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Anatomy

The Cheeks

  • The cheeks (L. buccae) form the lateral wall of the vestibule of the oral cavity.
  • They have essentially the same structure as the lips with which they are continuous.
  • The principal muscular component of the cheeks is the buccinator muscle.
  • Superficial to the fascia covering this muscle is the buccal fatpad that gives cheeks their rounded contour, especially in infants.
  • The lips and cheeks act as a functional unit (e.g. during sucking, blowing, eating, etc.).
  • They act as an oral sphincter in pushing food from the vestibule to the oral cavity proper.
  • The tongue and buccinator muscle keep the food between the molar teeth during chewing.

Sensory Nerves of the Cheeks

  • These are branches of the maxillary and mandibular nerves.
  • They supply the skin of the cheeks and the mucous membrane lining the cheeks.

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

The skull, the skeleton of the head, is the most complex bony structure in the body because it:

  1. Encloses the brain, which is irregular in shape;
  2. Houses the organs of special senses for seeing, hearing, tasting, and smelling; and
  3. Surrounds the openings in to the digestive and respiratory tracts.

 

  • In the anatomical position, the skull is oriented so that the inferior margin of the orbit (eye socket) and the superior margin of the external acoustic meatus (auditory canal) are horizontal. This is called the orbitomenial plane (Frankfort plane).
  • The term cranium (L. skull) is sometimes used when referring to the skull without the mandible (lower jaw), but the cranium is often used when referring to the part of the skull containing the brain.
  • The superior part is the box-like structure called the calvaria (cranial vault, brain case); the remainder of the cranium, including the maxilla (upper jaw), orbits (eyeball sockets) and nasal cavities, forms the facial skeleton.
  • The term skullcap (calotte) refers to the superior part of the calvaria, which is removed during autopsies and dissections. The inferior aspect of the cranium is called the cranial base.

The External Nose

  • Noses vary considerably in size and shape, mainly as a result of the differences in the nasal cartilages and the depth of the glabella.
  • The inferior surface of the nose is pierced by two apertures, called the anterior nares (L. nostrils).
  • These are separated from each other by the nasal septum (septum nasi).
  • Each naris is bounded laterally by an ala (L. wing), i.e., the side of the nose.
  • The posterior nares apertures or choanae open into the nasopharynx.

Innervation of the Pharynx

  • The motor and most of the sensory supply of the pharynx is derived from the pharyngeal plexus of nerves on the surface of the pharynx.
  • The plexus is formed by pharyngeal branches of the vagus (CN X) and glossopharyngeal (CN IX) nerves, and by sympathetic branches for the superior cervical ganglion.
  • The motor fibres in the pharyngeal plexus are derived from the cranial root of accessory nerve (CN XI), and are carried by the vagus nerve to all muscles of the pharynx and soft palate.
  • The exceptions are stylopharyngeus (supplied by CN IX) and the tensor veli palatini (supplied by CN V3).

The Pharynx

  • The pharynx is the continuation of the digestive system from the oral cavity.
  • It is a funnel-shaped fibromuscular tube that is the common route for both food and air.
  • The pharynx is located posterior to the nasal and oral cavities, and the larynx.
  • For the convenience of description, the pharynx is divided into three parts: (1) the nasopharynx, posterior to the nose and superior to the soft palate; (2) the oropharynx, posterior to the mouth; and (3) the laryngopharynx, posterior to the larynx.
  • The pharynx is about 15 cm long.
  • It extends from the base of the skull to the inferior border of the cricoid cartilage anteriorly, and to the inferior border of C6 vertebra posteriorly.
  • It is widest (about 5 cm) opposite the hyoid bone and narrowest (about 1.5) at its inferior end, where it is continuous with the oesophagus.
  • The posterior wall of the pharynx lies against the prevertebral fascia, with the potential retropharyngeal space between them.

  •  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

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