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Anatomy

  • This is the second cranial nerve (CN II) and is the nerve of sight.

The skull, the skeleton of the head, is the most complex bony structure in the body because it:

  1. Encloses the brain, which is irregular in shape;
  2. Houses the organs of special senses for seeing, hearing, tasting, and smelling; and
  3. Surrounds the openings in to the digestive and respiratory tracts.

 

  • In the anatomical position, the skull is oriented so that the inferior margin of the orbit (eye socket) and the superior margin of the external acoustic meatus (auditory canal) are horizontal. This is called the orbitomenial plane (Frankfort plane).
  • The term cranium (L. skull) is sometimes used when referring to the skull without the mandible (lower jaw), but the cranium is often used when referring to the part of the skull containing the brain.
  • The superior part is the box-like structure called the calvaria (cranial vault, brain case); the remainder of the cranium, including the maxilla (upper jaw), orbits (eyeball sockets) and nasal cavities, forms the facial skeleton.
  • The term skullcap (calotte) refers to the superior part of the calvaria, which is removed during autopsies and dissections. The inferior aspect of the cranium is called the cranial base.

 
Anterior 2/3 of tongue Posterior 1/3 of tongue
Motor Innervation All muscles by hypoglossal nerve (CN XII) except palatoglossus muscle (by the pharyngeal plexus)
General Sensory Innervation
Lingual nerve (branch of mandibular nerve CN V3) Glossopharyngeal nerve (CN IX)
Special Sensory Innervation
Chorda tympani nerve (branch of facial nerve) Glossopharyngeal nerve (CN IX)

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 Pharynx

  • The pharynx is the continuation of the digestive system from the oral cavity.
  • It is a funnel-shaped fibromuscular tube that is the common route for both food and air.
  • The pharynx is located posterior to the nasal and oral cavities, and the larynx.
  • For the convenience of description, the pharynx is divided into three parts: (1) the nasopharynx, posterior to the nose and superior to the soft palate; (2) the oropharynx, posterior to the mouth; and (3) the laryngopharynx, posterior to the larynx.
  • The pharynx is about 15 cm long.
  • It extends from the base of the skull to the inferior border of the cricoid cartilage anteriorly, and to the inferior border of C6 vertebra posteriorly.
  • It is widest (about 5 cm) opposite the hyoid bone and narrowest (about 1.5) at its inferior end, where it is continuous with the oesophagus.
  • The posterior wall of the pharynx lies against the prevertebral fascia, with the potential retropharyngeal space between them.

Smooth Muscle

Light microscopic Structure:

cells - long - spindle shaped,  nucleus lies in the widest widest part of the fiber,  when the fiber contract the nucleus become folded, 30 - 200 µm long,between fibres lie endomycium

Electron microscopic structure:

 Mitochondria, ribosomes, golgi, rough EPR, myofilaments are present but no sarcomeres and no Z lines,thin filaments - actin and tropomyosin (7nm), thick filaments - myosin (17nmØ)

- intermediate filaments (10 nm)

- actin and myosin overlap more than in skeletal muscle and can therefore contract more

 A rudimentary sacroplasmic reticulum is present in the form of invaginations on the surface called caveolae , So there are no T-tubules,  Cells communicate through gap junctions.

Dense bodies

Filaments are attached to dense bodies which take the place of the Z line in skeletal muscle

There are two types of dense bodies - cytoplasmic and membrane

contains a percentage actinin (like the Z line)

dense bodies transmit contractile force to adjacent fibres

 

Arrangement:

Fibres can be single or in groups, normally arranged in sheaths,  In the GIT are 2 or 3 layers

Nerve supply:

2 types:

Where it is arranged in layers a few fibres are innervated together

impulse spread through the gap junctions between fibres (slow contraction)

In the iris and the vas deferens each fiber is individually supplied (quick contraction)

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.

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