the scalp Flashcards
components of the scalp
Skin subCutaneous tissue Aponeneurosis (galea aponeurotica) Loose Connective Tissue Periosteum (pericranium)
why is scalping an easy process
because of the loos subaponeurotictissue
potential site of infection
loose subaponeurotic tissue
V1 nerves
supratrochlear nerve; supraorbital nerve
V2 nerve
zygomatictemporal nerve
auriculotemporal nerve
C2 nerves
less occipital nerve
greater occipital nerve
C3 nerve
third occipital nerve
superficial arteries of the skull (5)
supratrochlear artery supraorbital artery superficial temporal artery posterior auricular artery occipital artery
arteries of the face
supraorbital artery supratrochlear artery angular artery transverse facial artery lateral nasal artery superior and inferior labial arteries maxilarry artery mental artery facial artery superficial temporal artery occipital artery posterior auricular artery internal carotid artery external carotid artery
arteries with interal carotid artery as source
supraorbital artery
supratrochlear artery
superficial veins of the face
superficial temporal vein middle temporal vein maxillary vein retromandibular vein posterior auricular vein external jugular vein internal jugular vein frontal tributary of superficial temporal vein supratrochlear vein superior and inferior opthalmic veins superior and inferior palpebral veins angular vein external nasal vein superior labial vein deep facial vein inferior labial vein submental vein facial vein common facial vein
diploic veins of the skull
parietal emissary vein frontal diploic vein anterior temporal diploic vein occipital diploic vein posterior temporla diploic vein mastoid emissary vein condyloid emissary vein
CN VII
facial nerve and posterior auricular nerve
lacrimal nerve
CN V1
supraorbital nerve
CN V1
zygomaticotemporal nerve
CN V2
auriculotemporal nerve
CN V3
CN V1
supraorbital supratrochlear infratrochlear external nasal lacrimal
CN V2
zygomaticotemporal
zygomaticofacial
infaorbital
CN V3
auriculotemporal
buccal
mental
CN V
trigeminal nerve
greater occipital
C2
third occipital
C3
lesser occipital
C2, C3
great auricular
C2, C3
how to diagnose trigeminal neuralgia
compres the terminal branches of the trigeminal nerve: supraorbital at supraorbital foramen (v/1); infraorbital at infraorbital foramen (V/2); mental at mental foramen (V/3)
trigeminal dermatomes
optalmic V1
maxillary V2
mandibular V3
herpes zoster
limited to one, sometimes two divisions, ipsilateral, activation of latent virus in ganglion cells
trigeminal neuralgia
limited to one, sometimes 2 divisions lancintating pain trigger zones probably nerve compression simple diagnostic test: compress terminal branches of trigeminal nerve (supraorbitalis, infraorbitalis, and mentalis)
what are the mucles of facial expression innervated by
facial [VII] cranial nerve
what are the arteries supplying the muscles of facial expression
facial and maxillary arteries
terminal branches facial nerve (CN VII)
temporal
posterior auricular
terminal branches facial nerve (CN VII)
zygomatic
buccal
cervical
marginal mandibular
muscles of facial expression: motor innervation - CN VII
temporal branch, zygomatic branch, posterior auricular branch, main trunk of VII, cervical branch, mandibular branch, buccal branch
hemifacial spasm
believed to result from irritation (compression of the facial nerve)
uncontrollable ipsilateral facial grimacing due to painless contractions of facial muscles
treated by surgical “decompression” of the facial nerve
bell’s palsy
lesion or inflammation of the facial nerve; unilateral; motor paralysis; often reversible; can result from “missed” injection of local anesthetic
origin of frontal muscle
galea aponeurotica
insertion of frontal muscle
muscles and dermis above and around the nose and eye
innervation of the frontal muscle
temporal branch VII
action of the frontal muscle
wrinkle forehead
raises eyebrow
origin of occipitalis muscle
mastoid process and superior nuchal line
insertion of occipitalis muscle
galea aponeurotica
innervation of the occipitalis muscle
posterior auricular Br. VII
occipitalis action
tightens scalp
origin of the auricularis ant.
temporal fascia
insertion of the auricularis ant.
major helix
innervation of auricularis ant.
temporal VII
action of auricular ant.
pulls ear forward and upward
origin of auricularis med.
temporal fascia
insertion of auricular med.
above ear
innervation of auricular med.
temporal VII
action of auricularis med.
pulls ear upward
origin of auricularis post
mastoid process
insertion of auricular post
posterior ear
innervationof auricular post
post auricular VII