Ako at Aking Sarili

CLINICAL ANATOMY OF THE HEAD

Chovanec M1,2
1Department

of otorinolaryngology and head and neck surgery, 1st medical faculty Charles university, Faculty hospital Motol 2Institute of anatomy, 1st medical faculty, Charles university

Head – palpation
frontal t. glabella supraorbital m. frontozygomatic s. supraorbital and supratrochelar i. ant. lacrimal c., med. palp. ligament infraorbital m., zygomaticomaxillar s. ant. nasal sp., piriform ap. infrazygomatic c. canine f. alveolar juga mandibular ang. body of mandible mental prot. mental tub.

Head – palpation
supraorbital m. frontal t. zygomaticum bone zygomatic arc parietal t.

ext. occip crest mastoid pr. mandibular ramus mandibular angle infrazygomatic cr. mental tub. mental prot.

Arteries of the head
Bleeding - compression facial a. superf. temporal a.

Arteries of the head
bleeding - compression gret. palatine a. inf. alveolar a. – alveolus pterygoid v. plexus

Arteries of the head
bleeding - ligation lingual a. (Pirogov´s tr. Béclard´s ang) facial a. (submandibular tr.) maxillary a. (infratemporal f.) ext. carotid a. (carotic tr.) comon carotid a. (arterial circle of Willis!)

comon carotid a. (compression – carotic tr. - transv. pr. C6)

Arteries of the head

skin incisions

arteries and nerves of the scalp
1 - supratrochlear a. 2 - supraorbital a. 3 - superf. temporal a. 4 - post. auricular a. 5 - occipital a. 6 - tert. occipital n. 7 - great. occipitali n. 8 - lesser occiptal n. 9 -auriculotemporali n. 10 - zygomaticotemporali n. 11 - supraorbital n. 12 - supratrochlear n.

Arteries of the head

facial a.

ext. jugular v. microvascular reconstruction (rect. abdominis free flap)

Arteries of the head
CAVE:! anastomoses ext. and int. carotid aa. supratrochl. a./angular a. vidian a.

Angiofibroma of nasopharynx (sphenopalatine f.) maxillary a. angiography and embolization

Veins of the head

venous anastomoses (spread of infection)
facial v. ●...