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Dr A. L. Neill
BSc MSc MBBS PhD FACBS medicalamanda@gmail.com
Pizotifen malate
Indications: Prophylactic treatment of vascular headaches including typical and atypical migraine; vasomotor and cluster headaches.
Introduction
After the A to Z of Skeletal Muscles was released to my students (and later my colleagues with the help of Aspen), I received some very valuable feedback from both. From this feedback it became apparent that this format was helpful to all in the health professional field. It was also apparent that there was a need for another pocket reference book of this type on bones and nerves. So as with the other book, I have started with a prototype examining the bones of one of the most complex group in the body, the SKULL. It is hoped that this proves to be as useful as my first A to Z book, and goes on to become a more comprehensive but quick and simple reference for all bones.
Acknowledgement
I would like to thank Aspen Pharmacare Australia and particularly Mr Greg Lam CEO and Mr Robert Koster Head of Marketing and Sales for stepping in and giving me their support in this project when it seemed I was not going to be able to complete it, due to lack of resources and time. Students, as always, but particularly today have to sacrifice many things in their pursuit of knowledge. It is hoped that this book will help to make that pathway easier and more enjoyable. As with my other ventures in this A to Z series we want to give knowledge to any who wish to use it.
Dedication
To MICKEY 390335, and to stopping pettiness, spite and misinformation wherever it lies.
1 A. L. Neill
Capitalization is used to demonstrate the bones involved in several structures including joints of all kinds (e.g. sutures). In other words the parietomastoid suture is listed as ParietoMastoid suture to further remind the reader of the involved bones or bony features involved in the composition of the structure. This helps to further orientate the reader to the structural components of the feature. It is hoped that this will prove a valuable resource for those examining individual bones as in the study of ANATOMY and its many uses such as: archeology, anthropology, chiropractic dentistry, forensics, geology, medicine, orthopaedics, osteology, paleontology, paleobiology, physiotherapy and surgery. It is to be a forerunner of a more complete listing of all bones from A to Z and a more extensive development of other aspects of the skull such as measurement markers, development milestones, individual and ethnic variations the A to Z of the Skull part II. Hence any suggestions on format or inclusions will be gratefully received. Thank you Amanda Neill
BSc MSc MBBS PhD FACBS
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Table of contents
Introduction Acknowledgement Dedication How to Use this book Table of Articulations of the Skull Common Terms used in Osteology Classification and summary of skull bones 1 1 1 2 4 7 12
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Nasal bones Occipital External, Internal Palatine bones Parietal External, Internal Sphenoid Anterior, Posterior Sutural / Extrasutural bones - Incus Temporal External, Inferior, Interior Vomer Zygoma
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The A to Z of the Bones of the Skull Cornu Corona A horn (as in the Hyoid) A crown. adj.- coronary, coronoid or coronal; hence a coronal plane is parallel to the main arch of a crown which passes from ear to ear (c.f. coronal suture). The cranium of the skull comprises all of the bones of the skull except for the mandible. Prominent sharp thin ridge of bone formed by the attachment of muscles particularly powerful ones eg Temporalis/Sagittal crest
Cranium Crest
Cribiform / EthmoidA sieve or bone with small sieve-like holes. Cuneate / Cuneus A wedge / wedge-shaped Dens Depression Diaphysis Diplo Eminence Endocranium A tooth hence dentine and dental relating to teeth, denticulate having tooth-like projections adj dentate See odontoid A concavity on a surface The body of a long bone. In the young this is the region between the growth plates. The cancellous bone between the inner and outer tables of the skull, adj.- diploic. A smooth projection on a bone. Refers to the interior of the braincase adj.- endocranial divided into the 3 major fossae anterior (for the Frontal lobes) middle (containing Temporal lobes) and posterior (for the containment of the Cerebellum). The end of a long bone beyond the growth plate or epiphyseal plate. There are 2 epiphyses to each long bone. The ectocranial point of the greatest breadth i.e. the widest point across the skull. A face, a small bony surface (occlusal facet on the chewing surfaces of the teeth) seen in planar joints. A narrow slit or gap from cleft. A fountain, associated with the palpable pulsation of the brain as in the anterior fontanelle of an infant. These soft spots on the skull are cartilagenous connective tissue coverings joints which allow for skull cranial expansion and then become the mould for the bone development and shape joining long the sutural lines, later becoming the Bregma. A natural hole in a bone usually for the transmission of blood vessels and/or nerves.(pl. foramina). An arch A pit, depression, or concavity, on a bone, or formed from several bones as in temporomandibular fossa. Shallower and more like a bowl than a cavity A small pit (usually smaller than a fossa)- as in the fovea of the occlusal surface of the molar tooth. A cock, hence, crista galli, the cock's comb (i e possessive form of gallus). 8
