PAS407 - Oral cavity & Nasal cavity

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61 Terms

1
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Function of nasal cavities

o olfaction – smelling

o respiration – breathing

o filtration of dust

o humidification of inspired air

o elimination of sinus, nasolacrimal duct secretions

o Divided by the nasal septum

<p>o olfaction – smelling</p><p>o respiration – breathing</p><p>o filtration of dust</p><p>o humidification of inspired air</p><p>o elimination of sinus, nasolacrimal duct secretions</p><p>o Divided by the nasal septum</p>
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respiratory area of nasal cavity: does what?

o inferior 2/3rds

o warms, moistens inspired air

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olfactory area of nasal cavity: does what?

o superior 1/3rd

o contains peripheral organ of smell

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what are the nasal conchae?

o three conch-shaped plates that project inferiorly to assists in warming, moistening air; swell during irritation, infection, etc

<p>o three conch-shaped plates that project inferiorly to assists in warming, moistening air; swell during irritation, infection, etc</p>
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What is the spheno-ethmoidal recess?

location of opening of sphenoidal sinus

<p>location of opening of sphenoidal sinus</p>
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what is a nasal meatus?

small recess between conchae and lateral wall

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superior nasal meatus between what and contains what?

narrow passage between superior, middle nasal conchae

opening of posterior ethmoidal sinuses

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middle nasal meatus is between what? It contains what? (3)

between middle, inferior nasal conchae

Ā· ethmoidal infundibulum

Ā· semilunar hiatus

Ā· ethmoidal bulla (bubble)

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inferior nasal meatus is below what? contains what?

§ inferolateral to inferior nasal concha

§ contains opening for tears from nasolacrimal duct

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roof of nasal cavity supplied by:

anterior/posterior ethmoidal arteries

<p>anterior/posterior ethmoidal arteries</p>
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medial/lateral walls of nasal cavity supplied by:

sphenopalatine artery

<p>sphenopalatine artery</p>
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Ā· floor of nasal cavity supplied by:

greater palatine artery

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What is Kisselbach's area?

Site of arterial anastomosis of all nasal branches

Site for nose bleeds

<p>Site of arterial anastomosis of all nasal branches</p><p>Site for nose bleeds</p>
14
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Branches of maxillary nerve (V2)

nasopalatine nerve and posterior superior/inferior lateral nasal nerves

<p>nasopalatine nerve and posterior superior/inferior lateral nasal nerves</p>
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posteroinferior mucosa:

what nerve supplies the septum of the nasal cavity?

nasopalatine nerve

<p>nasopalatine nerve</p>
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posteroinferior mucosa:

what nerve supplies the lateral walls of the nasal cavity?

posterior superior/inferior lateral nasal branches

<p>posterior superior/inferior lateral nasal branches</p>
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anterosuperior mucosa:

what nerve supplies this area? what branch is it from

anterior/posterior ethmoidal nerves

Branched from ophthalmic nerve (V1)

<p>anterior/posterior ethmoidal nerves</p><p>Branched from ophthalmic nerve (V1)</p>
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What are the paranasal sinuses?

frontal, sphenoid, ethmoid, maxillary

They are air filled extensions of the nasal cavity

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frontal sinus

1. is what

2. drains through what

o between outer, inner tables of frontal bone

o drains through frontonasal duct into middle nasal meatus

<p>o between outer, inner tables of frontal bone</p><p>o drains through frontonasal duct into middle nasal meatus</p>
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ethmoidal cells (sinus)

1. is what

2. drains through what

anterior ethmoidal cells drain into middle nasal meatus through ethmoidal infundibulum.

<p>anterior ethmoidal cells drain into middle nasal meatus through ethmoidal infundibulum.</p>
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sphenoidal sinus

o located in body of sphenoid

o separated by a bony septum

o drains through posterior roof

<p>o located in body of sphenoid</p><p>o separated by a bony septum</p><p>o drains through posterior roof</p>
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maxillary sinus is the largest or smallest of the sinuses?

largest

<p>largest</p>
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semilunar hiatus: what is it's significance

The maxillary sinus opens into this sickle shaped mucosal feature of the middle nasal meatus

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what are the two parts of the oral cavity?

vestibule and oral cavity proper

<p>vestibule and oral cavity proper</p>
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What is the oral vestibule?

space between teeth and lips

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what is the oral cavity proper?

site of mastication, lingual manipulation, tasting

27
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what are the 4 types of teeth and their jobs?

1. incisors - thin cutting edges

2. canines - single prominent cones for tearing

3. premolars (bicuspids) - two cusps for crunching/grinding

4. molars - three or more cusps for crunching/grinding

<p>1. incisors - thin cutting edges</p><p>2. canines - single prominent cones for tearing</p><p>3. premolars (bicuspids) - two cusps for crunching/grinding</p><p>4. molars - three or more cusps for crunching/grinding</p>
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what are the 2 portions of the palate?

hard palate and soft palate

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what is the hard palate?

o concave

o formed by palatine processes of maxillae, horizontal plates of palatine bones

<p>o concave</p><p>o formed by palatine processes of maxillae, horizontal plates of palatine bones</p>
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what foramen does the hard palate have? (3)

what structures pass through them?

o incisive fossa

§ passage of nasopalatine nerves

o greater palatine foramen

§ greater palatine vessels, nerve emerge from this foramen, run anteriorly

o lesser palatine foramina

§ found posterior to greater palatine foramen

§ transmit lesser palatine nerves, vessels to soft palate

<p>o incisive fossa </p><p>§ passage of nasopalatine nerves</p><p>o greater palatine foramen</p><p>§ greater palatine vessels, nerve emerge from this foramen, run anteriorly</p><p>o lesser palatine foramina</p><p>§ found posterior to greater palatine foramen</p><p>§ transmit lesser palatine nerves, vessels to soft palate</p>
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what is the soft palate?

o movable posterior third of palate

o curved free margin posteroinferiorly, from which uvula

<p>o movable posterior third of palate</p><p>o curved free margin posteroinferiorly, from which uvula</p>
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what are the muscles of the soft palate?

