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Anatomy - NEETMDS- courses
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Anatomy

The Nasal Mucosa

  • Mucosa lines the entire nasal cavities except for the vestibule of the nose.
  • The nasal mucosa is firmly bound to the periosteum and perichondrium of the supporting structures of the nose.
  • It is continuous with the adjoining cavities to which the nasal cavity communicates (e.g., the nasopharynx and paranasal sinuses).
  • The inferior 2/3 of the nasal mucosa is called the respiratory area and air passing over this is warmed and moistened before it passes into the lungs.
  • The superior 1/3 is called the olfactory area.

The Olfactory Area of Nasal Mucosa

  • This area contains the peripheral organ of smell.
  • Sniffing draws air into this area
  • Olfactory receptor cells (from the olfactory nerve, CN I, are located in the mucosa of this area in the nose.

Nerves to the Respiratory Area of Nasal Mucosa

  • The inferior 2/3 of the nasal mucosa are supplied chiefly by the trigeminal nerve (CN V).
  • The mucous membrane of the nasal septum is supplied chiefly by the nasopalatine nerve, a branch of the maxillary nerve (CN V2).
  • Its anterior portion is supplied by the anterior ethmoidal nerve (a branch of the nasociliary nerve) which is derived from the ophthalmic nerve (CN V1).
  • The lateral walls of the nasal cavity are supplied by branches of the maxillary nerve (CN V2); the greater palatine nerve, and the anterior ethmoidal nerve.

Arteries of the Nasal Mucosa

  • The blood supply of the mucosa of the nasal septum is derived mainly from the maxillary artery.
  • The sphenopalatine artery, a branch of the maxillary, supplies most of the blood of the nasal mucosa.
  • It enters by the sphenopalatine foramen and sends branches to the posterior regions of the lateral wall and to the nasal septum.
  • The greater palatine artery, also a branch of the maxillary, passes through the incisive foramen to supply the nasal septum.
  • The anterior and posterior ethmoidal arteries, branches of the ophthalmic artery, supply the anterosuperior part of the mucosa of the lateral wall of the nasal cavity and nasal septum.
  • Three branches of the facial artery (superior labial, ascending palatine, and lateral nasal) also supply the anterior parts of the nasal mucosa.

Veins of the Nasal Mucosa

  • The veins of the nasal mucosa form a venous network of plexus in the connective tissue of the nasal mucosa.
  • Some of the veins open into the sphenopalatine vein and drain to the pterygoid plexus.
  • Others join the facial and infraorbital veins.
  • Some empty into the ophthalmic veins and drain into the cavernous sinus.

Muscles Around the Mouth

  • The sphincter of the mouth is orbicularis oris and the dilator muscles radiate outward from the lips like the spokes of a wheel.

Orbicularis Oris Muscle

  • This muscle encircles the mouth and is the sphincter of the oral aperture
  • This muscle (1) closes the lips, (2) protrudes them and (3) compresses them against the teeth.
  • It plays an important role in articulation and mastication. Together with the buccinator muscle, it helps to hold the food between the teeth during mastication.

Zygomaticus Major Muscle

  • It extends from the zygomatic bone to the angle of the mouth.
  • It draws the corner of the moth superolaterally during smiling and laughing.

Zygomaticus Minor Muscle

  • This is a narrow slip of muscle, and passes obliquely from the zygomatic bone to the orbicularis oris.
  • It helps raise the upper lip when showing contempt or to deepen the nasolabial sulcus when showing sadness.

 

The Buccinator Muscle

  • This is a thin, flat, rectangular muscle.
  • It is attached laterally to the alveolar processes of the maxilla and mandible, opposite the molar teeth and the pterygomandibular raphe.
  • Medially, its fibres mingle with those of orbicularis oris.Innervation: the buccal branch of facial.
  • It aids mastication and swallowing by pushing the cheeks against the molar teeth during chewing.

Sternum

o    Forms the medial part of the anterior chest wall
o    Manubrium (upper part)-clavicle and first rib articulate with the manubrium .
o    Body (middle blade)-second and tenth ribs articulate with the body via the costal cartilages
o    Xiphoid (blunt cartilaginous tip)

Ribs (12 pairs)

o    Each rib articulates with both the body and the transverse process of its corresponding
o    thoracic vertebra
o    The second to ninth ribs articulate with the body of the vertebra above'
o    Ribs curve outward, forward, and then downward
o    Anteriorly, each of the first seven ribs joins a costal cartilage that attaches to the sternum
o    Next three ribs (eighth to tenth) join the cartilage of the rib above
o    Eleventh and twelfth ribs do not attach to the sternum; are called "floating ribs"

 

->The two parietal bones (L. paries, wall) form large parts of the walls of the calvaria.
->On the outside of these smooth convex bones, there are slight elevations near the centre called parietal eminences.
->The middle of the lateral surfaces of the parietal bones is crossed by two curved lines, the superior and inferior temporal lines.
->The superior temporal line indicates an attachment of the temporal fascia; the inferior temporal line marks the superior limit of the temporalis muscle.
->The parietal bones articulate with each other in the median plane at the sagittal suture. The medial plane of the body passes through the sagittal suture.
->The inverted V-shaped suture between the parietal bones and the occipital bones is called the lambdoid suture because of its resemblance to the letter lambda in the Greek alphabet.
->The point where the parietal and occipital bones join is a useful reference point called the lambda. It can be felt as a depression in some people.
->In addition to articulation with each other and the frontal and occipital bones, the parietal bones articulate with the temporal bones and the greater wings of the sphenoid bone.
->In foetal and infant skulls, the bones of the calvaria are separated by dense connective tissue membranes at sutures.
->The large fibrous area where several sutures meet are called fonticuli or fontanelles.
->The softness of these bones and looseness of their connections at these sutures enable the calvaria to undergo changes of shape during birth called molding. Within a day or so after birth, the shape of the infant’s calvaria returns to normal.
->The loose construction of the new-born calvaria also allows the skull to enlarge and undergo remodelling during infancy and childhood.

->Relationships between the various bones are constantly changing during the active growth period.
->The increase in the size of the cranium is greatest during the first 2 years, the period of most rapid postnatal growth of the brain.
->The cranium normally increases in capacity until about 15 or 16 years of age; thereafter the cranium usually increases only slightly in size as its bones thicken for 3 to 4 years.

 

Gross anatomy-study of structures that can be identified with the naked eye; usually involves the use of cadavers

  • Microscopic anatomy (histology)-study of cells that compose tissues and organs; involves the use of a microscope to study the details of the species
  • Developmental anatomy (embryology)-study of an individual from beginning as a single cell to birth
  • Comparative anatomy -comparative study of the animal structure in regard to similar organs or regions

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).

Innervation of the Pharynx

  • The motor and most of the sensory supply of the pharynx is derived from the pharyngeal plexus of nerves on the surface of the pharynx.
  • The plexus is formed by pharyngeal branches of the vagus (CN X) and glossopharyngeal (CN IX) nerves, and by sympathetic branches for the superior cervical ganglion.
  • The motor fibres in the pharyngeal plexus are derived from the cranial root of accessory nerve (CN XI), and are carried by the vagus nerve to all muscles of the pharynx and soft palate.
  • The exceptions are stylopharyngeus (supplied by CN IX) and the tensor veli palatini (supplied by CN V3).

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