The Muscular System Views
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Larynx Anatomy
LARYNX ANATOMY Elena Rizzo Riera R1 ORL HUSE INTRODUCTION v Odd and median organ v Infrahyoid region v Phonation, swallowing and breathing v Triangular pyramid v Postero- superior base àpharynx and hyoid bone v Bottom point àupper orifice of the trachea INTRODUCTION C4-C6 Tongue – trachea In women it is somewhat higher than in men. Male Female Length 44mm 36mm Transverse diameter 43mm 41mm Anteroposterior diameter 36mm 26mm SKELETAL STRUCTURE Framework: 11 cartilages linked by joints and fibroelastic structures 3 odd-and median cartilages: the thyroid, cricoid and epiglottis cartilages. 4 pair cartilages: corniculate cartilages of Santorini, the cuneiform cartilages of Wrisberg, the posterior sesamoid cartilages and arytenoid cartilages. Intrinsic and extrinsic muscles THYROID CARTILAGE Shield shaped cartilage Right and left vertical laminaà laryngeal prominence (Adam’s apple) M:90º F: 120º Children: intrathyroid cartilage THYROID CARTILAGE Outer surface à oblique line Inner surface Superior border à superior thyroid notch Inferior border à inferior thyroid notch Superior horns à lateral thyrohyoid ligaments Inferior horns à cricothyroid articulation THYROID CARTILAGE The oblique line gives attachement to the following muscles: ¡ Thyrohyoid muscle ¡ Sternothyroid muscle ¡ Inferior constrictor muscle Ligaments attached to the thyroid cartilage ¡ Thyroepiglottic lig ¡ Vestibular lig ¡ Vocal lig CRICOID CARTILAGE Complete signet ring Anterior arch and posterior lamina Ridge and depressions Cricothyroid articulation -
Axis Scientific Skull with Muscle Origins and Insertions A-108851
Axis Scientific Skull with Muscle Origins and Insertions A-108851 *Muscle Origins = RED Anterior View Occipital Bone Posterior View *Muscle Insertions = BLUE Posterior Cerebral Artery Frontal Bone Basilar Artery Pontine Arteries Parietal Bone Nasal Bone Temporal Bone Sphenoid Bone Temporalis Parietal Bone Occipitofrontalis Occipital Bone Lacrimal Bone Sternocleidomastoid Trapezius Temporalis Semispinalis Capitis Temporal Bone Corrugator Supercilii Splenius Capitis Longissimus Capitis Orbicularis Oculi Obliquus Capitis Superior Temporal Basilar Artery Bone Procerus Rectis Capitis C1 Posterior Major Vertebral Artery Levator Labii Superioris C2 Alaeque Nasi Rectis Capitis Posterior Minor Sphenoid Levator Labii Superioris Posterior Digastric Zygomatic Bone Bone C3 Nasalis (Transverse Part) Rectis Capitis C4 Masseter Lateralis Spinal Nerve Zygomaticus Major C5 Zygomatic Medial Pterygoid Bone Zygomaticus Minor C6 Temporalis Mylohyoid C7 Mandible Levator Anguli Oris Vomer Nasalis (Alar Part) Spinal Nerve Spinal Cord Maxilla Orbicularis Oris Depressor Septi Nasi Masseter Medial Superior Masseter Mandible Orbicularis Oris Constrictor Pterygoid Inferior View Styloglossus Platysma Mylohyoid Depressor Stylohyoid Anguli Oris Anterior Stylopharyngeus Spinal Nerve Depressor Digastric Labii Inferioris Posterior Geniohyoid Digastric Vertebral Artery Mentalis Rectis Capitis Genioglossus Lateralis Rectis Capitis Buccinator Mandible Posterior Major Rectis Capitis Posterior Minor Frontal Bone Corrugator Supercilii Orbicularis Oculi Lacrimal Bone Depressor -
Questions on Human Anatomy
Standard Medical Text-books. ROBERTS’ PRACTICE OF MEDICINE. The Theory and Practice of Medicine. By Frederick T. Roberts, m.d. Third edi- tion. Octavo. Price, cloth, $6.00; leather, $7.00 Recommended at University of Pennsylvania. Long Island College Hospital, Yale and Harvard Colleges, Bishop’s College, Montreal; Uni- versity of Michigan, and over twenty other medical schools. MEIGS & PEPPER ON CHILDREN. A Practical Treatise on Diseases of Children. By J. Forsyth Meigs, m.d., and William Pepper, m.d. 7th edition. 8vo. Price, cloth, $6.00; leather, $7.00 Recommended at thirty-five of the principal medical colleges in the United States, including Bellevue Hospital, New York, University of Pennsylvania, and Long Island College Hospital. BIDDLE’S MATERIA MEDICA. Materia Medica, for the Use of Students and Physicians. By the late Prof. John B Biddle, m.d., Professor of Materia Medica in Jefferson Medical College, Phila- delphia. The Eighth edition. Octavo. Price, cloth, $4.00 Recommended in colleges in all parts of the UnitedStates. BYFORD ON WOMEN. The Diseases and Accidents Incident to Women. By Wm. H. Byford, m.d., Professor of Obstetrics and Diseases of Women and Children in the Chicago Medical College. Third edition, revised. 