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Anatomy

Sternum

o    Forms the medial part of the anterior chest wall
o    Manubrium (upper part)-clavicle and first rib articulate with the manubrium .
o    Body (middle blade)-second and tenth ribs articulate with the body via the costal cartilages
o    Xiphoid (blunt cartilaginous tip)

Ribs (12 pairs)

o    Each rib articulates with both the body and the transverse process of its corresponding
o    thoracic vertebra
o    The second to ninth ribs articulate with the body of the vertebra above'
o    Ribs curve outward, forward, and then downward
o    Anteriorly, each of the first seven ribs joins a costal cartilage that attaches to the sternum
o    Next three ribs (eighth to tenth) join the cartilage of the rib above
o    Eleventh and twelfth ribs do not attach to the sternum; are called "floating ribs"

 

The Masseter Muscle

  • This is a quadrangular muscle that covers the lateral aspect of the ramus and the coronoid process of the mandible.
  • Origin: inferior border and medial surface of zygomatic arch.
  • Insertion: lateral surface of ramus of mandible and its coronoid process.
  • Innervation: mandibular nerve via masseteric nerve that enters its deep surface.
  • It elevates and protrudes the mandible, closes the jaws and the deep fibres retrude it.

The Temporomandibular Joint

  • This articulation is a modified hinge type of synovial joint.
  • The articular surfaces are: (1) the head or condyle of the mandible inferiorly and (2) the articular tubercle and the mandibular fossa of the squamous part of the temporal bone.
  • An oval fibrocartilaginous articular disc divides the joint cavity into superior and inferior compartments. The disc is fused to the articular capsule surrounding the joint.
  • The articular disc is more firmly bound to the mandible than to the temporal bone.
  • Thus, when the head of the mandible slides anterior on the articular tubercle as the mouth is opened, the articular disc slides anteriorly against the posterior surface of the articular tubercle

The Temporalis Muscle

  • This is an extensive fan-shaped muscle that covers the temporal region.
  • It is a powerful masticatory muscle that can easily be seen and felt during closure of the mandible.
  • Origin: floor of temporal fossa and deep surface of temporal fascia.
  • Insertion: tip and medial surface of coronoid process and anterior border of ramus of mandible.
  • Innervation: deep temporal branches of mandibular nerve (CN V3).
  • The temporalis elevates the mandible, closing the jaws; and its posterior fibres retrude the mandible after protrusion.

  • This is the posterior curtain-like part, and has no bony support. It does, however, contain a membranous aponeurosis.
  • The soft palate, or velum palatinum (L. velum, veil), is a movable, fibromuscular fold that is attached to the posterior edge of the hard palate.
  • It extends posteroinferiorly to a curved free margin from which hangs a conical process, the uvula (L. uva, grape).
  • The soft palate separates the nasopharynx superiorly and the oropharynx inferiorly.
  • During swallowing the soft palate moves posteriorly against the wall of the pharynx, preventing the regurgitation of food into the nasal cavity.
  • Laterally, the soft palate is continuous with the wall of the pharynx and is joined to the tongue and pharynx by the palatoglossal and palatopharyngeal folds.
  • The soft palate is strengthened by the palatine aponeurosis, formed by the expanded tendon of the tensor veli palatini muscle.
  • This aponeurosis attaches to the posterior margin of the hard palate.

Muscles acting on the Temporomandibular Joint

  • Movements of the temporomandibular joint are chiefly from the action of the muscles of mastication.
  • The temporalis, masseter, and medial pterygoid muscles produce biting movements.
  • The lateral pterygoid muscles protrude the mandible with the help from the medial pterygoid muscles and retruded largely by the posterior fibres of the temporalis muscle.
  • Gravity is sufficient to depress the mandible, but if there is resistance, the lateral pterygoid, suprahyoid and infrahyoid, mylohyoid and anterior digastric muscles are activated.

 

Actions Muscles
Depression (Open mouth)
Lateral pterygoid
Suprahyoid
Infrahyoid
Elevation (Close mouth)
Temporalis
Masseter
Medial pterygoid
Protrusion (Protrude chin)
Masseter (superficial fibres)
Lateral pterygoid
Medial pterygoid
Retrusion (Retrude chin)
Temporalis
Masseter (deep fibres)
Side-to-side movements (grinding and chewing)
Temporalis on same side
Pterygoid muscles of opposite side
Masseter

The Salivary Glands

  • There are three large, paired salivary glands: the parotid, submandibular, and sublingual glands.
  • In addition to the main salivary glands, there are numerous small accessory salivary glands scattered over the palate, lips, cheeks, tonsils, and tongue.

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