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SKULL - bones rigidly connected by sutures to protect brain, attach ...

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<strong>SKULL</strong> - <strong>bones</strong> <strong>rigidly</strong> <strong>connected</strong> <strong>by</strong><strong>sutures</strong> <strong>to</strong> <strong>protect</strong> <strong>brain</strong>, <strong>attach</strong> move eyesSuturesLook likeCracksInBoneOUTLINEI. CALVARIUMII. SCALPIII. CRANIALNERVESIV. LANDMARKS/BONES OF <strong>SKULL</strong>V. CRANIALCAVITYForamina inSkull sessions


USEFUL WEBSITE ON <strong>SKULL</strong> ANATOMYhttp://www.gwc.maricopa.edu/class/bio201/skull/skulltt.htm


<strong>SKULL</strong> - <strong>bones</strong> <strong>rigidly</strong> <strong>connected</strong> <strong>by</strong><strong>sutures</strong> <strong>to</strong> <strong>protect</strong> <strong>brain</strong>, <strong>attach</strong> move eyesI. CALVARIUM= <strong>SKULL</strong> CAP-Consists of<strong>bones</strong> linked<strong>by</strong> <strong>sutures</strong>FRONTAL(1)


PARIETAL (2)BONES OF CALVARIUMFRONTAL(1)SPHENOID (1)OCCIPITAL (1)NOSETEMPORAL (2)


B. SUTURES1. CORONALSUTURE2. SAGITTALSUTURE3. LAMBDOIDALSUTURENOSEC. LANDMARKS1. BREGMA - MIDPOINT OF CORONALSUTURE2. LAMBDA - MIDPOINT OFLAMBDOIDALSUTURE


CORONAL SUTURELANDMARKSNOSE3. PTERION- JUNCTION OFTEMPORALSPHENOIDPARIETAL &FRONTAL BONES


D. FONTANELLES – MEMBRANES LINKBONES AT BIRTH- FONTANELLES PERMITCRANIALCOMPRESSION ATBIRTH - CRANIALGROWTH1. ANTERIORFONTANELLEAT BREGMA3. LATERALFONTANELLEAT PTERION2. POSTERIORFONTANELLE -AT LAMBDA


E. INTERNAL STRUCTURE OF CALVARIUMOUTERINNERMIDDLE1. INNER & OUTER TABLES - HARDCORTICAL BONEMIDDLE LAYER - SOFT SPONGY BONECALLED DIPLOE (DOUBLE IN GREEK)


2. DIPLOIC VEINSCOURSE INDIPLOE -CONNECT BOTHTO CRANIALCAVITY &SURFACE OF<strong>SKULL</strong>- CAN TRANSMIT INFECTION FROM SCALP TOBRAIN VIA EMISSARY VEINS


F. BLOOD SUPPLY TO CALVARIUM1) OUTER SURFACE –ARTERIES TO SCALP2) INNER SURFACE-MENINGEAL ARTERIESCOURSE NEXT TOBONE;MISNAMED - SOUNDLIKE SUPPLYMENINGES- MOSTBLOOD TO BONES


II. SCALPA. LAYERSSCAL1. SKIN – HAIR, SWEAT ANDSEBACEOUS GLANDS2. CONNECTIVE TISSUE –SURROUND ARTERIES3. EPICRANIAL APONEUROSIS –TENDINOUS SHEET, ATTACHES TOSCALP MUSCLES; MOVEABLEANTERIOR AND POSTERIOR;LATERAL ATTACHES TOTEMPORALIS FASCIA4. LOOSE AREOLAR TISSUE-LOOSELY CONNECTSAPONEUROSIS & PERIOSTEUMCROSSED BY EMISSARY VIENS5. PERIOSTEUM (PERICRANIUM) CTLAYER ON OUTER SIDE OFCALVARIUMSCALPING SOMEONE 1)REMOVE SCALP BETWEEN 3 AND 4;2)SAVE AS SOUVENIRP


B. NERVES OF SCALP- BRANCHES OFTRIGEMINAL (V) & CERVICAL SPINAL NERVESV1- SUPRAORBITAL N.SUPRATROCHLEAR N.NOSEV2 – ZYGOMATICO-TEMPORAL N.V3 – AURICULO-TEMPORAL N.LESSER OCCIPITALN. - C2 VENTRALRAMUSGREATER OCCIPIAL N. -C2 DORSAL RAMUS


C. ARTERIES OF SCALP- RICH SUPPLY FROM BRANCHES OF INTERNAL & EXTERNALCAROTID; EXTENSIVE ANASTOMOSES - SCALP WOUNDBLEEDS PROFUSELY FROM BOTH SIDES OF CUT1. br. of OPHTHALMIC:SUPRAORBITAL A.,SUPRATROCHLEAR A2. br. of EXTERNAL CAROTID:SUPERFICIAL TEMPORAL A.,POSTERIOR AURICULAR A.,OCCIPITAL A.


