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This article describes the anatomy of the head and neck of the human body, including the brain, bones, muscles, blood vessels, nerves, glands, nose, mouth, teeth, tongue, and throat.
The head rests on the top part of the vertebral column, with the skull joining at C1 (the first cervical vertebra known as the atlas). The skeletal section of the head and neck forms the top part of the axial skeleton and is made up of the skull, hyoid bone, auditory ossicles, and cervical spine.
The skull can be further subdivided into:
The occipital bone joins with the atlas near the foramen magnum, a large hole ( foramen ) at the base of the skull. The atlas joins with the occipital condyle above and the axis below. The spinal cord passes through the foramen magnum.
Group | Name | Nerve | Function |
---|---|---|---|
facial expression | Epicranius: Frontalis and Occipitalis | facial nerve | eyebrows and scalp |
facial expression | Orbicularis oris | facial nerve | closes lips |
facial expression | Zygomaticus major | facial nerve | smiling |
facial expression | Zygomaticus minor | facial nerve | smiling |
facial expression | Levator labii superioris | facial nerve | upper lip |
facial expression | Levator labii superioris alaeque nasi | facial nerve | upper lip |
facial expression | Depressor labii inferioris | facial nerve | lower lip |
facial expression | Depressor anguli oris | facial nerve | frowning |
facial expression | Platysma | facial nerve | frowning (during fear or shock) |
facial expression | Buccinator | facial nerve | cheeks |
facial expression | Mentalis | facial nerve | chin |
facial expression | Platysma | facial nerve | frowning |
facial expression | Risorius | facial nerve | mouth angle |
facial expression | Orbicularis oculi | facial nerve | closes eye |
facial expression | Nasalis | facial nerve | flare nostrils |
facial expression | Corrugator supercilli | facial nerve | eyebrow |
facial expression | Levator palpebrae superioris | oculomotor nerve | upper eyelid |
chewing – lower mandible | Masseter | Trigeminal nerve | closing and protruding mandible, |
chewing – lower mandible | Temporalis | Trigeminal nerve | elevates and controls side to side movement of mandible |
chewing – lower mandible | Medial pterygoid | Trigeminal nerve | elevates mandible, |
chewing – lower mandible | Lateral pterygoid | Trigeminal nerve | protracts mandible, opens mouth. |
tongue – extrinsic | Genioglossus | hypoglossal nerve | protraction, |
tongue – extrinsic | Styloglossus | hypoglossal nerve | elevation and retraction, |
tongue – extrinsic | Hyoglossus | hypoglossal nerve | depresses tongue |
tongue – extrinsic | Palatoglossus | Pharyngeal plexus, pharyngeal branch of vagus nerve | elevates tongue while swallowing |
oral cavity floor | Digastric | Trigeminal nerve and Facial nerve | hyoid and mandible movement |
oral cavity floor | Stylohyoid | Facial nerve | elevates hyoid |
oral cavity floor | Mylohyoid | Trigeminal nerve | hyoid and mandible movement |
oral cavity floor | Geniohyoid | Cervical nerve C-1 | hyoid, tongue, and mandible movement |
move head | Sternocleidomastoid | Accessory nerve | nodding and turning |
move head | Semispinalis | dorsal rami of cervical nerves | extends head, supports turning |
move head | Splenius capitis | dorsal rami of middle and lower cervical nerves | extend head, supports turning |
move head | Longissimus capitis | dorsal rami of middle and lower cervical nerves | extends head, supports turning |
move head | Rectus capitis posterior major | Suboccipital nerve C-1 | extends head |
move head | Rectus capitis posterior minor | Suboccipital nerve C-1 | extends head |
The head and neck is covered in skin and its appendages, termed the integumentary system. These include hair, sweat glands, sebaceous glands, and sensory nerves. The skin is made up of three microscopic layers: epidermis, dermis, and hypodermis. The epidermis is composed of stratified squamous epithelium and is divided into the following five sublayers or strata, listed in order from outer to inner:
The mouth, also called the oral cavity, is the entranceway into the digestive system containing both primary and accessory organs of digestion.
Two rows of teeth are supported by facial bones of the skull, the maxilla above and the mandible below. Adults have 32 permanent teeth, and children have 20 deciduous teeth. There are various tooth shapes for different jobs. For example, when chewing, the upper teeth work together with the lower teeth of the same shape to bite, chew, and tear food. The names of these teeth are:
The white visible part of a tooth is called the crown. The rounded upper projections of the back teeth are cusps. The hard white exterior covering of the tooth is the enamel. As the tooth tapers below the gumline, the neck is formed. Below the neck, holding the tooth into the bone, is the root of the tooth. The inner portions of the tooth consist of the dentin, a bonelike tissue, and the pulp. The pulp is a soft tissue area containing the nerve and blood vessels to nourish and protect the tooth, located within the pulp cavity.
