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113- vascular system
SCC- Wallace
221
Dentistry
Professional
03/14/2016

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Term
what is the communication of blood vessels
Definition
anastomosis
Term
what is a blood vessel carrying blood away from the heart
Definition
artery
Term
what is a small artery that branches off to connect to a capillary?
Definition
arteriole
Term
what is a smaller blood vessel which branches off an arteriole and supplies blood directly to tissue
Definition
capillary
Term
what is a network of blood vessels- usually veins
Definition
plexus
Term
what are blood vessels that carry blood to the heart
Definition
vein
Term
what are smaller veins which drain capillaries of tissue and then joins larger veins
Definition
venule
Term
what is a blood filled space between two layers of tissue
Definition
venous sinus
Term
what are the 3 components of vascular system?
Definition
arterial blood supply
capillary network
venous drainage
Term
are there generally valves in the veins of the neck?
Definition
mostly absent
Term
what vein of the neck does have a valve?
Definition
external jugular vein
Term
what can cause local pressure changes leading to serious complications?
Definition
infection
blood clot
Term
which arteries supply blood to the left side of the body?
Definition
common carotid and subclavian branch
Term
where do the left common carotid and subclavian branch branch from?
Definition
directly from the aorta
Term
which arteries supply blood to the right side of the head?
Definition
common carotid and subclavian
Term
where do the right common carotid and subclavian branch from?
Definition
brachiocephalic which branches from the aorta
Term
the common carotid travels through the sheath deep to which muscle?
Definition
sternocleidomastoid
Term
What is the major artery supplying the brain?
Definition
common carotid
Term
where is the carotid pulse palpated during emergency situations?
Definition
at the level of the thyroid cartilage (adams apple)
Term
which artery is branchless and is lateral to the trachea and larynx?
Definition
common carotid
Term
what are the two branches of the common carotid?
Definition
internal and external carotid
Term
the superior thyroid artery supplies blood to what tissues?
Definition
inferior to the hyoid bone and thyroid gland?
Term
the lingual artery supplies blood to what tissues
Definition
tissue superior to the hyoid bone and tongue
Term
the sublingual artery supplies blood to what areas? (4)
Definition
mylohyoid
sublingual salivary glands
mucous membranes
suprahyoid muscles
Term
what are the 4 anterior branches of the external carotid
Definition
superior thyroid
lingual artery
sublingual
facial artery
Term
what are the 6 branches of the facial artery?
Definition
ascending palatine
glandular
submental
inferior labial
superior labial
angular
Term
the ascending palatine artery supplies what tissues (3)
Definition
soft palate
palatine muscles
palatine tonsils
Term
the glandular and submental arteries supply what tissues? (4)
Definition
submandibular lymph
submandibular salivary gland
mylohyoid muscle
digastric muscle
Term
the angular artery supplies what tissue?
Definition
sides of nose
Term
what is the terminal branch of the facial artery?
Definition
angular artery
Term
what are the 2 posterior branches of the external carotid?
Definition
occipital artery
posterior auricular artery
Term
terminal branches of the external carotid arise from what region of the skull?
Definition
infratemporal fossa
Term
what is the medial branch of the external carotid?
Definition
ascending pharyngeal
Term
what are the 2 terminal branches of the external carotid artery?
Definition
superficial temporal
maxillary
Term
what are the 3 parts of the maxillary artery
Definition
middle meningeal artery
mylohyoid artery
inferior alveolar artery
Term
which branch of the maxillary artery supplies the meninges of the brain by way of the foramen spinosum?
Definition
middle meningeal artery
Term
which maxillary artery enters the mandibular foramen and passes through the mandibular canal?
Definition
inferior alveolar artery
Term
what teeth does the inferior alveolar artery supply?
Definition
mandibular posterior teeth
Term
what is the name for the branches of the inferior alveolar artery that supply the teeth?
Definition
dental and alveolar branches
Term
what artery branches from the inferior alveolar artery before it enters the mandibular foramen?
Definition
mylohyoid artery
Term
the inferior alveolar artery splits into what two branches?
Definition
incisive artery
mental artery
Term
what artery exits the mental foramen?
Definition
mental artery
Term
which artery stays in the mandibular canal and supplies the mandibular anterior teeth and tissues?
Definition
incisive artery
Term
what branch of the maxillary artery supplies the anterior and posterior temporalis muscle?
