THE SCALP 3d anatomy
œ It is the soft tissuess that covers
the vault of skull.
œ It extends from
the superciliary arches (eye brows) anteriorly to the superior nuchal
lines posteriorly, and on each side to the zygomatic arch.
œ Layers of the scalp: From superficial to deep, the scalp
consists of 5 layers:
(S) Skin :Which contains numerous hair follicles, sebaceous glands and is firmly adherent to the underlying layer
(C) Connective tissue :
œ Formed of subcutaneous dense fibrous
connective tissue .
œ It
contains the vessels and nerves of scalp & is rich in fat and
fibrous septa.
œ Applied anatomy :
- Infection or hematoma of this layer is usually small, tense &
limited due to the presence of the fibrous septa.
- On other hand cut wound in the scalp in this layer leads to severe bleeding due to its rich blood supply as well as the wall of the arteries are unable to contract due to its attachment to the surrounding fibrous septa.
(A) Epicranial (or galeal ) aponeurosis:
œ Wide tendon which connects the frontal and
occipital bellies of the
occipitofrontalis muscle. It is attached:
- Anteriorly: To frontal bellies.
- Posteriorly: To occipital bellies.
- On each side: To superior temporal lines.
(L) Loose areolar connective tissue (sub-aponeurotic layer) :
œ It facilitates movements of the first 3 layer
over the shull vault .
œ It lies
below the aponeurotic layer.
œ Applied anatomy :
- ¦ It is the dangerous area of the scalp because infection can pass into the cranial cavity via the emissary veins present in it.
- ¦ Subaponeurotic (subgaleal) hematoma usually from emissary veins is usually large , soft , limited by the attachment of galeal apponeurosis and separates the first 3 layers from the skull bones.
(P) Pericranium : Is the periosteum which covers the vault of skull, and is adherent to its suture lines , carries blood to diploe of the skull
Venous Drainage of Scalp:
a-
The supraorbital vein.
b-
The supratrochlear vein.
-
They drain
the anterior part of the scalp and then unite together at the medial angle of
the eye to form the anterior facial vein.
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