Skull bones and anatomy

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Questions and Answers

Which of the following statements accurately differentiates the infratemporal fossa from the pterygopalatine fossa?

  • The infratemporal fossa is primarily bordered by the pyramidal process of the palatine bone, unlike the pterygopalatine fossa.
  • The pterygopalatine fossa is medial to the infratemporal fossa, connected via the pterygomaxillary fissure. (correct)
  • The infratemporal fossa lies medial to the pterygopalatine fossa, connecting through the inferior orbital fissure.
  • The pterygopalatine fossa is situated infero-medial to the zygomatic arch, while the infratemporal fossa lies medial to the ramus of the mandible.

In viewing the skull from norma superior, what series of sutures are observed and what bones do they join?

  • Coronal suture (joining frontal and temporal), sagittal suture (joining parietals), lambdoid suture (joining occipital and frontal).
  • Lambdoid suture (joining frontal and parietals), coronal suture (joining occipital and temporal), sagittal suture (joining temporals).
  • Sagittal suture (joining frontal and occipital), lambdoid suture (joining parietals), coronal suture (joining temporals and parietals).
  • Coronal suture (joining frontal and parietals), sagittal suture (joining parietals), lambdoid suture (joining occipital and parietals). (correct)

What are the key structural components that contribute to the anterior cranial fossa?

  • Antero-inferior part of the sphenoid body, greater wings of the sphenoid bone, crista galli of the ethmoid bone.
  • Posterior border of the ethmoid, anterior clinoid processes, and squamous part of the temporal bone.
  • Cribriform plate of the ethmoid bone, lesser wings of the sphenoid bone, and the orbital part of the frontal bone. (correct)
  • Orbital part of the frontal bone, medial portion of the sphenoid body, crista galli of the ethmoid bone.

If a surgeon needed access to the middle cranial fossa, what bony landmark would serve as the anterior border of the region they are operating in?

<p>The posterior borders of the lesser wings of the sphenoid bone. (C)</p> Signup and view all the answers

In the context of skull anatomy, what is the calvaria and which bones primarily contribute to its structure?

<p>The calvaria is the skull cap and it's made of parts of the frontal, parietal, and occipital bones. (C)</p> Signup and view all the answers

What bony structures form the nasal septum?

<p>Perpendicular plate of the ethmoid bone, vomer, and septal cartilage. (B)</p> Signup and view all the answers

Which of the following best describes the borders of the infratemporal fossa?

<p>Superior border: Inferior surface of the greater wing of the sphenoid bone; Lateral border: Zygomatic arch and ramus of the mandible. (A)</p> Signup and view all the answers

Considering a newborn skull, what is the significance of fonticulus, and why are they clinically relevant?

<p>Fonticulus represent areas where ossification is incomplete, allowing for skull flexibility during birth and brain growth postnatally. They can be palpated as soft structures. (A)</p> Signup and view all the answers

What bones contribute to forming the borders of the orbit?

<p>The orbit's borders are formed by the frontal, sphenoid, ethmoid, lacrimal, maxillary, zygomatic, and palatine bones. (A)</p> Signup and view all the answers

Which of the following options accurately lists the connections of the orbit to other cranial fossae and structures?

<p>The orbit connects to the middle cranial fossa via the superior orbital fissure and optic canal, to the pterygopalatine fossa via the inferior orbital fissure, and to the nasal cavity via the anterior and posterior ethmoid foramina. (D)</p> Signup and view all the answers

Which statement accurately reflects the anatomical definition and location of the temporal fossa?

<p>The temporal fossa is a shallow depression formed by the squamous part of the temporal bone and the parietal bone, inferiorly bordered by the zygomatic arch. (C)</p> Signup and view all the answers

What is the norma frontalis and what features are found in this view?

<p>Norma frontalis is the anterior view of the skull, featuring the piriform aperture and the orbits (orbital fossa). (A)</p> Signup and view all the answers

From a lateral aspect (norma lateralis), what are the three key points of reference on the skull?

<p>Vertex (uppermost), occiput (posterior), and gonion (tip of the angle of the mandible). (D)</p> Signup and view all the answers

What is the external occipital protuberance and how do sutural bones relate to Norma occipitalis?

<p>The external occipital protuberanceis the most prominent elevation in the middle of norma occipitalis; sutural bones may be present between the parietals and occipital bone in some individuals. (D)</p> Signup and view all the answers

Which best describes the key features observed in the norma basalis (basis cranii externa)?

