anatomy Flashcards

1
Q

SCALP

A

Skin Connective Tissue Aponeurosis (galea) Loose CT Periosteum

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2
Q

• Contribute to RSTL (perpendicular to muscles)

A

Superficial Musculoaponeurotic System (SMAS)

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3
Q

• Rejuvenation such as facelifts relies on redistribution and plication of SMAS • Discrete fibromuscular layer enveloping and interlinking muscles of facial expression

A

SMAS

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4
Q

Galea aponeurotica of scalp and superficial temporal fascia -

A

thick SMAS

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5
Q

• It extends from the____ laterally to the ____inferiorly, the ____posteriorly and the___ superiorly

A

temporalis muscles platysma trapezius frontalis

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6
Q

Cranial Nerve V Trigeminal nerve, 3 branches, primarily___ but motor supply to___

A

sensory, muscles of mastication

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7
Q

Maxillary (V2) branches

A

– Infraorbital – Zygomaticotemporal – Zygomaticofacial

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8
Q

Mandibular (V3) – Emerges from–

A

foramen ovale

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9
Q

Mandibular (V3) branches -

A

–Mental –Auriculotemporal Damage = Frey’s – Buccal

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10
Q

Frey’s

A

Auriculotemporal Damage , branch of mental

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11
Q

Danger Zones trigeminal nerve During Surgery -injury to the supraorbital and supratrochlear branches of V1; -resulting in numbness of the___

A

Superior orbital rim in the mid-pupillary line forehead, upper eyelid, nasal dorsum, and scalp

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12
Q

Ophthalmic (V1)

A

– Supratrochlear, Infratrochlear – Supraorbital –External nasal, Lacrimal

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13
Q

injury to the infraorbital branch of V2___; lies anterior to the SMAS; resulting in numbness ___

A

One centimeter below the inferior orbital rim in the mid-pupillary line of the nasal sidewall, cheek, upper lip, and lower eyelid

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14
Q

injury to the mental branch of V3; lies anterior to the SMAS; resulting in numbness of

A

Mid-mandible below the second premolar ipsilateral lower lip and chin

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15
Q

Trigeminal trophic syndrome causes___

A

anesthesia, paresthesia, and erosion of the nasal ala (APE);

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16
Q

Trigeminal trophic syndrome results from injury or surgery that damages due to encephalitis or leprosy

A

CN V at the gasserian ganglion,

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17
Q

may clinically mimic basal cell carcinoma

A

Trigeminal trophic syndrome

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18
Q

Frey’s syndrome (auriculotemporal syndrome) symptoms: occurs following parotid gland surgery;

A

pain, vasodilation, and hyperhidrosis of the cheeks when eating (gustatory sweating);

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19
Q

Frey’s syndrome

A

thought to involve haphazard nerve regeneration whereby parasympathetic fibers rather than sympathetic fibers innervate the sweat glands and blood vessels of the skin

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20
Q

Cranial Nerve VII MNEMONIC To Zanzibar By Motor Car

A

Temporal Zygomatic Buccal Marginal mandibular Cervical

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21
Q

Cranial Nerve VII Emerges from “ quickly penetrates ___

A

stylomastoid foramern the parotid gland and bifurcates

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22
Q

Facial nerve, primarily___ sensory to

A

motor, conchal bowl and anterior tongue,

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23
Q

injury to the temporal branch of VII; causes

A

inability to raise eyebrow or completely close the eye

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24
Q

temporal branch of VII; danger zone

A

A rectangular box 2 cm in height extending from the lateral eyebrow to the anterior hairline;

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25
Q

injury to the marginal mandibular branch of VII; lies beneath the SMAS;

A

results in drooping of the corner of the mouth

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26
Q

marginal mandibular branch of VII;

A

Mid-mandible 2 cm posterior to the oral commissure

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27
Q

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.)

A

Temporal Branch

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28
Q

Posterior Auricular Branch

A

• Occipitalis m. • Auricular m. (posterior)

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29
Q

• Orbicularis oculi m. (lower portion) • Nasalis m. (alar portion) • Procerus m.

A

Zygomatic Branch

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30
Q

• Upper lip muscles - Levator anguli oris m. - Zygomaticus major m.

A

Zygomatic Branch

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31
Q

• Buccinator m. (muscle of mastication) • Depressor septi nasi m. • Nasalis m. (tranverse portion)

A

Buccal Branch

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32
Q

Buccal Branch Upper lip muscles

A

•- Orbicularis oris m. - Levator anguli oris m.

33
Q

Buccal Branch supplies -orbicularis oris m - Zygomaticus major and minor m. - Levator labii superioris m. which are

A

• Lower lip muscles (

34
Q
  • Orbicularis oris m. - Depressor anguli oris m. - Depressor labil inferioris m.
A

Marginal Mandibular Branch • Lower lip muscles

35
Q

Mentalis m. Risorius m. Platysma m. (upper portion)

A

Marginal Mandibular Branch

36
Q

• Platysma m.