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The A to Z of the Bones of the Skull Glabella Most anterior midline point of the Frontal bone - that point between the eyebrows which should be hairless. This is the Latin derivation of this word. Midline point which is the most inferior point of the Mandible. long pit or furrow A circle, hence a coil of brain cortex. A hook hence the term used for bones which hook around other bones or where other structures are able to attach by hooking hamulus = a small hook. U-shaped A notch. between within An orifice or point of entry to a cavity or space. A bridge between 2 halves of a bone pl.( juga) as in Sphenoid . Something lacerated, mangled or torn eg foramen lacerum small sharp hole at the base of the skull often ripping tissue in trauma. Related to tears and tear drops. (noun lacrima) From the Greek letter a capital 'L' and written as an inverted V. (adj.- lambdoid) and used to name the point of connection between the 3 skull bones Occipital and Temporals. A plate as in the lamina of the vertebra a plate of bone connecting the vertical and transverse spines (pl. laminae) A line as in the Nuchal lines of the Occitipum A place (c.f. location, locate, dislocate). Large pl magna Hammer (as in the ear ossicle) From the verb to chew, hence, the movable lower jaw; adj.- mandibular. A breast or teat shape - mastoid process of the Temporal bone. The jaw-bone; now used only for the upper jaw; adj.- maxillary. A short passage; adj.- meatal as in external acoustic meatus connecting the outer ear with the middle ear. Relating to the chin (mentum = chin not mens = mind). The slightly expanded end of the shaft of a bone. Midline point where the Nasal and Frontal bones meet . The neurocranium refers only to the braincase of the skull. An indentation in the margin of a structure.
Lamina Linea Locus Magnum Malleus Mandible Mastoid Maxilla Meatus Mental Metaphysis Nasion Neurocranium Notch
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The A to Z of the Bones of the Skull Nucha Occiput Occulus Odontoid Opisthion Orbit Orifice Os Ossicle Ostium Otic Ovale Palate Parietal Parotid Pars Pecten Petrous Process Prominens Prosthion Pterion The nape or back of the neck adj.- nuchal. The prominent convexity of the back of the head Occipitum = Occipital bone adj.- occipital An eye relating to teeth, toothlike see Dens Midline point at the posterior margin of the Foramen Magnum A circle; the name given to the bony socket in which the eyeball rotates; adj - orbital. An opening. A bone adj osseus A small bone as in the ear ossicles: stapes (stirrup), incus (anvil) and malleus (hammer). A door, an opening, an orifice. Pertaining to the ear Oval shaped A roof adj.- palatal or platatine. Pertaining to the outer wall of a cavity from paries, a wall. Pertaining to a region beside or near the ear A part of A comb. Pertaining to a rock / rocky / stoney adj.- petrosal A general term describing any marked projection or prominence as in the mandibular process. A projection Midline point of the maxilla alveolar bone which is most anterior A wing; the region where the tip of the greater wing of the sphenoid meets or is close to the parietal, separating the frontal from the squamous region of the temporal bone. (TERY- on) Alternatively the region where these 4 bones meet. Wing shaped A secluded area or pocket; a small cavity set apart from a main cavity. straight - erect Midline point of the free end of the Nasal bones where they join with the Nasal cartilages elevated bony growth often roughened. Round An arrow, the sagittal suture is notched posteriorly, making it look like an arrow by the lambdoid sutures. 10
BON SKU
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A saddle; adj.- sellar, sella turcica = Turkish saddle. grainlike S-shaped, from the letter Sigma which is S in Greek. A space usually within a bone lined with mucous membrane, such as the frontal and maxillary sinuses in the head, (also, a modified BV usually vein with an enlarged lumen for blood storage and containing no or little muscle in its wall). Sinuses may contain air, venous or arterial blood, lymph or serous fluid depending upon location and health of the subject adj.- sinusoid. The skull refers to all of the bones that comprise the head. A wedge i.e. the Sphenoid is the bone which wedges in the base of the skull between the unpaired frontal and occipital bones adj.- sphenoid . A thorn adj.- spinous descriptive of a sharp, slender process/protrusion.
