List of Muscles of the Human Body
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03Murrsalivaryglandandductan
11/6/2014 Andrew H. Murr, MD Professor and Chairman Roger Boles, MD Endowed Chair in Otolaryngology Education Department of Otolaryngology- Head and Neck Surgery Salivary Gland and Duct Anatomy UCSF Sialendoscopy/Salivary Duct Surgery Course November 6, 2014 University of California, San Francisco Salivary Gland and Duct Anatomy Function of Salivary Glands • Parotid Gland and Stensen’s Duct • Food digestion • Submandibular Gland and Wharton’s Duct – Lubrication • Sublingual Gland and Duct System – Clearance • Minor Salivary Glands • Tooth protection • Taste • Antimicrobial function 1 11/6/2014 Embryology Duct Ultrastructure Parotid Gland • Ectoderm origin – Surrounded by mesenchyme • 6-8 weeks of life • Originate at duct orifice – Parotid develops around and between facial nerve • Salivary tissue becomes encapsulated –*Parotid encapsulates last: only in parotid- lymphatic system is contained within parotid tissue prior to encapsulation Parotid Gland Parotid Gland • Largest and 1 st to • Tail develop • Accessory parotid • Serous acinar cells – 20% – Purely serous – seromucinous • Parotid fascia • Borders – Lateral Skin – Medial Parapharyngeal space – Superior Zygomatic arch – Posterior EAC – Inferior Styloid/carotid/jugular – Anterior Masseter 2 11/6/2014 Parotid Gland Parotid Gland Hollinshead • Arterial supply • Nerve Supply – External carotid – Parasympathetic • Maxillary • IX- preganglionic • Superficial temporal – LSP (ovale) to otic • Transverse facial ganglion • Postganglionic • Venous drainage – Auriculotemporal – Retromandibular – Sympathetic • Maxillary • Superior cervical ganglion • Superficial temporal – Via external carotid – External jugular plexus – Internal jugular Surgical Nerves Facial Nerve Hollinshead • Facial nerve • Greater Auricular 3 11/6/2014 LSD: Stenosis LSD Classification Marchal, F et al., Salivary stones and stenosis, A comprehensive classification. Rev Stomatol Chir Maxillofac 2008; 109: 233-236 Marchal, F et al., Salivary stones and stenosis, A comprehensive classification. -
The Region of the Parotid Gland
Thomas Jefferson University Jefferson Digital Commons Regional anatomy McClellan, George 1896 Vol. 1 Jefferson Medical Books and Notebooks November 2009 The Region of the Parotid Gland Follow this and additional works at: https://jdc.jefferson.edu/regional_anatomy Part of the History of Science, Technology, and Medicine Commons Let us know how access to this document benefits ouy Recommended Citation "The Region of the Parotid Gland" (2009). Regional anatomy McClellan, George 1896 Vol. 1. Paper 7. https://jdc.jefferson.edu/regional_anatomy/7 This Article is brought to you for free and open access by the Jefferson Digital Commons. The Jefferson Digital Commons is a service of Thomas Jefferson University's Center for Teaching and Learning (CTL). The Commons is a showcase for Jefferson books and journals, peer-reviewed scholarly publications, unique historical collections from the University archives, and teaching tools. The Jefferson Digital Commons allows researchers and interested readers anywhere in the world to learn about and keep up to date with Jefferson scholarship. This article has been accepted for inclusion in Regional anatomy McClellan, George 1896 Vol. 1 by an authorized administrator of the Jefferson Digital Commons. For more information, please contact: [email protected]. 130 THE REGION OF THE PAROTID GLAND. nerves. The motor infra-orbital nerves are comparatively of larger size, and consist of superficial and deep branches which pass forward over the masseter muscle to be distributed to the muscles beneath the lower margin of the orbit and about the mouth. The superficia l branches supply the superficial muscles of the face and form sensory connections with the nasal and infra-trochlear nerves along the nose. -
Computed Tomography of the Buccomasseteric Region: 1
