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Anatomy - NEETMDS- courses
NEET MDS Lessons
Anatomy

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 tongue is divided into halves by a medial fibrous lingual septum that lies deep to the medial groove.
  • In each half of the tongue there are four extrinsic and four intrinsic muscles.
  • The lingual muscles are all supplied by the hypoglossal nerve (CN XII).
  • The only exception is palatoglossus, which is supplied by the pharyngeal branch of the vagus nerve, via the pharyngeal plexus.

The Orbital Vessels

  • The orbital contents are supplied chiefly by the ophthalmic artery.
  • The infraorbital artery, the continuation of the maxillary, also contributes blood to this region.
  • Venous drainage is through the superior orbital fissure to enter the cavernous sinus.

The Ophthalmic Artery

  • This artery arises from the internal carotid artery as it emerges from the cavernous sinus.
  • It passes through the optic foramen within the dural sheath of the optic nerve and runs anteriorly, close to the superomedial wall of the orbit.

 

The Central Artery of the Retina

  • This is the one of the smallest but most important branches of the ophthalmic artery.
  • It arises inferior to the optic nerve until it approaches the eyeball.
  • It then pierces the optic nerve and runs within it to emerge through the optic disc.
  • The central artery of the retina spreads over the internal surface of the retina and supplies it.

 

The Ophthalmic Veins

The Superior Ophthalmic Vein

  • The superior ophthalmic vein anastomoses with the facial vein.
  • It has no valves and blood can flow in either direction.
  • It crosses superior to the optic nerve, passes through the superior orbital fissure and ends in the cavernous sinus.

The Inferior Ophthalmic Vein

  • This begins as a plexus on the floor of the orbit.
  • It communicates with the inferior orbital fissure with the pterygoid plexus, crosses inferior to the optic nerve, and ends in either the superior ophthalmic vein or the cavernous sinus.

Superior Constrictor Muscle

  • Origin: Hamulus, pterygo-mandibular raphe, and mylohyoid line of the mandible.
  • Insertion: Median raphe of the pharynx.
  • Nerve Supply: Vagus nerve via the pharyngeal plexus.
  • Arterial Supply: Ascending pharyngeal artery, ascending palatine artery, tonsillar branch of the facial artery, and dorsal branch of the lingual artery.
  • Action: Constricts the wall of the pharynx during swallowing.

The Tongue

  • The tongue (L. lingua; G. glossa) is a highly mobile muscular organ that can vary greatly in shape.
  • It consists of three parts, a root, body, and tip.
  • The tongue is concerned with mastication, taste, deglutition (swallowing), articulation (speech), and oral cleansing.
  • Its main functions are squeezing food into the pharynx when swallowing, and forming words during speech.

 

Gross Features of the Tongue

  • The dorsum of the tongue is divided by a V-shaped sulcus terminalis into anterior oral (presulcal) and posterior pharyngeal (postsulcal) parts.
  • The apex of the V is posterior and the two limbs diverge anteriorly.
  • The oral part forms about 2/3 of the tongue and the pharyngeal part forms about 1/3.

 

Oral Part of the Tongue

  • This part is freely movable, but it is loosely attached to the floor of the mouth by the lingual frenulum.
  • On each side of the frenulum is a deep lingual vein, visible as a blue line.
  • It begins at the tip of the tongue and runs posteriorly.
  • All the veins on one side of the tongue unite at the posterior border of the hyoglossus muscle to form the lingual vein, which joins the facial vein or the internal jugular vein.
  • On the dorsum of the oral part of the tongue is a median groove.
  • This groove represents the site of fusion of the distal tongue buds during embryonic development.

 

The Lingual Papillae and Taste Buds

  • The filiform papillae (L. filum, thread) are numerous, rough, and thread-like.
  • They are arranged in rows parallel to the sulcus terminalis.
  • The fungiform papillae are small and mushroom-shaped.
  • They usually appear are pink or red spots.
  • The vallate (circumvallate) papillae are surrounded by a deep, circular trench (trough), the walls of which are studded with taste buds.
  • The foliate papillae are small lateral folds of lingual mucosa that are poorly formed in humans.
  • The vallate, foliate and most of the fungiform papillae contain taste receptors, which are located in the taste buds.

 

The Pharyngeal Part of the Tongue

  • This part lies posterior to the sulcus terminalis and palatoglossal arches.
  • Its mucous membrane has no papillae.
  • The underlying nodules of lymphoid tissue give this part of the tongue a cobblestone appearance.
  • The lymphoid nodules (lingual follicles) are collectively known as the lingual tonsil.

Ligaments of the Joint

  • The fibrous capsule is thickened laterally to form the lateral (temporomandibular) ligament. It reinforces the lateral part of this capsule.
  • The base of this triangular ligament is attached to the zygomatic process of the temporal bone and the articular tubercle.
  • Its apex is fixed to the lateral side of the neck of the mandible.
  • Two other ligaments connect the mandible to the cranium but neither provides much strength.
  • The stylomandibular ligament is a thickened band of deep cervical fascia.
  • It runs from the styloid process of the temporal bone to the angle of the mandible and separates the parotid and submandibular salivary glands.
  • The sphenomandibular ligament is a long membranous band that lies medial to the joint.
  • This ligament runs from the spine of the sphenoid bone to the lingula on the medial aspect of the mandible.

  •  Provides a rigid support system
  • Protects delicate structures (e. g., the protection provided by the bones of the vertebral column to the spinal cord)
  • Bones supply calcium to the blood; are involved In the formation of blood cells (hemopoiesis)
  • Bones serve as the basis of attachment of muscles; form levers in the joint areas, aIlowing movement

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