<p>The norma basalis showcases the hard palate, median and transverse palatal sutures, incisive foramen, jugular foramen, foramen lacerum, and choana. (C)</p> Signup and view all the answers

What are the boundaries that demarcate the posterior cranial fossa?

<p>Superior margin of the petrous part of the temporal bone, and dorsum sellae of the sphenoid bone. (D)</p> Signup and view all the answers

Regarding the nasal cavity, how are the right and left nasal cavities separated, and where do they open?

<p>Separated by the nasal septum, opening into the pharynx through choanas. (B)</p> Signup and view all the answers

While examining the lateral wall of the nasal cavity during an endoscopic sinus procedure, a surgeon navigates through the various meatuses. What anatomical structure directly forms each of these meatuses?

<p>Conchae. (D)</p> Signup and view all the answers

What structures form the nasal septum?

<p>Perpendicular plate of the ethmoid bone, vomer and septal cartilage (A)</p> Signup and view all the answers

A medical student is asked, "What are the 5 key anatomical viewpoints of the skull, and from which primary aspects is each visualized?" Which response demonstrates comprehensive understanding?

<p>Vertical (from above), Frontal (from the front), Lateral (from the side), Posterior (from the rear), Inferior (from below). (B)</p> Signup and view all the answers

During an archeological dig, several adult skulls are exhumed. The archeologist discovers extra bones that are between the parietal bones and the occipital bone. What does this finding suggest? (Select all that apply)

<p>The individual had a interparieatal bone between the two parietals and the occipital bones. (A), The individual may have had a sutural bone pattern. (D)</p> Signup and view all the answers

A prominent bump is noticed on the posterior cranium during a physical examination. What is this anatomical landmark?

<p>External Occipital Protuberence (B)</p> Signup and view all the answers

What is the relationship between the Hard Palate, Median Palatal Suture, Transverse Palatal Suture, Incisive Foramen, Jugular Foramen, Foramen Lacerum and Choana as they relate to an anatomical position of the skull?

<p>These key anatomical features are found in the Norma Basailis. (E)</p> Signup and view all the answers

Where is the calvaria anatomically located, what is it also known as, and what bones does it contain?

<p>The upper part of neurocranium also known as the skull cap. These contain parts of the frontal, parietal and occipital bones. (D)</p> Signup and view all the answers

A newborn is delivered and the obstetrician notices that they can feel areas where the skull bones have not fully connected. What are these findings called?

<p>Fonticulus (B)</p> Signup and view all the answers

Which point on the skull is located at the intersection of the Os parietale, Os frontale, Os sphenoidale and Os temporale?

<p>Pterion (D)</p> Signup and view all the answers

What anatomical landmarks are located on the Norma Frontalis of the face?

<p>Arcus Superciliaris (A)</p> Signup and view all the answers

What anatomical structure is the shallow depression is formed by the squamous part of the temporal bone and the parietal bone?

<p>Temporal Fossa (C)</p> Signup and view all the answers

Of the fonticulus found in children, which one is known to close last?

<p>Anterior (D)</p> Signup and view all the answers

If you connected the infratemporal process through a fissure, which anatomical site would you target?

<p>Pterygopalatine Fossa (A)</p> Signup and view all the answers

From the Norma Lateralis (lateral portion). What are the 3 key aspects/points of reference?

<p>Vertex, Occiput, and Gonion (D)</p> Signup and view all the answers

Under what circumstances are Sutural Bones obesrved?

<p>In certain individuals between the 2 Parietals and the Occipital Bones (C)</p> Signup and view all the answers

What does basis cranii interna mean?

<p>Removal of the calvaria to observe the base of the cranial cavity (cranial vault). The Ethmoid and Sphenoid bones can be found in this area. (B)</p> Signup and view all the answers

A neurosurgeon is planning a complex surgery involving the internal skull base. Which of the anatomical viewpoints would provide the most comprehensive understanding of the basis cranii interna?

<p>Calvaria (basis cranii interna), providing a superior view into the cranial vault and its three fossae upon calvaria removal. (B)</p> Signup and view all the answers

A 45 year old patient is involved in a motor vehicle accident and sustains trauma to the skull. A CT scan reveals a fracture line running along the coronal suture. Which bones are directly impacted by this fracture?

<p>The frontal and two parietal bones. (D)</p> Signup and view all the answers

During a forensic investigation, an anthropologist discovers a skull with an extra bone situated within the lambdoid suture. Which of the following best describes this finding?

