Lecture 5: Scalp & Superficial Face Flashcards
What are the layers of the scalp?
S- Skin C - Close, subcutaneous tissue layer A - Aponeurotic layer L - Loose subaponeurotic layer P - Periosteum
Although not usually fatal, scalp lacerations involving the deep portion of what layer tend to bleed profusely?
Close, subcutaneous tissue layer
Avulsion injuries of the scalp tend to separate along what layer?
Loose subaponeurotic layer
- This space is opened during surgical approaches to the upper orbits, neurosurgery and in the removal of the cadveric brain
Infections in what layer of the scalp may readily spread via emissary veins to separate along the layer?
Loose subaponeurotic layer
What happens with a depressed skull fracture?
Separation of the loose subaponeurotic layer causing CSF leakage and a scalp hematoma
The veins that drain the scalp are named the same as the arteries. Scalp veins may drain indirectly into the dural sinuses via ____________ veins. This is an important route for the spread of superficial infections to the brain
Emissary veins
What artery runs with the greater occipital nerve?
Occipital a
What artery runs with the lesser occipital nerve?
Posterior auricular
What artery runs with the auriculotemporal nerve?
Superficial temporal artery
_____________________ is a layer of tissue deep to the subcutaneous tissue of the face and neck. Although its fused with the _____________ fascia, its surgically elevated to perform lower face lifts.
Superficial muscular aponeurotic system (SMAS); parotid fascia
The SMAS is a layer of tissue deep to the subcutaneous tissue of the face and neck and is surgically elevated to perform lower face lifts. It extends from the ______________ to the ______________ and is continuous with _____________________ and __________
Platysma to the galea aponeurotica; continuous with temporoparietal fascia and galea
- It connects the dermis via vertical septa
The facial nerve is embedded in the __________ gland and courses lateral to the _______________ vein
Parotid gland; retromandibular vein
What 3 structures are embedded in the parenchyma of the parotid gland?
Facial nerve
Retromandibular vein
External carotid artery
For innervation of the parotid gland, preganglionic parasympathetic fibers originate in the _________________ nucleus, course in the __________________ nerve, _________________ nerve, _______________ plexus, and _____________________ nerve before synapsing in the ____________ ganglion. Postganglionic fibers reach the gland via the ____________________ nerve
Inferior salivatory nucleus; glossopharyngeal nerve, tympanic nerve, tympanic plexus, and lesser petrosal nerve; otic ganglion; auriculotemporal nerve
After arising from the __________________ ganglion, Postganglionic sympathetic fibers to the parotid gland travel through the ____________ plexus, ___________________ nerve, ______________ plexus, _______________ nerve, _________ ganglion (no synapse), and ________________ nerve before finally terminating in the parenchyma of the gland
superior cervical ganglion; internal carotid plexus, carotico-tympanic nerve, tympanic plexus, lesser petrosal nerve, otic ganglion, auriculotemporal nerve
What is the function of the facial nerve?
Motor to muscles of facial expression
Sensory to taste buds on anterior 2/3 tongue
How do you test facial nerve function of a pt?
Tell them to raise their eyebrows, close eyes tight, smile and pucker lips
What are the 5 branches of the facial nerve?
Temporal Zygomatic Buccal Cervical Mandibular/marginal