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Anatomy

Superior Constrictor Muscle

  • Origin: Hamulus, pterygo-mandibular raphe, and mylohyoid line of the mandible.
  • Insertion: Median raphe of the pharynx.
  • Nerve Supply: Vagus nerve via the pharyngeal plexus.
  • Arterial Supply: Ascending pharyngeal artery, ascending palatine artery, tonsillar branch of the facial artery, and dorsal branch of the lingual artery.
  • Action: Constricts the wall of the pharynx during swallowing.

  • Skull 
    Cranium
    o    Superior portion formed by the frontal. parietal, and occipital bones
    o    Lateral portions formed by the temporal and sphenoid bones
    o    Cranial base formed by the temporal. sphenoid, and ethmoid bones
    o    Fontanels-soft spots in which ossification is incomplete at birth

    Frontal bone
    o    Forms the forehead
    o    Contains the frontal sinuses
    o    Forms the roof of the orbits
    o    Union with the parietal bones forms the coronal suture

    Parietal bones
    o    Union with the occipital bone forms the lambdoid suture
    o    Union with the temporal bone forms the squamous suture
    o    Union with the sphenoid bone forms the coronal suture

    Temporal bones
    o    Contains the external auditory meatus and middle and inner ear structures
    o    Squamous portion-above the meatus: zygomatic process-articulates with the zygoma
    o    to form the zygomatic arch 

    •    Petrous portion
    o    Contains organs of hearing and equilibrium 
    o    Prominent elevation on the floor of the cranium

    •    Mastoid portion
    o    Protuberance behind the ear

    o    Mastoid process
    •    Glenoid fossa-articulates with the condyle on the mandible
    •    Styloid process-anterior to the mastoid process; several neck muscles attach here
    •    Stylomastoid foramen-located between the styloid and mastoid processes; facial nerve emerges through this opening
    •    Jugular foramen-located between the petrous portion and the occipital bone: cranial nerves IX. X, and XI exit
     

 

  • Articulations

    Classified according to their structure, composition,and movability
    •    Fibrous joints-surfaces of bones almost in direct contact with limited movement
        o    Syndesmosis-two bones united by interosseous ligaments
        o    Sutures-serrated margins of bones united by a thin layer of fibrous tissue
        o    Gomphosis-insertion of a cone-shaped process into a socket

    •    Cartilaginous joints-no joint cavity and contiguous bones united by cartilage
        o    Synchondrosis-ends of two bones approximated by hyaline cartilage
        o    Symphyses-approximating bone surfaces connected by fibrocartilage

    •    Synovial joints-approximating bone surfaces covered with cartilage; may be separated by a disk; attached by ligaments 
        o    Hinge-permits motion in one plane only
        o    Pivot-permits rotary movement in which a ring rotates around a central axis
        o    Saddle-opposing surfaces are convexconcave. allowing great freedom of motion
        o    Ball and socket - capable of movement in an infinite number of axes; rounded head of one bone moves in a cuplike cavity of the approximating bone

    Bursae
    •    Sacs filled with synovial fluid that are present where tendons rub against bone or where skjn rubs across bone
    •    Some bursae communicate with a joint cavity 
    •    Prominent bursae found at the elbow. hip, and knee'

    Movements
    •    Gliding
        o    Simplest kind of motion in a joint
        o    Movement on a joint that does not involve any angular or rotary motions
    •    Flexion-decreases the angle formed by the union of two bones
    •    Extension-increases the angle formed by the union of two bones
    •    Abduction-occurs by moving part of the appendicular skeleton away from the median plane of the body
    •    Adduction-occurs by moving part of the appendicular skeleton toward the median plane of the body
    •    Circumduction
        o    Occurs in ball-and-socket joints
        o    Circumscribes the conic space of one bone by the other bone
    •    Rotation-turning on an axis without being displaced from that axis
     

The Medial Wall of the Orbit 

  • This wall is paper-thin and is formed by the orbital lamina or lamina papyracea of the ethmoid bone, along with contributions from the frontal, lacrimal, and sphenoid bones (L. papyraceus, "made of papyrus" or parchment paper).
  • There is a vertical lacrimal groove in the medial wall, which is formed anteriorly by the maxilla and posteriorly by the lacrimal bone.
  • It forms a fossa for the lacrimal sac and the adjacent part of the nasolacrimal duct.
  • Along the suture between the ethmoid and frontal bones are two small foramina; the anterior and posterior ethmoidal foramina.
  • These transmit nerves and vessels of the same name.

Nerves of the Palate

  • The sensory nerves of the palate, which are branches of the pterygopalatine ganglion, are the greater and lesser palatine nerves.
  • They accompany the arteries through the greater and lesser palatine foramina, respectively.
  • The greater palatine nerve supplies the gingivae, mucous membrane, and glands of the hard palate.
  • The lesser palatine nerve supplies the soft palate.
  • Another branch of the pterygopalatine ganglion, the nasopalatine nerve, emerges from the incisive foramen and supplies the mucous membrane of the anterior part of the hard palate.

-> 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.

 

  • Bones begin to form during the eighth week of embryomic life in the fibrous membranes (intramembranous ossification) and hyaline cartilage (endochondral ossification)

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