<p>A sutural bone (Wormian bone) within the lambdoid suture. (C)</p> Signup and view all the answers

A patient presents with pain and limited movement in the jaw. Imaging reveals a potential mass affecting the infratemporal fossa. Which of the following correctly describes the relationship of the infratemporal fossa to adjacent structures?

<p>It is located inferior and medial to the zygomatic arch and medial to the mandible ramus. (B)</p> Signup and view all the answers

A surgeon is preparing to access the nasal cavity through the piriform aperture. Which of the following best describes the anatomical boundaries and significance of this approach?

<p>An opening surrounded by the maxilla and nasal bones that opens into both nasal cavities. (D)</p> Signup and view all the answers

When describing the norma lateralis of the skull, you need to define key reference points. Which set of anatomical landmarks accurately represents these points?

<p>Vertex, occiput, and gonion. (A)</p> Signup and view all the answers

During a physical examination, a medical student palpates a prominent midline elevation on the external surface of the occipital bone. Which anatomical landmark is the student palpating, and what is its clinical significance?

<p>The external occipital protuberance, serving as an attachment site for the ligamentum nuchae. (B)</p> Signup and view all the answers

A researcher is studying the norma basalis (basis cranii externa) of a skull. Which grouping of foramina is primarily observed in this view?

<p>Foramen lacerum, jugular foramen, incisive foramen. (C)</p> Signup and view all the answers

A patient presents with a lesion affecting the calvaria. Which of the following accurately describes the anatomical composition of this structure?

<p>Formed by the frontal, parietal, and occipital bones, providing protection to the brain. (D)</p> Signup and view all the answers

A neonatologist is examining a newborn and palpates a large, soft area on the skull. This area, known as a fonticulus, is located at the junction of the sagittal and coronal sutures. Which fontanelle is being assessed?

<p>Anterior fonticulus. (D)</p> Signup and view all the answers

Which of the following represents an accurate listing of the foramina observed in the anterior cranial fossa and cranial vault?

<p>Olfactory foramina in the cribriform plate, foramen cecum, grooves for meningeal vessels. (C)</p> Signup and view all the answers

A standardized lateral skull X-ray is taken for cephalometric analysis. Which specific anatomical points are essential for accurately orienting and analyzing the image in norma lateralis?

<p>Vertex, occiput (inion), and gonion. (D)</p> Signup and view all the answers

A senior anatomy student is asked to describe the key features observed in the norma occipitalis of the skull. Which of the following descriptions best demonstrates a comprehensive understanding?

<p>Emphasizes the external occipital protuberance and the lambdoid suture, with possible interparietal or sutural bones. (D)</p> Signup and view all the answers

After a traumatic injury, a patient exhibits cerebrospinal fluid (CSF) leakage from the nose, suggesting a fracture involving the anterior cranial fossa. Which of the following structures is most likely compromised in this scenario?

<p>Crista galli of the ethmoid bone. (A)</p> Signup and view all the answers

During an autopsy, the forensic pathologist is examining the internal surface of the calvaria. What features might they observe, and what information do these features provide?

<p>Impressions of the cerebral gyri and sulci, and grooves for middle meningeal vessels, reflecting brain size and vascular supply. (D)</p> Signup and view all the answers

A team of archaeologists unearths a skull demonstrating prominent granular foveolae along the inner surface of the calvaria. What do these irregularities most likely indicate?

<p>Locations of arachnoid granulations involved in CSF reabsorption. (B)</p> Signup and view all the answers

A patient who has suffered a head trauma is found to have anosmia (loss of smell). Imaging reveals a fracture involving the cribriform plate. Which structure is most likely affected?

<p>Olfactory foramina. (B)</p> Signup and view all the answers

Which of the following structures is crucial for the separation of the right and left nasal cavities, and what specific bones predominantly contribute to its formation?

<p>The nasal septum, mainly formed by the perpendicular plate of the ethmoid bone, vomer and septal cartilage. (A)</p> Signup and view all the answers

A patient visiting a neurologist is diagnosed with trigeminal neuralgia, and the MRI reveals compression in the middle cranial fossa. Which bony landmark would serve as a critical reference point for a subsequent surgical procedure needing to decompress the trigeminal nerve?

<p>Dorsum sellae, indicating the separation from the posterior cranial fossa. (D)</p> Signup and view all the answers

During an endoscopic sinus surgery, a surgeon needs to access the sphenoethmoidal recess. Which anatomical landmark serves as a primary guide?

