4-Skull Face and Scalp brainscape Flashcards
Blood Supply to the Face
1) Facial (inferior & superior labials, lateral nasal) 2) Transverse facial (branch of superficial temporal) 3) Maxillary 4) Branches of the opthalamic artery 5) Frontal artery
Blood Supply to the Scalpe
Posterior auricular (external carotid) Superficial Temporal (external carotid) Supraorbital (internal carotid) Occipital (external carotid) Supratrochlear (internal carotid) *PS- SOS!
Branches of the Facial Nerve
Temporal Zygomatic Buccal Mandibular Cervical *To Zanzibar By Motor Car
Contents of the Subclavian Triangle
*Subclavian artery *Brachial plexus
Horner Syndrome
Ptosis Miosis Anhidrosis *Possibly due to Pancoast Tumor of Upper Lung (which will injure cervical ganglia) or damage to the nerve of Vidian (Ptyergoid canal)
Infection leading to black eyes
infection in the loose CT layer can pass into cranial cavity through emissary veins
Lamina papyracea
paper thin bone - orbital plate of ethmoid *fracture can cause entrapment of hte medial rectus muscle
Layers of the Scalp
S: Skin (thin, contains hair, sweat glands) C: CT (thick, ndense, richly vascularized) A: Aponeurosis - strong tendinous sheet L: Loose CT: sponge like, allows free movement P: Pericranium: thick dense layer of CT
Perineural invasion and spread of cancer
cancer spreads along the adventitia of cranial nerves
Relationship between the facial nerve and parotid gland
Parotid gland sits on top of facial nerve,
Superficial Hemorrhage
scalp laceration that bleeds profusely because the blood vessel adventitia is held open by the dense CT
Venous Drainage of the Face & Scalp
Superficial Temporal Retromandibular= Superficial Temporal + Maxillary Posterior Auricular + Retromandibular –> External Jugular –> Subclavian Vein Facial –> to the Internal Jugular
Vidal Canal
aka the Pterygoid Canal Foramen in base of skull that transmits the Vidian nerve from the middle cranial fossa to the pterygopalatine fossa –> vidian nerve= the mix of the preganglionic parasymp & the post ganglionic symp fibers
What layer of the scalp can be sutured?
Aponeurosis
Which layers are cut off in scalping?
1st three layers –> Skin, dense CT, Aponeurosis