Definition
deep temporal arteries (2)
Term
which artery supplies the medial and lateral pterygoid muscles? which artery does this branch from?
Definition
pterygoid arteries from maxillary artery
Term
what artery supplies the masseteric muscle? what artery does this branch from?
Definition
masseteric artery from maxillary artery
Term
what branch of the maxillary artery supplies the buccinator and soft tissues of the cheek?
Definition
buccal artery
Term
the maxillary artery enters what skull structure?
Definition
pterygopalatine fossa
Term
the posterior superior alveolar artery enters a foramina on what skull structure?
Definition
maxillary tuberosity
Term
the posterior superior alveolar artery gives rise to what branches?
Definition
dental and alveolar branches
Term
the dental and alveolar branches of the Posterior superior alveolar artery supply which teeth?
Definition
maxillary posterior teeth
Term
what is the path of the infraorbital artery starting from the maxillary artery?
Definition
enters orbit through inferior orbital fissure
travels through infraorbital canal
splits to form anterior superior alveolar artery
exits infraorbital foramen
Term
what does the anterior superior alveolar artery supply?
Definition
maxillary anterior teeth
Term
what artery anastamoses with the posterior superior alveolar artery?
Definition
anterior superior alveolar artery
Term
what branch of the maxillary artery forms while it is in the pterygopalatine fossa?
Definition
Descending palatine artery
Term
After traveling through the ptergopalatine canal, the Descending palatine artery
terminates in what branches?
Definition
greater and lesser palatine arteries
Term
the maxillary artery terminates by forming which artery?
Definition
sphenopalatine artery
Term
the sphenopalatine artery gives rise to which branches?
Definition
nasopalatine and septal branches
Term
what two structures exit the incisive foramen?
Definition
nasopalatine artery and nerve
Term
what artery supplies the hard palate?
Definition
greater palatine artery
Term
what do veins of the head and neck start out as?
Definition
venules
Term
what vein originates in the cranial cavity and leaves the skull through the jugular foramen
Definition
internal jugular vein
Term
what vein drains the brain and most tissues of the head and neck?
Definition
internal jugular vein
Term
what vein drains part of the extracranial tissue?
Definition
external jugular vein
Term
what are the 8 veinous drainages of the head and neck?
Definition
facial
retromandibular
superficial temporal
maxillary
pterygoid plexus
middle meningeal
posterior superior alveolar
inferior alveolar
Term
where does the facial vein begin?
Definition
medial corner of the eye
Term
the junction of what three veins provides communication with the cavernous sinus
Definition
supraorbital
supratrochlear
opthalmic
Term
why are infections of the cavernous sinus dangerous?
Definition
no valves to prevent backflow of infectious materials
Term
what 4 veins drain into the facial vein?
Definition
superior labial vein
inferior labial vein
submental vein
lingual vein
Term
what vein drains the tissues of the chin and submandibular region?
Definition
submental vein
Term
what regions does the lingual vein drain?
Definition
tongue and floor of mouth
Term
the facial vein joins with which two deep veins?
Definition
pterygoid plexus
retromolar vein
Term
the facial vein eventually drains into which vein?
Definition
internal jugular vein
Term
the retromolar vein is formed by the junction of which two veins?
Definition
temporal and maxillary vein
Term
which vein is located inferiorly to the parotid gland?
Definition
retromolar vein
Term
which veins join the retromolar vein?
Definition
facial vein
posterior auricular vein
Term
which vein drains the lateral scalp
Definition
superficial temporal vein
Term
which veins contribute to the pterygoid plexus (5)
Definition
middle meningeal
posterior superior anterior
inferior alveolar
nasal cavity
palate
Term
which vein drains veins from pterygoid muscles and deep parts of the face?
Definition
pterygoid plexus
Term
what structure protects the maxillary artery from being compressed during mastication
Definition
pterygoid plexus
Term
how does the pterygoid plexus protect the maxillary artery form being compressed
Definition
accomodates changes in the volume of the infratemporal fossa when the mandible moves
Term
what does the middle meningeal vein drain?
Definition
dura mater of the meninges and bones of the brain
Term
what does the posterior superior alveolar vein drain?
Definition
all maxillary teeth and periodontium
Term
what branches drain into the interior alveolar vein?
Definition
dental and alveolar branches
Term
what does the inferior alveolar vein drain?
Definition
all mandibular teeth and periodontium
Term
the mental vein is a branch of what vein?
