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(1 +3a + 4) Muscles of Mastication(1) / Facial Expression(4) + Taste &…
(1 +3a + 4) Muscles of Mastication(1) / Facial Expression(4) + Taste & Smell(3a)
Muscles of Mastication
*Massester 4cm thick
pain till 1st molar*
Superficial head
Origin: (1) Anterior 2/3 of zygomatic arch, inferior boarder.
(2) Maxillary Process of the zygomatic bone
Insertion: Angle of mandible. Inferior lateral parts of mandibular ramus
Actions:
Protrude
, Elevation, Excursion
Deep head
Origin: (1) Posterior 1/3 of zygomatic arch,
inferior and medial boarder
.
Insertion: (1) Superior lateral mandibular ramus (2) Coronoid Process
Actions:
Retrude
, Elevation, Aids in excursion
Pathology: Myalgia, Hypertrophy
Blood Supply: Massateric Artery (
Max
),
Transverse Facial
(
Sup. Temp
)
Innervation: 1st Pharyngeal Arch, CN Vc, Masseteric branch
Temporalis
Action: Retrude, Elevation, Aids in excursion
Origin: (1)
Inferior
temporal line of temporal fossa
Insertion:
(1) Coronoid process (2) Apex, anterior, posterior, medial of coronoid process (3) Anterior boarder/oblique ridge of mandibular ramus
/ Temporal Crest (4) Until the 2nd or 3rd molar
Pathology: Myalgia, Hypertrophy, TMJ, Tension Headache, Fibromyalgia
Blood Supply: Anterior & Posterior Deep Temporal Artery (
Max
.), Middle Temporal Artery (
Sup Temp
)
Innervation: 1st Pharyngeal Arch, CN Vc, Deep Temporal branch
Medial Pterygoid
Superficial
Origin: Maxillary
tuberosity
Insertion: Medial surface of ramus and angle of mandible
Deep
Origin: Medial surface of lateral pterygoid plate
Insertion: Medial surface of ramus and angle of mandible
Action: Elevation, Protrusion, Excursion
Blood Supply: Medial Pterygoid Artery (Max.)
Innervation: 1st Pharyngeal Arch, CN Vc, Medial Pterygoid branch
Lateral Pterygoid
(Fuse into single muscle)
Superior
Origin:
Infratemporal Crest
of greater wing of sphenoid bone
Insertion: Fuse into single muscle (1)Articular disc (2) capsule of TMJ (3) Pterygoid fossa
Action: Protrusion,
Elevation
, Excursion
Inferior
Origin: Lateral surface of lateral pterygoid plate
Insertion: Fuse into single muscle (1) Condyle of mandible (2) Pterygoid fossa
Action: Protrusion,
Depression
, Excursion
Innervation: 1st Pharyngeal Arch, CN Vc, Lateral Pterygoid branch
Blood Supply: Lateral Pterygoid Artery (Max.)
Taste and Smell
Taste
Oral
Part (Anterior 2/3) movable, presulcal
Dorsal
Surface (
Keratinized
Stratified Squamous Epithelium)
Papillae
(Mostly lingual taste buds)
Foliate
: CN VII Chorda Tympani, sides of tongue, anterior to palataloglossal fold, non keratinized
Taste buds found along the cleft walls
Circumvallate
: Largest, Junction between 1/3 & 2/3, Ant. to terminal sulcus, CN IX, generally non keratinized
Taste buds found along lateral walls of the papillae
Filliform
: Thick keratinized
Note:
All taste buds can respond to all taste stimulants, final taste is interpreted as summation of signals from all taste buds.