605 Computed Tomography of the Buccomasseteric Region: 1. Anatomy Ira F. Braun 1 The differential diagnosis to consider in a patient presenting with a buccomasseteric James C. Hoffman, Jr. 1 region mass is rather lengthy. Precise preoperative localization of the mass and a determination of its extent and, it is hoped, histology will provide a most useful guide to the head and neck surgeon operating in this anatomically complex region. Part 1 of this article describes the computed tomographic anatomy of this region, while part 2 discusses pathologic changes. The clinical value of computed tomography as an imaging method for this region is emphasized. The differential diagnosis to consider in a patient with a mass in the buccomas seteric region, which may either be developmental, inflammatory, or neoplastic, comprises a rather lengthy list. The anatomic complexity of this region, defined arbitrarily by the soft tissue and bony structures including and surrounding the masseter muscle, excluding the parotid gland, makes the accurate anatomic diagnosis of masses in this region imperative if severe functional and cosmetic defects or even death are to be avoided during treatment. An initial crucial clinical pathoanatomic distinction is to classify the mass as extra- or intraparotid. Batsakis [1] recommends that every mass localized to the cheek region be considered a parotid tumor until proven otherwise. Precise clinical localization, however, is often exceedingly difficult. Obviously, further diagnosis and subsequent therapy is greatly facilitated once this differentiation is made. Computed tomography (CT), with its superior spatial and contrast resolution, has been shown to be an effective imaging method for the evaluation of disorders of the head and neck. -
Atlas of the Facial Nerve and Related Structures
Rhoton Yoshioka Atlas of the Facial Nerve Unique Atlas Opens Window and Related Structures Into Facial Nerve Anatomy… Atlas of the Facial Nerve and Related Structures and Related Nerve Facial of the Atlas “His meticulous methods of anatomical dissection and microsurgical techniques helped transform the primitive specialty of neurosurgery into the magnificent surgical discipline that it is today.”— Nobutaka Yoshioka American Association of Neurological Surgeons. Albert L. Rhoton, Jr. Nobutaka Yoshioka, MD, PhD and Albert L. Rhoton, Jr., MD have created an anatomical atlas of astounding precision. An unparalleled teaching tool, this atlas opens a unique window into the anatomical intricacies of complex facial nerves and related structures. An internationally renowned author, educator, brain anatomist, and neurosurgeon, Dr. Rhoton is regarded by colleagues as one of the fathers of modern microscopic neurosurgery. Dr. Yoshioka, an esteemed craniofacial reconstructive surgeon in Japan, mastered this precise dissection technique while undertaking a fellowship at Dr. Rhoton’s microanatomy lab, writing in the preface that within such precision images lies potential for surgical innovation. Special Features • Exquisite color photographs, prepared from carefully dissected latex injected cadavers, reveal anatomy layer by layer with remarkable detail and clarity • An added highlight, 3-D versions of these extraordinary images, are available online in the Thieme MediaCenter • Major sections include intracranial region and skull, upper facial and midfacial region, and lower facial and posterolateral neck region Organized by region, each layered dissection elucidates specific nerves and structures with pinpoint accuracy, providing the clinician with in-depth anatomical insights. Precise clinical explanations accompany each photograph. In tandem, the images and text provide an excellent foundation for understanding the nerves and structures impacted by neurosurgical-related pathologies as well as other conditions and injuries. -
Anatomy of the Face] 2018-2019
By Dr. Hassna B. Jawad [ANATOMY OF THE FACE] 2018-2019 Objective : At the end of this lecture you should be able to : 1. Identify the extent of the face. 2. Enlist the layers of the face and recognize their importance 3. Recognize the groups of the muscles of facial expression its origin ,insertion and function 4. Test the muscle of facial expression clinically 5. Discuss some clinical notes regarding the face Extends from lower border of mandible to the hair line (forehead is common for face and scalp) and laterally to the ear auricle Layers Of the Face 1.SKIN The face has elastic and vascular skin. The skin of the face has large number of sweat and sebaceous glands. The sebaceous glands keep the face greasy by their secretion and sweat glands help modulate the body temperature *Applied Anatomy :Face is also the common site for acne as a result of presence of large number of sebaceous glands in this region. 2. SUPERFICIAL FASIA It includes muscles of facial expression, vessels and nerves and varying amount of fat. The fat is absent in the eyelids but is well grown in cheeks creating buccal pad of fat, which gives rounded contour to cheeks. 3. DEEP FASCIA The deep fascia is absent in the region of face with the exception of over the parotid gland and masseter muscle that are covered by parotidomasseteric fascia. The absence of deep fascia in the face is important for the facial expression. The majority of them originate from bones of the skull and are added into the skin. -
