NEET MDS Lessons
Anatomy
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| Motor Innervation | All muscles by hypoglossal nerve (CN XII) except palatoglossus muscle (by the pharyngeal plexus) | ||
| General Sensory Innervation |
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| Special Sensory Innervation |
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The Temporomandibular Joint
- This articulation is a modified hinge type of synovial joint.
- The articular surfaces are: (1) the head or condyle of the mandible inferiorly and (2) the articular tubercle and the mandibular fossa of the squamous part of the temporal bone.
- An oval fibrocartilaginous articular disc divides the joint cavity into superior and inferior compartments. The disc is fused to the articular capsule surrounding the joint.
- The articular disc is more firmly bound to the mandible than to the temporal bone.
- Thus, when the head of the mandible slides anterior on the articular tubercle as the mouth is opened, the articular disc slides anteriorly against the posterior surface of the articular tubercle
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Ossification
- Intramembranous-found in the flat bones of the face
- Mesenchymal cells cluster and form strands
- Strands are cemented in a uniform network. Which is known as osteoid
- Calcium salts are deposited; osteoid is converted to bone
- Trabeculae are formed and make cancellous bone with open spaces known as marrow cavities
- Periosteum forms on the inner and outer surfaces of the ossification centers
- Surface bone becomes compact bone
- Endochondral-primary type of ossification In the human
- Bones begin to form during the eighth week of embryomic life in the fibrous membranes (intramembranous ossification) and hyaline cartilage (endochondral ossification)
The Muscles of Facial Expression
- These lie in the subcutaneous tissue and are attached to the skin of the face.
- They enable us to move our skin and change our facial expression. They produce their effects by pulling on the skin but do not move the facial skeleton.
- These muscles surround the facial orifices and act as sphincters and dilators.
- All facial muscles receive their innervation from the branches of the facial nerve (CN VII)-temporal, zygomatic, buccal, marginal mandibular, cervical.
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.
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.