Sides of tongue more sensitive except the back - bitter, gag reflex
Fungiform
: CN VII Chorda tympani, non keratinized
Taste buds found on their superior surface
Ultra structure
of taste bud cells which opens into taste pores (Chemo-sensory receptors) turn over 10.5days as opposed to epithelial 20days
Type 2
/ Light cells / Receptor cells (Sensory Receptor cells)
1/5 of all cells
Do not extend to basement membrane
Thick microvilli
Nuclei smooth walled and round
Function:
Sweet
/
Bitter
/
Umami
Type 1
/ Dark cells (Supporting cells)
1/3 of all cells
Function:
Secretory granules (gel-like) - Dark colour - Glyocsoaminoglycans, ascorbic acid and enzymes
Short stubby villi
Nuclei ragged shaped
Extend from basement membrane
Type 3
(Presynaptic cells)
No villi
Contain neurotransmitter vesicles (similar to nerve fibres)
Function:
Synaptic communication w nerve fibres, ion
channels
for
Sour
&
Salty
compounds
Type 4
(Basal cells)
Present at basal end of taste bud
Function:
Progenitor cell for other cell types
Extra lingual taste buds
Soft & Hard Palate
Larynx Pharynx Epiglottis
Ventral
Surface (
Nonkeratinized
stratified squamous epithelium)
Lingual frenulum
Sublingual papilla
Sublingual / Submandibular Glands
Pharyngeal
part (Posterior 1/3) nonmovable postsulcal
Dorsal
Surface (
Nonkeratinized
Stratified Squamous Epithelium)
Lingual Tonsil
Glossoepiglottic folds
Types of taste
Salt/Sweet/Sour/Bitter/Umani
Fatty/electric/alkaline/metallic
Remark: Hot/Spicy is not a taste but a
Pain Signal
Innervation
Special
Glossopharyngeal
: CN IX
Pharyngeal Part Posterior 1/3
Circumvallate
Inferior Glossopharyngeal (Petrosal) Ganglion
Foliate
Vagus
: *CN X
Base of tongue / Epliglottic Region
Pharynx
Epiglottis
Larynx
Inferior ganglion of the vagus
Facial
: CN VII
Oral part / Anterior 2/3
Fungiform
Soft Palate
Geniculate Ganglion
Chorda Tympani
Foliate
Gustatory Cortex & a little Olfactory Cortex
Nucleus of medulla oblongata
General
Trigeminal
: CN V
Oral part / Anterior 2/3
Glossopharyngeal
: CN IX
Pharyngeal Part Posterior 1/3
Vagus
: CN X
Base of tongue / Epliglottic Region
Smell (Accounts for 80% of taste) Ortho-nasal (nose), Retro-nasal (mouth)
Olfactory Mucosa/Neuroepithelium
Superior & Middle Turbinate (Conchae), one on each side of the nasal septum
Pseudostratified Columnar Epithelium
Olfactory receptor neurons layer: bipolar, cell body within epithelium,
lifespan: 4-8wks
Supporting (Sustentacular) layer
Basal layer
Mucous secreting cells
Disorders
Gustatory
Hypoguesia
Hyperguesia
Dysguesia
Aguesia
Olfactory
Hyposmia
Hyperosmia
Dysomia
Anosmia
Definitions
Symptoms
: Phenomenon that is
experienced by the individual
affected by the disease
Signs
: Phenomenon that
can be detected by someone other than the individual
affected by the disease
Muscles of Facial Expression
Upper
[Frontalis] Elevates
eyebrows
, wrinkles
forehead
Procerus
Corrugator Supercilli
Origin: Supracillary arch / Supraorbital arch of Frontal Bone
Insertion: Middle skin of eyebrow
Orbicularis Oculi
Levator Palpebrae Superioris
Middle
Levator Labii Superioris alaeque nasi
Levator Labii Superioris
Levator Anguli Oris
Zygomaticus Major
Zygomaticus Minor
Alar (Wing) Nasalis
Depressor Septi Nasi
Procerus
Auricularis Anterior/Posterior/Superior
Transverse Nasalis
Lower
Buccinator
Risorius
Depressor Anguli Oris
Depressor Labii Inferioris 1) Depresses Lower Lip / Pouting
Orbicularis Oris: 1) Close lips 2) Protrusion / Pursing of lips
Mentalis
Platysma