Scalp and Superficial face Flashcards
What is the organization of the scalp layers from superficial to deep?
SCALP : Skin (integument - epidermis and dermis) Connective tissue - dense Aponeuroses Loose Areolar CT Periocranium (periosteum)
If a cut is superficial to the aponeuroses of the scalp, what happens?
It will bleed profusely but not gap open
If a cut is deep to the aponeuroses of the scalp, what happens?
It will bleed profusely and WILL gap open
What muscle pulls to create a gapping cut?
Occipitofrontalis
Why do cuts in the scalp bleed profusely?
CT tends to hold the vessels open
How do scalp infections spread?
Via emissary veins in the aponeuroses layer that merge with intracranial venous structures
What nerve is responsible for most of the cutaneous innervation of the face/scalp?
Trigeminal (CN V)
What are the 3 main branches of the trigeminal and what foramen do they pass through?
Opthalmic (V1) - superior orbital fissue
Maxillary (V2) - foramen rotundum
Mandibular (V3) - foramen ovale
What area of skin does the opthalmic nerve innervate?
Top of scalp, down forehead and nose
What are the sensory branches of the opthalmic nerve?
Supratrochlear, infratrochlear, and supraorbital
Where does the supratrochlear nerve exit?
Supratrochlear foramen
Where does the supraorbital nerve exit?
Supraorbital notch (foramen)
What area of skin does the maxillary nerve innervate?
Temple region, down upper lip
What are the sensory branches of the maxillary nerve?
Infraorbital, zygomaticfacial, zygomatictemporal
Where does the infraorbital nerve exit?
Infraorbital foramen
What area of skin does the mandibular nerve innervate?
Scalp in front of ear, down mandible and lower lip
What are the sensory branches of the mandibular nerve?
Mental, buccal, auriculotemporal
Where does the mental nerve exit?
Mental foramen
Describe the connection between the Herpes Zoster Virus and the opthalmic nerve
Initial infection = chickenpox
Reactivation of the virus
Lesions appear, commonly affecting opthalmic nerve
Lesions follow skin that opthalmic nerve innervates (forehead and nose)