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Anatomy

Muscles acting on the Temporomandibular Joint

  • Movements of the temporomandibular joint are chiefly from the action of the muscles of mastication.
  • The temporalis, masseter, and medial pterygoid muscles produce biting movements.
  • The lateral pterygoid muscles protrude the mandible with the help from the medial pterygoid muscles and retruded largely by the posterior fibres of the temporalis muscle.
  • Gravity is sufficient to depress the mandible, but if there is resistance, the lateral pterygoid, suprahyoid and infrahyoid, mylohyoid and anterior digastric muscles are activated.

 

Actions Muscles
Depression (Open mouth)
Lateral pterygoid
Suprahyoid
Infrahyoid
Elevation (Close mouth)
Temporalis
Masseter
Medial pterygoid
Protrusion (Protrude chin)
Masseter (superficial fibres)
Lateral pterygoid
Medial pterygoid
Retrusion (Retrude chin)
Temporalis
Masseter (deep fibres)
Side-to-side movements (grinding and chewing)
Temporalis on same side
Pterygoid muscles of opposite side
Masseter

The Sublingual Glands

  • These are the smallest of the three paired salivary glands and the most deeply situated.
  • They are almond-shaped and lie in the floor of the mouth between the mandible and the genioglossus muscle.
  • The paired glands unite to form a horseshoe-shaped glandular mass around the lingual frenulum.
  • Numerous small ducts (10 to 12) open into the floor of the mouth.
  • Sometimes one of the ducts opens into the submandibular duct.
  • The nerves the accompany the submandibular and sublingual glands are derived from the lingual and chorda tympani nerves and from the sympathetic nerves.
  • The parasympathetic secretomotor fibres are from the submandibular ganglion.

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.

The Auditory Ossicles

The Malleus

  • Its superior part, the head, lies in the epitympanic recess.
  • The head articulates with the incus.
  • The neck, lies against the flaccid part of the tympanic membrane.
  • The chorda tympani nerve crosses the medial surface of the neck of the malleus.
  • The handle of the malleus (L. hammer) is embedded in the tympanic membrane and moves with it.
  • The tendon of the tensor tympani muscle inserts into the handle.

The Incus

  • Its large body lies in the epitympanic recess where it articulates with the head of the malleus.
  • The long process of the incus (L. an anvil) articulates with the stapes.
  • The short process is connected by a ligament to the posterior wall of the tympanic cavity.

The Stapes

  • The base (footplate) of the stapes (L. a stirrup), the smallest ossicle, fits into the fenestra vestibuli or oval window on the medial wall of the tympanic cavity.

Functions of the Auditory Ossicles

  • The auditory ossicles increase the force but decrease the amplitude of the vibrations transmitted from the tympanic membrane.

Muscles Around the Eyelids

  • The function of the eyelid (L. palpebrae) is to protect the eye from injury and excessive light. It also keeps the cornea moist.

The Orbicularis Oculi Muscle

  • This is the sphincter muscle of the eye.
  • Its fibres sweep in concentric circles around the orbital margin and eyelids.
  • It narrows the eye and helps the flow of tears from the lacrimal sac.
  • This muscle has 3 parts: (1) a thick orbital part for closing the eyes to protect then from light and dust; (2) a thin palpebral part for closing the eyelids lightly to keep the cornea from drying; and (3) a lacrimal part for drawing the eyelids and lacrimal punta medially.
  • When all three parts of the orbicularis oculi contract, the eyes are firmly closed and the adjacent skin becomes wrinkled.
  • The zygomatic branch of the facial nerve (CN VII) supplies it.

The Levator Palpebrae Superioris Muscle

  • This muscle raises the upper eyelid to open the palpebral fissure.
  • It is supplied by the oculomotor nerve (CN III).

The Submandibular Glands

  • Each of these U-shaped salivary glands is about the size of a thumb and lies along the body of the mandible.
  • It is partly superior and partly inferior to the posterior 1/2 of the base of the mandible.
  • It is partly superficial and partly deep to the mylohyoid muscle.
  • The submandibular duct arises from the portion of the gland that lies between the mylohyoid and hyoglossus muscle.
  • The duct passes deep and then superficial to the lingual nerve.
  • It opens by one to three orifices on a small sublingual papilla beside the lingual frenulum.
  • The submandibular gland is supplied by parasympathetic, secretomotor fibres from the submandibular ganglion (preganglionic fibres from the chorda tympani via the lingual nerve).

Initially, four clefts exist; however, only one gives rise to a definite structure in adults.

1st pharyngeal cleft

Penetrates underlying mesenchyme and forms EAM.  The bottom of EAM forms lateral aspect of tympanic cavity.

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.

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