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Bones and cavities of the facial cranium
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Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Dec 14, 2015

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Evelin Suttle
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Page 1: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Bones and cavities of the facial cranium

Page 2: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

TMJ

Page 3: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Anterior Skull

frontal bonefrontal bone

supraorbitsupraorbital al foramenforamenzygomatic bonezygomatic bone

maxillarmaxillary boney bone

alveolar fossaalveolar fossa

infraorbitainfraorbital foramenl foramen

glabella

mental foramenmental foramenmandiblemandible

mandibulmandibular ar symphysissymphysis

Page 4: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Anterior Skull

nasal nasal boneboneperpendicularperpendicular

plateplate

middle nasalmiddle nasalconchaconcha

vomer bonevomer bone

superior superior orbital fissureorbital fissureinferior nasalinferior nasal concha boneconcha bone

Page 5: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Paranasal Sinuses

frontal sinusfrontal sinus

ethmoid ethmoid sinussinusmaxilary sinusmaxilary sinus

sphenoid sinussphenoid sinus

Page 6: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Craniumfrontal bonefrontal bone

parietal boneparietal bone

occipital boneoccipital bone

lambdoidallambdoidal suturesuture

sagittal suturesagittal suture

coronal suturecoronal suture

Page 7: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Ventral Skullpalatine processpalatine process

palatine bonepalatine bone

vomer bonevomer bone

mastoid processmastoid process

styloid processstyloid process

external occipitalexternal occipitalprotuberanceprotuberance

sphenoid bonesphenoid bone

temporal temporal bonebone

occipital boneoccipital bone

Page 8: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Occipital bone

occipitaloccipitalcondylecondyle

jugularjugularforamenforamen

carotidcarotidcanalcanal

foramen magnumforamen magnum

Page 9: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Lateral Skull

lacrimallacrimalbonebone

temporaltemporalbonebone

squamosalsquamosalsuturesuture

mandibular mandibular condylecondyle

In mandibular In mandibular fossafossa

(TMJ joint)(TMJ joint)

external acousticexternal acousticmeatusmeatus

Page 10: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

angleangle

coronoicoronoid d processprocess

zygomatic archzygomatic arch

mastoid processmastoid process

styloid processstyloid process

sphenoid sphenoid bonebone

bodybodyramusramusmandiblemandible

Lateral Skull

sutural sutural bonebone

Page 11: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

crista gallicrista gallicribriborm platecribriborm plate

intenal intenal acoustic acoustic meatusmeatus

greater winggreater winglesser winglesser wing

optic canaloptic canalsella turcicasella turcica

jugular foramenjugular foramen

Internal Skull

Page 12: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Hyoid boneHyoid bone

temmporaltemmporalmandibularmandibular

jointjoint

external external acousticacousticmeatusmeatus

Hyoid +

Page 13: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.
Page 14: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.
Page 15: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.
Page 16: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.
Page 17: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

________________________________________________SagittalSagittal

Page 18: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

CoronalCoronal

LambdoidLambdoid

SquamousSquamous

Page 19: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Overview of Skull Geography

• Facial bones form the anterior aspect• The cranial bones enclose the brain

Page 20: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Vault• The cranial vault

or calvaria forms the superior, lateral, and posterior aspects of skull

• The cranial base forming the inferior aspect of skull

Page 21: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Cranial Base• Cranial base forms

the skull’s inferior aspect

• Three prominent ridges divide the base into fossae

• The brain rests on these cranial fossae completely enclosed by the cranial vault

• The brain occupies the cranial cavity

Page 22: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Cranium

• The 8 cranial bones include; 2 parietal, 2 temporal frontal, occipital, sphenoid, ethmoid

• Cranium is self- bracing allowing the bones to be thin, yet strong

Page 23: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Occipital bone• Forms most of the

posterior wall and base of skull

• Articulates with parietal & temporal

• Joins w/ sphenoid in the cranial floor

• Forms internal walls of posterior cranial fossa

Page 24: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Occipital bone - Int. landmarks

• Hypoglossal canal, Posterior cranial fossa

Page 25: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Temporal Bone• Forms the infero-

lateral aspects of the skull

• Parts of the cranial floor

• Divided into four regions; squamous tympanic, mastoid, and petrous-(int)

