Wednesday, November 7, 2007

NERVE SUPPLY OF SCALP

NERVE SUPPLY OF SCALP

NERVES IN FRONT OF AURICLE

A. SENSORY NERVE

- derived from trigeminal nerve ( 5th cranial nerve )

SUPRATROCHLEAR N

SURAORBITAL N

Origin

branch from ophthalmic division of trigeminal N

Course

Leave orbit

SUPRATROCHLEAR

SURAORBITAL

*smaller

*reach scalp through superomedial angle of orbit.

*bigger

*reach scalp through supraorbital notch or foramen.

Supply

*anterior part of scalp

*upper eye lid

SUPRATROCHLEAR

SURAORBITAL

Skin of forehead, near the median plane.

Skin of scalp till the lomboid sature.

AURICULOTEMPORAL

N

Origin

Mandibular division of trigeminal N

Course

*Leave upper end of parotid gland

*pass upward in front of auricle

-cross root of zygomatic arch.

Supply

*Skin of posterior part of temple.

*upper 2/3 of lateral surface of auricle.

ZYGOMATICOTEMPORAL

NERVE

Origin

Branch from maxillary N

Course

Pass through zygomaticotemporal foramen

Supply

Anterior part of temple

- side of scalp

B. MOTOR NERVE

TEMPORAL BRANCH OF FACIAL NERVE

Course

*Leave upper part of parotid gland

*cross zygomatic arch to reach the scalp

Supply

*frontal belly of occipitofrontalis muscle

*upper part of orbicularis occuli muscle.


NERVE BEHIND AURICLE

A. SENSORY NERVE

NERVE

SUPPLY

Greater occipital nerve ( C2 )

Upper part of back of scalp

Lesser occipital nerve ( C2 )

*a small area of back of scalp

- near upper part of auricle

Third occipital nerve ( C3 )

*lower part of back of scalp

*upper part of back of neck

Great auricle nerve ( C2-C3 )

A small area of back of scalp

-near the lower part of auricle

B. MOTOR NRVE

NERVE

SUPPLY

Posterior auricular branch of facial nerve

Occipital belly occipitofrantalis muscle

NERVE SUPPLY OF FACE

A. MOTOR SUPPLY – from facial nerve

- facial nerve enter the parotid gland

- it ends by dividing into 5 terminal branches

Course

Supply

Temporal branch

Leaves upper end of anterior border of parotid gland.

*Frontal belly of occipito-frontalis M

*Orbicularis occuli M

Zygomatic branch

-upper

-lower

*Emerge from anterior border of parotid gland

*the muscle present between eye and mouth and the muscle of the nose.

Orbicularis occuli M

Buccal branch

*baccinator M

*orbicularis oris M

Mandibular branch

*orbicularis oris M

*muscle of lower lip

cervical branch

Emerge from lower end of parotid gland

Platysma

B. SENSORY SUPPLY

1. from trigeminal nerve

2. great auricular nerve ( C2-C3 )

- small area covering the angle of mandible

- the parotid gland

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