D. VEINS OF SCALP – SAME NAMES AS ARTERIESALSO EMISSARYVEINS drain <strong>to</strong>DIPLOIC VEINS INDIPLOE


LEARNNAMES,NUMBERS


II. LANDMARKS AND BONES1. FRONT OF <strong>SKULL</strong>FRONTAL BONE (1)NASAL BONES (2)ORBITEYESOCKETNASALAPERTUREZYGOMATIC BONE (2)-FORMS CHEEKMAXILLARY BONE (2)-ALVEOLAR PROCESSFOR UPPER TEETHMANDIBLE(1)-ALVEOLARPROCESS FOR LOWERTEETH


1. FRONT OF <strong>SKULL</strong>INFRAORBITAL FORAMEN - INMAXILLARY BONEMENTAL FORAMEN- INMANDIBLE BELOW SECONDPREMOLAR TOOTH


2. LATERAL VIEW OF <strong>SKULL</strong>ZYGOMATIC ARCH-1)ZYGOMATIC BONE2)MAXILLARY BONE-ZYGOMATIC PROCESS3)TEMPORAL BONE-ZYGOMATIC PROCESSTEMPORAL BONE - PARTS1)MASTOID PROCESS - hard2)SQUAMOUS PART- flat3)TYMPANIC PART - ANT. TOEXTERNAL AUDITORYMEATUS4)PETROUS PART – inside skullTEMPORO-MANDIBULAR JOINT-FROM RAMUS OF MANDIBLE


3. POSTERIOR VIEW OF <strong>SKULL</strong>OCCIPITAL BONEEXTERNAL OCCIPITALPROTUBERANCESUPERIOR ANDINFERIORNUCHAL LINES


4. BASE OF <strong>SKULL</strong> - COMPLEXC)HARD PALATE-PALATINE BONES &PALATINE PROCESS OFMAXILLARY BONESSTYLOIDPROCESSOCCIPITALCONDYLEFORAMENMAGNUMA) TEMPORAL BONE-HAS STYLOIDPROCESS- MUSCLEATTACHB) OCCIPITAL BONE-HAS FORAMENMAGNUM- SPINALCORD; OCCIPITALCONDYLES- FOR C1-ATLAS


1. SPHENOID BONE – ‘CORE’ OF <strong>SKULL</strong>2)SPINE OFSPHENOID -INFERIOR SIDEATTACH LIGAMENTLATERAL &MEDIALPTERYGOIDPLATES -MUSCLEATTACH


SPHENOID BONE-INSIDE <strong>SKULL</strong>forms parts of allcranial fossae; has:LESSER WINGOF SPHENOIDGREATER WINGSELLA TURCICAi) Lesser Wing abovesuperior orbitalfissure;ii) Greater Wingbelowsuperiororbital fissureextends laterally;iii) Sella Turcica-(turkish saddle)depression abovemain part (body)


GREATERWING OFSPHENOID-LATERALSIDE OF<strong>SKULL</strong>


V. CRANIAL CAVITY- DIVIDED INTODEPRESSIONS (FOSSAE)ANTERIOR CRANIALFOSSA (ROOF OFNASAL CAVITY, ORBIT)MIDDLE CRANIALFOSSA (ORBIT, NASALCAVITY, FACE)POSTERIOR CRANIALFOSSA (FACE, ORALCAVITY, NECK)


ANTERIOR CRAN. FOSSA -FORMED:FRONTAL, ETHMOID, SPHENOID;CONTAINS: CNI (CRIBRIFORMPLATE), FRONTAL LOBES,OLFACTORY BULBMIDDLE CRAN. FOSSA -FORMED:SPHENOID, TEMPORAL, PARIETAL ;CONTAINS: CNII-VI -TEMPORALLOBES -PITUITARY & BRAIN STEMPOSTERIOR CRAN FOSSA -FORMED: SPHENOID, TEMPORAL,OCCIPITAL, PARIETAL;CONTAINS - CNVII-XII -CEREBELLUM, BRAINSTEM -FORAMEN MAGNUM TRANSMITSSPINAL CORD, VERTEBRALARTERIES


Skin Face- Both SidesStay as Superficial as possibleAroundEyesAroundLipsTo Lower Edge MandibleNot Neck


Peel MusclesFrom Skull OnBack Of NeckExpose JointOccip-C1Before you Leave – Make IncisionAround Head, Above Ears

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