SŁOWNIK ANATOMICZNY (ANGIELSKO–Łacinsłownik Anatomiczny (Angielsko-Łacińsko-Polski)´ SKO–POLSKI)
ANATOMY WORDS (ENGLISH–LATIN–POLISH) SŁOWNIK ANATOMICZNY (ANGIELSKO–ŁACINSłownik anatomiczny (angielsko-łacińsko-polski)´ SKO–POLSKI) English – Je˛zyk angielski Latin – Łacina Polish – Je˛zyk polski Arteries – Te˛tnice accessory obturator artery arteria obturatoria accessoria tętnica zasłonowa dodatkowa acetabular branch ramus acetabularis gałąź panewkowa anterior basal segmental artery arteria segmentalis basalis anterior pulmonis tętnica segmentowa podstawna przednia (dextri et sinistri) płuca (prawego i lewego) anterior cecal artery arteria caecalis anterior tętnica kątnicza przednia anterior cerebral artery arteria cerebri anterior tętnica przednia mózgu anterior choroidal artery arteria choroidea anterior tętnica naczyniówkowa przednia anterior ciliary arteries arteriae ciliares anteriores tętnice rzęskowe przednie anterior circumflex humeral artery arteria circumflexa humeri anterior tętnica okalająca ramię przednia anterior communicating artery arteria communicans anterior tętnica łącząca przednia anterior conjunctival artery arteria conjunctivalis anterior tętnica spojówkowa przednia anterior ethmoidal artery arteria ethmoidalis anterior tętnica sitowa przednia anterior inferior cerebellar artery arteria anterior inferior cerebelli tętnica dolna przednia móżdżku anterior interosseous artery arteria interossea anterior tętnica międzykostna przednia anterior labial branches of deep external rami labiales anteriores arteriae pudendae gałęzie wargowe przednie tętnicy sromowej pudendal artery externae profundae zewnętrznej głębokiej -
Repair of a Large, Exposed-Cartilage Nasal Tip Defect Using Nasalis-Based Subcutaneous Pedicle Flaps and Full-Thickness Skin Grafting à DIEGO E
RECONSTRUCTIVE CONUNDRUM Repair of a Large, Exposed-Cartilage Nasal Tip Defect Using Nasalis-Based Subcutaneous Pedicle Flaps and Full-Thickness Skin Grafting à DIEGO E. MARRA, MD, EDGAR F. F INCHER, MD, PHD, JULIE IWASAKI, BS, AND RONALD L. MOY,MD The authors have indicated no significant interest with commercial supporters. arge full-thickness nasal tip defects after Mohs A 62-year-old Caucasian man was referred Lsurgery present a challenge to the reconstructive for Mohs micrographic surgery for an surgeon. The interpolated paramedian forehead flap infiltrative basal cell carcinoma on the is the standard modality to repair such defects, nasal tip. Complete excision of the tumor especially when exposed cartilage is present.1 required five surgical stages, resulting in a Despite providing an excellent cosmetic outcome, 2.3  2-cm defect through which exposed some patients are reluctant to undergo this proce- alar cartilages and upper lateral cartilages could dure due to the associated temporary deformity, be seen (Figure 1). How would you reconstruct the permanent forehead scar, and the need for at this defect? least two stages to achieve a successful outcome. Figure 1. Surgical defect after Mohs micrographic surgery, measuring 2.3  2 cm. Exposed alar cartilages and upper lateral cartilages can be seen. ÃAll authors are affiliated with the David Geffen School of Medicine at UCLA and West Los Angeles VA Medical Center, Los Angeles, California & 2007 by the American Society for Dermatologic Surgery, Inc. Published by Blackwell Publishing ISSN: 1076-0512 Dermatol Surg 2008;34:249–253 DOI: 10.1111/j.1524-4725.2007.34046.x 249 REPAIR OF A LARGE, EXPOSED-CARTILAGE NASAL TIP DEFECT Resolution A The patient was an ideal candidate for the inter- polated paramedian forehead flap, but refused to undergo the procedure. -
Temporal Branch of the Facial Nerve and Its Relationship to Fascial Layers
