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Published byΆιμον Παπαντωνίου Modified over 6 years ago
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B. Carotid triangle: Superiorly: Posterior belly of digastric
Anteroinferiorly: Superior belly of the omohyoid Posteriorly: Sternomastoid
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Roof: Skin, Superficial fascia and investing layer of deep cervical fascia
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Floor: Thyrohyoid muscle Hyoglossus Middle constrictor & Inferior constrictor of pharynx
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Contents of Carotid triangle:
Arteries: Common carotid artery Internal carotid artery External carotid artery
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Contents of Carotid triangle:
Veins: Internal jugular vein Common facial vein Pharyngeal vein Lingual vein
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Contents of Carotid triangle:
Nerves: Vagus Spinal accessory nerve Hypoglossal nerve Sympathetic chain Carotid sheath and lymph nodes
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D. Muscular triangle: Anterioly: Median line of neck Posterosuperioly:
Superior belly of the omohyoid Posteroinferiorly: Sternomastoid muscle
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Infrahyoid muscles are chief contents of
Contents of Muscular triangle: Infrahyoid muscles are chief contents of muscular triangle
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The Scalp
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THE SCALP: The soft tissue covering the cranial vault is called as scalp Extent: Anteriorly: Supraorbital margins Posteriorly: External occipital protuberance On each side: Superior temporal lines
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Scalp consists of five layers:
Skin Close network of subcutaneous tissue Aponeurosis ( galea aponeurotica with epicranius muscle) Loose subaponeurotic tissue Pericranium
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1. Skin: It is provided with numerous hair and sebaceous and sweat glands skin Subcutaneous tissue Galea aponeurotica Loose subaponeurotic tissue Pericranium
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2. Close network of subcutaneous tissue:
It consists of close network of subcutaneous tissue which connects the skin with underlying galea aponeurotica and epicranius muscles skin Subcutaneous tissue Galea aponeurotica Loose subaponeurotic tissue Pericranium
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3. Epicranius muscle and its aponeurosis:
The Epicranius includes: Occipito-frontalis muscle which consists of Occipital belly behind Frontal belly in front
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Galea aponeurotica: It is a fibrous sheet which connects occipitalis and frontalis muscle
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4. Loose subaponeurotic tissue: (Dangerous area of scalp)
It lies beneath the epicranius muscle and presents a potential space containing emissary veins skin Subcutaneous tissue Galea aponeurotica Loose subaponeurotic tissue Pericranium
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5. Pericranium: It is outer periosteum of the skull skin
Subcutaneous tissue Galea aponeurotica Loose subaponeurotic tissue Pericranium
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Nerve supply: Ten nerves supply the scalp on each side
Five in front of the auricle - Four are sensory and one is motor Five behind the auricle –
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Nerves in front of auricle:
Supra-trochlear (S) Supra-orbital (S) Zygomatico-temporal (S) Temporal branch of facial nerve (M) Auriculo-temporal nerve (S)
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Nerves behind the auricle:
Posterior branch of great auricular nerve(S) Posterior auricular branch of facial nerve (M) Lesser occipital nerve (S) Greater occipital nerve (S) Third occipital nerve (S)
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Arterial supply: Five sets of arteries supply the scalp on each side
Three in front of the auricle Two behind the auricle
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Arteries in front of the auricle:
Supra-trochlear Supra-orbital Ophthalmic artery Superficial temporal External carotid artery
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Arteries behind the auricle:
Posterior auricular Occipital artery External carotid artery
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Venous Drainage: Supra-trochlear Supra-orbital Superficial temporal
Posterior auricular Occipital vein
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Emissary veins: On each side two sets of emissary veins Parietal -
Superior sagittal sinus Mastoid– Sigmoid sinus Emissary vein Sigmoid sinus
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Diploic veins: Frontal diploic vein- Supra-orbital vein
Occipital diploic vein– Occipital vein Diploic veins
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Lymphatic drainage: Anterior part of scalp- Pre-auricular
Posterior part of scalp– Post-auricular
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FACIAL MUSCLES
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Occipitofrontalis muscle
Topographically, the muscles are grouped as: 1. Muscle of scalp: Identify the muscle? Occipitofrontalis muscle
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3. Auricularis posterior
2. Muscles of the auricle: 2. Auricularis superior Identify the muscles? 3 1 2 3. Auricularis posterior 1. Auricularis anterior
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2. Corrugator supercilli
2. Muscles of the eyelids: 2. Corrugator supercilli 2 1 1. Orbucularis oculi Identify the muscles?
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1 2 3 4 4. Muscles of the nose: 4. Depressor septi 1. Procerus
2.Compressor naris 2 3 3. Dilator naris 4
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3. Levator labii superioris alaequae nasi 4. Levator labii superioris
5. Muscles around the mouth: 2 3. Levator labii superioris alaequae nasi 3 2. Levator anguli oris 4 1 4. Levator labii superioris 1. Orbicularis oris
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5 6 7 5. Muscles around the mouth: 5. Zygomaticus minor
6. Zygomaticus major 6 7 7. Risorius
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10. Depressor labii angularis 9. Depressor labii inferioris
5. Muscles around the mouth: 10. Depressor labii angularis 10 9 8 9. Depressor labii inferioris 8. Mentalis
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6. Muscle of the neck: Platysma 1
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Thank you
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