164 illus. Price, cloth, $5.00; leather, $6.00 “ Being particularly of use where questions of etiology and general treatment are concerned.”—American Journal of Obstetrics. CAZEAUX’S GREAT WORK ON OBSTETRICS. A practical Text-book on Midwifery. The most complete book now before the profession. Sixth edition, illus. Price, cloth, $6.00 ; leather, $7.00 Recommended at nearly fifty medical schools in the United States. -
EDS Awareness in the TMJ Patient
EDS Awareness in the TMJ Patient TMJ and CCI with the EDS Patient “The 50/50” Myofascial Pain Syndrome EDNF, Baltimore, MD August 14,15, 2015 Generation, Diagnosis and Treatment of Head Pain of Musculoskeletal Origin Head pain generated by: • Temporomandibular joint dysfunction • Cervicocranial Instability • Mandibular deviation • Deflection of the Pharyngeal Constrictor Structures Parameters & Observations . The Myofascial Pain Syndrome (MPS) is a description of pain tracking in 200 Ehlers-Danlos patients. Of the 200 patients, 195 were afflicted with this pain referral syndrome pattern. The MPS is in direct association and correlation to Temporomandibular Joint dysfunction and Cervico- Cranial Instability syndromes. Both syndromes are virtually and always correlated. Evaluation of this syndrome was completed after testing was done to rule out complex or life threatening conditions. The Temporomandibular Joint TMJ Dysfunction Symptoms: Deceptively Simple, with Complex Origins 1) Mouth opening, closing with deviation of mandibular condyles. -Menisci that maybe subluxated causing mandibular elevation. -Jaw locking “open” or “closed”. -Inability to “chew”. 2) “Headaches”/”Muscles spasms” (due to decreased vertical height)generated in the temporalis muscle, cheeks areas, under the angle of the jaw. 3) Osseous distortion Pain can be generated in the cheeks, floor of the orbits and/or sinuses due to osseous distortion associated with “bruxism”. TMJ dysfunction cont. (Any of the following motions may produce pain) Pain With: . Limited opening(closed lock): . Less than 33 mm of rotation in either or both joints . Translation- or lack of . Deviations – motion of the mandible to the affected side or none when both joints are affected . Over joint pain with or without motion around or . -
The Articulatory System Chapter 6 Speech Science/ COMD 6305 UTD/ Callier Center William F. Katz, Ph.D
The articulatory system Chapter 6 Speech Science/ COMD 6305 UTD/ Callier Center William F. Katz, Ph.D. STRUCTURE/FUNCTION VOCAL TRACT CLASSIFICATION OF CONSONANTS AND VOWELS MORE ON RESONANCE ACOUSTIC ANALYSIS/ SPECTROGRAMS SUPRSEGMENTALS, COARTICULATION 1 Midsagittal dissection From Kent, 1997 2 Oral Cavity 3 Oral Structures – continued • Moistened by saliva • Lined by mucosa • Saliva affected by meds 4 Tonsils • PALATINE* (laterally – seen in oral periph • LINGUAL (inf.- root of tongue) • ADENOIDS (sup.) [= pharyngeal] • Palatine, lingual tonsils are larger in children • *removed in tonsillectomy 5 Adenoid Facies • Enlargement from infection may cause problems (adenoid facies) • Can cause problems with nasal sounds or voicing • Adenoidectomy; also tonsillectomy (for palatine tonsils) 6 Adenoid faces (example) 7 Oral structures - frenulum Important component of oral periphery exam Lingual frenomy – for ankyloglossia “tongue-tie” Some doctors will snip for infants, but often will loosen by itself 8 Hard Palate Much variability in palate shape and height Very high vault 9 Teeth 10 Dentition - details Primary (deciduous, milk teeth) Secondary (permanent) n=20: n=32: ◦ 2 incisor ◦ 4 incisor ◦ 1 canine ◦ 2 canine ◦ 2 molar ◦ 4 premolar (bicuspid) Just for “fun” – baby ◦ 6 molar teeth pushing in! NOTE: x 2 for upper and lower 11 Types of malocclusion • Angle’s classification: • I, II, III • Also, individual teeth can be misaligned (e.g. labioversion) Also “Neutrocclusion/ distocclusion/mesiocclusion” 12 Dental Occlusion –continued Other terminology 13 Mandible Action • Primary movements are elevation and depression • Also…. protrusion/retraction • Lateral grinding motion 14 Muscles of Jaw Elevation Like alligators, we are much stronger at jaw elevation (closing to head) than depression 15 Jaw Muscles ELEVATORS DEPRESSORS •Temporalis ✓ •Mylohyoid ✓ •Masseter ✓ •Geniohyoid✓ •Internal (medial) Pterygoid ✓ •Anterior belly of the digastric (- Kent) •Masseter and IP part of “mandibular sling” •External (lateral) pterygoid(?)-- also protrudes and rocks side to side. -