<p>Sphenoethmoidal recess is located posterior and superior to the superior nasal concha (B)</p> Signup and view all the answers

A patient presents with a fractured zygomatic arch. Which of the following key anatomical changes are likely to stem from the trauma that changes facial structure?

<p>The zygomatic arch is the site of attachment for the masseter muscle. (D)</p> Signup and view all the answers

During a skull examination, the area where multiple bones converge, specifically the parietal, frontal, sphenoid, and temporal bones, creates a clinically significant landmark. What is this point known as?

<p>Pterion (C)</p> Signup and view all the answers

A trauma surgeon is examining a skull during emergency surgery. The surgeon observes an unusual depression formed by the squamous part of the temporal bone and the parietal bone. What anatomical structure is indicated by this presentation, and what boundary defines it inferiorly?

<p>Temporal fossa, bordered inferiorly by the zygomatic arch (C)</p> Signup and view all the answers

A team of pediatricians is assessing newborns for normal cranial development. Of the fontanelles present at birth, which closes last and at what age range does closure typically occur?

<p>Anterior fontanelle; closes between 6-24 months (B)</p> Signup and view all the answers

During an osteology lab, a student identifies a foramen that transmits the greater palatine nerve and vessels. Which structure is the student likely viewing?

<p>The Greater palatine foramen (B)</p> Signup and view all the answers

A patient reports to their doctor that they feel soft spots on their daughters head, but is otherwise developing normally. Knowing this, where would you tell the parent to expect the last soft spot to close?

<p>Towards the front of the head (D)</p> Signup and view all the answers

While palpating the skull of a newborn, areas where the skull bones have not yet fused are very noticeable. What best describes the composition of these areas?

<p>Cartilage tissue is what makes up these sites (C)</p> Signup and view all the answers

While in clinic, a dental student asks the resident what structure allows for the passage of vasculature for the nasal cavity into the oral cavity. What is an appropriate response?

<p>The Incisive canal (A)</p> Signup and view all the answers

A surgeon is preparing to perform an endoscopic procedure within the nasal cavity and needs to visualize the spaces located inferior to each nasal concha. Which term accurately describes these spaces?

<p>Meatuses (B)</p> Signup and view all the answers

A doctor suspects the patient may have a tumor as the origin of a patient's symptoms. The imaging shows high presence near the attachment border of the medial pterygoid muscle on the mandible. What is the overall location of this?

<p>Inferior pterygoid border (D)</p> Signup and view all the answers

An otolaryngologist is evaluating a patient with chronic sinus infections. The doctor suspects that the issue lies with normal openings and spaces in turbinates. What is the name given to the turbinates?

<p>Nasal conchae borders (C)</p> Signup and view all the answers

During an anatomy class skull dissection, a medical student is asked to differentiate between the borders of the anterior, middle, and posterior cranial fossae. What correctly differentiates the borders?

<p>The posterior cranial fossa is bordered anteriorly by the dorsum of the sellae and superior border of temporal bone. (B)</p> Signup and view all the answers

A pathologist is examining a skull and notices prominent ridges that correspond with the sites of dural attachment, as well as a deviation in bony structures. Which of the following most accurately describes those observations and their significance?

<p>Sites dural attachment can reflect areas of stress and tension, that are altered during development or remodeling. (D)</p> Signup and view all the answers

The medial wall of the orbit is made up of the orbital plate. Which of the following is true about this plate?

<p>The ethmoid bone can be damaged by procedures within the orbit (C)</p> Signup and view all the answers

When discussing the pterygopalatine and infratemporal space, what is the connecting feature of these spaces?

<p>The pterygomaxillary fissure (A)</p> Signup and view all the answers

What bones contribute to create the wall for the orbit?

<p>palatine, zygomatic, sphenoid, ethmoid, lacrimal, frontal and zygomatic (C)</p> Signup and view all the answers

Regarding the sphenoid bones, with direct connections to the orbit. Which of the following is not true?

<p>The sphenoid presents the superior orbital foramen (C)</p> Signup and view all the answers

A researcher discovers granular foveolae during the examination of the internal surface of the calvaria. Which process is most likely associated with the presence of granular foveolae?