A tooth sits in a specialized socket called the alveolus. The tooth is held in location by a periodontal ligament, with the assistance of cementum. Teeth are surrounded by gingiva, or gums, part of the periodontium, support tissue of oral cavity protection. The periodontium includes all of the support membranes of the dental structures surround and support the teeth such as the gums and the attachment surfaces and membranes. These include epithelial tissues (epithelium), connective tissues, (ligaments and bone), muscle tissue and nervous tissue.
There are three sets of salivary glands: the parotid, the submandibular and the sublingual glands. The (exocrine) glands secrete saliva for proper mixing of food and provides enzymes to start chemical digestion. Saliva helps to hold together the formed bolus which is swallowed after chewing. Saliva is composed primarily of water, ions, salivary amylase, lysozymes, and trace amounts of urea.
The tongue is a specialized skeletal muscle that is specially adapted for the activities of speech, chewing, developing gustatory sense (taste) and swallowing. The tongue contains two sets of muscles, the intrinsic- involved with shape of tongue, and the extrinsic- involved with tongue movement. It is attached to the hyoid bone. Terms meaning tongue include "glosso" (from Greek) and "lingual" (from Latin).
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The outer surfaces of the head and neck are lined by epithelium. The protective tissues of the oral cavity are continuous with the digestive tract are called mucosa or mucous membranes. The cells of the inner oral cavity are called the buccal mucosa.
The oral cavity is lined by a stratified squamous epithelium containing about three layers of cells.[ citation needed ] They line the oral, nasal, and external auditory meatus, (ear), providing lubrication and protection against pathogens.
The lips are also protected by specialized sensory cells called Meissner's corpuscles.
Blood circulates from the upper systemic loop originating at the aortic arch, and includes: the brachiocephalic artery, left common carotid artery and left subclavian artery. The head and neck are emptied of blood by the subclavian vein and jugular vein.
The brachiocephalic artery or trunk is the first and largest artery that branches to form the right common carotid artery and the right subclavian artery. This artery provides blood to the right upper chest, right arm, neck, and head, through a branch called right vertebral artery. The right and left vertebral artery feed into the basilar artery and upward to the posterior cerebral artery, which provides most of the brain with oxygenated blood. The posterior cerebral artery and the posterior communicating artery are within the circle of Willis.
The left common carotid artery divides to form the: internal carotid artery (ICA) and an external carotid artery (ECA). The ICA supplies the brain. The ECA supplies the neck and face.
The left subclavian artery and the right subclavian artery, one on each side of the body form the internal thoracic artery, the vertebral artery, the thyrocervical trunk, and the costocervical trunk. The subclavian becomes the axillary artery at the lateral border of the first rib. The left subclavian artery also provides blood to the left upper chest and left arm.
The blood–brain barrier (BBB) is semi-permeable membrane that controls the capillary leak potential of the circulatory system. In most parts of the body, the smallest blood vessels, called capillaries, are lined with endothelial cells, which have small spaces between each individual cell so substances can move readily between the inside and the outside of the capillary. The endothelial cells of capillaries in the brain lack these spaces. Instead, the endothelial cells fit tightly together to create a tight junction which prevents substances from passing out of the bloodstream.
Specialized glial cells called astrocytes form a tight junction or protective barrier around brain blood vessels and may be important in the development of the BBB. Astrocytes may also be responsible for transporting ions (electrolytes) from the brain to the blood.
Blood from the brain and neck flows from: (1) within the cranium via the internal jugular veins, a continuation of the sigmoid sinuses. The right and left external jugular veins drain from the parotid glands, facial muscles, scalp into the subclavian veins. The right and left vertebral veins drain the vertebrae and muscles into the right subclavian vein and into the superior vena cava, into the right atrium of the heart.
The lymphatic system drains the head and neck of excess interstitial fluid via lymph vessels or capillaries, equally into the right lymphatic duct and the thoracic duct.
Lymph nodes line the cervical spine and neck regions as well as along the face and jaw.
The tonsils also are lymphatic tissue and help mediate the ingestion of pathogens.
Tonsils in humans include, from superior to inferior: nasopharyngeal tonsils (also known as adenoids), palatine tonsils, and lingual tonsils.
Together this set of lymphatic tissue is called the tonsillar ring or Waldeyer's ring.
