Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft...

21
Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication

Transcript of Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft...

Page 1: Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication.

Biology 223Human Anatomy and PhysiologyWeek 10; Lecture 2; WednesdayDr. Stuart S. Sumida

Soft Tissues of the Head – Part II

Detail on Mastication

Page 2: Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication.

“True” Muscles of mastication

All V3 innervation

1. Temporalis m.

2. Masseter m.

3. Medial pterygoid

4. Lateral pterygoid upper head: to articular

disclower head: to neck of

mandibular condyle

“Accessory” Muscles of mastication

Vital for normal chewing, but not mandibular adductors/protractors

• Buccinator VII

•Digastric V3 & VII

•Tongue XII

ADDUCTORS – jaw closing/raising

Page 3: Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication.

Floor:

Temporal fossa/floor

parietal frontal

sq. temporalSP

Page 4: Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication.

Temporalis m.

Temporal fossa/structures related to roof

Page 5: Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication.

KNM ER 460 Australopithecus boiseii

Page 6: Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication.

Temporal fossa roof/ temporal fascia

Page 7: Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication.

masseter

Three layers:

Superficial, middle and deep with slightly different fiber orientations; important in recruitment for chewing

zygomatic

Page 8: Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication.

temporalis

buccinatorPosterior belly of digastric

Stylomandibular ligament

Page 9: Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication.

Lateral pterygoid: upper head

lower head

Line of action of lateral pterygoids is from anterior to posterior in horizontal plane. They PROTRACT or pull the mandible forward.

INFRATEMPOR-AL FOSSA

borders:

Lateral: ramus of mandible

Medial: lateral pterygoid plate

Roof: greater wing of sphenoid, adj. maxilla & palatine bones

Inferior: continuous with deep cervical fascia

Page 10: Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication.

Mental foramen for V3 sensory branch

Coronoid process of mandible

Mandibular notch

neck

condyle

Mandibular fossa

Articular emminence

Page 11: Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication.

lingula

Mandibular foramen for inferior alveolar branch of V3, vv.

Injections to numb the lower teeth also numb chin and lower lip but not uppers

Mylohyoid line for m. attachment

Mylohyoid groove for V3 branch to mylohyoid

Page 12: Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication.

Tensor veli palatini

Medial pterygoid

Lateral pterygoid upper head – to articular disc

Lateral pterygoid lower head to neck of mandibular condyle

Sphenoid/Muscular origins

“Pterygoid” means “talon-like”

Page 13: Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication.

MRI series 1 of 6 – coronal section, anterior to posterior

Temporalis m.

Masseter m.

Page 14: Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication.

MRI series 2 of 6

Lateral pterygoid

Upper head: to articular disc

Lower head: to neck of mandibular condyle

Page 15: Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication.

MRI series 3 of 6

Medial pterygoid

Page 16: Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication.

MRI series 4 of 6

Page 17: Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication.

MRI series 5 of 6

Page 18: Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication.

MRI series 6 of 6

Page 19: Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication.

Mastication = process in which food is bitten, held and chewed withing the oral cavity

•Incisors = nipping and cutting (shear)•Molars = crushing, with shear generated as cusps occlude

Occlusion = close-packing of teeth in functioanlly approprite position

Mal-occlusion can lead to abnormal stresses on TMJ, and therefore arthritis

Page 20: Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication.

Chewing movements and mechanics

Generally acts as 2nd order lever system = compression at TMJ

Turning moment generated along mandibular corpus and ramus = sheer at TMJ

NOTE different vectors of temporalis m.

Page 21: Biology 223 Human Anatomy and Physiology Week 10; Lecture 2; Wednesday Dr. Stuart S. Sumida Soft Tissues of the Head – Part II Detail on Mastication.

Chewing in mammals (and therefore humans) is asymmetric and unilateral:

WORKING SIDE:

•GREATEST ADDUCTOR FORCE,

• but articular emminence is less substantially loaded

BALANCING SIDE:

•LESS ADDUCTOR FORCE

•articular emminence is substantially loaded

•INITIAL ACTION CONTRACTION OF INFERIOR HEAD OF LATERAL PTERYGOID MUSCLE TO INITIATE MANDIBULAR DEVIATION TO WORKING SIDE