Talk to us?

- NEETMDS- courses
NEET MDS Lessons
Anatomy

The Orbital Vessels

  • The orbital contents are supplied chiefly by the ophthalmic artery.
  • The infraorbital artery, the continuation of the maxillary, also contributes blood to this region.
  • Venous drainage is through the superior orbital fissure to enter the cavernous sinus.

The Ophthalmic Artery

  • This artery arises from the internal carotid artery as it emerges from the cavernous sinus.
  • It passes through the optic foramen within the dural sheath of the optic nerve and runs anteriorly, close to the superomedial wall of the orbit.

 

The Central Artery of the Retina

  • This is the one of the smallest but most important branches of the ophthalmic artery.
  • It arises inferior to the optic nerve until it approaches the eyeball.
  • It then pierces the optic nerve and runs within it to emerge through the optic disc.
  • The central artery of the retina spreads over the internal surface of the retina and supplies it.

 

The Ophthalmic Veins

The Superior Ophthalmic Vein

  • The superior ophthalmic vein anastomoses with the facial vein.
  • It has no valves and blood can flow in either direction.
  • It crosses superior to the optic nerve, passes through the superior orbital fissure and ends in the cavernous sinus.

The Inferior Ophthalmic Vein

  • This begins as a plexus on the floor of the orbit.
  • It communicates with the inferior orbital fissure with the pterygoid plexus, crosses inferior to the optic nerve, and ends in either the superior ophthalmic vein or the cavernous sinus.

Digastric Muscle

  • Origin:
    • Anterior Belly: Digastric fossa of the mandible.
    • Posterior Belly: Mastoid notch of the temporal bone.
  • Insertion: Intermediate tendon attached to the body of the hyoid bone.
  • Nerve Supply:
    • Anterior Belly: Nerve to mylohyoid (branch of the trigeminal nerve, CN V3).
    • Posterior Belly: Facial nerve (CN VII).
  • Arterial Supply:
    • Anterior Belly: Branch of the submental artery.
    • Posterior Belly: Muscular branch of the posterior auricular artery and occipital artery.
  • Action: Raises the hyoid bone and base of the tongue, steadies the hyoid bone, and opens the mouth by lowering the mandible.

The Inferior Wall of the Orbit

  • The thin inferior wall of the orbit or the floor is formed mainly by the orbital surface of the maxilla and partly by the zygomatic bone, and orbital process of the palatine bone.
  • The floor of the orbit forms the roof of the maxillary sinus.
  • The floor is partly separated from the lateral wall of the orbit by the inferior orbital fissure.

  • 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 Muscles of Facial Expression

  • These lie in the subcutaneous tissue and are attached to the skin of the face.
  • They enable us to move our skin and change our facial expression. They produce their effects by pulling on the skin but do not move the facial skeleton.
  • These muscles surround the facial orifices and act as sphincters and dilators.
  • All facial muscles receive their innervation from the branches of the facial nerve (CN VII)-temporal, zygomatic, buccal, marginal mandibular, cervical.

Cardiac Muscle

Fibres anastomose through cross bridges

Fibres are short, connected end to end at intercalated discs, also striated,  contract automatically

Light microscopic Structure:

Short fibres connected at intercalated disks,  85 - 100 µm long,  15 µm

same bands as in skeletal muscle,  1 or 2 nuclei - oval and central,  in perinuclear area is a sarcoplasmic reticulum, intercalated discs lie at the Z line

Electron microscopic structure:

 Between myofibrils lie the mitochondria,  2,5 µm long mitochondria,  dense cristae

and are as long as the sarcomere, fibres have more glycogen than skeletal muscle fibres

myofilaments, actin and myosin are the same as in skeletal muscle,  the sarcoplasmic reticulum differs in that there is no terminal sisterna. The sarcotubules end in little feet that

sit on the T-tubule

Intercalated Disc:

on Z lines,  fibres interdigitate,

 3 types of junctions in the disc

Transverse Part:

zonula adherens

desmosomes

Lateral Part:

Gap junctions (nexus) - for impulse transfer

Mechanism of Contraction:

slide - ratchet like in skeletal muscle, certain fibres are modified for conduction,  Impulses spread from cell to cell through gap junctions,  Purkinje cells are found in the AV bundle

they have less myofibrils,  lots of glycogen and intercalated discs

Connective tissue coverings:

Only endomycium in cardiac muscle,  Blood vessels, lymph vessels and nerves lie in the endomycium

 

Muscles Moving the Auditory Ossicles

The Tensor Tympani Muscle

  • This muscle is about 2 cm long.
  • Origin: superior surface of the cartilaginous part of the auditory tube, the greater wing of the sphenoid bone, and the petrous part of the temporal bone.
  • Insertion: handle of the malleus.
  • Innervation: mandibular nerve (CN V3) through the nerve to medial pterygoid.
  • The tensor tympani muscle pulls the handle of the malleus medially, tensing the tympanic membrane, and reducing the amplitude of its oscillations.
  • This tends to prevent damage to the internal ear when one is exposed to load sounds.

 

The Stapedius Muscle

  • This tiny muscle is in the pyramidal eminence or the pyramid.
  • Origin: pyramidal eminence on the posterior wall of the tympanic cavity. Its tendon enters the tympanic cavity by traversing a pinpoint foramen in the apex of the pyramid.
  • Insertion: neck of the stapes.
  • Innervation: nerve to the stapedius muscle, which arises from the facial nerve (CN VII).
  • The stapedius muscle pulls the stapes posteriorly and tilts its base in the fenestra vestibuli or oval window, thereby tightening the anular ligament and reducing the oscillatory range.
  • It also prevents excessive movement of the stapes.

Explore by Exams