MRI-Based Assessment of Masticatory Muscle Changes in TMD Patients After Whiplash Injury
Journal of Clinical Medicine Article MRI-Based Assessment of Masticatory Muscle Changes in TMD Patients after Whiplash Injury Yeon-Hee Lee 1,* , Kyung Mi Lee 2 and Q-Schick Auh 1 1 Department of Orofacial Pain and Oral Medicine, Kyung Hee University Dental Hospital, #613 Hoegi-dong, Dongdaemun-gu, Seoul 02447, Korea; [email protected] 2 Department of Radiology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, #26 Kyunghee-daero, Dongdaemun-gu, Seoul 02447, Korea; [email protected] * Correspondence: [email protected]; Tel.: +82-2-958-9409; Fax: +82-2-968-0588 Abstract: Objective: to investigate the change in volume and signal in the masticatory muscles and temporomandibular joint (TMJ) of patients with temporomandibular disorder (TMD) after whiplash injury, based on magnetic resonance imaging (MRI), and to correlate them with other clinical parameters. Methods: ninety patients (64 women, 26 men; mean age: 39.36 ± 15.40 years), including 45 patients with symptoms of TMD after whiplash injury (wTMD), and 45 age- and sex- matched controls with TMD due to idiopathic causes (iTMD) were included. TMD was diagnosed using the study diagnostic criteria for TMD Axis I, and MRI findings of the TMJ and masticatory muscles were investigated. To evaluate the severity of TMD pain and muscle tenderness, we used a visual analog scale (VAS), palpation index (PI), and neck PI. Results: TMD indexes, including VAS, PI, and neck PI were significantly higher in the wTMD group. In the wTMD group, muscle tenderness was highest in the masseter muscle (71.1%), and muscle tenderness in the temporalis (60.0%), lateral pterygoid muscle (LPM) (22.2%), and medial pterygoid muscle (15.6%) was significantly more frequent than that in the iTMD group (all p < 0.05). -
The Mandibular Nerve - Vc Or VIII by Prof
The Mandibular Nerve - Vc or VIII by Prof. Dr. Imran Qureshi The Mandibular nerve is the third and largest division of the trigeminal nerve. It is a mixed nerve. Its sensory root emerges from the posterior region of the semilunar ganglion and is joined by the motor root of the trigeminal nerve. These two nerve bundles leave the cranial cavity through the foramen ovale and unite immediately to form the trunk of the mixed mandibular nerve that passes into the infratemporal fossa. Here, it runs anterior to the middle meningeal artery and is sandwiched between the superior head of the lateral pterygoid and tensor veli palatini muscles. After a short course during which a meningeal branch to the dura mater, and the nerve to part of the medial pterygoid muscle (and the tensor tympani and tensor veli palatini muscles) are given off, the mandibular trunk divides into a smaller anterior and a larger posterior division. The anterior division receives most of the fibres from the motor root and distributes them to the other muscles of mastication i.e. the lateral pterygoid, medial pterygoid, temporalis and masseter muscles. The nerve to masseter and two deep temporal nerves (anterior and posterior) pass laterally above the medial pterygoid. The nerve to the masseter continues outward through the mandibular notch, while the deep temporal nerves turn upward deep to temporalis for its supply. The sensory fibres that it receives are distributed as the buccal nerve. The 1 | P a g e buccal nerve passes between the medial and lateral pterygoids and passes downward and forward to emerge from under cover of the masseter with the buccal artery. -
Head & Neck Muscle Table