Tensor veli palatini

levator veli palatini

palatoglossus

palatopharyngeus

<p>Tensor veli palatini</p><p>levator veli palatini</p><p>palatoglossus</p><p>palatopharyngeus</p>
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what are the muscles of the soft palate primarily innervated by?

CNX, VAGUS

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what muscle is the exception in the muscles of the soft palate, and is not innervated by Vagus nerve?

tensor veli palatini - innervated by mandibular branch of the trigeminal nerve,

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tensor veli palatini m.

line of pull generates tension in soft palate

<p>line of pull generates tension in soft palate</p>
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levator veli palatini

o Contracts to elevate soft palate in latter stages of swallowing

o Pulls the soft palate superiorly

<p>o Contracts to elevate soft palate in latter stages of swallowing</p><p>o Pulls the soft palate superiorly</p>
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palatoglossus m.

Depresses soft palate against tongue

<p>Depresses soft palate against tongue</p>
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palatopharyngeus m.

Depresses soft palate, elevates phanyngeus

<p>Depresses soft palate, elevates phanyngeus</p>
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what is the hard palate supplied by (artery & nerve)?

greater palatine artery/nerve

<p>greater palatine artery/nerve</p>
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what is the soft palate supplied by (artery & nerve)?

lesser palatine artery/nerve

<p>lesser palatine artery/nerve</p>
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Nasopalatine nerve block is indicted when

• when treatment requires anesthesia of the lingual aspect of multiple anterior teeth

<p>• when treatment requires anesthesia of the lingual aspect of multiple anterior teeth</p>
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Greater palatine nerve block is indicted when

when treatment requires anesthesia of the palate

<p>when treatment requires anesthesia of the palate</p>
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what's the purpose of the intrinsic muscles of the tongue?

change shape of tongue

<p>change shape of tongue</p>
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what's the purpose of the extrinsic muscles of the tongue?

change position of tongue

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what are the extrinsic muscles of the tongue?

Genioglossus

Hyoglossus

Styloglossus

Palatoglossus

<p>Genioglossus</p><p>Hyoglossus</p><p>Styloglossus</p><p>Palatoglossus</p>
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extrinsic muscles of tongue is innervated by what nerve

hypoglossal nerve

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what muscle is NOT innervated by the hypoglossal nerve?

palatoglossus m.

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state the innervation of palatoglossus m.

vagus

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genioglossus

action

tongue protrusion (STICKING TONGUE OUT)

<p>tongue protrusion (STICKING TONGUE OUT)</p>
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hypoglossus

action

depresses tongue

<p>depresses tongue</p>
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styloglossus

action

retracts tongue

<p>retracts tongue</p>
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palatoglossus

action

elevates tongue

<p>elevates tongue</p>
53
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whats the main 3 innervations of the tongue?

lingual n. (from trigeminal) - gen sen anterior 2/3

chorda tympani (from facial) - taste anterior 2/3

lingual branch of glossopharyngeal - general/special sensation (touch, temperature, taste) to posterior 1/3rd of tongue

<p>lingual n. (from trigeminal) - gen sen anterior 2/3</p><p>chorda tympani (from facial) - taste anterior 2/3</p><p>lingual branch of glossopharyngeal - general/special sensation (touch, temperature, taste) to posterior 1/3rd of tongue</p>
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internal laryngeal nerve (CN X)

supplies mostly general (some taste) sensation to a small region of tongue anterior to epiglottis.

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motor innervation and sensory innervation of tongue

...

<p>...</p>
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what is the main vascular supply to the tongue?

lingual artery off the external carotid artery

<p>lingual artery off the external carotid artery</p>
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dorsal lingual arteries supply

root of tongue

<p>root of tongue</p>
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deep lingual arteries supply

body of tongue

<p>body of tongue</p>
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what are the 4 glands?

Parotid Glands

Ā· largest salivary glands

Submandibular Glands

Sublingual Glands

Ā· smallest almond-shaped glands

Mucous Glands

Ā· distributed throughout oral cavity:

Ā· moisten mucous membrane

<p>Parotid Glands</p><p>Ā· largest salivary glands</p><p>Submandibular Glands</p><p>Sublingual Glands</p><p>Ā· smallest almond-shaped glands</p><p>Mucous Glands</p><p>Ā· distributed throughout oral cavity:</p><p>Ā· moisten mucous membrane</p>
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Parotid gland innervated by

CN IX (glossopharyngeal)

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submandibular and sublingual glands innervated by

Ā· innervated by the chorda tympani nerve (CN VII)