<p>Resorption by arachnoid granulations (A)</p> Signup and view all the answers

A patient is diagnosed with trigeminal neuralgia, and imaging reveals nerve compression within the middle cranial fossa. Which set of bony landmarks would be most critical for a surgeon to consider when planning the decompression of the trigeminal nerve?

<p>Dorsum sellae and superior margin of the petrous part of the temporal bone (D)</p> Signup and view all the answers

A surgeon needs to access the middle cranial fossa. Which anatomical structure marks its posterior border?

<p>Petrous portion of the temporal bone (B)</p> Signup and view all the answers

During an endoscopic sinus procedure, the sphenoethmoidal recess requires precise identification. Which anatomical landmark serves as the primary surgical guide?

<p>Superior nasal concha (C)</p> Signup and view all the answers

A patient with a fractured zygomatic arch presents for reconstructive surgery. What set of landmarks are most crucial for restoring the norma lateralis?

<p>Vertex, occiput, and gonion (B)</p> Signup and view all the answers

After a motor vehicle accident, a patient is diagnosed with a basilar skull fracture involving the foramen magnum. Which passage could be affected that could be potentially life threatening?

<p>Passage of the spinal cord (D)</p> Signup and view all the answers

A forensic anthropologist discovers a skull with an interparietal bone situated between the parietal bones and the occipital bone. What are the most valid interpretations of this finding?

<p>Represents a normal anatomical variation, with no pathological significance (D)</p> Signup and view all the answers

You are asked to palpate the skull of a newborn, what best describes the composition of the areas of the skull that have yet to be fused?

<p>Fibrous Connective Tissue (A)</p> Signup and view all the answers

A patient presents with anosmia (loss of smell), and imaging reveals a fracture involving the cribriform plate. Because of the fracture, what structure is most likely damaged?

<p>Olfactory nerve (A)</p> Signup and view all the answers

During zygomatic arch reduction surgery, what structure forms the inferior border of the temporal fossa?

<p>Zygomatic arch (A)</p> Signup and view all the answers

A patient is undergoing a complex reconstructive surgery involving both the infratemporal and pterygopalatine fossae. Which structure serves as the key communication pathway between these two spaces?

<p>Pterygomaxillary fissure (A)</p> Signup and view all the answers

A previously healthy 6-month-old infant is brought to the pediatrician's office and the parents state concern about a soft spot on the baby's head. Which fontanelle is the last to close?

<p>Anterior fontanelle (C)</p> Signup and view all the answers

During a physical examination of an adult skull, you identify the vertex. Which anatomical aspect of the skull are you assessing?

<p>Norma Lateralis (D)</p> Signup and view all the answers

During the planning phase for a complex cranial base surgery, a neurosurgeon needs to visualize the basis cranii interna. Which perspective would provide the most comprehensive understanding?

<p>Norma Superior after calvaria removal (B)</p> Signup and view all the answers

In the context of anterior cranial fossa boundaries, which structure is not part of its base?

<p>Dorsum Sellae (D)</p> Signup and view all the answers

What bones contribute to create the nasal septum?

<p>Vomer and perpendicular plate of ethmoid bone (A)</p> Signup and view all the answers

During a surgical dissection of the lateral nasal wall, which of the following structures is NOT a direct component of the bony nasal conchae?

<p>Part of the vomer bone forming the inferior nasal concha (A)</p> Signup and view all the answers

A patient presents with limited jaw movement, and imaging suggests a lesion near the attachment of the medial pterygoid muscle to the mandible. Which region is primarily affected?

<p>Infratemporal fossa (B)</p> Signup and view all the answers

A surgeon requires surgical access to the nasal cavity through the piriform aperture. This approach is defined by what?

<p>Bounded by the maxilla and nasal bones. (D)</p> Signup and view all the answers

What openings are present in the nasal meatuses?

<p>Superior nasal meatus, middle nasal meatus and inferior nasal meatus (A)</p> Signup and view all the answers

Flashcards

What is the cranium?

Another term for the skull.

What is Norma superior?

The view of the skull from above.

What is the coronal suture?

Joint between the frontal and parietal bones.

What is the sagittal suture?

Joint between the two parietal bones.

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What is the lambdoid suture?

Joint between the occipital and parietal bones.

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What is Norma frontalis?

The view of the skull from the front.

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What is the piriform aperture?

Opening surrounded by the maxilla and nasal bones, entering nasal cavities.

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What is the orbit (orbital fossa)?

Fossa that contains the eye and its related structures.

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What is Norma lateralis?

The view of the skull from the side.

