Week 1 Flashcards
How many layers does the scalp have?
- 5
- the first three are bound together
Name the layers of the scalp
- skin
- connective tissue
- aponeurosis
- loose areolar connective tissue
- pericranium
Skin of the scalp
-thick with hair and sebaceous glands
Connective tissue of the scalp
- fibrous
- fatty connective tissue with septa that connect the skin to the aponeurosis
Aponeurosis of the scalp
- epicranial
- thin, tendinous sheet that connects the bellies of the occipitofrontalis
Loose areolar connective tissue of the scalp
-located in the subaponeurotic space
Pericranium
- the periosteum covering the outer surface of the skull bones
- bone covering
Name the bellies of the occipitofrontalis
- occipital belly
- frontal belly
Occipital belly
-originates from the nuchal line of the occipital bone and inserts into the epicranial aponeurosis
Frontal belly
-originates from the skin and superficial fascia of the eyebrow area and inserts into the epicranial aponeurosis
Action and innervation of the occipitofrontalis
Action: to move the scalp on the skull and raise the eyebrow
Innervation: facial nerve (CN 7)
Name the sensory nerves of the scalp
- supratrochlear nerve
- supraorbital nerve
- zygomaticotemporal nerve
- auriculotemporal nerve
- lesser occipital nerve
- greater occipital nerve
Where are the sensory nerves of the scalp located?
-superficial fascia
Supratrochlear and supraorbital nerve
-branch of the ophthalmic division of the trigeminal nerve
Zygomaticotemporal nerve
-branch of the maxillary division of the trigeminal nerve
auriculotemporal nerve
-branch of the mandibular division of the trigeminal nerev
Lesser occipital nerve
-branch of the cervical plexus(C2)
greater occipital nerve
-a branch of the dorsal ramus of C2
Arterial supply of the scalp
- supratrochlear and supraorbital arteries
- superficial temporal artery
- posterior auricular artery
- occipital artery
Supratrochlear and supraorbital arteries
- branches of the ophthalmic artery
- ascend over the forehead
superficial temporal artery
- terminal branch of the external carotid artery
- ascend in front of the ear
Posterior auricular artery
- a branch of the external carotid artery
- ascends behind the ear
Occipital artery
- branch of the external carotid artery
- supplies the skin over the back of the skull
Supratrochlear and supraorbital veins
-unite at the medial margin of the orbit to form the facial vein
Superficial temporal vein
-unites with the maxillary vein to form the retromandibular vein
posterior auricular vein
-unites with the posterior division of the retromandibular vein to form the external jugular vein
Occipital vein
-drains into the suboccipital venous plexus, which drains into the vertebral veins(internal jugular veins)
Veins of the scalp…
freely anastomose with eachother
-are also connected to the diploic veins and the intracranial venous sinuses by emissary veins
submandibular lymph nodes
-lymph vessels in the anterior part of the scalp and forehead drain here
Superficial parotid (preauricular) nodes
-lymph drainage from the lateral part of the scalp above the ear drains here
Mastoid nodes
-lymph vessels in the part of the scalp above and behind the ear drain here
Occipital nodes
-vessels in the back of the scalp drain here
Why does the scalp have an abundant blood supply?
-to nourish the hair follicles
Why is bleeding of the scalp hard to stop?
- the arterial walls are attached to fibrous septa in the subcutaneous tissue
- the walls are unable to contract or retract to allow blood clotting
gaping wounds
- there is tension of the epicranial aponeurosis from the occipitofrontalis muscles
- when the aponeurosis is divided, it gapes open
skin of the face
- has sweat and sebaceous glands
- is connected to the underlying bones by loose connective tissue
- muscles are embedded in the connective tissue
is there deep fascia in the face?
NO, BITCH
Why wrinkles?
- repeated folding of the skin perpendicular to the axis of underlying muscles
- skin loses elasticity
the skin of the face is innervated by the branches of the trigeminal nerve EXCEPT
- except for a small area over the angle of the mandible and the parotid gland.
- that is innervated by the great auricle nerve(C2 and 3)
What are the divisions of the trigeminal nerve?
