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Anatomy

The Lateral Wall of the Orbit

  • This wall is thick, particularly its posterior part, which separates the orbit from the middle cranial fossa.
  • The lateral wall is formed by the frontal process of the zygomatic bone and the greater wing of the sphenoid bone.
  • Anteriorly, the lateral wall lies between the orbit and the temporal fossa.
  • The lateral wall is partially separated from the roof by the superior orbital fissure.

The Temporalis Muscle

  • This is an extensive fan-shaped muscle that covers the temporal region.
  • It is a powerful masticatory muscle that can easily be seen and felt during closure of the mandible.
  • Origin: floor of temporal fossa and deep surface of temporal fascia.
  • Insertion: tip and medial surface of coronoid process and anterior border of ramus of mandible.
  • Innervation: deep temporal branches of mandibular nerve (CN V3).
  • The temporalis elevates the mandible, closing the jaws; and its posterior fibres retrude the mandible after protrusion.

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.

Mesodermal Origin

Muscles

Innervation

Somitomeres 1, 2

Superior, medial and ventral recti

Oculomotor (III)

Somitomere 3

Superior oblique

Trochlear (IV)

Somitomere 4

Jaw-closing muscles

Trigeminal (V)

Somitomere 5

Lateral rectus

Abducens (VI)

Somitomere 6

Jaw-opening and other 2nd arch muscles

Facial (VII)

Somitomere 7

Stylopharyngeus

Glossopharyngeal (IX)

Somites 1, 2

Intrinsic laryngeals

Vagus (X)

Somites 2-5

Tongue muscles

Hypoglossal (XII)

3 basic functions
o    protection of respiratory tract during swallowing food/air pathways cross.
    epiglottis provides protection
o    control intra-thoracic pressure (in coughing) -    close off airway to build pressure then rapidly open to release stuff
o    production of sound (in speaking, singing, laughing)

Important structures

o    hyoid bone
o    thyroid cartilage
o    arytenoids cartilage: vocal and muscle process
    sits on slope on posterior side of cricoid - spin and slide
o    cricoid cartilage: signet ring
o    thyroepiglottic ligament

Membranes and ligaments

o    membrane: general; ligament: thickening of membrane
o    folds: free edges of membranes or ligaments
o    names: tell you where located

Important membranes:
    quandrangular/vestibular membrane—from epiglottis to arytenoids
•    inferior edge: false vocal fold
    thyrohyoid membrane
    conus elasticus = cricothyroid = cricovocal
•    superior/medial edge = vocal fold
•    vocal ligaments: true folds, top of cricothyroid membrane

Skeletal Muscle:  1-40 cm long fibres, 10- 60 µm thick, according to myoglobin content there are:

Red fibres: lots of myoglobin, many mitochondriam slow twitching - tire slowly

White fibres:  less myoglobin,  less mitochondria, fast twitching - tire quickly

Intermediate fibres:

mixture of 2 above

Most muscles have all three - in varying ratios

Structure of skeletal muscle:

Light Microscopy:  Many nuclei - 35/mm,  Nuclei are oval - situated peripheral,  Dark and light bands

Electron Microscopy: Two types of myofilaments

Actin

- 5,6 nm

 3 components:

 -actin monomers,  

 -tropomyosin - 7 actin molecules long

- troponin

 actin monomers form 2 threats that spiral

- tropomyosin - lie in the groove of the spiral

- troponin - attach every 40 nm

- one end attach to the Z line

- other end goes to the middle of the sarcomere

- Z line consists of á actinin

Myosin:

- 15 nm

- 1,6 µm long

- The molecule has a head and a tail

- tails are parallel

- heads project in a spiral

- in the middle is a thickening

- thin threats bind the myosin at thickening (M line)

Contraction:

A - band stays the same, I - band, H - bands become narrower

Myosin heads ratchet on the actin molecule

Sarcolemma: 9 nm thick,  invaginate to form T-tubule,

 myofibrils - attach to the sarcolemma

Sarcoplasmic Reticulum:

specialized smooth EPR,  Consists of T-tubules, terminal sisternae and sarcotubules

It is speculated that there are gap junctions between the T-tubule and terminal sisterna

An impulse is carried into the fiber by the T-tubule from where it goes to the rest of the sarcoplasmic reticulum

Connective tissue coverings of the muscle

Endomycium around fibres, perimycium around bundles and epimycium around the whole muscle

Blood vessels and nerves in CT

CT goes over into tendon or aponeurosis which attaches to the periosteum

Nerves:

The axon of a motor neuron branches and ends in motor end plates on the fiber

Specialized striated fibres called spindles (stretch receptors) form sensory receptors in muscles telling the brain how far the muscle has stretched

The Ear

  • The ear contains the vestibulocochlear organ and consists of three main parts: external, middle, and internal.
  • It has two functions, balance and hearing.
  • The tympanic membrane (eardrum) separates the external ear from the middle ear.
  • The auditory tube joins the middle ear or tympanic cavity to the nasopharynx.

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