NEET MDS Lessons
Anatomy
Stylohyoid Muscle
- Origin: Posterior border of the styloid process of the temporal bone.
- Insertion: Body of the hyoid bone at the junction with the greater horn.
- Nerve Supply: Facial nerve (CN VII).
- Arterial Supply: Muscular branches of the facial artery and muscular branches of the occipital artery.
- Action: Elevates the hyoid bone and base of the tongue.
Histology
Histology is the study of tissues.
A tissue is a group of cells with similar structure and function plus the extracellular substances located between the cells.
There are four basic types of tissues:
- Epitheliums
- Connective tissue
- Muscle tissue
- Nervous tissue
- Long bones (e.g.. femur and humerus)
- Short bones (e.g.. wrist and ankle bones)
- Flat bones (e.g.. ribs)
- Irregular bones (e.g.. vertebrae)
Muscles of the Soft Palate
The Levator Veli Palatini (Levator Palati)
- Superior attachment: cartilage of the auditory tube and petrous part of temporal bone.
- Inferior attachment: palatine aponeurosis.
- Innervation: pharyngeal branch of vagus via pharyngeal plexus.
- This cylindrical muscle runs inferoanteriorly, spreading out in the soft palate, where it attaches to the superior surface of the palatine aponeurosis.
- It elevates the soft palate, drawing it superiorly and posteriorly.
- It also opens the auditory tube to equalise air pressure in the middle ear and pharynx.
The Tensor Veli Palatini (Tensor Palati)
- Superior attachment: scaphoid fossa of medial pterygoid plate, spine of sphenoid bone, and cartilage of auditory tube.
- Inferior attachment: palatine aponeurosis.
- Innervation: medial pterygoid nerve (a branch of the mandibular nerve).
- This thin, triangular muscle passes inferiorly, and hooks around the hamulus of the medial pterygoid plate.
- It then inserts into the palatine aponeurosis.
- This muscle tenses the soft palate by using the hamulus as a pulley.
- It also pulls the membranous portion of the auditory tube open to equalise air pressure of the middle ear and pharynx.
The Palatoglossus Muscle
- Superior attachment: palatine aponeurosis.
- Inferior attachment: side of tongue.
- Innervation: cranial part of accessory nerve (CN XI) through the pharyngeal branch of vagus (CN X) via the pharyngeal plexus.
- This muscle, covered by mucous membrane, forms the palatoglossal arch.
- The palatoglossus elevates the posterior part of the tongue and draws the soft palate inferiorly onto the tongue.
- Superior attachment: hard palatThe Palatopharyngeus Musclee and palatine aponeurosis.
- Inferior attachment: lateral wall of pharynx.
- Innervation: cranial part of accessory nerve (CN XI) through the pharyngeal branch of vagus (CN X) via the pharyngeal plexus.
- This thin, flat muscle is covered with mucous membrane to form the palatopharyngeal arch.
- It passes posteroinferiorly in this arch.
- This muscle tenses the soft palate and pulls the walls of the pharynx superiorly, anteriorly and medially during swallowing.
The Musculus Uvulae
- Superior attachment: posterior nasal spine and palatine aponeurosis.
- Inferior attachment: mucosa of uvula.
- Innervation: cranial part of accessory through the pharyngeal branch of vagus, via the pharyngeal plexus.
- It passes posteriorly on each side of the median plane and inserts into the mucosa of the uvula.
- When the muscle contracts, it shortens the uvula and pulls it superiorly.
Initially, four clefts exist; however, only one gives rise to a definite structure in adults.
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1st pharyngeal cleft |
Penetrates underlying mesenchyme and forms EAM. The bottom of EAM forms lateral aspect of tympanic cavity. |
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2nd pharyngeal cleft |
Undergoes active proliferation and overlaps remaining clefts. It merges with ectoderm of lower neck such that the remaining clefts lose contact with outside. Temporarily, the clefts form an ectodermally lined cavity, the cervical sinus, but this disappears during development. |
Connective Tissue
Functions of Connective tissue:
→ joins together other tissues
→ supporting framework for the body (bone)
→ fat stores energy
→ blood transports substances
Connective tissue is usually characterized by large amounts of extracellular materials that separate cells from each other, whereas epithelial tissue is mostly cells with very little extracellular material. The extracellular substance of connective tissue consists of protein fibers which are embedded in ground substance containing tissue fluid.
Fibers in connective tissue can be divided into three types:
→ Collagen fibers are the most abundant protein fibers in the body.
→ Elastic fibers are made of elastin and have the ability to recoil to original shape.
→ Reticular fibers are very fine collagen fibers that join connective tissues to other tissues.
Connective tissue cells are named according to their functions:
→ Blast cells produce the matrix of connective tissues
→ Cyte cells maintains the matrix of connective tissues
→ Clast cells breaks down the matrix for remodeling (found in bone)
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Pharyngeal Arch |
Arch Artery |
Cranial Nerve |
Skeletal elements |
Muscles |
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1 |
Terminal Branch of maxillary artery |
Maxillary and mandibular division of trigemenial (V) |
Derived from arch cartilages (originating from neural crest): From maxillary cartilages: Alispenoid, incus From mandibular: Mackel’s cartilage, malleus
Upper portion of external ear (auricle) is derived from dorsal aspect of 1st pharyngeal arch.
Derived by direct ossification from arch dermal mesenchyme: Maxilla, zygomatic, squamous portion of temporal bone, mandible
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Muscles of mastication (temporalis, masseter, and pterygoids), mylohyoid, anterior belly of digastric, tensor tympani, tensor veli palatini (originate from cranial somitomere 4) |
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2 |
Stapedius artery (embryologic) and cortiotympanic artery (adult) |
Facial nerve (VII) |
Stapes, styloid process, stylohyoid ligament, lesser horns and upper rim of hyoid (derived from the second arch cartilage; originate from neural crest).
Lower portion of external ear (auricle) is derived from 2nd pharyngeal arch. |
Muscles of facial expression (orbicularis oculi, orbicularis oris, auricularis, platysma, fronto-ooccipitalis, buccinator), posterior belly of digastric, stylohyoid, stapedius (originate from cranial somitomere 6) |
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3 |
Common carotid artery, most of internal carotid |
Glossopharyngeal (IX) |
Lower rim and greater horn of hyoid (derived from the third arch cartilage; originate from neural crest cells) |
Sytlopharyngeus (originate from cranial somitomere 7) |
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4 |
Left: Arch of aorta; Right: Right subclavian artery; Original sprouts of pulmonary arteries |
Superior laryngeal branch of vagus (X) |
Laryngeal cartilages (Derived from the 4th arch cartilage, originate from lateral plate mesoderm) |
Constrictors of pharynx, cricothyroid, levator veli palatine (originate from occipital somites 2-4) |
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6 |
Ductus arteriosus; roots of definitive pulmonary arteries |
Recurrent laryngeal branch of vagus (X) |
Laryngeal cartilages (derived from the 6th-arch cartilage; originate from lateral plate mesoderm) |
Intrinsic muscles of larynx (originate from occipital somites 1 and 2) |