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What is the vertex?

Uppermost point on the skull.

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What is the occiput?

Most posterior point on the skull.

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What is the gonion?

Tip of the angle of the mandible.

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What is the temporal fossa?

Shallow depression formed by temporal and parietal bones.

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What is Norma occipitalis?

The view of the skull from the posterior aspect.

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What is the external occipital protuberance?

Prominent elevation in the middle of the occipital bone.

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What is Norma basalis?

The view of the skull from below.

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What is the calvaria?

Upper part of the neurocranium (skull cap).

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What is the base of the cranial cavity?

The space inside the skull after removing the calvaria.

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What are the cranial fossae?

Divisions within the cranial cavity.

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What is the anterior cranial fossa?

Fossa at the front of the cranial cavity.

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What is the middle cranial fossa?

Fossa in the middle of the cranial cavity.

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What is the posterior cranial fossa?

Fossa at the back of the cranial cavity.

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What is the infratemporal fossa?

Fossa located infero-medial to the zygomatic arch.

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What is the Pterygopalatine fossa?

Lies medial to the infratemporal fossa, connects through pterygomaxillary fissure.

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What is the Orbit?

Contains the eye bulb and related structures, pyramidal in shape.

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What is the Nasal Cavity?

Area separated by the nasal septum.

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What is Fonticulus?

In newborns, ossification is incomplete where skull bones connect.

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What is the Anterior fonticulus?

The largest fonticulus that closes last.

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What is the Posterior fonticulus?

This closes about 1st-6th months.

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What is the Pterion?

Point where parietal, frontal, sphenoid, and temporal bones meet.

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What is the Bregma?

Point where frontal and both parietal bones meet.

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What is the Lambda?

Point where the occipital and both parietal bones meet.

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What is the Glabella?

Smooth part of the frontal bone between brow ridges.

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What is the Nasion?

Point where frontal and nasal bones meet.

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Study Notes

  • The skull refers to the cranium, which is another term to describe the head region.

Skull bones:

  • Frontal
  • Sphenoid
  • Nasal
  • Lacrimal
  • Parietal
  • Maxilla
  • Occipital
  • Temporal
  • Ethmoid
  • Vomer
  • Palatine
  • Mandible

Skull View Directions:

  • Vertical (norma superior) – View from above.
  • Frontal (norma facialis/frontalis) – View from the front.
  • Lateral (norma lateralis) – Lateral view.
  • Posterior (norma occipitalis) – View from posterior aspect.
  • Inferior (norma basalis or basis cranii externa) – View from below.

Norma Superior:

  • Three notable joints can be observed.
  • Coronal suture: Located between the frontal and the two parietal bones.
  • Sagittal suture: Located between the two parietal bones.
  • Lambdoid suture: Located between the occipital and the two parietal bones.

Norma Frontalis:

  • Piriform aperture: This opening that is surrounded by the two maxillae and the two nasal bones, that opens into the nasal cavities .
  • Orbit or orbital fossa: Fossa containing the eye and related structures.

Norma Lateralis:

  • Vertex is the uppermost point when viewing from the lateral aspect.
  • Occiput is the most posterior point.
  • Gonion is the tip of the angle of mandible.
  • Temporal fossa is a shallow depression formed by the squamous part of the temporal bone and the parietal bone, inferiorly bordered by the zygomatic arch.

Norma Occipitalis:

  • External occipital protuberance is the most prominent elevation observed in the middle.
  • Lambdoid suture is the suture between the two parietal bones and the occipital bone.
  • Interparietal or sutural bones, in some individuals these additional bones between the two parietals and the occipital bone.

Norma Basalis (basis cranii externa):

  • Hard palate (palatum durum) is visible
  • Median palatal suture is visible
  • Transverse palatal suture is visible
  • Incisive foramen is visible
  • Jugular foramen is visible
  • Foramen lacerum is visible
  • Choanae is visible

Calvaria:

  • The upper part of the neurocranium.
  • Frontal, parietal, and occipital bones contribute to its structure.
  • Base of the cranial cavity (basis cranii interna – cranial vault) is observed when the calvaria is removed.

Basis Cranii Interna (Cranial Vault):

  • Three fossae that can be observed are;
  • Anterior cranial fossa
  • Middle cranial fossa
  • Posterior cranial fossa

Anterior Cranial Fossa:

  • Base is composed of;
  • Orbital part of the frontal bone (anteriorly).
  • Cribriform plate of the ethmoidal bone (middle).
  • Lesser wings and antero-superior part of the body of the sphenoid bone (posteriorly).
  • Posterior border of the fossa are;
  • Posterior borders of the lesser wings of the sphenoid bones.
  • Anterior clinoid processes.

