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By: Dr. Pamela Josefina T. Fabie
 Soft tissue covering the cranial vault
 It is hair bearing area of the skull
 Extends from supra orbital margin
  anteriorly to external occipital
  protuberance & superior nuchal line
  posteriorly
 On each side to superior temporal line
S- Skin

C- connective tissue (superficial fascia)

A- Aponeurosis (galea aponeurotica)

L- Loose areolar tissue

P- Pericranium
Skin
  A layer of thin skin containing numerous hair
  follicles, sweat glands, and sebaceous glands covers
  the scalp.


Connective tissue
  A thick, dense, subcutaneous connective tissue is
  anchored firmly to the skin above and the
  membranous layer below. Fibrous and dense
  containing blood vessels and nerves
Aponeurosis
  Is formed by the gales aponeurotica.

Loose Connective Tissue
  Allows freedom of movement of the superficial
  three layers over the top of the skull

Periocranium
  The periosteum of the skull. Firmly anchored to the
  underlying bone.
LOOSE CONNECTIVE TISSUE
 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


   PERICRANIUM
 Injury deep to it take the shape of bone called
  cephalhaematoma
a. EYES

b. NOSE

c. EARS
The Face




Boundaries:

1.     Superior -
         Hairline
2.     Inferior-
         Lower border
           of the andible
Regions of the Face



1.   Forehead
2.   Temporal
3.   Orbital
4.   External
     nose
5.   Zygomatic
6.   Oral
7.   Cheeks
8.   Mental
9.   External
     ear
Eyelids (Palpebrae)
-  Form a curtain for the ocular globe or the eyeball.

External features:
1.  Palpebral fissure - transverse elliptical opening between
      the upper and lower eyelid.

2.   Palpebral commissure (canthus( - the lateral and medial
       junctions of the upper and lower eyelids.

3.   Superior palpebral margins - covers the superior 1/5 of
       the iris when the lids are open.
External features:

4.   Inferior palpebral margins - cuts across the lower border of
     the iris when the lids are open.

5.   Cilia or eyelashes - project from the palpebral margins
     intwo or three irregular rows.

6.   Plica semilunaris - a cresent fold at the medial angle of the
     eye that separates the white of the eye from the medial,
     reddish-colored lacrimal lake.
External features:
7.  Lacrimal lake - small, raised, triangular are
      bordered by the plica semilunaris; a raised,
      reddish area within the lake is the caruncle.

8.   Superior and inferior papillae - are small, raised
       bumps at the junction of the ciliated hairless
       margins of the lids; at the apex of which is the
       lacrimal punctum.

9.   Conjuctivum - mucous membrane inner lining of
       the lid.
Root


   Tip     Dorsum



             Ala
Columna   Anterior naris
            (nostril)
External Nose:
-The framework is composed of the nasal bones,
septal cartilage, lateral cartilages, and alar cartilages.

-Skin of the nose is continues beyond the external
nares into the vestibule of the nose, with nasal hairs to
filter larger particles of dusts in the air.
External Ear
- Contains a single elastic cartilage which provides
  support to the external ear.

-   Skin is tightly bound to the cartilage with no
    intervening subcutaneous layer.

-   Skin and cartilage is thrown into several folds.
A. ORBITAL CAVITY

B. NASAL CAVITY
Bones involved:
1. Maxilla
2. Zygomatic Bone
3. Sphenoid Bone
4. Frontal Bone
5. Palatine Bone
6. Ethmoid Bone
7. Lacrimal Bone.
Roof
- orbital plate of the
   frontal bone
- lesser wings of
   sphenoid.
Lateral wall
- Zygomatic process
  of the frontal bone
- Orbital plate of the zygomatic bone
- Orbital plate of the greater wings of
  sphenoid
Medial wall
- Frontal process of
     the maxilla
- Lacrimal bone
- Orbital plate of ethmoid bone
- Body of sphenoid
Floor
- Orbital plate of the maxilla
- Orbital plate of the zygomatic bone
- Orbital process of
  the palatine bone
Base
 Superiorly – frontal bone
 Medially - frontal process
           of the maxilla
 Laterally - frontal process
  of the zygomatic bone
 Inferiorly - Maxilla medially
       - zygomatic bone
      laterally
Apex
- Formed by the
  convergence of the
  four walls
Bones involved:
1. Nasal Bone
2. Frontal Bone
3. Ethmoid Bone
4. Sphenoid Bone
5. Vomer
6. Maxilla
7. Palatine Bone
8. Lacrimal Bone
9. Inferior nasal Concha
Anterior
  – pyriform aperture

Posterior
  - Pharynx through the posterior nares
Superior Wall:
1. Anterior
     – nasal bone
    -nasal process of the frontal bone
2. Middle
    - cribriform plate of ethmoid bone
3. Posterior
    - body of the sphenoid
Median Wall:
- Perpendicular plate
  of ethmoid
- Vomer.
Inferior Wall:
- Palatine process
  of the maxilla
- Horizontal plate
  of palatine bone
Lateral Wall:
      a. Superior and middle conchae of the
             ethmoid bone
      b. Inferior nasal conchae
Scalp and face

