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OSTEOLOGY OF HEAD AND NECK
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
SKULL JOINTS
osteology of head and neck and its applied aspects
SERRATE SUTURE (SAGITTAL)
Present between two parietal bones
osteology of head and neck and its applied aspects
Between parietal bones
and occipital bone
DENTICULATE SUTURE
PLANE SUTUTRE
Between two palatine
bones
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
ANATOMIC POSITION
OF SKULL
osteology of head and neck and its applied aspects
METHODS OF
STUDY OF SKULL
SUPERIOR VIEW OR
NORMA VERTICALIS
POSTERIOR VIEW OR
NORMA OCCIPITALIS
ANTERIOR VIEW OR
NORMA FRONTALIS
LATERAL VIEW OR
NORMA LATERALIS
INFERIOR VIEW OR
NORMA BASALIS
EXTERNALLY
INTERNALLY
CRANIAL VAULT
CRANIAL BASE
DIVIDED INTO 3
CRANIAL
FOSSAS
ANTERIOR
MIDDLE
POSTERIOR
NORMA
VERTICALIS
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
BRACHYCEPHALY- FLATTENED HEAD
PREMATURE BILATERAL FUSION OF
CORONALSUTURES
ASSOSIATEDWITH SYNDROMES SUCH AS
APERT SYNDROME
CARPENTER SYNDROME
CLEIDOCRANIAL DYSOSTOSIS.
DOWNS SYNDROME.
PLAGIOCEPHALY- SKEW HEAD.
DUE TO UNILATERAL FUSION OF CORONAL
SUTURE
SCAPHOCEPHALY OR DOLICOCEPHALY – ELONGATED
HEAD
DUE TO PREMATURE CLOSURE OF SAGGITAL SUTURE.
ASSOCIATED WITH SYNDROMES LIKE
CROUZON SYNDROME AND MARFAN
SYDROME
TRIGONOCEPHALY- TRIANGULAR HEAD
DUE TO PREMATURE FUSION OF METOPIC SUTURE.
OXYCEPHALY-HIGH HEAD
DUE TO PREMATURE CLOSURE OF CORONAL
SUTURE, PLUS LAMBDOID SUTURE
NORMA OCCIPITALIS
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
NORMA FRONTALIS
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
The metopic suture is always present at birth but usually disappears at 6-7 yrs.
( metopon= forehead)
The metopic suture may persist throughout life and be mistaken for
a fracture
 The paired frontal sinuses are
posterior to the superciliary
arches, between the upper and
inner tables of the frontal bone.
 Each usually underlies a
triangular area on the surface of
the face, its angles formed by
the nasion, a point 3 cm above
the nasion and the medial one-
third and lateral two-thirds of the
supraorbital margins.
 They are rarely symmetrical
 The average dimensions of an
adult frontal sinus are height 3.2
cm, breadth 2.6 cm , depth 1.8
cm.
 They open into anterior part of
corresponding middle meatus or
medial to hiatus semilunaris.
 They are rudimentary or absent
at birth , generally well
developed between the seventh
and eigth years, but reach full
size after puberty.
Frontal air sinuses
Frontal bossing
osteology of head and neck and its applied aspects
Blow out fracture of the orbit
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
 Maxilla ossifies in membrane from three centres
One from maxilla proper and Two from
premaxilla.
 The centre for maxilla proper appears above
canine fossa during the sixth week of intrauterine
life.
 Of the two premaxillary centres, the main centre
appears above the incisive fossa during seventh
week of intrauterine life.
 The second centre appears at the ventral margin
of nasal septum during tenth week and soon
fuses with the palatal process of maxilla.