Robert Frysztak, PhD. Structure of the Human Body Loyola University Chicago Stritch School of Medicine HEAD‐NECK MUSCLE TABLE PROXIMAL ATTACHMENT DISTAL ATTACHMENT MUSCLE INNERVATION MAIN ACTIONS BLOOD SUPPLY MUSCLE GROUP (ORIGIN) (INSERTION) Anterior floor of orbit lateral to Oculomotor nerve (CN III), inferior Abducts, elevates, and laterally Inferior oblique Lateral sclera deep to lateral rectus Ophthalmic artery Extra‐ocular nasolacrimal canal division rotates eyeball Inferior aspect of eyeball, posterior to Oculomotor nerve (CN III), inferior Depresses, adducts, and laterally Inferior rectus Common tendinous ring Ophthalmic artery Extra‐ocular corneoscleral junction division rotates eyeball Lateral aspect of eyeball, posterior to Lateral rectus Common tendinous ring Abducent nerve (CN VI) Abducts eyeball Ophthalmic artery Extra‐ocular corneoscleral junction Medial aspect of eyeball, posterior to Oculomotor nerve (CN III), inferior Medial rectus Common tendinous ring Adducts eyeball Ophthalmic artery Extra‐ocular corneoscleral junction division Passes through trochlea, attaches to Body of sphenoid (above optic foramen), Abducts, depresses, and medially Superior oblique superior sclera between superior and Trochlear nerve (CN IV) Ophthalmic artery Extra‐ocular medial to origin of superior rectus rotates eyeball lateral recti Superior aspect of eyeball, posterior to Oculomotor nerve (CN III), superior Elevates, adducts, and medially Superior rectus Common tendinous ring Ophthalmic artery Extra‐ocular the corneoscleral junction division -
A Note Ontwo Abnormal Laryngeal
A NOTE ON TWO ABNORMAL LARYNGEAL MUSCLES IN A ZULU BY LAWRENCE H. WELLS AND EDRIC A. THOMAS Department of Anatomy, University of the Witwatersrand, Johannesburg CHARLES, a Zulu labourer, aged 69, died of pulmonary tuberculosis on September 2nd, 1925. His body was dissected in the Department of Anatomy of the University of the Witwatersrand, Johannesburg. In the course of the dissection there were observed, in addition to various pathological conditions, numerous structural abnormalities not referable to pathological causes. Of the pathological conditions, the principal were ad- vanced pulmonary tuberculosis accompanied byenlargementof the rightatrium of the heart, duodenal ulcer, and degenerative changes in the small intestine, accompanied by widespread haemorrhages into the submucous coat, which were regarded by Dr A. Sutherland Strachan, Senior Lecturer in Pathology, as due to anthrax. There were also present an enlarged liver, complete fibrosis of the left vertebral artery, and appearances in the kidney suggesting paren- chymatous nephritis. Among the abnormalities observed were the following: The hemiazygos vein emerged from the substance of the kidney near the upper pole, and formed with the accessory hemiazygos and left superior intercostal veins a continuous venous trunk opening into the left innominate vein. On the left side the subscapular and posterior circumflex humeral arteries had a common origin from the third part of the axillary artery. On the right side the subscapular artery arose from the second part of the axillary artery instead of from the third part. On the right side also the radial artery divided into its two terminal branches some distance proximal to the wrist joint. -
Making Faces
Making Faces Chris Landreth CSC2529, Session 4 31 January 2011 AU1,2 (Frontalis): 2 AU4 (Corrugator): 1 AU5 (Levitor Palpabrae): 3 AU6,44 (Orbicularis Oculi): 6 How AU9 (Alaeque Nasi Labius Superioris): 1 AU10 (Labius Superioris): 3 many AU12 (Zygomatic Major): 3 letters in AU14 (Buccinator): 3 AU15 (Triangularis): 3 this AU16 (Labius Inferioris): 1 alphabet? AU17 (Mentalis): 1 AU18 (Incisivus): 1 AU20 (Risorius/Platysma): 3 AU22,23 (Orbicularis Oris): 6 AU26 (Jaw): 4 _________________________________________________ TOTAL: 41 AU’s Putting the letters together into words: Expressions The six fundamental expressions: 1. Anger 2. Sadness 3. Disgust 4. Surprise 5. Fear 6. Happiness The six fundamental expressions: 1. Anger 2. Sadness 3. Disgust 4. Surprise 5. Fear 6. Happiness A Few Words of Anger Glaring: A Few Words of Anger Glaring: Slight creases in the middle brow (Currogator) Eyelids are slightly raised (Levitor Palpabrae) Lips are clenched backward (Buccinator) Slight downturn in lip corners (Triangularis) A Few Words of Anger Miffed: A Few Words of Anger Miffed: Classic, angry ‘v-shaped’ eyebrows (Currogator) Nasolabial fold deepens, Upper lip is squared off (A.N. Labius Superioris) Lower lip raises into a pout, Dimpling in the chin (Mentalis) A Few Words of Anger Pissed off: A Few Words of Anger Pissed off: Brow raises slightly (Frontalis) Sharper Nasolabial Fold, Raised upper lip (A.N. Labius Superioris) Lower lip juts out (Orb. Oris, Lower Lip out) A Few Words of Anger Very Pissed off: A Few Words of Anger Very Pissed off: Slight squinting (Orb. Oculi) Bared upper teeth (Orb. Oris, Upper Lip Out) Squared lower lip corners, Sharp tendon creases in her neck (Risorius/Platysma) A Few Words of Anger Consumed in Rage: A Few Words of Anger Consumed in Rage: Intense, asymmetrical squinting (Orb. -
Yagenich L.V., Kirillova I.I., Siritsa Ye.A. Latin and Main Principals Of
Yagenich L.V., Kirillova I.I., Siritsa Ye.A. Latin and main principals of anatomical, pharmaceutical and clinical terminology (Student's book) Simferopol, 2017 Contents No. Topics Page 1. UNIT I. Latin language history. Phonetics. Alphabet. Vowels and consonants classification. Diphthongs. Digraphs. Letter combinations. 4-13 Syllable shortness and longitude. Stress rules. 2. UNIT II. Grammatical noun categories, declension characteristics, noun 14-25 dictionary forms, determination of the noun stems, nominative and genitive cases and their significance in terms formation. I-st noun declension. 3. UNIT III. Adjectives and its grammatical categories. Classes of adjectives. Adjective entries in dictionaries. Adjectives of the I-st group. Gender 26-36 endings, stem-determining. 4. UNIT IV. Adjectives of the 2-nd group. Morphological characteristics of two- and multi-word anatomical terms. Syntax of two- and multi-word 37-49 anatomical terms. Nouns of the 2nd declension 5. UNIT V. General characteristic of the nouns of the 3rd declension. Parisyllabic and imparisyllabic nouns. Types of stems of the nouns of the 50-58 3rd declension and their peculiarities. 3rd declension nouns in combination with agreed and non-agreed attributes 6. UNIT VI. Peculiarities of 3rd declension nouns of masculine, feminine and neuter genders. Muscle names referring to their functions. Exceptions to the 59-71 gender rule of 3rd declension nouns for all three genders 7. UNIT VII. 1st, 2nd and 3rd declension nouns in combination with II class adjectives. Present Participle and its declension. Anatomical terms 72-81 consisting of nouns and participles 8. UNIT VIII. Nouns of the 4th and 5th declensions and their combination with 82-89 adjectives 9. -
Chin Ptosis: Classification, Anatomy, and Correction/Garfein, Zide 3
Chin Ptosis: Classification, Anatomy, and Correction Evan S. Garfein, M.D.,1 and Barry M. Zide, D.M.D., M.D.1 ABSTRACT For years, the notion of chin ptosis was somehow integrated with the concept of witch’s chin. That was a mistake on many levels because chin droop has four major causes, all different and with some overlap. With this article, the surgeon can quickly diagnose which type and which therapeutic modality would work best. In some cases the problem is a simple fix, in others the droop can only be stabilized, and in the final two, definite corrective procedures are available. Of note, in certain situations two types of chin ptosis may overlap because both the patient and the surgeon may each contribute to the problems. For example, in dynamic ptosis, a droop that occurs with smile in the unoperated patient can be exacerbated and further produced by certain surgical methods also. This paper classifies the variations of the problems and explains the anatomy with the final emphasis on long-term surgical correction, well described herein. This article is the ninth on this subject and a review of them all would be helpful (greatly) for understanding the enigmas of the lower face. KEYWORDS: Lip incompetence, chin ptosis, witch’s chin, chin droop, mentalis muscle All chin ptosis patients are not alike. The abnormal anatomy, diagnosis, and management of the proper diagnosis of the type of chin ptosis places the four types of chin ptosis, as well as how to manage patient into one of four categories, which will deter- dynamic ptosis in the presence of other problems— mine who can and who cannot be helped and by which surgeon-caused or not.