Middle Cranial Fossa:

  • Anterior border: Posterior borders of the lesser wings of the sphenoid bones, and the anterior clinoid processes.
  • Posterior border: Dorsum sellae of the sphenoid bone, and superior margin of the petrous part of the temporal bone.

Posterior Cranial Fossa:

  • Anterior border: Dorsum sellae of the sphenoid bone, and superior margin of the petrous part of the temporal bone.
  • Foramen magnum is observed in the middle of the posterior cranial fossa.

Infratemporal Fossa:

  • Located infero-medial to the zygomatic arch and medial to the ramus of mandible.
  • Borders are as follows;
  • Lateral: Zygomatic arch and ramus of mandible
  • Medial: Pterygomaxillary fissure and lateral lamina of the pterygoid process.
  • Anterior: Maxillary tuberosity.
  • Posterior: Mastoid and styloid processes of the temporal bone.
  • Superior: Inferior surface of the greater wing of the sphenoid bone.
  • Inferior: Attachment point of the medial pterygoid muscle on the mandible.

Pterygopalatine Fossa:

  • Lies medial to the infratemporal fossa and is connected to it through the pterygomaxillary fissure
  • The borders, are specified by;
  • Posterior: Pterygoid process of the sphenoid
  • Anterior: Posterior part of the maxilla
  • Roof: Greater wing of the sphenoid bone (partially covers)
  • Base: Pyramidal process of the palatine bone.
  • The connections to it are;
  • Laterally with infratemporal fossa through the pterygomaxillary fissure
  • Medially with the nasal cavity through the sphenopalatine foramen
  • Postero-superiorly with the middle cranial fossa through the foramen rotundum and pterygoid canal
  • Antero-superiorly with the orbit through the inferior orbital fissure.

Orbit:

  • Structure containing the eye bulb and any related structures
  • It is roughly pyramidal in shape, the borders that make it up are;
  • The Orbital walls:
  • Superior wall: Orbital part of the frontal bone and lesser wing of the sphenoid bone.
  • Medial wall: Orbital plate (external surface of the lateral part) of the ethmoid bone. The frontal, maxillary, lacrimal, palatine and sphenoid bones all contributes to this wall.
  • Inferior wall: Maxilla, zygomatic and palatine bones also contribute.
  • Lateral wall: Greater wing of sphenoid bone and orbital part of the zygomatic bone and frontal bone also contribute. Apex: Contains Optic canal.
  • The orbit is connected to;
    • Middle cranial fossa through the superior orbital fissure and optic canal
    • Pterygopalatine fossa through the inferior orbital fissure
    • Nasal cavity through the anterior and posterior ethmoid foramina

Nasal Cavity:

  • The nasal septum divides the right and the left nasal cavities
  • The choanas marks the opening of each nasal cavity into the pharynx
  • The nasal septum are formed by;
  • Perpendicular plate of the ethmoid bone (postero-superior)
  • Vomer (postero-inferior)
  • Septal cartilage (anterior)
  • There are elevations called conchae on the lateral wall which are;
  • Superior nasal concha (part of the ethmoid bone)
  • Middle nasal concha (part of the ethmoid bone)
  • Inferior nasal concha (a separate structure)
  • The spaces found just inferior or is the infero-lateral part of each conchae are called;
  • Superior nasal meatus
  • Middle nasal meatus
  • Inferior nasal meatus

Skull Of Newborn:

  • In newborns, ossification is incomplete at the areas where the skull bones connect.
  • Soft structures called fonticuli can be palpitated.
  • Anterior fonticulus is the largest and also closes quite late (6-24 months)
  • Posterior fonticulus closes early around 1st-6th months
  • Anterolateral/sphenoid and posterolateral/mastoid fonticulus closes shortly after birth

Anthropological Features:

  • Pterion: Here the Os parietale, os frontale, os sphenoidale and os temporale meet.
  • Bregma:,Os frontale blends into both Os parietale
  • Glabella: The dimple between the arcs of the front of the Os frontale
  • Nasion: Where Os frontale blends into both Os nasale plane.
  • Gnathion: The lower, swollen part of the vertical extension in the middle of the front surface of the Mandibula.

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