A

Cervical Branch

37
Q

branches of facial nerve most at risk during surgery ___ because ____

A

• The temporal and marginal mandibular rami.

37
Q

• Undermine ____ where? to avoid injury to the temporal branch

A

in the superficial fat above the SMAS

38
Q

The marginal mandibular nerve lies beneath the platysma muscle; it is most at risk from injury___

A

along the jawline.

38
Q

• Nerve for Conchal bowl -

A

Vagus nerve

39
Q

eyelid ectropion and inability to close eyelid

A

Damage zygomatic branch

39
Q

damage to buccal branch

A

Inability to smile -•

40
Q

The nerves innervate the facial muscles deeply at their undersurfaces, except for the

A

buccinator, which is innervated at its superficial surface

40
Q

greater auricular nerve

A

Innervation of post ear

41
Q

Sensory Nerves of the Neck and Posterior Scalp GLOTS

A

Great Auricular (C2, C3), Lesser Occipital (C2), Greater Occipital (C2), Transverse Cervical (C2, C3), Supraclavicular (C3, C4)

41
Q

cervical plexus supplies the

A

to the lateral neck and posterior scalp is from

42
Q

sensory innervation to the lower neck, clavicle, and shoulder

A

• C3, C4 (supraclavicular)

42
Q

sensory innervation to the anterior portion of the neck

A

• C2, C3 (transverse cervical)

43
Q

sensory innervation to the occipital scalp

A

C2 (greater occipital)

43
Q

sensory innervation to the scalp posterior to the ear and the superior portion of the posterior auricle

A

• C2 (lesser occipital) supplies

44
Q

sensory innervation to the skin overlying the parotid, the lower anterior ear, the lower posterior ear, and the mastoid process

A

C2, C3 (great auricular)

44
Q

Danger Zones 1.) Approximately 6.5 cm below the external auditory canal along the posterior border of the sternocleidomastoid muscle;

A

injury to the great auricular nerve (C2, C3); lies posterior to the SMAS

45
Q

great auricular nerve (C2, C3);

A

results in numbness of the inferior two-thirds of the ear and the adjacent cheek and neck

45
Q

location greater auricular, lesser occipital, spinal accessory nerves

A

Erb’s point near the mid-posterior sternocleidomastoid muscle

46
Q

Spinal Accessory Nerve • Injury results in the inability to

A

elevate the shoulder on the affected side, winged scapula,inability to initiate arm abduction

47
Q

Innervates the posteriolateral sole the

A

Sural Nerve

48
Q

• Innervates anteromedial sole

A

Posterior Tibial Nerve

49
Q

Deep Peroneal Nerve

A

Innervates the great toe and toe cleft between 1st and 2nd toes

50
Q

Innervates the dorsum of the foot

A

Superficial Peroneal Nerve

51
Q

____supplies eyelids, upper nose, nasal dorsum, forehead, scalp via___ branch

A

ICA , ophthalmic

52
Q

____supplies rest of face

A

• ECA

53
Q

The __major arteries supplying the face:

A

six

54
Q

Facial:

A

Angular artery anastomoses with dorsal nasal branch of ophthalmic artery in periocular region

55
Q

Superficial temporal: Comes off the ECA, and palpable at the____ branches into:

A

superior pole of the parotid gland; transverse facial and frontal arteries

56
Q

Maxillary: Comes off the ___ branches into the

A

ECA infraorbital, buccal, and inferior alveolar (mental) arteries

57
Q

Posterior auricular: Off the Occipital:

A

ECA

58
Q

Ophthalmic: Comes off the___ branches into the _____ anastomoses with the _______ specifically, the angular artery anastomosis with_____

A

ICA, supraorbital, supratrochlear, palpebral, dorsal nasal, and lacrimal arteries; ECA, the dorsal nasal branch

59
Q

Innervates the dorsum of the foot

A

Superficial Peroneal Nerve

60
Q

____supplies eyelids, upper nose, nasal dorsum, forehead, scalp via___ branch

A

ICA , ophthalmic

61
Q

____supplies rest of face

A

• ECA

62
Q

The __major arteries supplying the face:

A

six

63
Q

Facial:

A

Angular artery anastomoses with dorsal nasal branch of ophthalmic artery in periocular region

64
Q

Superficial temporal: Comes off the ECA, and palpable at the____ branches into:

A

superior pole of the parotid gland; transverse facial and frontal arteries

65
Q

Maxillary: Comes off the ___ branches into the

A

ECA infraorbital, buccal, and inferior alveolar (mental) arteries

66
Q

Posterior auricular: Off the Occipital:

A

ECA

67
Q

Ophthalmic: Comes off the___ branches into the _____ anastomoses with the _______ specifically, the angular artery anastomosis with_____

A

ICA, supraorbital, supratrochlear, palpebral, dorsal nasal, and lacrimal arteries; ECA, the dorsal nasal branch

68
Q

Facial veins lack valves • Drain into

A

cavernous sinus

69
Q

sensory innervation foot

A