SKULL ( NORMA LATERALIS )
Transcription
SKULL ( NORMA LATERALIS )
SKULL ( NORMA LATERALIS ) LEARNING OBJECTIVES At the end of lecture students should be able to know, • Cranial and facial subdivision. • Temporal bone. • Mastoid process and styloid process. • Zygomatic bone, • Parietal bone. • Maxillary Bone • Mandible • Temporal fossa • Infratemporal fossa • The zygomatic arch • External acoustic meatus • Suprameatal triangle • Asterion • Pterion • Infantile Skull with Fontanelles BONES SEEN IN NORMA LATERALIS 1. Frontal 2. Parietal 3. Occipital 4. Temporal 5. Sphenoid 6. Zygomatic 7. Mandible 8. Maxilla 9. Nasal CRANIAL AND FACIAL SUBDIVISIONS Temporal Bone Form the inferolateral aspects of the skull and parts of cranial floor Divided into Five major regions – squamous, tympanic, mastoid, and petrous, styloid process Major markings include the zygomatic, styloid, and mastoid processes, and the mandibular and middle cranial fossae Major openings include the stylomastoid and jugular foramina, the external and internal auditory meatuses, and the carotid canal MASTOID PROCESS AND STYLOID PROCESS Mastoid process is a large projection from the lower part of the mastoid temporal bone, posterio- inferior to the external acoustic meatus. Styloid process is a thin long projection from the norma basalis ( anteriomedial to the mastoid process) it is directed downwards, forwards and slightly medially. Mastoid temporal bone Mastoid part of the temporal bone lies just behind the external acoustic meatus. Continuous anterio-superiorly with the squamous temporal bone. The mastoid temporal bone articulates Posteriosuperiorly with the posterio -inferior part of the parietal bone at the horizontal parieto-mastoid suture. Posteriorly with the aquamous occipital bone at the occipitomastoid suture. ZYGOMATIC BONE The zygomatic bone is small and quadrangular, and is situated at the upper and lateral part of the face It presents a malar and a temporal surface 4 processes, frontosphenoidal orbital Maxillary Temporal 4 borders. PARIETAL BONE The parietal bones form, by their union, the sides and roof of the cranium. Each bone is irregularly quadrilateral in form It Has 2 surfaces four borders four angles. PARIETAL BONES AND MAJOR ASSOCIATED SUTURES Four sutures mark the articulations of the parietal bones Coronal suture – articulation between parietal bones and frontal bone anteriorly Sagittal suture – where right and left parietal bones meet superiorly Lambdoid suture – where parietal bones meet the occipital bone posteriorly Squamosal or squamous suture – where parietal and temporal bones meet MAXILLARY BONE The maxillæ are the largest bones of the face, excepting the mandible, and form, by their union, the whole of the upper jaw Each bone consists of a body and four processes—zygomatic, frontal, alveolar, and palatine MANDIBLE The mandible, the largest and strongest bone of the face, serves for the reception of the lower teeth It consists of A curved, horizontal portion, body Two perpendicular portions, the rami, which unite with the ends of the body nearly at right angles. Temporal fossa Temporal fossa Boundaries (a). Above, by the temporal line of the frontal bone. (b). Below, by the upper border of the zygomatic arch laterally, and by the infratemporal crest of the greater wing of the sphenoid bone medially. Through the gap deep to the zygomatic arch, the temporal fossa communicates with the infratemporal fossa. INFRATEMPORAL FOSSA The infratemporal fossa is an irregularly shaped cavity, situated below and medial to the zygomatic arch. Boundaries. (a).Roof is formed medially by the infratemporal surface of the greater wing of the sphenoid and small part of the squamous temporal bone. (b). Floor is open. (c ). Medial wall is formed by the lateral plate and the pyramidal process of the palatine bone. (d). Lateral wall is formed by the ramus of the mandible. The foramen ovale and foramen spinosum open on its roof, and the alveolar canals on its anterior wall THE ZYGOMATIC ARCH The zygomatic arch is a horizontal bar on the side of the head,in front of the ear, a little above the tragus. Formed by the temporal process of the zygomatic bone (anterior 1/3) and the zygomatic process of the temporal bone zygoma (posterior 2/3). The zygomatico-temporal suture crosses the arch obliquely downwards and backwards. EXTERNAL ACOUSTIC MEATUS External acoustic meatus opens just below the posterior part of the posterior root of the zygoma. Its anterior and inferior margins and the posterior margin are formed by the tympanic plate, and the posteriosuperior margin is formed by the squamous temporal bone. SUPRAMEATAL TRIANGLE The suprameatal triangle is a small depression posterio-superior to the meatus. ASTERION The asterion is the point where the parietomastoid, occipitomastoid and the lambdoid sutures meet. In infants the asterion is the site of the posterio-lateral (mastoid) fontanelle, which closes at the end of the first year. PTERION It is situated about 3 cm. behind, and a little above the level of the zygomatic process of the frontal bone. It marks the junction between four bones: Parietal bone Temporal bone Sphenoid bone Frontal bone The pterion is known as the weakest part of the skull. INFANTILE SKULL WITH FONTANELLES At birth skull is not fully ossified Fontanels Fibrous membranes connect the cranial bones. allow movement of the bones to enable the skull to pass through the birth canal The fontanels close as cranial bones grow squamosal suture lacrimal bone temporal bone external acoustic meatus mandibular condyle In mandibular fossa (TMJ joint) Lateral Skull zygomatic arch sphenoid bone coronoid process sutural bone mastoid process styloid process ramus Lateral Skull The Adult Skull angle body mandible STUDY OF SKULL Skull can be studied from different views.The views so obtained are termed the normae of the skull – From Above- Norma Verticalis – From Below- Norma Basalis – From Front- Norma Frontalis – From Back- Norma Occipitalis – From Side- Norma Lateralis – From Inside – Interior of skull SUTURES OF OCCIPITAL REGION SKULL POSTERIOR VIEW (NORMA OCCIPITALIS) • • • Circular outline. Forms most of skull’s posterior and base Major markings include – Sagittal suture – Lamboidal suture – external occipital protuberance – mastoid foramen – foramen magnum, – occipital condyles – hypoglossal canal