Extends from the base of the cranium and inferior border of the mandible to the thoracic inlet
Neck muscles
Move the neck and head
Move the hyoid,larynx, or tongue during speech and swallowing
Muscles of the neck
Trapezius muscle
Scalene muscles
Sternocleidomastoid muscle
Sternohyoid muscle
Sternothyroid muscle
Omohyoid muscle
Digastric muscle
Platysma
Trapezius muscle
Broad, flat, superficial muscle extending from the cervical to thoracic region on the posterior aspect of the neck and trunk
Origin: Medial 3rd of the superior nuchal line; external occipital protuberance, nuchal ligament and spinous process of C7-T12 vertebrae
Insertion: Lateral 3rd of the clavicle, acromion, and spine of scapula
Blood Supply: Transversecervical artery
Nerve Supply: Spinal root of accessory nerve (CXll; motor) and Cervical nerves (C3and C4) pain and proprioception
Function: Allows and supports the spinal column to remain erect when standing, plays an important role in shoulder movements of the head, elevating and depressing the shoulders and internally rotating the arm
Scalene muscles
Found on the lateral side of the neck, bounded by the sternocleidomastoid and turn the head to the right (Anterior, middle and posterior)
Origin: Transverse process of the cervical vertebrae
Insertion: Ribs 1 and 2
Action: Flexes and rotates neck, elevates ribs 1&2
Innervation: Spinal Nerve C4-8
Sternocleidomastoid muscle
Muscles that rotate the head in a unique way
Origin: Manubrium and medial clavicle
Insertion: Mastoid process, superior nuchal line
Action: One: rotates and extends neck, Both: flex neck
Innervation: Accessory Nerve (Xl)
Sternohyoid
Anchors the stable part of the muscle
Origin: Manubrium of sternum
Insertion: Hyoid
Action: Depresses the hyoid bone
Innervation: Spinal Nerves C1-C3
Sternothyroid
Anchors the stable part of the muscle
Origin: Manubrium of sternum
Insertion: Thyroid cartilage of the larynx
Action: Depresses the larynx
Innervation: Spinal nerve C1-3
Omohyoid
OMO means shoulder
Origin: Superior border of the scapula
Insertion: Hyoid bone
Action: Depresses and fixes hyoid
Innervation: Spinal Nerve C1-3
Digastric muscle
Muscle that depresses the mandible, inserted into the hyoid that is responsible for the movement of the tongue for speech and swallowing
Origin: Mastoid process of the temporal (posterior belly)
Insertion: Mandible near the midline (Anterior Belly)
Action: Elevates, protracts, and retracts hyoid, depresses the mandible
Innervation: Trigeminal Nerve (V) and Facial nerve(Vll)
Mylohyoid muscle
Broad muscle of the floor of the mouth that pushes the tongue superiorly when swallowing
Origin: Body of the Mandible
Insertion: Hyoid
Action: Elevates the floor of the mouth and tongue
Innervation: Trigeminal Nerve
Pharynx
A 12-14 cm longmusculomembranous tube shaped like an inverted cone, extending from the cranial base to the lower border of the cricoid cartilage, with varying width depending on muscle tone
Pharynx components
3 circular contractors
3 longitudinal elevators
Pharynx blood supply
Branches of the external carotid artery, particularly the ascending branches of the facial artery, maxillary artery and lingual artery
Nasopharynx
Lies above the soft palate and behind the posterior nares, allowing free respiratory passage between the nasal cavity and the nasopharynx
Pharyngeal tonsils or adenoid
A median mass of mucosa-associated lymphoid tissue situated in the roof and posterior wall of the nasopharynx, with a truncated pyramid shape often with a vertically oriented median cleft
Oropharynx
Extends from below the soft palate to the upper border of the epiglottis, opening the mouth through the oropharyngeal isthmus demarcated by the palatoglossal arch and facing the pharyngeal aspect of the tongue
Soft palate
A mobile flap from the posterior border of thehard palate, dividing the oral and nasal parts of the pharynx
Oropharynx
Extends from below the soft palate to the upper border of the epiglottis
Opens the mouth through the oropharyngeal isthmus demarcated by the palatoglossal arch and faces the pharyngeal aspect of the tongue
Soft palate
Mobile flap from the posterior border of the hard palate
Extends down and back between the oral and nasal parts
Larynx
Air passage, a sphincter and an organ of phonation
Extends from the tongue to the trachea
At rest it lies opposite the 3rd and 6th cervical vertebrae in adult males, somewhat higher in females and children
Laryngeal skeletal framework
Formed by a series of cartilages interconnected by ligaments and fibrous membranes
Hyoid bone is attached to the larynx
Epiglottis
