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.
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. ●...
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