Objectives 3.3 Special senses (orbit, nose, ear)

Osteology – Review checklist of structures from previous labs as well

  • Frontal bone
    • Supraorbital notch
    • Orbital surface
  • Ethmoid bone
    • Anterior and posterior ethmoidal foramina
  • Lacrimal bone
    • Lacrimal groove
  • Maxilla
    • Infraorbital foramen
  • Zygomatic bones
  • Sphenoid bone
    • Optic canal
    • Lesser wing
    • Greater wing
    • Superior orbital fissure
    • Inferior orbital fissure
    • Sphenoid sinus
  • Palatine bones

 

  • Understand the following:
    • Roof of orbit related to anterior cranial fossa
    • Floor of orbit related to maxillary sinus
    • Medial wall of orbit related to ethmoidal cells

 

  • Temporal bone
    • Internal acoustic meatus
    • External acoustic meatus
    • Stylomastoid foramen
  • Incus
  • Malleus
  • Stapes

 

  • Mandible
  • Hard palate
    • Maxillae
    • Palatine bones
  • Nasal septum
    • Perpendicular plate of ethmoid bone
    • Vomer
    • Septal cartilages
  • Cartilages of external nose
    • alar

Muscles of the orbital, nasal, oral, and otic regions (and associated structures)

  • Levator palpebrae superioris
  • Orbicularis oculi (orbital and palpebral parts)
  • Superior rectus
  • Medial rectus
  • Lateral rectus
  • Inferior rectus
  • Superior oblique
    • Trochlea
  • Inferior oblique
  • Common tendinous ring (posterior attachment for the four rectus muscles)
  • Tongue
    • Root
    • Median glossoepiglottic fold
    • Lateral glossoepiglottic fold
    • Epiglottic vallecula
    • Body
    • Apex
    • Dorsum
    • Terminal sulcus (sulcus terminalis)
    • Lingual tonsil
    • Foramen cecum
    • Frenulum of the tongue (sublingual frenulum)
  • Mylohyoid muscle
  • Geniohyoid muscle
  • Genioglossus muscle
  • Hyoglossus muscle
  • Styloglossus muscle
  • Stapedius muscle
  • Tensor tympani muscle
  • Palatoglossus muscle
  • Salpingopharyngeus muscle
  • Stylopharyngeus muscle
  • Levator veli palatini muscle
  • Tensor veli palatini

Nerves of the orbital, nasal, oral, and otic regions (and associated structures)

  • CN I – XII and their pathways
  • Nasociliary
  • Long ciliary
  • Anterior ethmoidal (external nasal)
  • Frontal
  • Supratrochlear
  • Supraorbital
  • Lacrimal
  • Ciliary ganglion
  • Submandibular ganglion
  • Lingual
  • Chorda tympani
  • Greater palatine nerve
  • Lesser palatine nerve
  • Nasopalatine nerve
  • Infraorbital nerve
  • Inferior alveolar nerve

Arteries and vein of orbital, nasal, oral, and otic regions

  • Superior ophthalmic vein
  • Inferior ophthalmic vein
  • Ophthalmic artery
  • Lingual artery
  • Greater palatine artery
  • Lesser palatine artery
  • Maxillary artery
  • Sphenopalatine artery
  • Infraorbital artery
  • Inferior alveolar artery

Lacrimal Apparatus

  • Lacrimal gland
  • Nasolacrimal duct

 

Structures of the nasal cavity

  • Sphenoidal sinus
  • Opening of sphenoidal sinus
  • Sphenoethmoidal recess
  • Sphenopalatine foramen
  • Superior, middle and inferior conchae
  • Superior meatus
  • Opening of the posterior ethmoidal cells
  • Middle meatus
  • Semilunar hiatus
  • Opening of frontal sinus
  • Opening of the anterior ethmoidal cells
  • Opening of maxillary sinus
  • Ethmoidal bulla
  • Opening of the middle ethmoidal cells
  • Inferior meatus
  • Opening of the nasolacrimal duct
  • Hard palate
  • Soft palate

Structures of the oral cavity

  • Opening of the parotid duct
  • Sublingual gland
  • Submandibular gland, duct, and opening

Structures of the ear

  • External ear
    • Auricle
    • Helix
    • Antihelix
    • Concha
    • Tragus
    • Antitragus
    • Lobe of auricle
    • Auricular cartilages
  • Middle Ear (located in tympanic cavity of temporal bone)
    • Tympanic membrane
    • Stapedius muscle & tendon
    • Tensor tympani muscle
    • Opening of pharyngotympanic tube
    • Facial nerve (CN VII)
      • Chorda tympani
    • Vestibulocochlear nerve (CN VIII)
    • Glossopharyngeal nerve (CN IX)
  • Inner Ear
    • Cochlea
    • Vestibulocochlear organ

Clinical Correlations

  • Testing of extrinsic eye muscles (H-Test)
  • Oculomotor nerve palsy
  • Abducens nerve palsy
  • Trochlear nerve palsy
  • Corneal reflex
  • Ptosis
  • Horner’s syndrome
  • Paralysis of CN XII
  • Sublingual absorption of the drugs
  • Loss of taste from anterior two-thirds of tongue
  • Loss of taste from posterior one-third of tongue
  • Loss of general sensation from anterior two-thirds of the tongue
  • Loss of general sensation from posterior one-third of the tongue
  • Epiglottic vallecula and its importance for endotracheal intubation
  • Rupture of tympanic membrane
  • Otitis media
  • Blockage of auditory tube
  • Infection of mastoid air cells – mastoiditis
  • CSF otorrhea
  • Otosclerosis
  • Epistaxis
  • Sinusitis- paranasal sinuses and their drainage and infections
  • Deviated septum
  • Nasal polyps
  • Nasal fractures (most common types)