The spinal nerves arise from the spinal column. The top section of the spine is the cervical section, which contains nerves that innervate muscles of the head, neck and thoracic cavity, as well as transmit sensory information to the CNS.
The cervical spine section contains seven vertebrae, C-1 through C-7, and eight nerve pairs, C-1 through C-8.
There is the formation of an extensive network of nerve groups or tracts attaching to the spinal cord in arrangements called rami or plexus.
The sensory branches of spinal nerves include: lesser occipital, C-2, great auricular, (C-2 and C-3); transverse cervical, C-2 and C-3; and supraclavicular, C-3 and C-4. These nerve groups transmit afferent (sensory) information from the scalp, neck, and shoulders to the brain.
The motor branches of spinal nerves include: ansa cervicalis, dividing into a superior root, C-1, and an inferior root, C-2 and C-3, and the phrenic nerve, C-3 to C-5, the segmental nerve branches, C-1 to C-5. These nerve groups transmit efferent nerve (motor) information from the brain to muscle groups of the scalp, neck, diaphragm (anatomy), and shoulders.
Additionally there are: (C5-C8, and T1) Brachial plexus, providing the entire nerve supply of the shoulder and upper limb; and includes supraclavicular branches (dorsal scapular, suprascapular, long thoracic) lateral cord (musculocutaneous, lateral antibrachial cutaneous, lateral head of median nerve), medial cord (ulnar, medial head of median nerve, medial antibrachial cutaneous, medial brachial cutaneous), posterior cord (axillary, radial), controlling the arm.
Damage to a person's spinal cord above C-5 may result in respiratory arrest and death if medicinal aid does not intervene.
Twelve pairs of cranial nerves emerge from the brain; these affect movements and sensation, and some special organs such as hearing of parts of the head and neck.
Movements of the neck includes: flexion, extension, (nodding yes), and rotation (shaking head no).
The mouth has evolved to support chewing, (mastication) and swallowing (deglutition), and speech (phonation).
In addition to the teeth, other structures that aid chewing are the lips, cheeks, tongue, hard palate, soft palate, and floor of the mouth.
Several glands of the endocrine system are found within the head and neck. Endocrine means that the secretion is used within the body. Endocrine glands are termed as ductless and release their secretions directly into the blood. The endocrine system is under the direct supervision of the nervous system, using the negative feedback principal of homeostasis, to create hormones which act as chemical instant messengers.
The hypothalamus connects directly to the pituitary gland, both through the circulatory system and by direct connection of neurons. Also, within the cranium, the pineal gland, which attaches to the thalamus, controls the body's 24-hour rhythms circadian rhythm through the release of melatonin.
The pituitary gland secretes hormones that directly impact the body as well as hormones that indirectly control body functions because they activate other endocrine glands, such as the adrenal cortex (ACTH) and the thyroid gland (TSH). These two glands when stimulated by pituitary hormones then release their own hormones. The pituitary gland has two lobes, the anterior lobe and the posterior lobe. The anterior lobe secretes: growth hormone (GH), Luteinizing hormone (LH), Follicle stimulating hormone (FSH), Adrenocorticotropic hormone (ACTH), Thyroid-stimulating hormone (TSH), Prolactin (PRL), and the posterior lobe secretes: Antidieuretic hormone (ADH), and Oxytocin. There is an intermediate lobe, in adult humans it is just a thin layer of cells between the anterior and posterior pituitary, nearly indistinguishable from the anterior lobe. The intermediate lobe produces melanocyte-stimulating hormone (MSH).
In the neck are the thyroid and parathyroid glands, that secrete hormones that control metabolism and blood calcium levels. The four parathyroid glands are situated upon the back surface of the thyroid gland.
The respiratory system begins in the head and neck, with air entering and leaving the body through the mouth and nose. The respiratory system involving the head and neck includes:
These lead down into the lower respiratory tract. A critical junction between the respiratory and digestive systems is the epiglottis, a cartilage flap which shuts during swallowing to prevent aspiration. The epiglottis is normally open to support respiration and shuts during swallowing to prevent food and fluids from entering the trachea, activating the gag reflex or initiates the choking mechanism.
The nervous system is composed of a central nervous system (CNS), brain and spinal cord, and the peripheral nervous system (PNS), cranial nerves and spinal nerves. The CNS is located within the dorsal cavity, and the PNS extends through the ventral cavity. The central nervous system provides control and coordination of all eleven body systems and utilizes the endocrine system to form hormone chemical messengers that transport through the blood to influence the activity of individual cells of the body and their associated tissues, organs and systems.
The CNS receives sensory (afferent) input from the PNS and directs the flow of information to association neurons (interneurons) to create chemical synapse responses which in turn cause the formation of motor (efferent nerve) responses to stimulus. Association neurons are located in the grey matter of the spinal cord and the brain.