Skull Spheno
Spine
Splanchocranium The splanchocranium refers to the facial bones of the skull. Sulcus Suture Stylos Symphysis Tectum Tegmen Temporal Tentorium Trabecula Tubercle Tuberculum Tuberosity Turbinate Tympanum Uncus Vagina long wide groove often due to a BV indentation The saw-like edge of a cranial bone that serves as joint between bones of the skull. An instrument for writing hence adj.- styloid a pencil-like structure. A joint or a growth A roof. A covering. Refers to time and the fact that grey hair (marking the passage of time) often appears first at the site of the temporal bone. A tent. A little beam i.e. supporting structure or strut pl. trabeculae A small process or bump, an eminence.. A very small prominence, process or bump. A large rounded process or eminence, a swelling or large rough prominence often associated with a tendon or ligament attachment. A childs spinning top, hence shaped like a top. An old term for the nasal conchae. A drum pl. tympani A hook adj.- uncinate. A sheath; hence, invagination is the acquisition of a sheath by pushing inwards into a structure, and evagination is similar but produced by pushing outwards adj.- vaginal. A yoke , hence, the bone joining the maxillary, frontal, temporal & sphenoid bones adj.- zygomatic.
Zygoma
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Irregular bones Various shapes not easily classified Sphenoid Long bone Longer than wide 2 ends epiphysis and a central diaphysis. Growth mainly lengthwise. Most limb bones.
Pneumatic bone/Alveolar bone Bones filled with air to lighten their weight Maxilla, Frontal, Mandible and bones with sinuses Sesamoid bone Bones completely surrounded by soft tissue w/o joints Hyoid Short bone Roughly cubic in shape. Most wrist and ankle bones; many of the bones at the base of the skull. Wormian bone small bones which occur within the skull sutures sometimes called extra-sutural if the main part of the bone is outside of the suture. Generally they are unnamed although the Incus is the name given to the large extra-sutural bone when present. 22 paired skull bones including the ear ossicles / not including the teeth. 5 single bones mainly on the base of the skull 1 mandible 1 hyoid variable sutural and extra-sutural bones (generally between 3-5)
Sutural bone
There are:
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Frontal bone Fronto-Nasal suture Inter-Nasal suture Nasal bone, Lacrimal bone Supra-Orbital foramen Spheno-Parietal suture Spheno-Frontal suture Spheno-Squamosal suture Zygoma Zygomatico-Maxillary suture Infra-orbital foramen Middle Nasal concha - turbinate (from Ethmoid bone) Inferior nasal concha - turbinate (from Ethmoid bone) Vomer Mandible Mental foramen Inter-Maxillary suture Maxilla Ethmoid bone (Orbital plate) Inferior Orbital fissure Temporo-Zygomatic suture Superior Orbital suture Fronto-Zygomatic suture Greater wing of the Sphenoid Coronal suture - Fronto-Parietal suture Lesser wing of the Sphenoid Optic foramen Metopic suture (rare) Fronto-Fronto suture Glabella
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Sagittal suture Lamboid suture (view to the posterior) meeting at the Bregma Frontal sinus Lesser wing of the Sphenoid Supraorbital fissure Greater wing of the Sphenoid Fronto-Zygomatic suture Petrous ridge Anterior clinoid process Floor of the hypophyseal fossa + upper apex of nasal cavity adjacent to nasal sinuses Lateral pterygoid plate Base of the skull - floor of posterior cranial cavity Foramen rotundum Mastoid process Upper central incisor tooth Mandible
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radiology occipitofrontal (upper) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Frontal sinus Ethmoid sinus Maxillary sinus Foramen rotundum Supraorbital fissure Anterior clinoid process Posterior clinoid process Petrous ridge Floor of the hypophyseal fossa + upper apex of nasal cavity adjacent to nasal sinuses Crista galli Frontal process of zygoma Middle concha - turbinate Inferior concha - turbinate Lateral border of Greater wing of sphenoid Greater wing of sphenoid Lesser wing of sphenoid Hard palate Infraorbital foramen Zygomaticofacial foramen Coronoid process of the mandible Soft tissue of lower lid Pterygoid plates of the sphenoid