Leaf-like plate of elastic fibrocartilage
Projects obliquely upwards behind the tongue and hyoid body and in the front of the laryngeal inlet
Functions: During swallowing, the hyoid bone moves upwards and forwards, and it is bent posteriorly as a result of passive pressure from the base of the tongue, and active contraction of the aryepigllotic muscles
Not essential for swallowing
Not essential for respiration or phonation
Brain
Located in the cranial cavity of the skull
Weighs approximately 1.4 kilograms (3 pounds)
Derived from 3 embryonic parts that develop into more specific parts
Cranial nerves are associated with the brain
Gray matter is extensive and forms the cerebral cortex in which the most active and integrative process
Meninges
Dura mater - tough, dense connective tissue sheath that encircles the brain and series shelves that extends into the brain
Arachnoid Mater - thin membrane that resembles a spider's web
Subdural space - deep space to the dura
Subarachnoid space - contains the cerebrospinal fluid (CSF)
Pia Mater - deepest layer, a membrane directly on the outer surface of the brain
Major regions of the brain
Prosencephalon - develops the FOREBRAIN which contains the cerebrum, and diencephalon
Mesencephalon - develops the MIDBRAIN which small in in adult brain
Rhombencephalon or HINDBRAIN - develops into Pons, Medulla Oblongata, Cerebellum
Ventricles
Lateral Ventricles - occupies each cerebral hemisphere
Third Ventricle - located at the thalamus and receives CSF from the choroid plexus and drains into the fourth ventricle by the cerebral Aqueduct
Septum Pellucidum - wall that separates the lateral ventricle from the third ventricle
Internal hydrocephalus - condition wherein the duct occludes and produces more fluid and put pressure on the nervous tissue
Midbrain
Small area posterior to diencephalon
Cerebral peduncles occupy the area superior to the pons
Hindbrain
Pons - relay center shunting information from the inferior regions of the body through the thalamus and to other areas of the brain
Respiratory Centers - located in pons that are involved in controlling the breathing rate
Medulla Oblongata - presence of respiratory rate, center for heart rate and other vital centers
Decussation of the Pyramids - area where motor tracts cross over the medulla oblongata
Cranial nerves
Olfactory
Optic
Oculomotor
Trochlear
Trigeminal
Abducent
Facial
Vestibulocochlear
Glossopharyngeal
Vagus
Spinal accessory
Hypoglossal
Cranial nerves
Emerge directly from the brain and primarily innervate structures in the head and neck
Named numerically and serve diverse functions, including sensory, motor, and autonomic roles
Transmit information between the brain and different parts of the body, contributing to functions such as vision, hearing, taste, smell, and facial movements
Olfactory nerve
Sensory nerve that contributes to the sense of smell in human beings
Carries the information from the nasal epithelium to the olfactory center in brain
Optic nerve
Sensory nerve that transforms information about vision to the brain
Supplies information to the retina in the form of ganglion cells
Oculomotor nerve
Motor nerve that supplies to different centres along the midbrain
Functions include superiorly uplifting the eyelid, superiorly rotating the eyeball, construction of the pupil on the exposure to light and operating several eye muscles
Trochlear nerve
Motor nerve that supplies to the midbrain and performs the function of handling the eye muscles and turning the eye
Trigeminal nerve
Largest cranial nerve and performs many sensory functions related to the nose, eyes, tongue and teeth
Further divided in three branches: ophthalmic, maxillary and mandibular
Mixed nerve that performs sensory and motor functions in the brain
Abducent nerve
Motor nerve that supplies to the pons and performs the function of turning the eye laterally
Facial nerve
Motor nerve responsible for different types of facial expressions
Performs some functions of sensory nerve by supplying information about touch on the face and senses of tongue in mouth
Present over the brain stem
Vestibulocochlear nerve
Motor nerve that provides information related to balance of head and sense of sound or hearing
Carries vestibular as well as cochlear information to the brain
Glossopharyngeal nerve
Sensory nerve that carries sensory information from the pharynx (initial portion of throat) and some portion of tongue and palate
Carries information about temperature, pressure and other related facts
Covers some portion of taste buds and salivary glands
Performs some motor functions such as helping in swallowing food