anatomy Flashcards
SCALP
Skin Connective Tissue Aponeurosis (galea) Loose CT Periosteum
• Contribute to RSTL (perpendicular to muscles)
Superficial Musculoaponeurotic System (SMAS)
• Rejuvenation such as facelifts relies on redistribution and plication of SMAS • Discrete fibromuscular layer enveloping and interlinking muscles of facial expression
SMAS
Galea aponeurotica of scalp and superficial temporal fascia -
thick SMAS
• It extends from the____ laterally to the ____inferiorly, the ____posteriorly and the___ superiorly
temporalis muscles platysma trapezius frontalis
Cranial Nerve V Trigeminal nerve, 3 branches, primarily___ but motor supply to___
sensory, muscles of mastication
Maxillary (V2) branches
– Infraorbital – Zygomaticotemporal – Zygomaticofacial
Mandibular (V3) – Emerges from–
foramen ovale
Mandibular (V3) branches -
–Mental –Auriculotemporal Damage = Frey’s – Buccal
Frey’s
Auriculotemporal Damage , branch of mental
Danger Zones trigeminal nerve During Surgery -injury to the supraorbital and supratrochlear branches of V1; -resulting in numbness of the___
Superior orbital rim in the mid-pupillary line forehead, upper eyelid, nasal dorsum, and scalp
Ophthalmic (V1)
– Supratrochlear, Infratrochlear – Supraorbital –External nasal, Lacrimal
injury to the infraorbital branch of V2___; lies anterior to the SMAS; resulting in numbness ___
One centimeter below the inferior orbital rim in the mid-pupillary line of the nasal sidewall, cheek, upper lip, and lower eyelid
injury to the mental branch of V3; lies anterior to the SMAS; resulting in numbness of
Mid-mandible below the second premolar ipsilateral lower lip and chin
Trigeminal trophic syndrome causes___
anesthesia, paresthesia, and erosion of the nasal ala (APE);
Trigeminal trophic syndrome results from injury or surgery that damages due to encephalitis or leprosy
CN V at the gasserian ganglion,
may clinically mimic basal cell carcinoma
Trigeminal trophic syndrome
Frey’s syndrome (auriculotemporal syndrome) symptoms: occurs following parotid gland surgery;
pain, vasodilation, and hyperhidrosis of the cheeks when eating (gustatory sweating);
Frey’s syndrome
thought to involve haphazard nerve regeneration whereby parasympathetic fibers rather than sympathetic fibers innervate the sweat glands and blood vessels of the skin
Cranial Nerve VII MNEMONIC To Zanzibar By Motor Car
Temporal Zygomatic Buccal Marginal mandibular Cervical
Cranial Nerve VII Emerges from “ quickly penetrates ___
stylomastoid foramern the parotid gland and bifurcates
Facial nerve, primarily___ sensory to
motor, conchal bowl and anterior tongue,
injury to the temporal branch of VII; causes
inability to raise eyebrow or completely close the eye
temporal branch of VII; danger zone
A rectangular box 2 cm in height extending from the lateral eyebrow to the anterior hairline;
injury to the marginal mandibular branch of VII; lies beneath the SMAS;
results in drooping of the corner of the mouth
marginal mandibular branch of VII;
Mid-mandible 2 cm posterior to the oral commissure
which nerve innervates Frontalis muscle (m.) • Corrugator supercilii m. • Orbicularis ocull m. (upper portion) • Auricular m. (anterior and superior; also known as the temporoparietalis m.)
Temporal Branch
Posterior Auricular Branch
• Occipitalis m. • Auricular m. (posterior)
• Orbicularis oculi m. (lower portion) • Nasalis m. (alar portion) • Procerus m.
Zygomatic Branch
• Upper lip muscles - Levator anguli oris m. - Zygomaticus major m.
Zygomatic Branch
• Buccinator m. (muscle of mastication) • Depressor septi nasi m. • Nasalis m. (tranverse portion)
Buccal Branch