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radiology occipitomental (lower) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Frontal sinus Ethmoid sinus Maxillary sinus Foramen rotundum Supraorbital fissure Anterior clinoid process Posterior clinoid process Petrous ridge Floor of the hypophyseal fossa + upper apex of nasal cavity adjacent to nasal sinuses Crista galli Frontal process of zygoma Middle concha - turbinate Inferior concha - turbinate Lateral border of Greater wing of sphenoid Greater wing of sphenoid Lesser wing of sphenoid Hard palate Infraorbital foramen Zygomaticofacial foramen Coronoid process of the mandible Soft tissue of lower lid Pterygoid plates of the sphenoid
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Incisive fossa - Alveolare Medial Pterygoid plate and Hamulus (ethmoid) Posterior Nasal aperture Pterygoid plate (ethmoid) Lateral Pterygoid plate (ethmoid) Zygomatic arch Mandibular fossa External Auditory meatus Styloid process Mastoid process Parieto - Mastoid suture Occipito - Mastoid suture Foramen magnum External Occipital proturberance Sagittal suture - Parieto - Parieto suture Lambda Lambda suture Superior nuchal line (Occipital) Inferior nuchal line (Occipital) Occipital condyle Jugular foramen (fossa) Stylo-Mastoid foramen Carotid foramen - Carotid canal Foramen spinosum Foramen lacerum-Basilar suture Greater Palatine foramen Horizontal plate of Palatine Palatine process of the Maxilla Foramen ovale Alveolon
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
Nasal septum (vomer and perpendicular plate of the ethmoid) Posterior border of vomer Maxillary sinus Ethmoid sinus Greater palatine foramen Lesser palatine foramen Sphenoid sinus Posterior orbital margin - greater wing of the sphenoid Posterior boundary of the maxillary sinus Zygomatic arch Lesser wing of the sphenoid Head of mandible condyloid process Foramen ovalae Foramen spinosum Spine of the sphenoid Foramen lacerum Clivus - base of the occipital and sphenoid bones Eustachian tube - (pharyngotympanic tube) Carotid canal Jugular foramen Stylomastoid foramen Anterior arch of the atlas (C1) Odontoid process of axis (C2) Occipital condyles Foramen magnum Canaliculus for tympanic nerve Inner and outer tables of the skull - Diploe
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2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Frontal bone - Temporal ridges for attachment of Temporalis Bregma - Coronal suture Parietal bone Parieto-Temporal suture Lambda - Occipito-Parietal suture Occipital bone - Occipitum Occipito-Mastoid suture Porion - upper margin of external auditory meatus Mastoid process Temporal bone Styloid process Zygomatic arch Ramus of the Mandible Body of the Mandible Gnathion Maxilla Zygoma Prosthion Rhinion Nasal bone Lacrimal bone Nasion Glabella Frontal bone Greater wing of the Sphenoid
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
Coronal suture Impression for Middle meningeal artery Lambdoid suture Wormian bone - Extrasutural bone Styloid process Posterior wall of Nasopharynx Clivus - (base of Sphenoid and Occiptal bones) Hypophyseal fossa Sphenoid sinus Greater wing of the Sphenoid Posterior Air cells in the Ethmoid - Ethmoid sinus Anterior Air cells in the Ethmoid - Ethmoid sinus Frontal sinus Zygoma - frontal process Maxilla - malar process Zygoma - Arch Posterior border of the Maxillary sinus Hard palate - Palatine bone Alveolar bone in Maxilla Pterygoid plates Soft tissue of Soft Palate and Uvula Mandibular canal Head of Mandible Coronoid process of Mandible
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Sagittal sinus Parietal foramen Lambda Pareito - Occipital suture Occipital bone Lambdoid suture Superior nuchal line Highest nuchal line Superior nuchal line Mastoid process External Occitipal protruberance Inferior nuchal groove Superior nuchal groove Sutural bones - Inca Euyron Parietal bone
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1 2 3 4 5 6 7 8 9
Occipital bone Lambdoid suture - Occipito-Parieto suture Parietal eminence - Euryon Frontal bone Bregma Coronal suture Parietal bone Sagittal suture Lambda
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1 2 3 4 5 6 7 8 9 10 11 12 13 14
