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Anatomy - NEETMDS- courses
NEET MDS Lessons
Anatomy

The Meatus of the Nose

Sphenopalatine Recess

  • This space is posterosuperior to the superior concha.
  • The sphenoidal sinus opens into this recess.

Superior Meatus

  • This is a narrow passageway between the superior and middle nasal conchae.
  • The posterior ethmoidal sinuses open into it by one or more orifices.

Middle Meatus

  • This is longer and wider than the superior one.
  • The anterosuperior part of this meatus lead into a funnel-shaped opening, called the infundibulum, through which the frontonasal duct leads to the frontal sinus.
  • There is one duct for each frontal sinus and since there may be several, there may be several frontonasal ducts.
  • When the middle concha is removed, rounded elevation called the ethmoidal bulla (L. bubble), is visible
  • The middle ethmoidal air cells open on the surface of the ethmoidal bulla.
  • Inferior to this bulla is a semicircular groove called the hiatus semilunaris.
  • The frontal sinus opens into this hiatus anterosuperiorly.
  • Near the hiatus are the openings of the anterior ethmoid air cells.
  • The maxillary sinus also opens into the middle meatus.

Inferior Meatus

  • This is a horizontal passage, inferolateral to the inferior nasal concha.
  • The nasolacrimal duct opens into the anterior part of this meatus.
  • Usually, the orifice of this duct is wide and circular.

  •  Provides a rigid support system
  • Protects delicate structures (e. g., the protection provided by the bones of the vertebral column to the spinal cord)
  • Bones supply calcium to the blood; are involved In the formation of blood cells (hemopoiesis)
  • Bones serve as the basis of attachment of muscles; form levers in the joint areas, aIlowing movement

  • Long bones (e.g.. femur and humerus)
  • Short bones (e.g.. wrist and ankle bones)
  • Flat bones (e.g.. ribs)
  • Irregular bones (e.g.. vertebrae)

The Nose

  • The nose is the superior part of the respiratory tract and contains the peripheral organ of smell.
  • It is divided into right and left nasal cavities by the nasal septum.
  • The nasal cavity is divided into the olfactory area and the respiratory area.

Eye 

At week 4, two depressions are evident on each of the forebrain hemispheres.  As the anterior neural fold closes, the optic pits elongate to form the optic vesicles.  The optic vesicles remain connected to the forebrain by optic stalks. 
The invagination of the optic vesicles forms a bilayered optic cup.  The bilayered cup becomes the dual layered retina (neural and pigmented layer)
Surface ectoderm forms the lens placode, which invaginates with the optic cup.
The optic stalk is deficient ventrally to contain choroids fissure to allow blood vessels into the eye (hyaloid artery).  The artery feeds the growing lens, but will its distal portion will eventually degenerate such that the adult lens receives no hyaloid vasculature.
At the 7th week, the choroids fissure closes and walls fuse as the retinal nerve get bigger.
The anterior rim of the optic vesicles forms the retina and iris.  The iris is an outgrowth of the distal edge of the retina.
Optic vesicles induces/maintains the development of the lens vesicle, which forms the definitive lens.  Following separation of the lens vesicle from the surface ectoderm, the cornea develops in the anterior 1/5th of the eye.
The lens and retina are surrounded by mesenchyme which forms a tough connective tissue, the sclera, that is continuous with the dura mater around the optic nerve.  
Iridopupillary membrane forms to separate the anterior and posterior chambers of the eye.  The membrane breaks down to allow for the pupil
Mesenchyme surrounding the forming eye forms musculature (ciliary muscles and pupillary muscles – from somitomeres 1 and 2; innervated by CN III), supportive connective tissue elements and vasculature.


Eyelids

Formed by an outgrowth of ectoderm that is fused at its midline in the 2nd trimester, but later reopen.

Mylohyoid Muscle

  • Origin: Mylohyoid line of the mandible.
  • Insertion: Median raphe and body of the hyoid bone.
  • Nerve Supply: Nerve to mylohyoid (branch of the trigeminal nerve, CN V3).
  • Arterial Supply: Sublingual branch of the lingual artery and submental branch of the facial artery.
  • Action: Elevates the hyoid bone, base of the tongue, and floor of the mouth; depresses the mandible.

Intrinsic Muscles of the Tongue

The Superior Longitudinal Muscle of the Tongue

  • The muscle forms a thin layer deep to the mucous membrane on the dorsum of the tongue, running from its tip to its root.
  • It arises from the submucosal fibrous layer and the lingual septum and inserts mainly into the mucous membrane.
  • This muscle curls the tip and sides of the tongue superiorly, making the dorsum of the tongue concave.

 

The Inferior Longitudinal Muscle of the Tongue

  • This muscle consists of a narrow band close to the inferior surface of the tongue.
  • It extends from the tip to the root of the tongue.
  • Some of its fibres attach to the hyoid bone.
  • This muscle curls the tip of the tongue inferiorly, making the dorsum of the tongue convex.

 

The Transverse Muscle of the Tongue

  • This muscle lies deep to the superior longitudinal muscle.
  • It arises from the fibrous lingual septum and runs lateral to its right and left margins.
  • Its fibres are inserted into the submucosal fibrous tissue.
  • The transverse muscle narrows and increases the height of the tongue.

 

The Vertical Muscle of the Tongue

  • This muscle runs inferolaterally from the dorsum of the tongue.
  • It flattens and broadens the tongue.
  • Acting with the transverse muscle, it increases the length of the tongue.

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