anatomy of scalp

31
Head and Neck SCALP Dr. Mohamed El Fiky

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Page 1: Anatomy of scalp

Head and Neck SCALP Dr. Mohamed El Fiky

Page 2: Anatomy of scalp

Eye brows

Superior nuchal lines and external occipital protuberance

Superior temporal lines

Temple

Temple

Temple

Scalp

Scalp

Definition: Is the soft tissue covering the vault of the skull. Extent: (1) Anteriorly: supraorbital margins. (2) Posteriorly: highest nuchal line. (3) On each side: superior temporal lines:

SCALP

Page 3: Anatomy of scalp

1- s : skin 2- C : connective tissue 3- A : Apponeurosis (Epicranial ) and Occipitofrontalis Muscle 4- L : loose areolar connective tissue 5- P : Pericranium (Periosteum) (Subapponeurotic Space)

Page 4: Anatomy of scalp

Face

Scalp

Page 5: Anatomy of scalp

Temporal Fascia

Page 6: Anatomy of scalp

Skin Connective tissue

Epicranial apponeuorosis

Page 7: Anatomy of scalp

Epicranial Apponeurosis Superior temporal line

Third layer of scalp

Page 8: Anatomy of scalp

Frontal Bellies

of Occipitofrontalis

Occipital Belly

Occipital Belly

Occiptal belly: Origin: Insertion: Nerve supply: Action: Lateral part of highest nuchal line Epicranial aponeurosis. Posterior auricular branch of facial nerve. Moves the scalp backwards. Frontal bellies (frontalis): Origin: Skin of the forehead (no bony attachment) Insertion: Epicranial ' aponeurois.

Page 9: Anatomy of scalp

Parotid Gland

Temporal branch

of Facial nerve

Posterior Auricular

of Facial nerve

Facial Nerve

Nerve Supply of Occipitofrontalis Muscle : Frontal belly by : temporal branch of facial nerve Occiptal belly by : Posterior Auricular of Facial nerve

Page 10: Anatomy of scalp

Frontal Bellies of

Occipitofrontalis

Corrugator Supercelli and

Procerus

Action of Occipitofrontalis Muscle A- Frontal belly : (1) Moves the scalp forwards. (2) Raises the eyebrows (surprise).

(3) Causes horizontal wrinkles in the skin of the forehead (Horror). B- occiptal belly : Moves the scalp backwards.

Page 11: Anatomy of scalp

Skin Connective tissue

Epicranial apponeuorosis

Subapponeurotic space

Emmissary vein

Page 12: Anatomy of scalp

Black Eye

Page 13: Anatomy of scalp

Supraorbital artery

Supratrochlear artery

Superficial temporal

artery

Posterior auricular artery

Occipital artery

Arteries of the SCALP

Page 14: Anatomy of scalp

External Carotid Artery

Maxillary Artery

Superficial Temporal Artery

Page 15: Anatomy of scalp

Parotid Gland

The Zygomatic Arch Tragus

Superficial Temporal Vein Auriculo-temporal Nerve

Page 16: Anatomy of scalp

Superficial temporal Artery

1- Transverse facial artery

3- Anterior auricular artery

2- Zygomatico-orbital artery

4- Middle Temporal artery

5- Anterior terminal branch

6- Posterior terminal branch

Page 17: Anatomy of scalp

1- Superficial Temporal Artery

Arteries of the SCALP

Origin,: external carotid artery Termination : by dividing into 2 terminal branches ant. & post. Branches : 1- Transverse facial artery

2- Zygomatico-orbital artery

3- Anterior auricular artery

4- Middle Temporal artery

5- Anterior terminal branch

Page 18: Anatomy of scalp

Veins of the SCALP

Page 19: Anatomy of scalp

1- Superficial Veins

Page 20: Anatomy of scalp

Lymph Drainage of the SCALP

Page 21: Anatomy of scalp

Pre-auriculalr

Submandibular

Occipital

Page 22: Anatomy of scalp

Nerve supply of the SCALP A- Motor Nerve supply of the SCALP

* Temporal branch of Facial nerve ( in front of the ear )

* Posterior Auricular of Facial nerve (in the back the ear )

B- Sensory Nerve supply of the SCALP

2- Supratrochlear Nerve

1- Supraorbital Nerve

3- Zygomatico-temporal Nerve

4- Auriculo-=temporal Nerve 4- Great Auricular Nerve

3- Lesser Occipital Nerve

1- Greater OccipitalNerve

2- Third Occipital Nerve

In front of ear Behind the ear

Page 23: Anatomy of scalp

Parotid Gland

Temporal branch

of Facial nerve

Posterior Auricular

of Facial nerve

Facial Nerve

A- Motor nerve supply

Page 24: Anatomy of scalp

B- Sensory Nerve supply of the SCALP

Page 25: Anatomy of scalp

Supratrochlear Nerve

Supraorbital Nerve

Zygomatico-temporal Nerve

Auriculo-=temporal Nerve

A- In front of the ear

Page 26: Anatomy of scalp

Great Auricular Nerve

Lesser Occipital Nerve

Greater Occipital Nerve

Third Occipital l Nerve

behind ear

Page 27: Anatomy of scalp
Page 28: Anatomy of scalp

Clinical Notes

Page 29: Anatomy of scalp

Scalp Wound

Page 30: Anatomy of scalp

Wounds of the scalp bleed profusely

Page 31: Anatomy of scalp

Emmissary vein

Emmissary vein

Infection can be transmitted from scalp to dural sinuses through emissary veins