Lambda Lambdoid suture Parietal foramen Diploe Bregma Coronal suture Frontal crest and Diploe - inner and outer tables of the skull bone Frontal bone Depressions for arachnoid granulations Grooves for middle meningeal vessels Parietal bone Sagittal suture Groove for superior sagittal sinus Occipital bone
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 A B C
Cribiform plate Frontal sinus Crista Galli Orbital plate of Frontal bone Jugum of Sphenoid Optic canal Lesser wing of the Sphenoid bone Anterior Clinoid process Foramen rotundum Foramen lacerum Foramen ovale Foramen spinosum Dorsum sellae Internal acoustic meatus Jugular foramen Foramen magnum POSTERIOR FOSSA MIDDLE FOSSA ANTERIOR FOSSA
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Ethmoid bones
Anterior / Lateral / Medial / Superior Description - Light spongy bone the size and shape of an ice cube, located between the 2 orbital cavities. 1 Ethmoidal labyrinth containing air cells (part of the Ethmoid sinus) continuous with the Sphenoid sinus Crista Galli Orbital plate of Ethmoid bone (part of the Orbital cavity) Middle Nasal concha Jugum of Sphenoid - Jugum Sphenoidale (Bridge connecting the 2 wings of the Sphenoid bone) Perpendicular plate of the Palatine bone Uncinate process Ala (of Crista Galli) Anterior groove (on the Ethmoid) Posterior groove (on the Ethmoid) Cribiform plate (entrance for the Olfactory nerve) Vomer
2 3
BONES OF THE 4 SKULL
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Anterior
Lateral
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Medial
Superior
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Hyoid bone
Description - Small U-shaped bone. Attached to the styloid processes via ligaments, this bone has no articulations and is not normally broken in normal trauma. It may be broken in hanging and strangulation. 1 2 3 Body of hyoid Greater horn (cornu) Lesser horn (cornu)
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BON SKU
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Mandible Anterior
radiology orthopantomogram = OPG Used to show mandibular fractures and an overview of sinuses and complete dentition 1 2 3 4 5 6 BONES OF THE SKULL 7 8 9 10 11 12 13 14 15 16 Central incisor Lateral incisor Canine First premolar Second premolar First molar Second molar Pulp chamber Coronoid process Head of mandible Zygoma Maxillary sinus Anterior nasal spine of maxilla Vomer (nasal septum) Sites for the third molar Hard palate
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Mandible Lateral
radiology Showing relationship to surrounding soft tissue 1 Head of mandible Condylar process 2 Neck of the Mandible 3 Hard Palate 4 Soft Palate 5 Anterior notch of the Atlas (C1) 6 Odontoid process of the Axis (C2) Dens 7 Posterior aspect of the tongue 8 Retropharyngeal sac BONES OF THE 9 Epiglottis SKULL 10 Vallecula - fold anterior to epiglottis 11 Hyoid bone
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Incisive fossa Median Palatine suture (Inter-Maxillary suture) Groove for greater Palatine vessels Palatine process of the Maxilla Greater Palatine foramen Palato-Maxillary suture Inter-Palatine suture Inferior Orbital fissure Lesser Palatine foramen Posterior Nasal spine Foramen spinosum Foramen ovale Carotid canal Foramen lacerum Occipital condyle Foramen magnum Palato-vaginal canal Pharyngeal tubercle Ala of Vomer Medial Pterygoid plate Lateral Pterygoid plate Infratemporal crest of Sphenoid Zygomatic arch Pyramidal process of the Palatine bone Maxillary tuberosity Left Third Molar tooth LM3 Left Second molar tooth - LM2 Left First molar tooth LM1 Left Second premolar tooth - LP2 Left First premolar tooth - LP1 Left Canine tooth LC1 Left Second incisor tooth - LI2 Left First incisor tooth LI1
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Nasal Bones
External (rotated 180 degrees to show) Internal (below) also see the Nasal Cavity to see the Nasal bones in situ Description - Small thin rectangular paired bones below the Glabella, the inferior edges form the top margin of the nasal aperture. Inferior nasal conchae - small snail shaped fragile bones extending along the lateral walls of the nasal cavity on top of the palatines.
