1. The fourth layer or loose
areolar tissue is called "dangerous area" of scalp.
2. Facial muscles are derived from
mesoderm of second brachial arch and are supplied by facial nerve.
3. Chief artery of the face is
facial artery. It also receives blood supply by transverse facial artery which
is a branch of superficial temporal artery.
4. Facial vein is the chief vein
of face. Its connections are:
a) Joins anterior division of retromandibular vein to form common facial vein which drains into the internal jugular vein.
b) Deep connection between
supraorbital and superior ophthalmic vein.
c) It communicates with the
pterygoid plexus through the deep facial vein. Through this connection, it
communicates with cavernous sinus.
5. The following glands are present in the
eyelids or palpebra
a) Sebaceous glands of cilia- Zeiss glands
b) Sweat glands of cilia- Moil's glands
c) Sebaceous glands of tarsi- tarsal glands or meibomian glands.
6. Carotid sheath is a condensation of
fibroareolar tissue. The contents of it include:
a) Common and internal carotid artery
b) Internal Jugular vein
c) Vagus nerve
7. Sternocleidomastoid muscle is called the muscle of neck. It divides neck into anterior and posterior triangles.
8. Anterior triangle is subdivided by the digastric and superior belly of omohyoid into:
a) Submental
b) Digastric
c) Carotid
d) Muscular triangle
9. The contents of parotid gland are ECA, retromandibular vein, facial nerve,
10. Branches of external carotid artery
(ECA)
Anterior
branches: Superior thyroid, lingual and facial
Posterior
branches: Occipital and posterior auricular
Medial branch:
Ascending pharyngeal
Terminal
branches: Maxillary and superficial temporal
11. Tonsil is the only lymphoid tissue of body which is lined by squamous epithelium
12. Sympathetic ganglion of neck
Superior
cervical ganglion: Largest of all formed by C1, C2, C3,
C4.
Middle cervical
ganglion: Fusion of C5 and C6.
Inferior
cervical ganglion: Known as thoracocervical (stellate) ganglion formed by fusion
of C7, C8 and T1.
13. Brain is covered by (D.A.P)
a) Dura mater: Outermost and
thickest of all the layers. It encloses cranial venous sinuses. It has distinct
blood supply and so also the nerve supply.
b) Arachnoid: Middle layer arachnoid
is separated from dura mater by subdural space, subarachnoid space contains CSF
and it separates arachnoid and pia mater.
c) Pia mater: Innermost layer of brain.
14. The different folds of dura mater
are
a) Falx cerebri: Sickle shaped fold
of dura mater encloses straight sinus and inferior sagittal sinus in its
posterior 2/3 rd.
b) Tentorium cerebelli: Tent shaped
fold of dura mater encloses transverse and superior petrosal sinus. It also
forms the trigeminal/Meckel's cave in which trigeminal or gasserian ganglion is
present.
c) Falx cerebelli: Sickle shaped
encloses occipital sinus.
d) Diaphragm sellae: Forms the roof
of hypophyseal fossa.
15. Cavernous sinus
a) Large venous sinus in middle cranial
fossa one on either side of body of the sphenoid bone.
b) The structures which pass through the
cavernous sinus are:
Oculomotor, trochlear,
ophthalmic and maxillary nerves in the lateral wall
ICA, and abducent nerve in the
centre of sinus: (3,4,5,6 - nerves)
16. Length of trachea is 10-15 cm and width is 3 mm at 1 year of age and corresponds to the age in years during childhood with maximum of 12 mm in adults. Tracheostomy is an emergency operation done at retrothyroid region by cutting the isthmus of thyroid gland. A suprathyroid tracheostomy is liable to structure and infrathyroid is difficult due to depth of trachea and dangerous as numerous vessels lie anterior to it.
17. Spinal cord gives rise to 31 pairs of spinal nerves, 8 cervical, 12 thoracic, 5 lumbar, 5 sacral and 1 coccygeal.
18. The cranial cavity contains brain and meninges. The meninges are:
Dura mater has outer endosteal and inner meningeal layers. The two layers are fused to each other at all places except where the cranial venous sinuses are enclosed between them. Dura mater is separated from arachnoid membrane by subdural space. The arachnoid is separated from pia mater by subarachnoid space. That is filled with cerebrospinal fluid (CSF).
19. Free nerve endings - pain
20. Cervical parts of right and left sympathetic trunks are situated one on each side of the cervical part of the vertebral column.
Origin: From fibres of T1 to T4 of spinal cord that ascend into the neck. Due to fusion of three ganglia superior, middle, inferior branches of superior ganglia:
a) To ventral rami of upper four cervical
nerves
b) Plexus around internal carotid artery. A
part of this plexus supplies to dilator pupillae.
c) Plexus around external carotid artery.
d) Pharyngeal branches form pharyngeal
plexus.
e) Left superior cervical cardiac goes to
superficial cardiac plexus while the right goes
deep cardiac plexus.
Middle cervical ganglion: Formed by 5th & 6th cervical ganglia
Branches: Branches to ventral rami of 5th
& 6th cervical nerves, thyroid, parathyroid, tracheal, oesophageal and to
deep cardiac plexus.
Inferior cervical ganglia: Formed by fusion with first thoracic ganglion and 7 and 8 cervical ganglions is called stellate ganglion.
Branches: To ventral rami of C7 & C8 plexus around vertebral artery and Subclavian artery deep cardiac plexus.
21. Facial vein is the largest vein of face. It begins as angular vein by the union of supratrochlear and supraorbital vein and continues as facial vein that joins the retro mandibular vein which drains into Internal jugular vein.
Facial vein communicates to the cavernous sinus through pterygoid, plexus (to which it is connected by deep facial vein) and supraorbital and superior ophthalmic vein.