Definition
inferior alveolar vein
Term
there is risk for pterygoid plexus pierce during what injection?
Definition
posterior superior alveolar injection (PSA)
Term
what is the usual cause of piercing the pterygoing plexus during a PSA injection?
Definition
over insertion of the needle
Term
what are 3 impacts of an incorrect PSA injection
Definition
blood escapes into tissue
swelling, tenderness, discoloration
spread of infection into deep tissues
Term
what is the term for a bruise that results from an injured blood vessel that leaks blood into tissues and clots
Definition
hematoma
Term
what is the most important venous sinus to dental care?
Definition
cavernous sinus
Term
what is the only anatomical location in the body in which an artery passes through a venous structure?
Definition
venous sinus / cavernous sinus
Term
what structures pass through the cavernous sinus?
Definition
internal carotid artery
CN 3, 4, 6, V1, and V2
Term
does the internal jugular have one way valves?
Definition
no
Term
the internal jugular vein travels through the carotid sheath with which 2 additional structures?
Definition
common carotid artery
vagus nerve
Term
what lymph structure forms a chain along the internal jugular vein
Definition
deep cervical lymph
Term
where does the external jugular vein originate and end?
Definition
begins at retromandibular vein
terminates in subclavian vain
Term
what is the most unique feature of the external jugular vein?
Definition
it has valves
Term
where is the valve on the external jugular vein
Definition
near the entry of the subclavian vein
Term
what vein crosses the sternocleidomastoid muscle?
Definition
external jugular vein
Term
what is the last vein to drain into the external jugular vein before it merges with the subclavian vein?
Definition
anterior jugular
Term
the external jugular veins terminate in which veins?
Definition
subclavian veins
Term
after the internal jugular vein joins the subclavian vein, it is known as what?
Definition
brachiocephalic vein
Term
the L and R brachiocephalic veins join to become what structure
Definition
superior vena cava
Term
are brachiocephalic veins symmetrical?
Definition
no, asymmetric
Term
what is a fatty substance found in arteries consists of cholesterol, calcium and clotting proteins?
Definition
plaque
Term
what is the term for narrowing and blockage of arteries to the heart caused by plaque?
Definition
atherosclerosis
Term
what is a blood clot formed on a vessel wall?
Definition
thrombus
Term
what is a blood clot that is dislodged and travels through vessels?
Definition
embolus
Term
what is the condition where bacteria is found in the blood?
Definition
bacteremia
Term
what is a serious trauma where large amounts of blood escape and is life threatening
Definition
hemorrhage
Term
what is a structure that produces a chemical secretion needed for normal body functioning
Definition
gland
Term
what are the 5 glandular tissues of the head and neck?
Definition
lacrimal
salivary
thyroid
parathyroid
thymus
Term
what type of gland has a duct associated with it?
Definition
exocrine
Term
where is the secretion for an endocrine emptied?
Definition
directly into the vascular system
Term
T/F- lacrimal glands are paired?
Definition
true
Term
what do lacrimal glands secrete?
Definition
tears
Term
what are the 2 parts of the lacrimal glands?
Definition
palpebral part
orbital part
Term
what is the larger part of the lacrimal gland?
Definition
orbital part
Term
what portion of the lacrimal gland contains the lacrimal ducts?
Definition
orbital part
Term
where is the nasolacrimal duct found?
Definition
junction of the lacrimal and maxillary bones
Term
describe the pathway of secreted tears
Definition
collect in upper lid fornix conjunctiva
pass over eye to lacrimal puncta of medial canthus
fluid passes over eye and into nasolacrimal sac
drains into inferior nasal meatus
Term
where is the lacrimal gland located?
Definition
in the lacrimal fossa of the frontal bone
Term
what innervates the lacrimal gland
Definition
parasympathetic fibers from the greater petrosal nerve (7th cranial/facial nerve)
Term
where do the preganglionic fibers synapse for the lacrimal gland?
Definition
pterygopalatine ganglion
Term
lacrimal glands drain where?
Definition
superficial parotid lymph nodes
Term
what is the arterial supply for the lacrimal gland?
Definition
lacrimal artery (branch of opthalmic arter of internal carotid)
Term
what is the term for persistent dryness of the eyes?
Definition
dry eye syndrome (DES)
Term
what are 2 potential causes of dry eye syndrome?