The CNS is protected by the cranium, vertebral column, meninges, cerebrospinal fluid. The spinal cord is an extension of the brain. The spinal cord and the brain stem are joined at the base of the cranium at the foramen magnum. Most of the functions of the head and neck are directly influenced by the brain and transmitted to the PNS via the cranial nerves and spinal nerves of the cervical portion of the spine.
The PNS has two subdivisions
The facial bones usually form into pairs and then fuse together. As the cranium fuses, sutures are formed that resemble stitching between bone plates. In a newborn, the junction of the parietal bones with the frontal and occipital bones, form the anterior (front) and posterior (back) fontanelle, or soft spots. The separation of the cranial bone plates at time of birth facilitate passage of the head of the fetus through the mother's birth canal, or pelvic girdle. The parietal bones, and occipital bone can overlap each other in the birth canal, and form the unusual looking "cone head" appearance in a newborn when delivered in a natural, or vaginal, delivery.
Humans normally will produce two sets of teeth called primary dentition, or deciduous teeth, and secondary dentition, or permanent teeth.
A tooth is the toughest known substance in the body exceeding bones in density and strength. Tooth enamel lends great strength to the tooth structure. The formation of a developing tooth includes the process of dentin formation, (see: dentinogenesis) and enamel formation, (see: amelogenesis). The tooth breaks through the gum into the mouth in a process called eruption. The formation of teeth begins in early fetal development and goes through six stages:
Severe viral infections that affect the mouth, lips, or the oral cavity include: Oral cancer may have a viral link.
Infected teeth can on rare occasions cause infection to spread leading to cavernous sinus thrombosis, mediastinitis, or Ludwig's angina causing airway blockage.
Diseases may be transmitted by contact of the head, mouth, or body fluids, such as Herpes Simplex Virus Type I (HSV-1), Herpes Simplex Virus Type II (HSV-2) genital herpes, which may present as a lesion on the lips, and contactable via skin to skin contact
Careful observation of the oral cavity, teeth and gums may reveal indicators of other medical conditions. For example, a person suffering from the eating disorder, bulimia nervosa may show signs of excessive tooth and gum erosion.
The airway in the head and neck may be obstructed with swelling associated with an enlarged tongue (macroglossia), tonsils, with swelling associated with anaphylactic shock, angiooedema, or a foreign body.
Anaphylactic shock requires advanced medical care immediately; but other first aid measures include rescue breathing (part of CPR) and administration of epinephrine using an EpiPen for immediate administration of epinephrine (adrenaline) to reverse swelling and to keep the respiratory airway (trachea) open.
The central nervous system (CNS) is the part of the nervous system consisting primarily of the brain and spinal cord. The CNS is so named because the brain integrates the received information and coordinates and influences the activity of all parts of the bodies of bilaterally symmetric and triploblastic animals—that is, all multicellular animals except sponges and diploblasts. It is a structure composed of nervous tissue positioned along the rostral to caudal axis of the body and may have an enlarged section at the rostral end which is a brain. Only arthropods, cephalopods and vertebrates have a true brain, though precursor structures exist in onychophorans, gastropods and lancelets.
A nerve is an enclosed, cable-like bundle of nerve fibers in the peripheral nervous system.
In biology, the nervous system is the highly complex part of an animal that coordinates its actions and sensory information by transmitting signals to and from different parts of its body. The nervous system detects environmental changes that impact the body, then works in tandem with the endocrine system to respond to such events. Nervous tissue first arose in wormlike organisms about 550 to 600 million years ago. In vertebrates, it consists of two main parts, the central nervous system (CNS) and the peripheral nervous system (PNS). The CNS consists of the brain and spinal cord. The PNS consists mainly of nerves, which are enclosed bundles of the long fibers, or axons, that connect the CNS to every other part of the body. Nerves that transmit signals from the brain are called motor nerves (efferent), while those nerves that transmit information from the body to the CNS are called sensory nerves (afferent). The PNS is divided into two separate subsystems, the somatic and autonomic, nervous systems. The autonomic nervous system is further subdivided into the sympathetic, parasympathetic and enteric nervous systems. The sympathetic nervous system is activated in cases of emergencies to mobilize energy, while the parasympathetic nervous system is activated when organisms are in a relaxed state. The enteric nervous system functions to control the gastrointestinal system. Nerves that exit from the brain are called cranial nerves while those exiting from the spinal cord are called spinal nerves.