- ophthalmic
- maxillary
- mandibular
ophthalmic division of trigeminal nerve
-supplies the skin of the forehead, upper eyelid, conjunctiva, the side of the nose down to and including the tip
name the branches of the ophthalmic division
- lacrimal nerve
- supraorbital nerve
- supratrochlear nerve
- infratrochlear nerve
- external nasal nerve
Maxillary division of the trigeminal nerve
-supplies the skin on the posterior part of the side of the nose, the lower eyelid, the cheek, the upper lip, lateral side of the orbital opening
name the cutaneous branches of the maxillary division
- infraorbital nerve
- zygomaticofacial nerve
- zygomaticotemporal nerve
Mandibular division of the trigeminal nerve
-supplies the skin of the lower lip, the lower part of the face, the temporal region, and part of the ear
Name the cutaneous branches of the mandibular division
- mental nerve
- buccal nerve
- auriculotemporal nerve
What supplies the face with blood?
-facial and superficial temporal arteries
facial artery
- courses upward and over the submandibular salivary gland
- curves around the inferior border of the mandible at the anterior border of the messeter muscle
Where can you feel the pulse of the facial artery?
-where it crosses the mandible
facial artery course
- covered by platysma and risorious muscle
- goes from angle of the mouth to the medial angle of the eye
at the medial angle of the eye…
the facial artery anastomoses with the branches of the ophthalmic artery
Branches of the facial artery
- submental artery
- inferior labial artery
- superior labial artery
- lateral nasal artery
superficial temporal artey
- transverse facial artery
- a branch of the superficial artery
What supplies blood to the forehead
-supraorbital and supratrochlear arteries(branches of the ophthalmic artery)
where is the facial vein formed?
-at the medial angle of the eye by the union of the supraorbital and supratrochlear veins
how is the facial vein connected to the superior ophthalmic vein?
-directly through the supraorbital vein
THE FACIAL VEIN AND THE CAVERNOUS SINUS
- the facial vein is connected to the cavernous sinus by way of the superior ophthalmic vein
- this provides a path for infections to spread
facial vein
- descends behind the facial artery to the lower margin of the mandible
- crosses superficial to the submandibular salivary gland and is joined by the anterior division of the retromandibular vein
What does the facial vein drain into?
-drains into the internal jugular vein
what joins the facial vein to the pterygoid venous plexus?
-deep facial vein
What joins the facial vein to the cavernous sinus?
superior ophthalmic vein
where does the transverse facial vein join the superficial temporal vein?
-in the parotid gland
submandibular lymph nodes
-lymph from the forehead and the anterior part of the face drains here
buccal lymph nodes
-among lymph vessels
parotid lymph nodes
-lateral part of the face, including the lateral parts of the eyelid, drained by lymph vessels that terminate here
submental lymph nodes
-the central part of the lower lip and the skin of the chin drain here
Muscles of the face
- embedded in the superficial fascia
- originate in bones and insert into the skin
- innervated by facial nerve
- surrounded by sphincters or dilators
eyelid
- sphincter: orbicularis oculi
- Dilator: levator palpebrae superioris and occiptiofrontalis
Nose
Sphincter: compressor naris
Dilator: dilator naris
mouth
Sphincter: orbicularis oris
Dilator: series of small muscles that radiate out from the lips
muscles of lips and cheeks
- sphincter: orbicularis oris
- originate: from underlying bones or deep surface of the skin
- innervation: buccal and mandibular branches of the facial nerve
- action: compress lips together
dilator muscles of the lips
- radiate out from the lips
- action: separate the lips
- origin: bones and fascia around the mouth and converge as they insert into the lips
- innervation: buccal and mandibular branches of the facial nerve
Buccinator origin
from the outer surface of the alveolar margins of the mandible and the maxilla
-also from the pterygomandibular ligament
Buccinator pierces the…
parotid duct
buccinator innervation
buccal branch of the facial nerve
buccinator muscle
compress the cheeks and lips against the teeth
Facial nerve branches
- temporal branch
- zygomatic branch
- buccal branch
- mandibular branch
- cervical branch
Temporal branch
-supplies the anterior and superior auricular muscles, frontal belly of occipitofrontalis, orbiularis oculi, and corrugator supercilii
zygomatic branch
supplies orbicularis oculi
buccal branch
supplies buccinator, muscles of the upper lip and nostril
mandibular branch
supplies muscles of the lower lip
cervical branch
-supplies platysma