ORIGINAL ARTICLE Temporal Branch of the Facial Nerve and Its Relationship to Fascial Layers Seda T. Babakurban, MD; Ozcan Cakmak, MD; Simel Kendir, MD; Alaittin Elhan, PhD, MD; Vito C. Quatela, MD Objectives: To eliminate the inconsistency in the no- 3 (14.3%), and 4 (14.3%) twigs in the specimens. The menclature, to anatomically and definitively describe the temporoparietal fascia had no attachment to the zygo- topographic relationship of the temporal branch of the matic arch and continued caudally as the superficial mus- facial nerve to the fascial layers and the fat pads, and to culoaponeurotic system. Adhesions were between the tem- create an effective algorithm to define the safest ap- poroparietal fascia and the superficial layer of the deep proaches and planes for surgical procedures in this area. temporal fascia around the zygomatic arch. In most speci- mens, the superficial layer of the deep temporal fascia con- Methods: The study was performed using 18 hemifa- tinued as the parotideomasseterica fascia, and a deep layer cial cadaveric specimens. In 12 hemifacial specimens, the abutted the posterosuperior edge of the zygomatic arch. facial halves were coronally sectioned and dissected. In 6 hemifacial specimens, planar dissection was per- Conclusion: An easy and safe surgical approach in this formed layer by layer. area is to elevate the superficial layer deep to the inter- mediate fat pad directly on the deep layer of the deep tem- Results: The temporal branch of the facial nerve that tra- poral fascia descending to the periosteum along the zy- versed inside the deep layers of the temporoparietal fas- gomatic arch. -
Understanding the Perioral Anatomy
2.0 ANCC CE Contact Hours Understanding the Perioral Anatomy Tracey A. Hotta , RN, BScN, CPSN, CANS gently infl ate and cause lip eversion. Injection into Rejuvenation of the perioral region can be very challenging the lateral upper lip border should be done to avoid because of the many factors that affect the appearance the fade-away lip. The client may also require injec- of this area, such as repeated muscle movement caus- tions into the vermillion border to further highlight ing radial lip lines, loss of the maxillary and mandibular or defi ne the lip. The injections may be performed bony support, and decrease and descent of the adipose by linear threading (needle or cannula) or serial tissue causing the formation of “jowls.” Environmental puncture, depending on the preferred technique of issues must also be addressed, such as smoking, sun the provider. damage, and poor dental health. When assessing a client Group 2—Atrophic lips ( Figure 2 ): These clients have for perioral rejuvenation, it is critical that the provider un- atrophic lips, which may be due to aging or genetics, derstands the perioral anatomy so that high-risk areas may and are seeking augmentation to make them look be identifi ed and precautions are taken to prevent serious more youthful. After an assessment and counseling adverse events from occurring. as to the limitations that may be achieved, a treat- ment plan is established. The treatment would begin he lips function to provide the ability to eat, speak, with injection into the wet–dry junction to achieve and express emotion and, as a sensory organ, to desired volume; additional injections may be per- T symbolize sensuality and sexuality. -
PAROTIDECTOMY Johan Fagan
OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY PAROTIDECTOMY Johan Fagan The facial nerve is central to parotid Structures that traverse, or are found surgery for both surgeon and patient. within the parotid gland Knowledge of the surgical anatomy and the landmarks to find the facial nerve are • Facial nerve and branches (Figure 1) the key to preserving facial nerve function. • External carotid artery: It gives off the Surgical Anatomy transverse facial artery inside the gland before dividing into the internal maxil- Parotid gland lary and the superficial temporal arteries (Figure 2). The parotid glands are situated anteriorly and inferiorly to the ear. They overlie the vertical mandibular rami and masseter muscles, behind which they extend into the retromandibular sulci. The glands extend superiorly from the zygomatic arches and inferiorly to below the angles of the mandible where they overlie the posterior bellies of the digastric and the sternoclei- domastoid muscles. The parotid duct exits the gland anteriorly, crosses the masseter muscle, curves medially around its anterior margin, pierces the buccinator muscle, and Figure 1: Main branches of facial nerve enters the mouth opposite the 2nd upper molar tooth. Superficial Muscular Aponeurotic System and Parotid Fascia The Superficial Muscular Aponeurotic System (SMAS) is a fibrous network that invests the facial muscles and connects them with the dermis. It is continuous with the platysma inferiorly; superiorly it at- taches to the zygomatic arch. In the lower face, the facial nerve courses deep to the SMAS and the platysma. The parotid Figure 2: Branches of the external carotid glands are contained within two layers of artery parotid fascia, which extend from the zygoma above and continue as cervical • Veins: The maxillary and superficial fascia below. -
