Scalp 170105123011

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Opening of Scalp
and there structure
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Introduction

• It is the soft tissue that


covers the vault of skull
• Extends from sup.orbital
margin to superior nuchal
line
• On each side to superior
temporal line
• It is hair bearing area of
the skull
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Layers of Scalp

• S-Skin
• C-connective tissue
 (superficialfascia)
• A-aponeurosis (galea
 aponeurotica)
• L-loose areolar tissue
• P-pericranium
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Layers of Scalp
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Skin

• Thick and hairy


• Firmly attached to the epicranial
aponeurosis
 through dense fascia
• Abundance sebaceous glands
• Sebaceous cyst are common
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Connective tissue

• Fibrous and dense containing blood vessels and


nerves
• Binds skin to subjacent aponeurosis
• Wounds bleed profusely as blood vessels are
prevented from retraction by fibrous tissue.
Bleeding is stopped by applying pressure against
the bone
• Subcutaneous hemorrhage are not extensive
since fascia is dense
• Inflammation cause little swelling but are
much
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Aponeurosis

• Anteriorly frontal belly and posteriorly


occipital belly of occipitofrontalis muscle
• Frontal belly originate from skin of forehead
• Occipital belly originate from lateral 2/3 of
superior nucheal line
• It gaps if cut transversely and should be
stitched
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Loose areolar tissue

• Extends anteriorly into the eyelids because


frontalis has no bony attachment
• Posteriorly to superior nuchal line
• On each side to superior temporal line
• Bleeding cause generalized swelling of scalp
• Called dangerous layer of scalp-emissary veins
open here and carry any infections inside the
brain (venous sinus)
• Bleeding lead to black eye
• Caput succedaneum in new born
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Pericranium

• Is the periosteum of skull


• Loosely attached to surface of bone but is
firmly adherent to the sutures
• Injury deep to it take the shape of bone
(cephalhaematoma)
• Scalping injury- should be replaced and
stitched because healing is better
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Blood supply

• Arteries
– Supratrochlear
– Supraorbital
– Superficial temporal
– Posterior auricular artery
– Occipital artery
• Veins-follows the artery
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Arterial supply of scalp

They are 5 arteries on each side

3 in front of auricle 2 behind auricle


1 supratrochlear 1 post. Auricular
2 supraorbital 2 occipital
3 superficial temporal
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Nerve supply
• In front of auricle
– Supratrochlear n.
– Supraorbital n.
– Zygomaticotemporal n.
– Auriculotemporal n.
– Temporal branch of facial n.
• Behind auricle
– Greater auricular n
– Lesser occipital n.
– Greater occipital n.
– Third occipital n.
– Post. Auricular branch of facial n.
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Nerve supply of scalp

5 in front of auricle 5 behind auricle

4 sensory 1 motor 1 motor 4 sensory


(From trigeminal N) Temporal br. Post. Auricular (From cervical Ns)
1 supra-trochlear N Of facial br. Of facial 1- great auricular N
2 supra-orbital N 2- lesser occipital
3 zygomatico- temporal N
N
3- greater occipital
4 auriculo-temporal N
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Lymphatics

• Anterior part
– Preauricular (parotid) gr. of lymph
node
• Posterior part
– Posterior (mastoid) gr. of lymph node
&occipital
 gr. of lymph node
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THANK YOU

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