://www.bartleby.com/107/279.html) Spot check Point to: Mastoid process Maxilla Lacrimal bone Temporal bone Occipital bone TMJ Frontal sinus Tragus/Antitragus Laryngeal prominence Paranasal sinuses Sinuses • Paranasal sinuses Paired, bilateral , air-filled intra-bony cavities within maxillary, frontal, sphenoid, and ethmoid bones Paranasal Sinuses Paranasal Sinuses Air-filled spaces, communicating with nasal cavity within the bones of the skull and face Function: debated •Decrease skull weight •Increased vocal resonance •Protection •Insulation