Definition
aging
medications causing xerostomia
Term
saliva contributes to which two bodily systems
Definition
immune and digestive
Term
what are 3 rolls of saliva?
Definition
lubrication
cleanses the oral cavity
helps in digestion
Term
what controls salivary glands?
Definition
autonomic nervous system
Term
are salivary glands endocrine or exocrine glands?
Definition
exocrine
Term
what are the 3 major salivary glands?
Definition
parotid
submandibular
sublingual
Term
what is the largest salivary gland?
Definition
parotid gland
Term
which of the major salivary glands is NOT encapsulated?
Definition
sublingual
Term
what are the lobes of the parotid gland named?
Definition
superficial and deep
Term
what space does the parotid gland occupy?
Definition
parotid fascial space
Term
what is the duct associated with the parotid salivary gland?
Definition
parotid duct / stenson's duct
Term
what is the small elevation on the inner surface of the cheek that marks the opening of the parotid duct?
Definition
parotid papilla
Term
what innervates the parotid salivary gland?
Definition
optic ganglion of 9th CN (glossopharyngeal)
auriculotemporal branch of 5th CN (trigeminal)
Term
what nerve travels between the parotid gland lobes but does not innervate it?
Definition
7th cranial nerve (facial nerve)
Term
where does the parotid gland drain?
Definition
deep parotid lymph nodes
Term
what is the arterial supply for the parotid gland?
Definition
branches of external carotid artery
Term
what two structures become enlarged and tender when a patient has mumps?
Definition
deep parotid nodes
parotid salivary gland
Term
what disease is sometimes called "chipmonk cheeks"
Definition
mumps
Term
damage to the parotid gland during injections may cause what issue?
Definition
transient facial paralysis (facial nerve)
Term
what space houses the submandibular fossa?
Definition
submandibular fascial space
Term
what duct is associated with the submandibular salivary gland?
Definition
submandibular duct
wharton's duct
Term
what is the small papilla near the midline of the mouth floor where wharton's duct opens into the oral cavity?
Definition
caruncle
Term
what innervates the submandibular salivary gland?
Definition
chorda tympani
submandibular ganglion of 7th CN (facial)
Term
where does the submandibular gland drain?
Definition
submandibular lymph nodes
Term
what is the arterial supply for the submandibular glands
Definition
branches of facial and lingual arteries
Term
what is the secretion of the parotid gland?
Definition
serous
Term
what is the secretion of the submandibular gland?
Definition
seromucous
Term
what is the secretion of the sublingual gland?
Definition
mucous
Term
what depression houses the sublingual salivary gland?
Definition
sublingual fossa in sublingual fascial space of floor of mouth
Term
what are the ducts associated with the sublingual gland?
Definition
short ducts of Rivinus
longer- sublingual / Bartholin duct
Term
where does the sublingual salivary gland open to the oral cavity
Definition
sublingual caruncle
Term
what innervates the sublingual salivary gland?
Definition
chorda tympani (parasympathetic)
submandibular ganglion of 7th CN (facial)
Term
where does the sublingual salivary gland drain/
Definition
submandibular lymph nodes
Term
what is the arterial supply for the sublingual gland?
Definition
sublingual and submental arteries
Term
what tissues are minor salivary glands found?
Definition
buccal
labial
lingual
soft palate
lateral hard palate
floor of mouth
Term
what minor salivary glands are associated with the circumvallate papilla of the tongue?
Definition
von Ebner
Term
minor salivary glands are innervated by?
Definition
7th CN (facial)
Term
what is a structure that can block drainage of saliva from a duct?
Definition
salivary stone (sialolith)
Term
what is the term for enlargement of a minor salivary gland?
Definition
mucocele
Term
what is the term for enlargement of a major salivary gland?
Definition
ranula
Term
other than a sialolith, what can cause blockage of saliva from exiting a duct?
Definition
severance of the duct for trauama
Term
what are some common causes of hyposalivation
Definition
medications
disease
radiation therapy
Term
what is another term for dry mouth?
Definition
xerostomia
Term
what are some possible clinical impacts of xerostomia?
Definition
trauma to oral mucosa
cervical caries
speech problems
mastication problems
bad breath
Term
what is the largest endocrine gland?
Definition
thyroid gland
Term
what does the thyroid gland secrete and where does it secrete it?
Definition
thyroxine directly into the blood
Term
what is the role of Thyroxine (T3) in the body?
