NEET MDS Lessons
Anatomy
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.
The Articular Capsule
- The capsule of this joint is loose.
- The thin fibrous capsule is attached to the margins of the articular area on the temporal bone and around the neck of the mandible.
The Masseter Muscle
- This is a quadrangular muscle that covers the lateral aspect of the ramus and the coronoid process of the mandible.
- Origin: inferior border and medial surface of zygomatic arch.
- Insertion: lateral surface of ramus of mandible and its coronoid process.
- Innervation: mandibular nerve via masseteric nerve that enters its deep surface.
- It elevates and protrudes the mandible, closes the jaws and the deep fibres retrude it.
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.
Cardiac Muscle
Fibres anastomose through cross bridges
Fibres are short, connected end to end at intercalated discs, also striated, contract automatically
Light microscopic Structure:
Short fibres connected at intercalated disks, 85 - 100 µm long, 15 µm
same bands as in skeletal muscle, 1 or 2 nuclei - oval and central, in perinuclear area is a sarcoplasmic reticulum, intercalated discs lie at the Z line
Electron microscopic structure:
Between myofibrils lie the mitochondria, 2,5 µm long mitochondria, dense cristae
and are as long as the sarcomere, fibres have more glycogen than skeletal muscle fibres
myofilaments, actin and myosin are the same as in skeletal muscle, the sarcoplasmic reticulum differs in that there is no terminal sisterna. The sarcotubules end in little feet that
sit on the T-tubule
Intercalated Disc:
on Z lines, fibres interdigitate,
3 types of junctions in the disc
Transverse Part:
zonula adherens
desmosomes
Lateral Part:
Gap junctions (nexus) - for impulse transfer
Mechanism of Contraction:
slide - ratchet like in skeletal muscle, certain fibres are modified for conduction, Impulses spread from cell to cell through gap junctions, Purkinje cells are found in the AV bundle
they have less myofibrils, lots of glycogen and intercalated discs
Connective tissue coverings:
Only endomycium in cardiac muscle, Blood vessels, lymph vessels and nerves lie in the endomycium
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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
The Temporalis Muscle
- This is an extensive fan-shaped muscle that covers the temporal region.
- It is a powerful masticatory muscle that can easily be seen and felt during closure of the mandible.
- Origin: floor of temporal fossa and deep surface of temporal fascia.
- Insertion: tip and medial surface of coronoid process and anterior border of ramus of mandible.
- Innervation: deep temporal branches of mandibular nerve (CN V3).
- The temporalis elevates the mandible, closing the jaws; and its posterior fibres retrude the mandible after protrusion.