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Scalp
Made of skin and subcutaneous tissue
5 Layers S.C.A.L.P:
Skin (thin)
Connective tissue (dense)
Aponeurosis (tendonous)
Loose connective tissue (spongelike)
Pericranium (dense)

Skin
Thin, blood vessels and nerves

Connective tissue
Dense, lots of blood vessels and nerves
Connects skin to aponeurosis
Scalp blood vessels are firmly attached to the dense connective tissue, so when cut, they cannot constrict normally. Combined with the scalp’s rich blood supply, this causes profuse bleeding.


Aponeurosis
Strong thin tendon sheet
Attachment of occipital and frontalis

Loose connective tissue
Spongelike layer
Contains emissary veins (small) that connect extra cranial veins in scalp to dural venous sinuses…emissary veins potential pathways for infection to spread into intracranial space

Pericranium
Dense connective tissue
Periosteum (tough, thin layer of connective tissue that covers bone) that covers cranial bones

Scalp blood supply
Braches of the external carotid artery
Superficial temporal artery
Occipital artery
Posterior auricular artery
Drainage of blood by same named veins and exit via the external jugular vein

Scalp nerves
Trigeminal (CN V) nerve branches
Cervical nerves

Muscles of facial expression
All innervated (supplied/controlled) by facial nerve (CN VII)
Occipitofrontalis (frontal belly)
Orbicularis oculi
Orbicularis oris
Zygomaticus minor
Zygomaticus major
Depressor anguli oris
Platysma

Occipitofrontalis/Fronal belly
Origin: aponeurosis (wide flat tendon sheet that connects the frontal belly to occipital belly), front of scalp
Insertion: skin overlying frontal bone and root of nose
Action: raises eyebrows and wrinkles forehead


Orbicularis Oculi (orbital sphincter)
Action: winks and closes eyes


Orbicularis Oris (oral sphincter)
Action: kiss/pucker lips
(No origin & insertion on test because too many)


Zygomaticus major
Origin: zygomatic bone (lateral)
Insertion: angle of the mouth
Action: lifts upper lips and angle of mouth = smile


Zygomaticus minor
Origin: zygomatic bone (medial)
Insertion: upper lip
Action: lifts upper lip and angle of mouth = smile


Depressor anguli oris
Origin: body of mandible
Insertion: inferior border of orbicularis oris
Action: lowers angle of mouth = frown/sad


Platysma
Extremely thin tissue, very difficult to disect
Origin: subcutaneous fascia of upper chest
Insertion: subcutaneous fascia of mandible and skin of cheek/lower lip
Action: tenses skin of inferior face and neck