Definition
regulates metabolic rate
T4 helps to influence heart rate, temp, mood, and alertness
Term
what are the 3 regions of the thyroid gland
Definition
L and R lateral lobes connected by an isthmus
Term
is the thyroid gland superior or inferior to the thyroid cartilage?
Definition
inferior
Term
what innervates the thyroid gland?
Definition
sympathetic nerves of the cervical ganglia
Term
what drains the thyroid gland?
Definition
superior deep cervical lymph nodes
Term
what is the arterial supply for the thyroid gland?
Definition
superior and inferior thyroid arteries
Term
what structure is located on the posterior portion of the thyroid gland?
Definition
4 parathyroid glands
Term
what do the parathyroid glands secrete? what is it's role?
Definition
secretes parathyroid hormone which regulates calcium and phosphorous levels
Term
is the parathyroid an exocrine or endocrine gland?
Definition
endocrine
Term
is the parathyroid palpable during an EO examination?
Definition
no
Term
what is the vascular supply and innervation of the parathyroid?
Definition
same as the thyroid
Term
what is an enlarged thyroid gland called
Definition
goiter
Term
what causes a goiter?
Definition
auto-immune disorders
(hypo and hyperthyroidism)
Term
what are the 3 parts of the thymus?
Definition
L and R lateral lobes connected by an isthmus
Term
where is the thymus located?
Definition
thorax and anterior region of the base of the neck (inferior to thyroid)
Term
why is the thymus temporary?
Definition
begins the immune system as a child and then shrinks after puberty
Term
what innervates the thymus?
Definition
10th CN (vagus) and cervical nerves
Term
where does the thymus drain?
Definition
internal jugular vein
Term
what is the arterial supply of the thymus
Definition
inferior thyroid and internal thoracic arteries
Term
inhibition of blood circulation as the result of a thrombus can lead to what conditions?
Definition
stroke
heart attack
tissue destruction
Term
other than a PSA injection, what other injections can cause hematomas, even when done correctly?
Definition
infraorbital block or inferior alveolar block
Term
Patients with periodontal disease are how many times more likely to suffer fro cardiovascular disease?
Definition
2 times more likely
Term
what drains the maxillary and mandibular dental tissues?
Definition
pterygoid plexus
Term
what vein forms after the merger of the superficial temporal and the maxillary vein?
Definition
retromandibular
Term
the middle meningeal artery passes through what bony structure?
Definition
foramen spinosum
Term
what arteries supply the mucous membranes of the hard and soft palate?
Definition
greater and lesser palatine arteries
Term
what does the maxillary artery do when it enters the pterygopalatine fossa
Definition
forms terminal branches
Term
what is a blood filled space between two tissue layers?
Definition
venous sinus
Term
what are small vessels that branch off an arteriole to supply blood directly to tissues
Definition
capillary
Term
where is the carotid pulse palpated in an emergency
Definition
level of the thyroid cartilage
Term
what is the major arterial supply for the tongue is a branch from which artery?
Definition
external carotid artery
Term
what artery anastamoses with the superior alveolar artery?
Definition
posterior superior alveolar artery
Term
on the left side of the body, the common carotid and subclavian arteries arise directly from what structure?
Definition
aorta
Term
what is the larger terminal branch of the external carotid artery?
Definition
maxillary artery
Term
the brachiocephalic veins join to form what structure
Definition
superior vena cava
Term
what structure is contained within the carotid sheath?
Definition
internal jugular vein
Term
what gland is located anterior to the submandibular gland?
Definition
sublingual salivary gland
Term
which gland has a deep and superficial lobe
Definition
parotid
Term
what 2 glands have 2 lobes connected by an isthmus
Definition
thyroid and thymus
Term
what nerve innervates both the submandibular and sublingual salivary glands
Definition
chorda tympani
Term
what is the oral landmark for the opening of the submandibular duct?
Definition
sublingual caruncle
Term
where is the thyroid gland located
Definition
anterior to the larynx
Term
what is the blood supply for the parotid gland
Definition
external carotid artery
Term
the lacrimal gland eventually drains where?
Definition
inferior nasal meatus
Term
when examining the thyroid on a patient, it is important to do what?
Definition
ask them to swallow
Term
what occurs in the thymus gland?
Definition
maturation of immume system T cells
Term
the sublingual salivary glands are drained by?
Definition
submandibular nodes
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