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Scalp and face

  • 1. By: Dr. Pamela Josefina T. Fabie
  • 2.  Soft tissue covering the cranial vault  It is hair bearing area of the skull  Extends from supra orbital margin anteriorly to external occipital protuberance & superior nuchal line posteriorly  On each side to superior temporal line
  • 3. S- Skin C- connective tissue (superficial fascia) A- Aponeurosis (galea aponeurotica) L- Loose areolar tissue P- Pericranium
  • 4.
  • 5. Skin A layer of thin skin containing numerous hair follicles, sweat glands, and sebaceous glands covers the scalp. Connective tissue A thick, dense, subcutaneous connective tissue is anchored firmly to the skin above and the membranous layer below. Fibrous and dense containing blood vessels and nerves
  • 6. Aponeurosis Is formed by the gales aponeurotica. Loose Connective Tissue Allows freedom of movement of the superficial three layers over the top of the skull Periocranium The periosteum of the skull. Firmly anchored to the underlying bone.
  • 7. LOOSE CONNECTIVE TISSUE  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 PERICRANIUM  Injury deep to it take the shape of bone called cephalhaematoma
  • 8.
  • 10. The Face Boundaries: 1. Superior - Hairline 2. Inferior- Lower border of the andible
  • 11. Regions of the Face 1. Forehead 2. Temporal 3. Orbital 4. External nose 5. Zygomatic 6. Oral 7. Cheeks 8. Mental 9. External ear
  • 12.
  • 13. Eyelids (Palpebrae) - Form a curtain for the ocular globe or the eyeball. External features: 1. Palpebral fissure - transverse elliptical opening between the upper and lower eyelid. 2. Palpebral commissure (canthus( - the lateral and medial junctions of the upper and lower eyelids. 3. Superior palpebral margins - covers the superior 1/5 of the iris when the lids are open.
  • 14. External features: 4. Inferior palpebral margins - cuts across the lower border of the iris when the lids are open. 5. Cilia or eyelashes - project from the palpebral margins intwo or three irregular rows. 6. Plica semilunaris - a cresent fold at the medial angle of the eye that separates the white of the eye from the medial, reddish-colored lacrimal lake.
  • 15. External features: 7. Lacrimal lake - small, raised, triangular are bordered by the plica semilunaris; a raised, reddish area within the lake is the caruncle. 8. Superior and inferior papillae - are small, raised bumps at the junction of the ciliated hairless margins of the lids; at the apex of which is the lacrimal punctum. 9. Conjuctivum - mucous membrane inner lining of the lid.
  • 16.
  • 17. Root Tip Dorsum Ala Columna Anterior naris (nostril)
  • 18. External Nose: -The framework is composed of the nasal bones, septal cartilage, lateral cartilages, and alar cartilages. -Skin of the nose is continues beyond the external nares into the vestibule of the nose, with nasal hairs to filter larger particles of dusts in the air.
  • 19.
  • 20.
  • 21. External Ear - Contains a single elastic cartilage which provides support to the external ear. - Skin is tightly bound to the cartilage with no intervening subcutaneous layer. - Skin and cartilage is thrown into several folds.
  • 22. A. ORBITAL CAVITY B. NASAL CAVITY
  • 23. Bones involved: 1. Maxilla 2. Zygomatic Bone 3. Sphenoid Bone 4. Frontal Bone 5. Palatine Bone 6. Ethmoid Bone 7. Lacrimal Bone.
  • 24. Roof - orbital plate of the frontal bone - lesser wings of sphenoid.
  • 25. Lateral wall - Zygomatic process of the frontal bone - Orbital plate of the zygomatic bone - Orbital plate of the greater wings of sphenoid
  • 26. Medial wall - Frontal process of the maxilla - Lacrimal bone - Orbital plate of ethmoid bone - Body of sphenoid
  • 27. Floor - Orbital plate of the maxilla - Orbital plate of the zygomatic bone - Orbital process of the palatine bone
  • 28. Base  Superiorly – frontal bone  Medially - frontal process of the maxilla  Laterally - frontal process of the zygomatic bone  Inferiorly - Maxilla medially - zygomatic bone laterally
  • 29. Apex - Formed by the convergence of the four walls
  • 30. Bones involved: 1. Nasal Bone 2. Frontal Bone 3. Ethmoid Bone 4. Sphenoid Bone 5. Vomer 6. Maxilla 7. Palatine Bone 8. Lacrimal Bone 9. Inferior nasal Concha
  • 31. Anterior – pyriform aperture Posterior - Pharynx through the posterior nares
  • 32. Superior Wall: 1. Anterior – nasal bone -nasal process of the frontal bone 2. Middle - cribriform plate of ethmoid bone 3. Posterior - body of the sphenoid
  • 33. Median Wall: - Perpendicular plate of ethmoid - Vomer.
  • 34. Inferior Wall: - Palatine process of the maxilla - Horizontal plate of palatine bone
  • 35. Lateral Wall: a. Superior and middle conchae of the ethmoid bone b. Inferior nasal conchae