GA2 - face and scalp Flashcards
scalp covers the ___
calvaria
scalp extends from the ____ ___ ___ posteriorly to the ___ ___ anteriorly
superior nuchal line
supraorbital margin
scalp is made of 5 layers
skin CT of fibrofatty tissue aponeurotic layer loose areolar tissue pericranium
CT layer of fibrofatty tissue is also known as the ____
hypodermis
aponeurotic layer of the scalp is a flat sheet of ___
tendon
aponeurotic layer of the scalp is also known as the ___ ___
galea aponeurotica
skin, CT and aponeurosis can ____ to move over the loose areolar layer
separate
pericranium is the ___ of the skull
periosteum
5 arteries form an anastomotic network of vessels to supply the scalp
supratrochlear supraorbital superficial temporal post auricular occipital
with a laceration to the scalp there would be ____ bleeding
profuse
with a coronal laceration of the scalp there would be a ___ would
gaping
sensory nerve supply to the scalp is by 7 nerves
supratrochlear supraorbital zygomaticotemporal auriculotemporal lesser occipital greater occipital third occipital
supratrochlear and supraorbital are both branches of the ____ of the ___
ophthalmic
trigeminal
zygomaticotemporal is a branch of the ___ division of the ___
maxillary
trigeminal
lesser occipital nerve a cutaneous branch of the ___ plexus
cervical (C2, C3 ventral rami)
greater occipital and third occipital nerves come from ___ rami
dorsal
scalp is drained by 5 veins
supratrochlear supraorbital superficial temporal post auricular occipital
superficial temporal and maxillary veins join to form the ___ vein
retromandibular
post division of the retromandibular and post auricular join together to form the ___ ___ vein
external jugular
ant retromandibular and facial join to make the ___ ___ vein which then drains into the ___ ___ vein
common facial
internal jugular
face is the ___ aspect of the head
anterior
basic shape of the face is determined by 4 things
underlying bones
deposition of fatty tissue
color and effects of aging
abundance, nature and distribution of hair
buccal fat pad helps babies in ____
suckling
when a person has sunken in cheeks they probably have an ___ ___
eating disorder
face plays an important role in ____
communication
muscles of facial expression usually lie within the ___ fascia of the face
superficial
muscles of facial expression rise mostly from ___ bones and insert in the __ of the face
skull
skin
facial muscles around the orifices of the face act like ____
sphincters
facial muscles also act to produce various types of facial ___
expressions
all muscles of the face originate from the ___ pharyngeal arch
2nd
all facial muscles receive motor supply from the ___ nerve
facial
facial nerve carries ___ fibers
SVE
occipital belly of the occipitofrontalis attaches at the lateral 2/3 of the ___ ___ ___ to ____ aponeurosis
superior nuchal line
epicranial
frontal belly of the ocipitofrontalis attaches to the ___ aponeurosis to the skin and subcutaneous tissue of the ___ and ___
epicranial
eyebrows
forehead
innervation to the occipital belly of the occipitofrontalis
post auricular branch of CN VII
innervation to the frontal belly of the occipitofrontralis
temporal branch of facial nerve
action of the occipital belly of the occipitofrontalis
retracts the scalp
action of the frontal belly of the occipitofrontalis
protracts the scalp
action of both bellies of the occipitofrontalis
elevates the eyebrows and produce transverse wrinkles across the forehead
corrugator supercilli attachments:
from medial end of ___ ___ to the skin of the ___
supercilliary arch
eyebrow
innervation to the corrugator supercilli
temporal branch of facial nerve
action of the corrugator supercilli
draws eyebrows medially
sphincter muscle of the eye lid is the ___ ___
orbicularis oculi
dilator muscles are the ___ ___ ___ and the ___
levator palpebrae superioris
occipitofrontalis
attatchments of the orbicularis oculi:
medial ___ lig runs in the eyelids in front of tarsal plate to attach to the lateral ____ raphe
palpebral
palpebral
3 parts to the orbicularis oculi
orbital
palpebral
lacrimal
innervations of the upper orbicularis oculi
temporal branch of facial
action of the orbicularis oculi
