Superficial Face and Scalp Flashcards
What layers make up the scalp proper?
Skin, dense connective tissue, aponeurosis
Parotid Gland Contents
Parotid plexus of the facial nerve (tiny zebra bit my cheek)
Retromandibular vein
ECA
Parotid Gland Innervation
CN IX to otic ganglion, hitch ride on auriculotemporal N ( CN V3)
Parotid Gland Location
from ear to lower mandible, can extend into subnmandibular triangle
on top of masseter M
duct on top of masseter but dives into buccinator M
CN V- Trigeminal (Cutaneous)
Sensory ganglion: trigeminal ganglion
anterior superior scalp and face-same distribution as facial motor to face except sensory
carry postgangliongic parasympathetic fibers via hitch hike onto it by CN IX
CN V- Trigeminal (Motor)
V3 only
Muscles of mastication
CN VII- Facial (Cutaneous)
greater petrosal N–> lacrimal gland
chorda tympani–> taste, submandibular and sublingual glands
CN VII- Facial (Motor)
Exits 1st internal acoustic meatus, exits 2nd through stylomastoid foramen to muscle
Muscles of facial expression (TZBMC)
Muscles of facial expression
PA 2 mesoderm CN VII Occipitofrontalis Orbicularis Oculi Levator Labii Superioris Zygomaticus major and minor Risorius Buccinator
Blood Supply to Superficial Face
Mainly branches of ECA: Facial A Inferior labial Superior labial Lateral nasal Angular- superior cheek, inferior eyelid Occipital A- scalp of back of head Posterior Auricular A Superficial Temporal A Transverse facial--> parotid gland and duct
Branches of ICA: Supraorbital A- muscles of skin of forehead and scalp, superior conjunctivva Supratrochlear A
Mental A: facial muscles and skin of chin
Anastomoses of Superficial Face
ICA to ECA
Supraorbital A (ICA) with Superficial temporal A (ECA) above eye/lateral forehead
Angular A (ECA) with Supratrochlear A (ICA) near nose
Veins of Face
Facial, supratrochlear, supraorbital, transverse facial veins
go to cavernous sinus via direct veins or pterygoid venous plexus (from deep veins)
how infections can spread
Cutaneous innervation of scalp and face
Trigeminal
Ophthalmic: superior orbital fissure
- -> Supraorbital (more lateral)
- -> Supratrochlear (more medial)
- –> Lacrimal
- –> Infratrochlear
- –> External nasal
Maxillary: foramen rotundum
- -> Infraorbital
- -> Zygomaticofacial
- -> Zygomaticotemporal
Mandibular: foramen ovale
- -> Auricotemporal (anterior ear)
- -> Buccal
- -> Mental
Cervical plexus:
- -> Great auricular N (skin over angle of lower mandible, inferior lobe of ear, parotid sheath)
- -> Lesser occipital N (scalp posterior to ear)
Cervical Nerves:
–> Posterior rami (C2-C3) innervate posterior scalp and back of neck
Skin
sweat and subaceous glands, hair follicles, vascular supply, lymph drainage
most superficial SCALP
Dense connective tissue
vascularized, cutaneous nerves, hold open arteries when wounded