Foramen in inferior surface of the base of skull- stylomastoid F, carotid canal
Part of the mandible
Facial muscles, nerve and blood supply
Orbicularis oris
Orbicularis oculi
Buccinator
Frontalis
Platysma
Zygomaticus major & minor
Scalp layers
Sensory innervation of face and neck
Parotid gland lying against masseter muscle
Facial nerve
External carotid artery branches- facial and superficial temporal
Practical 2 – RCA Head and Neck: Temporomandibular joint & Muscles of mastication, Surface Anatomy & General organisation of the Neck, Lymphatic drainage of Face & Neck
Muscles of mastication (know approx. attachment, action, nerve supply)
Temporalis
Masseter
Medial pterygoid
Lateral pterygoid
Temporomandibular joint- boney features and movement with above muscles
Muscles in the neck
Mylohyoid
Digastric
Strap/infrahyoid muscles -sternohyoid, sternothyroid, thyrohyoid and omohyoid
Lymphatics of face and neck- deep cervical lymph nodes and outlying lymph nodes
Infratemporal region
Maxillary artery
Mandibular nerve
Medial and lateral pterygoid muscles
Pterygoid plexus of veins
Surface marking and vertebral levels of major structures of the neck
Sternomastoid
Trachea
Thyroid and cricoid cartilage
Ext jugular vein
Common Carotid artery pulse
Hyoid bone
External jugular vein
Carotid artery (pulsation)
Atlas, transverse process
ECA branches
Ascending pharyngeal,
superior thyroid,
lingual,
facial
occipital,
posterior auricular;
superficial temporal and
maxillary arteries.
Mandibular nerve V3 branches -
Meningeal,
medial pterygoid,
2 tensor muscles- tensor tympani, tensor palati.
Thereafter it splits into 2 divisions:
Anterior division (all motor except one)
Other muscles of mastication and buccal nerve- sensory one.
Posterior division- (all sensory except one)
Auriculotemporal, inferior alveolar, lingual and nerve to mylohyoid muscle- motor one.
Practical 3– RCA Head and Neck: Cervical Vertebral Column, Cervical Plexus, Thyroid Gland, & Great Vessels in the Neck
Cervical vertebral column
Curves
Joints- interbody, zygapophyseal joints
Specialised joints- atlanto-occipital and atlanto-axial
Cervical plexus
C1-C4,
motor and sensory branches(in posterior triangle of the neck)
phrenic,
ansa cervicalis n for strap muscles except thyrohyoid- C1
Thyroid gland
position,
blood supply,
realtionship with recurrent laryngeal nerve
Subclavian artery and branches
Common craotid artery
external and
internal carotid branhces
Thoracic duct
Layers of cervical deep fascia
Investiting
Carotid sheath
Pretarcheal fascia
Prevertebral fascia
Tracheostomy and layers that are incised in both emergency and planned tracheostomy
Practical 4– RCA Head and Neck: Pharynx and Larynx
Retropharyngeal space
Pharynx muscles
External 3 layer-
Superior constrictor
Middle constrictor
Inferior constrictor
Internal longitudinal 3 layers-
salpingopharyngeus,
stylopharyngeus
palatopharyngeus,
Other palate muscle associated with the pharynx
tensor veli palatini (tensor palati)
levator veli palatini (levator palati)
palatoglossus
Subdivisions of pharynx, structures and nerve supply
Nasopharynx-
pharyngeal tonsil (adenoid)
opening of auditory (pharyngotympanic) tube
Oropharynx
palatine tonsil
Laryngopharynx
laryngeal aditus
piriform recess
vallecula
Larynx-
cartilages
membranes
spaces
muscles
actions of muscles
nerve supply- motor and sensory
Lymphoid tissue/ring/Waldeyer’s ring
Tubal tonsil
Pharyngeal tonsil
Palatine tonsil
Lingual tonsil
Cervical sympathetic trunk and ganglia
Practical 5– RCA Head and Neck: Oral and Nasal cavities, Paranasal Sinuses, Orbit, and the Ear
Tongue
Extrinsic muscles, identification, innervation action- motor, sensory and taste
Teeth
general idea of names and number in deciduous and permanent teeth
The nasal cavity and the paranasal sinuses (and their openings):
Nasal Cavity
nasal conchae (turbinates)
inerior meatus
middle meatus
superior meatus
spheno-ethmoidal recess
Sinuses
maxillary
frontal
ethmoidal - anterior, middle, posterior
sphenoidal
Nasolacrimal duct
Maxillary nerve
The orbit
boney makeup,
openings- superior orbital fissure, inferior orbital fissure, optic canal