NEET MDS Lessons
Anatomy
Internal Muscles of the Pharynx
- The internal, chiefly longitudinal muscular layer, consists of 3 muscles: stylopharyngeus, palatopharyngeus, and salpingopharyngeus.
- They all elevate the larynx and pharynx during swallowing and speaking.
The Stylopharyngeus Muscle
- This is a long, thin, conical muscles that descends inferiorly between the external and internal carotid arteries.
- It enters the wall of the pharynx between the superior and middle constrictor muscles.
- Origin: styloid process of temporal bone.
- Insertion: posterior and superior borders of thyroid cartilage with palatopharyngeus muscle.
- Innervation: glossopharyngeal nerve (CN IX).
- It elevates the pharynx and larynx and expands the sides of the pharynx, thereby aiding in pulling the pharyngeal wall over a bolus of food.
The Palatopharyngeus Muscle
- This is a thin muscle and the overlying mucosa form the palatopharyngeal arch.
The Salpingopharyngeus Muscle
- This is a slender muscle that descends in the lateral wall of the pharynx.
- The over lying mucous membrane forms the salpingopharyngeal fold.
- Origin: cartilaginous part of the auditory tube.
- Insertion: blends with palatopharyngeus muscle.
- Innervation: through the pharyngeal plexus.
- It elevates the pharynx and larynx and opens the pharyngeal orifice of the auditory tube during swallowing.
Intrinsic muscles
all innervated by recurrent laryngeal nerve except cricothyroid: external laryngeal nerve
adductors of vocal folds: bring folds together at midline
Transverse and oblique arytenoids: pull arytenoids together
Lateral cricoartenoids: spin and slide arytenoids up
only one abductor of vocal folds
Posterior cricoarytenoids—down and up
adjustors of shape and tension of vocal folds
Cricothyroid muscle
o superficial to lateral cricoarytenoid
o tenses vocal folds by tilting thyroid cartilage forward and sliding forward
Thyroartenoid and vocalis muscles
o vocalis: sometimes treated as medial most fibers of thyroartenoid muscle
o different fiber directions
lateral: adduct
medial: change shape of folds
control voice by bring bringing together different parts of folds
o as move from epithelium to vocalis muscle, fold becomes stiffer
o near connections, vocal folds are stiffer
o vocal fold: complex, multilayered vibrator
- U-shaped bone
- Body
- Greater horn
- Lesser horn
- Suspended by ligaments from the styloid process
Muscles Around the Eyelids
- The function of the eyelid (L. palpebrae) is to protect the eye from injury and excessive light. It also keeps the cornea moist.
The Orbicularis Oculi Muscle
- This is the sphincter muscle of the eye.
- Its fibres sweep in concentric circles around the orbital margin and eyelids.
- It narrows the eye and helps the flow of tears from the lacrimal sac.
- This muscle has 3 parts: (1) a thick orbital part for closing the eyes to protect then from light and dust; (2) a thin palpebral part for closing the eyelids lightly to keep the cornea from drying; and (3) a lacrimal part for drawing the eyelids and lacrimal punta medially.
- When all three parts of the orbicularis oculi contract, the eyes are firmly closed and the adjacent skin becomes wrinkled.
- The zygomatic branch of the facial nerve (CN VII) supplies it.
The Levator Palpebrae Superioris Muscle
- This muscle raises the upper eyelid to open the palpebral fissure.
- It is supplied by the oculomotor nerve (CN III).
Muscles Around the Nose
The Nasalis Muscle
- This muscle consists of a transverse (compressor naris) and alar (dilator naris) parts.
- It is supplied by the buccal branch of the facial nerve.
EPITHELIUMS
Epithelial Tissue Epithelial tissue covers surfaces, usually has a basement membrane, has little extracellular material, and has no blood vessels. A basement membrane attaches the epithelial cells to underlying tissues. Most epithelia have a free surface, which is not in contact with other cells. Epithelia are classified according to the number of cell layers and the shape of the cells.
- Epitheliums contain no blood vessels. There is normally an underlying layer of connective tissue
- Almost all epitheliums lie on a basement membrane.The basement membrane consists of a basal lamina and reticular lamina. The reticular lamina is connected to the basal lamina by anchoring fibrils. The reticular lamina may be absent in which case the basement membrane consist only of a basal lamina. The basal lamina consists of a - lamina densa in the middle (physical barrier) with a lamina lucida on both sides (+charge barrier),The basement membrane is absent in ependymal cells.The basement membrane is not continuous in sinusoidal capillaries.
- Epitheliums always line or cover something
- Epithelial cells lie close together with little intercellular space
- Epithelial cells are strongly connected to one another especially those epitheliums that are subjected to mechanical forces.
Functions of Epithelium:
→ Simple epithelium involved with diffusion, filtration, secretion, or absorption
→ Stratified epithelium protects from abrasion
→ Squamous cells function in diffusion or filtration
-> This bone forms much of the base and posterior aspect of the skull.
-> It has a large opening called the foramen magnum, through which the cranial cavity communicates with the vertebral canal.
-> It is also where the spinal cord becomes continuous with the medulla (oblongata) of the brain stem.
-> The occipital bone is saucer-shaped and can be divided into four parts: a squamous part (squama), a basilar part (basioccipital part), and two lateral parts (condylar parts).
-> These four parts develop separately around the foramen magnum and unite at about the age of 6 years to form one bone.
-> On the inferior surfaces of the lateral parts of the occipital bone are occipital condyles, where the skull articulates with C1 vertebra (the atlas) at the atlanto-occipital joints.
-> The internal aspect of the squamous part of the occipital bone is divided into four fossae: the superior two for the occipital poles of the cerebral hemispheres, and the inferior two, called cerebellar fossae, for the cerebellar hemispheres.