Impact of Nasalis Muscle Repair in Unilateral Cleft Lip Patients
Journal of Cranio-Maxillo-Facial Surgery xxx (xxxx) xxx Contents lists available at ScienceDirect Journal of Cranio-Maxillo-Facial Surgery journal homepage: www.jcmfs.com Impact of nasalis muscle repair in unilateral cleft lip patients * Sarah A. Attia, Hesham A. Helal , Amir S. El Barabary, Mostafa A. Awad, Mahmoud M. Sherif Burn and Maxillofacial Surgery Department, Faculty of Medicine, Ain-shams University, Cairo, Egypt article info abstract Article history: Background: Although the role of nasalis muscle in the establishment of nasal deformity is well recog- Paper received 27 July 2018 nized; its abnormal anatomy and role in the correction of alar deformity in cleft lip patients have not Accepted 29 November 2018 been adequately studied. This work aimed to study the effect of nasalis muscle repair on the post- Available online xxx operative nasal symmetry. Patients and methods: A controlled prospective randomized study was conducted on 45 cases of uni- Keywords: lateral complete pre-alveolar cleft. Patients were divided into two groups; Group 1 (repair of the Orbi- Nasalis muscle cularis muscle only), Group 2 was further divided into 2 subgroups: Subgroup A (repair of the orbicularis Cleft lip Lip repair oris muscle and dissection and repair the origin of the nasalis muscle). Subgroup B (repair of the orbi- Face embryology cularis oris muscle and dissection of both origin and abnormal insertion of the nasalis and repair of the Facial muscles origin). Evaluation was conducted both subjectively and objectively through cleft lip evaluation profile and nostril angles measurement. Results: Group 2B patients showed significantly better shape and symmetry of nasal tip, size and sym- metry of nostrils and size, form and lateral displacement of the ala. -
The Five Diaphragms in Osteopathic Manipulative Medicine: Myofascial Relationships, Part 1
Open Access Review Article DOI: 10.7759/cureus.7794 The Five Diaphragms in Osteopathic Manipulative Medicine: Myofascial Relationships, Part 1 Bruno Bordoni 1 1. Physical Medicine and Rehabilitation, Foundation Don Carlo Gnocchi, Milan, ITA Corresponding author: Bruno Bordoni, [email protected] Abstract Working on the diaphragm muscle and the connected diaphragms is part of the respiratory-circulatory osteopathic model. The breath allows the free movement of body fluids and according to the concept of this model, the patient's health is preserved thanks to the cleaning of the tissues by means of the movement of the fluids (blood, lymph). The respiratory muscle has several systemic connections and multiple functions. The founder of osteopathic medicine emphasized the importance of the thoracic diaphragm and body health. The five diaphragms (tentorium cerebelli, tongue, thoracic outlet, thoracic diaphragm and pelvic floor) represent an important tool for the osteopath to evaluate and find a treatment strategy with the ultimate goal of patient well-being. The two articles highlight the most up-to-date scientific information on the myofascial continuum for the first time. Knowledge of myofascial connections is the basis for understanding the importance of the five diaphragms in osteopathic medicine. In this first part, the article reviews the systemic myofascial posterolateral relationships of the respiratory diaphragm; in the second I will deal with the myofascial anterolateral myofascial connections. Categories: Medical Education, Anatomy, Osteopathic Medicine Keywords: diaphragm, osteopathic, fascia, myofascial, fascintegrity, physiotherapy Introduction And Background Osteopathic manual medicine (OMM) was founded by Dr AT Still in the late nineteenth century in America [1]. OMM provides five models for the clinical approach to the patient, which act as an anatomy physiological framework and, at the same time, can be a starting point for the best healing strategy [1].