Ossification of maxilla
osteology of head and neck and its applied aspects
a) Fronto-nasal
buttress
b)Malar-zygomatic
buttress
c) Pterygoid
buttress
Vertical trajectories of force
osteology of head and neck and its applied aspects
 The largest of the paranasal
sinuses and completely fills
the bodies of maxillae
 Pyramidal in shape
 Innervated by infra-orbital and
alveolar branches of maxillary
nerve
 Drains in middle meatus
through hiatus semilunaries
 The size of the sinus is
variable. Average
measurements are
Height- 3.5 cm
Width-2.5 cm
anterioposterior depth-
3.5 cm
 Clinical note: Extraction of
upper teeth might lead to
fistula formation and sinusitis
Maxillary sinus
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
The mandible is the second bone , next to the
clavicle , to ossify in the body.
Its greater part ossifies in membrane.
The parts ossifying in the cartilage include the
incisive part below the incisor teeth, the coronoid
and the condyloid processes, and the upper half
of the ramus above the level of the mandibular
foramen.
Each half of the mandible ossifies from only one
centre which appears at about 6th week of the
intrauterine life in the mesenchymal sheath of
Merckel’s cartilage near the future mental
foramen.
Ossification of mandible
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
•From beneath the teeth trajectories join together in
common pillar- ends at condyle.
•Mandibular nerve and canal are protected
•Trajectories from sympysis, gonial angle and coronoid
process join this main pillar.
Mandibular fractures
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
Facial bone fractures result from
direct trauma and usually follow
one of only a small number of
patterns. Some search patterns
can aid in the interpretation.The
eye follows these lines to check
these common fracture
patterns.
McGrigor-Campbell lines
Campbell's and Trapnell's lines
osteology of head and neck and its applied aspects
NORMA LATERALIS
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
keens Transoral approach
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
Elongation of styloid
process in eagles
syndrome
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
Gilles Temporal approach
osteology of head and neck and its applied aspects
NORMA BASALIS
Pharyngeal
tubercle
osteology of head and neck and its applied aspects
Anterior part of norma
basalis
osteology of head and neck and its applied aspects
GUERIN’S SIGN
osteology of head and neck and its applied aspects
TREATMENT SCHEDULE
Latham appliance
Vanderwoude syndrome
Middle part of norma
basalis
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
posterior part of norma
basalis
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
Foramen magnum
osteology of head and neck and its applied aspects
Jugular foramen
INTERNAL SURFACE OF
CRANIAL VAULT
osteology of head and neck and its applied aspects
INTERNAL SURFACE OF
BASE OF THE SKULL
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
Anterior fossa
osteology of head and neck and its applied aspects
Cibriform plate of ethmoid
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
Racoon eyes Rhinorrhea
ANTERIOR
CRANIAL
FOSSA
osteology of head and neck and its applied aspects
Middle cranial fossa
Sphenoid bone
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
Foramen Lacerum
Structures passing whole length:
1. Meningeal branch of Ascending pharyngeal
artery
2. Emissary vein
3. Internal carotid artery
4. Greater petrosal nerve
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
Sphenoidal air sinus
 The sphenoidal sinuses are
two large irregular cavities
within the body of the
sphenoid and therefore lie
posterior to the upper part
of nasal cavity.
 At birth the sinuses are
minute cavities, and their
main development occurs
after puberty.
 The average adult
dimensions are vertical
height 2cm, Transverse
breadth 1.8 cm ,
anterioposterior depth 2.1
cm.
osteology of head and neck and its applied aspects
MIDDLE CRANIAL FOSSA
Hemotympanum CSF leak ottorhea
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
Foramen magnum
Jugular foramen
Posterior cranial fossa
Battle’s sign
 Bruising over sub-occipital region
 Cranial nerve injuries
Double ring sign-
Fluid from ear or nose placed on
filter paper and a halo of double ring
may be seen.
HYOID BONE
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
Attachments to hyoid bone
osteology of head and neck and its applied aspects
CERVICAL VERTEBRAE
osteology of head and neck and its applied aspects
Typical cervical vertibrae
Atlas
Axis
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
Seventh cervical vertebra
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects
osteology of head and neck and its applied aspects

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