BONES OF THE 1 Articulation SKULL
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surface with Frontal bone and Lacrimal bone Articuation surface with the Maxilla External surface Notch for external nasal nerve Foramen for Veins / Venous foramen Articulation with other nasal bone (here - Right nasal bone) Internal surface Groove for anterior Ethmoidal nerve
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Superior angle Highest nuchal line Superior nuchal line Inferior nuchal line Mastoid margin Jugular process Condylar fossa Occipital condyle Foramen magnum Hypoglossal canal Condylar canal Lateral surface Lateral angle External / Internal Occipital crest Squamous surface External / Internal Occipital protuberance Lamboid margin Groove for superior sagittal sinus Cerebral fossa Groove for transverse sinus Attachment for Tentorium Cerebelli Groove for superior sigmoid sinus Jugluar notch Jugular tubercle Attachments for Falx Cerebri Opisthion Basion Occipital sulcus - Sagittal sinus
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Sagittal
Medial
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Anterior
Posterior
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9 10 11 12 13 14 15 16 17 18 19
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Posterior
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in situ
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Description: Maxilla - sinuses within this bone -particularly around the teeth may cause toothache, complicate endodontic (root canal) treatment; or act as a conduit for tooth/nasal/other infection to enter the blood stream.
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Note middle and superior nasal conchae have been dissected and removed.
Description: inferior nasal conchae - small paired frail bones extending along the lateral walls of the nasal cavity. Involved in olfaction, humidification. Highly vascularized and when the soft tissue surrounding this is swollen, it may cause nasal obstruction and sinuses. Please note when "picking one's nose" the finger never reaches the nasal conchae, stopping just short of this area.
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Nasal Cavity
dissected to show lateral wall of right nasal cavity Sagittal section of Lateral Right nasal cavity looking in to the lateral side of the right side of the nose 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Middle concha Middle concha meatus Superior concha Superior concha meatus Sphenoid sinus Medial Pterygoid plate Spheno-Palatine foramen Perpendicular plate of Palatine bone Palato-Maxillary suture Incisive fossa and canal Inferior concha and meatus Maxilla Lacrimal bone Nasal bone Right Frontal sinus Left Frontal sinus
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Nasal Cavity
dissected to show medial wall of the nasal cavity Sagittal section of Nasal cavity looking in to the medial wall of the nose in front of the right nasal cavity 1 2 3 4 5 6 7 8 9 10 11 12 13 Right Frontal sinus Crista Galli Left Sphenoidal sinus Right Sphenoidal sinus Vomer Pterygoid hamulus Maxilla Anterior Nasal spine Inferior concha Perpendicular plate of the Ethmoid Nasal bone Nasal spine of the Frontal bone Left Frontal sinus
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Eyeball and muscles all sit in this cavity with the Optic nerve entering from the posterior part of the cavity through the Orbital foramen.
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Dorsum sellae Groove for inferior Petrosal sinus Groove for superior Petrosal sinus Internal Acoustic meatus Concealed crevice for Endolymphatic sac Mastoid emissary foramen Occipito-Mastoid suture Diploe Lambdoid suture Groove for transverse sinus Fossa for Right Occipital lobe of the Cerebrum Fossa for Right Cerebellar hemisphere Internal Occipital proturberance Internal Occipital crest Groove for sigmoid sinus Foramen magnum Hypoglossal canal Jugular formamen Clivus: Basi-Occipital Clivus: Basi-Sphenoid Posterior Clinoid process
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Gra
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For skin and soft tissue infections and ...urinary tract infections
TAZAC
for
REFLUX
(nizatidine)
Dr. A. L. NEILL
BSc MSc MBBS PhD FACBS
medicalamanda@gmail.com www.amandasatoz.com 0414248747 Contact www.aspenpharma.com.au for login and passwords for the complete A to Z and the AspenAtlas online.
Aspen Pharmacare Australia Pty Ltd 34-36 Chandos Street, St Leonards NSW 2065 ABN 51 096 236 985