SKELTON OF HEAD AND NECK Skull / Division of facial skeleton 1. Two maxillae 2. Two zygomatic bones 3. Two zygomatic process of temporal bone 4. Two palatine bone 5. Two nasal bones 6. Two lacrimal bones 7. The vomer 8. The ethmoid & its conchae 9. Two inferior conchae 10. Two pterygoid plates of sphenoid coronal between frontal and parietals f/p Frontal (Coronal) Sutures Sagittal sagittal between parietals p/p Sutures squamos between temporal and parietals t/p lambdoidal between occipital and parietals o/p Lambdoid Sutures FACIAL BONES OF SKULL ( 14) • MAXILLA (2) that are fused together at the intermaxillary suture • Each maxilla includes a body and four processes: frontal, zygomatic, palatine and alveolar. • The body contain the maxillary sinus. Has orbital, nasal, infratemporal and facial surfaces. on the facial surface of the maxilla is the infraorbital foramen. • Inferior to the infraorbital foramen is an elongated depression, it is the canine fossa. The facial ridge over the maxillary canine is the canine eminence. On the inferior surface, each palatine process articulates with the other to form the anterior portion of the hard palate (median palatine suture). In the anterior portion of the palatine process, just posterior to the maxillary incisors, there is the incisive foramen. The soft tissue that cover it is the incisive papilla. Alveolar process contains the roots of maxillary teeth. On the posterior portion of the body of the maxilla there is rounded elevation called maxillary tuberosity, just posterior to the most distal molar. MAXILLA PALATINE(2) • It has horizontal and vertical plates • The horizontal forms the posterior portion of the hard palate. • The vertical plates form a portion of the lateral walls of the nasal cavity. • The greater palatine foramen is located in the posteriolateral region of each of the palatine bones, usually at the apex of the maxillary third molar. • • • • • STRUCTURES SEEN ON LATERAL ASPECT OF SKULL Temporomandibular joint External auditory meatus Zygomatic arch Coronal suture Mandible: • Body • Ramus • Inferior border • Posterior border • Coronoid process • Head of condyle • Neck of condyle • Mandibular notch • MANDIBLE (1) freely movable and the largest and strongest facial bone. Articulate with the temporal bone at each TMJ. • Body: On the anterior surface there is the mental protuberance, in the midline. • Between the apices of the first and second premolars there is an opening called the mental foramen. • Ramus: On the lateral aspect it is flat plate extends superiorly and posteriorly from the body. On the anterior border of the ramus we can see the coronoid process (thin and sharp). The main portion of the anterior border of the ramus forms a concave called coronoid notch. Near the midline there are small projections called genial tubercles or mental spines which are attachment area to the muscles. At the posterior edge of the alveolar process there is a roughened area it is retromolar triangle. Along each medial surface of the body there is the mylohyoid line. On the internal surface of the ramus there is mandibular foramen which is opening of the mandibular canal. Overhanging the mandibular foramen is the lingula. NASAL(2): • Forms the bridge of the nose. • Articulate with the frontal bone Nasal VOMER(1) • Forms the posterior portion of the nasal septum. • Articulates with the ethmoid on its Vomer anterosuperior border, and with the palatine and maxilla inferiorly. The posteroinferior border is free of articulation. • The vomer has no muscle attachments. ZYGOMATIC(2) • Forms cheek bones or malar surfaces. • Composed of three processes: frontal, temporal and maxillary. Zygoma FRONTAL BONE • Single, forms the forehead & superior portion of the orbit. • Articulates with parietal, sphenoid, lacrimal, nasal, ethmoid, zygomatic and maxillae. • Contains frontal sinus. • The orbital plate forms the superior wall of orbital roof. • Supraorbital ridges subjacent to the eyebrows. • Supraorbital notch located on the medial portion of the supraorbital ridge (artery and nerve travel from the orbit to the forehead) • Between the supraorbital ridges is the glabella (smooth elevated area) Parietal bones • Paired articulate with each other at the sagittal suture. • Articulate with occipital, frontal, temporal and sphenoid bones Occipital bone Occipital bone • Single cranial bone located in the most posterior portion. • Articulates with the parietal, temporal, sphenoid and with the first cervical vertebra. • Lateral and anterior to the foramen magnum are the paired occipital condyles, they articulate with the atlas. TEMPORAL BONES TEMPORAL BONES • Paired forms lateral wall of the skull. Articulates with zygomatic, parietal, occipital, sphenoid and mandible. Each temporal is composed of squamous, tympanic and petrous portions. • Posterior to the meatus we can see the mastoid process which is composed of air cells. • Inferior and medial to the meatus there is the styloid process. • The stylomastoid foramen carries the facial nerve. Sphenoid Bone Sphenoid Bone • Single, is a midline bone, articulates with frontal, parietal, ethmoid, temporal, zygomatic, maxillary, palatine, vomer and occipital. • Has important foramena: Ovale, Rotundom and spinosum, which carry important nerves and blood vessels of the head and neck. • The body contains sphenoidal sinuses. • Anterior process is lesser wing which comprises up the base of the orbital apex. Ethmoid Bone • Single, contains ethmoidal sinuses. • Articulates with frontal, sphenoid, lacrimal, and maxillary bones. Hyoid Bone • only bone which does not articulate with another bone – U shape – location - suspended in the mid anterior neck region by ligaments – tongue attaches to hyoid – forms the top of the larynx (voice box) – Has some suprahyoid and infrahyoid muscles attached to it.