closes the eyelids
bell’s palsy
facial n damaged cant close eyes cant blink xerophthalmia - dry eyes lagophthalmos - eyes stay open cornea lacerations
levator palpebrae superioris elevates ___ eyelid
upper
levator palpebrae superioris is ___ a muscle of ___ ___
not
facial expression
innervation to the lower orbicularis oculi
zygomatic branch of facial
2 parts to the nasalis
compressor naris
dilator naris
attachment of the nasalis
originates from ___ and ___ process
maxilla
frontal
dilator portion of the nasalis inserts into the ___ of the nose
ala
compressor portion of the nasalis crosses the bridge of the nose to insert into the muscle of the ___ side
opposite
innervation of the nasalis
buccal branch of facial nerve
action of the nasalis
compresses and dilates the nostrils
attatchment of the procerus
- continuous with the medial portion of the ___ muscle and arises from the ___ bone
occipitofrontalis
nasal
procerus inserts into the skin between the ___ and ___ of the nose
eyebrows
bridge
innervation to the procerus
zygomatic branch of facial nerve
action of the procerus
pulls down the medial end of the eyebrows and wrinkles skin of the nose
attachment of the orbicularis oris
- orbits the ___ orifice within the substance of the ____
oral
lips
some fibers of the orbicularis oris attach to the ____ above and ____ below
maxilla
mandible
many fibers of the orbicularis oris are derived from ___ muscle
buccinator
innervation to the upper orbicularis oris
buccal branch of the facial nerve
innervation to the lower orbicularis oris
mandibular branches of the facial nerve
action of the orbicularis oris
compress the lips together
dilator muscles of the lips radiate from the ___ and act to ___ the lips
lips
separate
2 innervations to the dilator muscles of the lips
buccal and mandibular branches of facial nerve
4 dilator muscles of the lip
levator labii superioris (alaque navii)
levator labii superioris
zygomatic major
zygomatic minor
action of the dilator muscles of the lip
separate the lips
parotid duct pierces the ___ muscles
buccinator
buccinator muscles are covered by ___ ___ ___
buccal fat pad
buccinator muscles originates from ___ ___ of maxilla and mandible oppostie the __ teeth and from the pterygomandibular raphe
alveolar margins
molar
buccinator inserts into 2 things
upper and lower lip
buccinator is innervated by what nerve
buccal branch of facial nerve
action of the buccinator
compresses the lips and cheeks against the teeth
parotid gland is located in the ___ region
parotid
parotid gland secretes ___ fluid
serous
superior boundary of parotid gland
zygomatic arch
posterior boundary of parotid gland
ext ear and ant border of SCM
medial border of parotid gland
ramus of mandible
ant border of parotid gland
ant border of masseter
mumps paratitis
inflammation of parotid gland and tetes
intnse pain from sheath bc it doesnt give
openings of the parotid gland are inside the cheek next to the upper ___ ___
2nd molar
parotid plexus of nerves are formed by the ___ n
facial
facial nerve goes through ___ foramen and gives off branches and forms a plexus ___ parotid gland
zygomastoid
behind
sensory innervations to the parotid gland are through 2 nerves
auriculotemporal
greater auricular
auricular temporal n is a branch of the ___ branch of the __ nerve
mandibular
temporal
preganglionic parasympathetic fibers to the parotid gland are from the ___ nerve
glossopharyngeal
glossopharyngeal n to the parotid gland synapses at the ___ ganglion
otic
post gg parasympathetic fibers to the parotid gland are carried by the ___ nerve
auriculotemporal
sympathetic and parasympathetic innervation to the parotid gland are _____
completmentary
sympathetic innervation of the parotid gland are from the preganglionic fibers from the ___ horns of ___-___
lateral
T1-T2
preganglionic sympathetic fibers to the parotid gland synapse at the ___ ___ ganglion
superior cervical
post gg symp fibers to the parotid gland form the ___ __ plexus
external carotid
sympathetic innervation of the parotid gland is ____
vasomotor
- vasoconstriction
- decreased blood flow
what 2 fibers are damaged if during a parotidectomy the auriculotemporal n was cut?