Page 26: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Temporal Bone• The internal

petrous region contributes to the cranial base

• The petrous region and the sphenoid bone form the middle cranial fossa

Page 27: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Temporal Bone - landmarks• Zygomatic

process– Meets the

zygomatic bone

– Forms the cheek

• Mandibular fossa– Receives

condyle of mandible

Page 28: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Temporal bones - landmarks• Stylomastoid

foramen– exit for facial

nerve

• Carotid canal– entrance for

the carotid artery which supplies blood to cerebral hemispheres

Page 29: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Sphenoid bone• Bone spanning the

width of middle cranial fossa

• Articulates as central wedge of all cranial bones

• Consists of central body and three processes; greater and lesser wings and pterygoid process (pos. view)

Page 30: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Sphenoid - landmarks

• Sella turcica (enclosure for pituitary gland)• Optic foramina (passage of optic nerves)• Superior orbital fissure (Nerves III, IV, V enter orbit)• Foramen rotundum & ovale (Cranial Nerve V to face) • Foramen spinosum (Middle meningeal artery)

Page 31: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Ethmoid bone• Forms most of the

area between the nasal cavity & orbits of eyes

• Lies between nasal bones & sphenoid

• Complex shape gives rise to nasal septum, sinuses and cribiform plate

Page 32: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Ethmoid bone - landmarks• Cribiform plates– Forms roof of nasal

cavity

• Olfactory formina– Olfactory nerves

enter brain

• Crista galli– Attachment of the

dura mater which secures brain in cavity

Page 33: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Facial bones• Consists of 14

bones w/ only mandible and vomer unpaired

• Others include maxillae, lacrimals, nasals, zygomatics, inferior nasal conchae, and palatines (not pictured)

Page 34: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Mandible• Forms the lower

jaw• Largest, strongest

bone of the face• It has a body and

two upwardly projecting sections called rami

• Houses lower dentition

Page 35: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Mandible - landmarks• Mandibular angle• Mandibular notch• Coronoid process• Mandibular

condyle• Alveolar margin• Mandible formina• Mental formina• Ramus of mandible

Page 36: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Maxillary bone• Forms upper jaw

and central portion of facial skeleton

• Fused medially• Articulates with

all facial bones except mandible

• Upper dentition• Forms 2/3 of

hard palate of the mouth

MaxillaryMaxillarybonebone

Zygomatic Zygomatic processprocess

Page 37: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Maxillary bones - landmarks• Alveolar margin– Upper dentition

• Frontal process– Forms lateral

aspects of nose

• Zygomatic process– Articulates with

zygomatic bone

• Maxillary sinuses – (Fig. 7.11)

Page 38: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Palatine bones• The horizontal

plates forms the posterior portion of hard palate

• Vertical plate forms part of the posterolateral wall of nasal cavity and a small portion of orbit

Page 39: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Palatine bones - landmarks• Horizontal plate– Posterior section

of hard palate

• Vertical plate– Part of the

posteriolateral walls of nasal cavity

• Orbital surface– Part of inferior

medial aspect of orbit

Page 40: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Vomer• Forms part of

the nasal septum

• Discussed with the nasal cavity

Page 41: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Vomer - landmarks• Plow shape– Divides nasal

septum into right and left parts

Page 42: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Inferior Nasal Conchae - Landmark

• The Inferior nasal conchae is just one of three in the nasal cavity

• Superior and middle concha are on the Ethmoid bone

Page 43: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

The Orbits

Page 44: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Paranasal sinuses • Note positioning

around nasal cavity

Page 45: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Paranasal sinuses • Sphenoid sinus• Frontal sinus• Ethmoid sinus• Maxillary sinuses

Page 46: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Hyoid bone

• Body– Neck muscle

attachment

• Greater horn– Neck muscle

attachment

• Lesser horn

Page 47: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

TMJ

Page 48: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

TMJ Capsule

Page 49: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

TMJ Capsule

Page 50: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

TMJ Motions

Page 51: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

TMJ Motions

Page 52: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

The Skull: Fractures

• Egg Shell Fracture of the Parietal bones.

• Results from a fall or blunt force to the head

Page 53: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

The Skull: Fractures

• Another example of an egg shell fracture.

Page 54: Bones and cavities of the facial cranium. TMJ Anterior Skull frontal bone supraorbit al foramen zygomatic bone maxillar y bone alveolar fossa infraorbita.

Knife in Skull Above OrbitAP Projection