L1: Skull Flashcards
Divisions of skull (3)
- Calvaria (covers cranial cavity)
- Base (floor of cranial cavity)
- Lower anterior part = facial skeleton (viscerocranium)
Sutures
- Coronal suture (between frontal and parietal bones)
- -> Bregma = coronal and sagittal meet - Sagittal suture (between 2 parietal bones)
- -> Lambda = sagittal and lamboid meet - Lamboid suture (between parietal and occipital bones)
Fontanelles
Anterior and posterior close within 18 months
(Lateral ossifies early 2-3 weeks)
Not clinical unless other signs
Fontanelles clinical
Cleidocranial dysplasia: hereditary congenital disorder, delayed closure of anterior fontanelle and missing clavicles
Craniosyntosis: posterior fontanelle closes in first 1 month of life so head grow anteriorly (not pathological)
Air-filled spaces: Sinuses
Frontal sinuses, ethmoidal cells, maxillary sinuses, sphenoid sinuses
(frontal and maxillary most impt clinically)
Lined with respiratory epithelium and have various functions: lightening of head, humidifying and heating air, increasing resonance of speech
In newborns frontal sinuses not fully formed (start forming at 3-4months)
Sinusitis
Sinuses filled with mucus or mucosal layer thickened
Can be caused by bacteria, viruses, some chemicals
Pterion and clinical signifiance
Frontal, parietal, temporal and sphenoid all articulate = weak due to multiple joints (not due to being thinnest part of skull)
Middle meningeal artery (anterior branch) runs deep to pterion
Lateral blow to head –> damage MMA –> extradural haemorrhage
Pterion location
Frankfurt line = between inferior margins of orbit and superior margins of external acoustic meatus (considering head in anatomical position)
Lies within 1cm diameter circle, located 2.6cm behind and 1.3 above posterolateral margin of frontozygomatic suture
Label anterior view of skull (5)
Labelled
Label lateral view of skull (9)
Labelled
Label base of skull (11)
Labelled
Label parts of mandible
Ramus of mandible Body of mandible Condyle of mandible Coronoid of mandible Angle of mandible
Anterior cranial fossa
- Boundaries
- Bones
Ant border: inner surface of frontal bone
Post border: anterior border of prechiasmatic sulcus of sphenoid (medial), lesser wings of sphenoid bone (lateral)
Bones: frontal, ethmoid, anterior aspects of body and lesser wings of sphenoid
Anterior cranial fossa foramina
- Foramen cecum: emissary veins to nasal cavity)
2. Olfactory foramina in cribiform plate: [I]
Middle cranial fossa
- Boundaries
- Bones
Ant border: anterior edge of chiasmatic sulcus of body of sphenoid (midline) and greater wing of sphenoid (laterally)
Post border: posterior edge of dorsum sellae of body of sphenoid (midline) and petrous part of temporal bone (laterally)
Bones: body and greater wing of sphenoid, squamous and petrous parts of temporal bone