GSA
post gg symo
Freys syndrome
parasymp of parotid gland regenerates to sweat glands on skin and cuases profuse sweating when he/she sees food
post gg sympathetic from lat horns of T1-T2 accompany the ___ ___ artery
external carotid
lesser petrosal nerve carry____ fibers and synapse at the ___ ganlgion
GSA
otic
after post gg parasymp fibers synpase at the otic ganglion ____ nerve carries branches to the parotid gland
auriculotemporal
5 anterior branches of the facial n
temporal zygomatic buccal marginal mandibular cervical
2 post branches of the facial n
branch to post belly of digastric
post auricular
facial nerve provides ___ supply to all ___ muscles
motor
facial
facial nerve exits the ____ foramen and runs forward within the ___ ___ gland and give branches
stylomastoid
parotid salivary
temporal branch of the facial supplies:
- ant and sup ____ muscles
- frontal belly of ____
- ___ ___
- ___ ___ muscles
auricular
occipitofrontalis
orbicularis oculi
corrugator supercilli
zygomatic branch of facial supplies:
- ____ ___
- other muscles inferior to the ____
orbicularis oculi
orbit
buccal branch of facial supplies
- ___ muscle
- muscles of the upper ___ and ____
lip
nostrils
marginal mandibular branch supplies:
- ___
- other muscles of the ___
risorius
lip
cervical branch of the facial supplies the ___
platysma
post auricular branch of the facial supplies the superior and post ___ muscles and occipital belly of ___ muscle
auricula
occipitofrontalis
most common cause of injury to the facial nerve is ____ in the sylomastoid foramen
- produces ___ and ___ of the nerve in the facial canal
inflammation
edema
compression
clinical manifestations of injury to the facial nerve
eversion of the lower lid
displacement of the mouth with drooping of the corner due to contraction of unopposed contralateral facial muscles
skin of the face is supplied by 3 divisions of the trigeminal
ophthalmic
maxillary
mandibular
5 branches of the ophthalmic branch of the trigeminal that supply the skin of the face
lacrimal supraorbital supratrochlear infratrochlear external nasal
3 branches of maxillary branch of the trigeminal
zygomaticotemporal
zygomaticofacial
infraorbital
3 branches of the mandibular branch of the trigeminal
auriculotemporal
buccal
mental
facial a is a branch of the ___ ___ a
external carotid
4 facial branches of the facial a
submental
inferior labial
superior labial
lateral nasal
superficial temporal a is a terminal branch of the __ ___ a
external carotid
3 facial branches of the superficial temporal a
transverse facial
frontal branch
parietal branch
maxillary a is a terminal branch of the ___ ___ a
external carotid
2 facial branches of the maxillary artery
mental infraorbial
ophthalmic a is a branch of the __ ___ a
internal carotid
3 facial branches of the ophthalmic a
supraorbital
supratrochlear
dorsal nasal
facial v is formed at the ___ angle of the eye by the union of ___ and ___ vv
medial
supratrochlear
supraorbital
facial v is joined by the ___ v to form the ___ ___ v
retromandibular
common facial
common facial v terminates in the ___ __ v
internal jugular
facial v has connections to the pterygoid venous plexus through the ___ ___ vv
deep facial
facial v connections to the cavernous sinus through the ___ ___ v
superior ophthalmic
thrombophlebitis of facial v
inflammation of facial v
thrombophlebitis of facial v may spread infection to the ___ ___ system through the ___ sinus
intracranial venous
cavernous