The peripheral nervous system (PNS) is one of two components that make up the nervous system of bilateral animals, with the other part being the central nervous system (CNS). The PNS consists of nerves and ganglia, which lie outside the brain and the spinal cord. The main function of the PNS is to connect the CNS to the limbs and organs, essentially serving as a relay between the brain and spinal cord and the rest of the body. Unlike the CNS, the PNS is not protected by the vertebral column and skull, or by the blood–brain barrier, which leaves it exposed to toxins.
The vagus nerve, also known as the tenth cranial nerve, cranial nerve X, or simply CN X, is a cranial nerve that carries sensory fibers, that create a pathway that interfaces with the parasympathetic control of the heart, lungs, and digestive tract.
The human body is the entire structure of a human being. It is composed of many different types of cells that together create tissues and subsequently organs and then organ systems.
The parasympathetic nervous system is one of the three divisions of the autonomic nervous system, the others being the sympathetic nervous system and the enteric nervous system. The enteric nervous system is sometimes considered part of the autonomic nervous system, and sometimes considered an independent system.
The sympathetic nervous system is one of the three divisions of the autonomic nervous system, the others being the parasympathetic nervous system and the enteric nervous system. The enteric nervous system is sometimes considered part of the autonomic nervous system, and sometimes considered an independent system.
Articles related to anatomy include:
Nervous tissue, also called neural tissue, is the main tissue component of the nervous system. The nervous system regulates and controls body functions and activity. It consists of two parts: the central nervous system (CNS) comprising the brain and spinal cord, and the peripheral nervous system (PNS) comprising the branching peripheral nerves. It is composed of neurons, also known as nerve cells, which receive and transmit impulses, and neuroglia, also known as glial cells or glia, which assist the propagation of the nerve impulse as well as provide nutrients to the neurons.
In neuroanatomy, dura mater is a thick membrane made of dense irregular connective tissue that surrounds the brain and spinal cord. It is the outermost of the three layers of membrane called the meninges that protect the central nervous system. The other two meningeal layers are the arachnoid mater and the pia mater. It envelops the arachnoid mater, which is responsible for keeping in the cerebrospinal fluid. It is derived primarily from the neural crest cell population, with postnatal contributions of the paraxial mesoderm.
In embryology and prenatal development, the dental papilla is a condensation of ectomesenchymal cells called odontoblasts, seen in histologic sections of a developing tooth. It lies below a cellular aggregation known as the enamel organ. The dental papilla appears after 8–10 weeks of intra uteral life. The dental papilla gives rise to the dentin and pulp of a tooth.
The cranial cavity, also known as intracranial space, is the space within the skull that accommodates the brain. The skull minus the mandible is called the cranium. The cavity is formed by eight cranial bones known as the neurocranium that in humans includes the skull cap and forms the protective case around the brain. The remainder of the skull is called the facial skeleton. Meninges are protective membranes that surround the brain to minimize damage to the brain in the case of head trauma. Meningitis is the inflammation of meninges caused by bacterial or viral infections.
The superior cervical ganglion (SCG) is the upper-most and largest of the cervical sympathetic ganglia of the sympathetic trunk. It probably formed by the union of four sympathetic ganglia of the cervical spinal nerves C1–C4. It is the only ganglion of the sympathetic nervous system that innervates the head and neck. The SCG innervates numerous structures of the head and neck.
The deep petrosal nerve is a post-ganglionic branch of the (sympathetic) internal carotid (nervous) plexus that enters the cranial cavity through the carotid canal, then passes perpendicular to the carotid canal in the cartilaginous substance which fills the foramen lacerum to unite with the (parasympathetic) greater petrosal nerve to form the nerve of pterygoid canal.
Neural tissue engineering is a specific sub-field of tissue engineering. Neural tissue engineering is primarily a search for strategies to eliminate inflammation and fibrosis upon implantation of foreign substances. Often foreign substances in the form of grafts and scaffolds are implanted to promote nerve regeneration and to repair damage caused to nerves of both the central nervous system (CNS) and peripheral nervous system (PNS) by an injury.
The following outline is provided as an overview of and topical guide to human anatomy:
The spinal cord is a long, thin, tubular structure made up of nervous tissue that extends from the medulla oblongata in the brainstem to the lumbar region of the vertebral column (backbone) of vertebrate animals. The center of the spinal cord is hollow and contains a structure called the central canal, which contains cerebrospinal fluid. The spinal cord is also covered by meninges and enclosed by the neural arches. Together, the brain and spinal cord make up the central nervous system.
The following diagram is provided as an overview of and topical guide to the human nervous system:
This glossary of medical terms is a list of definitions about medicine, its sub-disciplines, and related fields.