Scalp and Superficial face Flashcards

1
Q

What is the organization of the scalp layers from superficial to deep?

A
SCALP :
Skin (integument - epidermis and dermis)
Connective tissue - dense
Aponeuroses
Loose Areolar CT
Periocranium (periosteum)
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2
Q

If a cut is superficial to the aponeuroses of the scalp, what happens?

A

It will bleed profusely but not gap open

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3
Q

If a cut is deep to the aponeuroses of the scalp, what happens?

A

It will bleed profusely and WILL gap open

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4
Q

What muscle pulls to create a gapping cut?

A

Occipitofrontalis

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5
Q

Why do cuts in the scalp bleed profusely?

A

CT tends to hold the vessels open

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6
Q

How do scalp infections spread?

A

Via emissary veins in the aponeuroses layer that merge with intracranial venous structures

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7
Q

What nerve is responsible for most of the cutaneous innervation of the face/scalp?

A

Trigeminal (CN V)

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8
Q

What are the 3 main branches of the trigeminal and what foramen do they pass through?

A

Opthalmic (V1) - superior orbital fissue
Maxillary (V2) - foramen rotundum
Mandibular (V3) - foramen ovale

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9
Q

What area of skin does the opthalmic nerve innervate?

A

Top of scalp, down forehead and nose

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10
Q

What are the sensory branches of the opthalmic nerve?

A

Supratrochlear, infratrochlear, and supraorbital

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11
Q

Where does the supratrochlear nerve exit?

A

Supratrochlear foramen

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12
Q

Where does the supraorbital nerve exit?

A

Supraorbital notch (foramen)

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13
Q

What area of skin does the maxillary nerve innervate?

A

Temple region, down upper lip

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14
Q

What are the sensory branches of the maxillary nerve?

A

Infraorbital, zygomaticfacial, zygomatictemporal

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15
Q

Where does the infraorbital nerve exit?

A

Infraorbital foramen

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16
Q

What area of skin does the mandibular nerve innervate?

A

Scalp in front of ear, down mandible and lower lip

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17
Q

What are the sensory branches of the mandibular nerve?

A

Mental, buccal, auriculotemporal

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18
Q

Where does the mental nerve exit?

A

Mental foramen

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19
Q

Describe the connection between the Herpes Zoster Virus and the opthalmic nerve

A

Initial infection = chickenpox
Reactivation of the virus
Lesions appear, commonly affecting opthalmic nerve
Lesions follow skin that opthalmic nerve innervates (forehead and nose)

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20
Q

What are the 2 types of lymph nodes in this region?

A

Superficial cervical nodes and inferior deep cervical nodes

21
Q

What are the superficial cervical nodes?

A

Submental, submandibular, parotid, occipital, mastoid nodes

22
Q

What do the superficial cervical nodes run along?

A

EJV

23
Q

What are the inferior deep cervical nodes?

A

Jugulo-digastric and Jugulo-omohyoid

24
Q

What path do the inferior deep cervical nodes run along?

A

Path of SCM

25
Q

Nodes join to form trunks and then join to form ducts, what duct drains the entire left side of the body and lower right side?

A

Thoracic duct

26
Q

What lymphatic duct drains upper right side of body?

A

Right lymphatic duct

27
Q

What do the thoracic and right lymphatic duct drain into?

A

Subclavian vein

28
Q

What is the largest gland, secretes a serous product and is enclosed by tough fascia?

A

Parotid gland

29
Q

What gland is within the submandibular triangle and secrets a serous + mucous product?

A

Submandibular

30
Q

What gland is within the oral cavity and secretes a mucous product?

A

Sublingual

31
Q

What are the structures within the parotid?

A

Parotid duct, facial nerve, retromandibular vein, external carotid A. and auriculotemporal nerve

32
Q

What innervates the muscles of facial expression?

A

Facial nerve (CNVII)

33
Q

What are the muscles of facial expression?

A

Occipitofrontalis, orbicularis oculi, orbicularis oris, zygomaticus major and minor, Buccinator

34
Q

What are the kissing muscles?

A

Orbicularis oris, buccinator

35
Q

What are the parts of orbicularis oculi?

A

Orbital part surrounding a palpebral part

36
Q

What is either an origin site or attachment site for the parts of occipitofrontalis?

A

Epicranial aponeuroses

37
Q

What are the parts of occipitofrontalis?

A

occipital portion and frontal portion (occipitalis and frontalis)

38
Q

What emotions does occipitofrontalis display?

A

Surprise/fright

39
Q

What actions does orbicularis oculi do?

A

Tightly and gently close eyelids

40
Q

What actions does orbicularis oris do?

A

Compress and protude lips to pout

41
Q

What emotions do zygomaticus major and minor show?

A

Happiness/laughter by pulling angle of mouth superolateral

42
Q

What does buccinator do?

A

Presses cheek in and draws mouth to side

43
Q

What are the kissing muscles?

A

Orbicularis oris and buccinator

44
Q

Damage to the facial nerve?

A

Bell’s palsy

45
Q

Symptoms of bell’s palsy?

A

Weakness/paralysis of facial muscles

46
Q

What are patients with bell’s palsy at risk for?

A

Cornea ulceration since they cannot close eyelids sometimes

47
Q

What are the muscles of masstication?

A

Massater, temporalis, medial and lateral pterygoid

48
Q

What nerve innervates the muscles of masstication?

A

Trigeminal nerve (CNV)

49
Q

Main action of the muscles of masstication?

A

Elevate, close and protrude mandible