Supratrochlear
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Supratrochlear
The supratrochlear nerve is a branch of the frontal nerve, itself a branch of the ophthalmic nerve (CN V1) from the trigeminal nerve (CN V). It provides sensory innervation to the skin of the forehead and the upper eyelid. Structure The supratrochlear nerve is a branch of the frontal nerve, itself a branch of the ophthalmic nerve (CN V1) from the trigeminal nerve (CN V). It is smaller than the supraorbital nerve from the frontal nerve. It branches midway between the base and apex of the orbit. It passes above the trochlea of the superior oblique muscle. It then travels anteriorly above the levator palpebrae superioris muscle. It exits the orbit through the frontal notch in the superomedial margin of the orbit. It then ascends onto the forehead beneath the corrugator supercilii muscle and frontalis muscle. It then divides into sensory branches. The supratrochlear nerve travels with the supratrochlear artery, a branch of the ophthalmic artery. Function The supratrochlear ner ...
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Supratrochlear Artery
The supratrochlear artery (or frontal artery) is one of the terminal branches of the ophthalmic artery. It arises within the orbit. It exits the orbit alongside the supratrochlear nerve. It contributes arterial supply to the skin, muscles and pericranium of the forehead. Anatomy It branches from the ophthalmic artery near the trochlea of the superior oblique muscle in the orbit. Origin The supratrochlear artery branches from the ophthalmic artery in the orbit near the trochlea of the superior oblique muscle. Course After branching from the ophthalmic artery, it passes anteriorly through the superomedial orbit. It travels medial to the trochlear nerve. With the supratrochlear nerve, the supratrochlear artery exits the orbit through the supratrochlear notch (variably present), medial to the supraorbital foramen. It then ascends on the forehead. Anastomoses The supratrochlear artery anastomoses with the contralateral supratrochlear artery, and the ipsilateral supraorbital ar ...
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Scalp
The scalp is the anatomical area bordered by the human face at the front, and by the neck at the sides and back. Structure The scalp is usually described as having five layers, which can conveniently be remembered as a mnemonic: * S: The skin on the head from which head hair grows. It contains numerous sebaceous glands and hair follicles. * C: Connective tissue. A dense subcutaneous layer of fat and fibrous tissue that lies beneath the skin, containing the nerves and vessels of the scalp. * A: The aponeurosis called epicranial aponeurosis (or galea aponeurotica) is the next layer. It is a tough layer of dense fibrous tissue which runs from the frontalis muscle anteriorly to the occipitalis posteriorly. * L: The loose areolar connective tissue layer provides an easy plane of separation between the upper three layers and the pericranium. In scalping the scalp is torn off through this layer. It also provides a plane of access in craniofacial surgery and neurosurgery. This layer i ...
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Frontalis Muscle
The frontalis muscle () is a muscle which covers parts of the forehead of the skull. Some sources consider the frontalis muscle to be a distinct muscle. However, Terminologia Anatomica currently classifies it as part of the occipitofrontalis muscle along with the occipitalis muscle. In humans, the frontalis muscle only serves for facial expressions. The frontalis muscle is supplied by the facial nerve and receives blood from the supraorbital and supratrochlear arteries. Structure The frontalis muscle is thin, of a quadrilateral form, and intimately adherent to the superficial fascia. It is broader than the occipitalis and its fibers are longer and paler in color. It is located on the front of the head. The muscle has no bony attachments. Its medial fibers are continuous with those of the procerus; its intermediate fibers blend with the corrugator and orbicularis oculi muscles, thus attached to the skin of the eyebrows; and its lateral fibers are also blended with the latter mus ...
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Supraorbital Nerve
The supraorbital nerve is one of two branches of the frontal nerve, itself a branch of the ophthalmic nerve. The other branch of the frontal nerve is the supratrochlear nerve. Structure The supraorbital nerve branches from the frontal nerve midway between the base and apex of the orbit. It travels anteriorly above the levator palpebrae superioris and exits the orbit through the supraorbital foramen (or notch) in the superior margin orbit. It exits the orbit lateral to the supratrochlear nerve. It then ascends onto the forehead beneath the corrugator supercilii and frontalis muscles and divides into a medial branch and lateral branch. Function The supraorbital nerve provides sensory innervation to the skin of the lateral forehead and upper eyelid, as well as the conjunctiva of the upper eyelid and mucosa of the frontal sinus The frontal sinuses are one of the four pairs of paranasal sinuses that are situated behind the brow ridges. Sinuses are mucosa-lined airspaces within the ...
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Frontal Nerve
The frontal nerve is the largest branch of the ophthalmic nerve (V1), itself a branch of the trigeminal nerve (CN V). It supplies sensation to the skin of the forehead, the mucosa of the frontal sinus, and the skin of the upper eyelid. It may be affected by schwannoma. Structure The frontal nerve is a branch of the ophthalmic nerve (V1), itself a branch of the trigeminal nerve (CN V). The frontal nerve branches immediately before entering the superior orbital fissure. In then travels superolateral to the annulus of Zinn between the lacrimal nerve and inferior ophthalmic vein. After entering the orbit it travels anteriorly between the roof periosteum and the levator palpebrae superioris. Midway between the apex and base of the orbit it divides into two branches, the supratrochlear nerve and supraorbital nerve. Functions The two branches of the frontal nerve provide sensory innervation to the skin of the forehead, mucosa of the frontal sinus (an air sinus), and the skin of t ...
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Frontal Nerve
The frontal nerve is the largest branch of the ophthalmic nerve (V1), itself a branch of the trigeminal nerve (CN V). It supplies sensation to the skin of the forehead, the mucosa of the frontal sinus, and the skin of the upper eyelid. It may be affected by schwannoma. Structure The frontal nerve is a branch of the ophthalmic nerve (V1), itself a branch of the trigeminal nerve (CN V). The frontal nerve branches immediately before entering the superior orbital fissure. In then travels superolateral to the annulus of Zinn between the lacrimal nerve and inferior ophthalmic vein. After entering the orbit it travels anteriorly between the roof periosteum and the levator palpebrae superioris. Midway between the apex and base of the orbit it divides into two branches, the supratrochlear nerve and supraorbital nerve. Functions The two branches of the frontal nerve provide sensory innervation to the skin of the forehead, mucosa of the frontal sinus (an air sinus), and the skin of t ...
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Ophthalmic Artery
The ophthalmic artery (OA) is an artery of the head. It is the first branch of the internal carotid artery distal to the cavernous sinus. Branches of the ophthalmic artery supply all the structures in the orbit around the eye, as well as some structures in the nose, face, and meninges. Occlusion of the ophthalmic artery or its branches can produce sight-threatening conditions. Structure The ophthalmic artery emerges from the internal carotid artery. This is usually just after the internal carotid artery emerges from the cavernous sinus. In some cases, the ophthalmic artery branches just before the internal carotid exits the cavernous sinus. The ophthalmic artery emerges along the medial side of the anterior clinoid process. It runs anteriorly, passing through the optic canal inferolaterally to the optic nerve. It can also pass superiorly to the optic nerve in a minority of cases. In the posterior third of the cone of the orbit, the ophthalmic artery turns sharply and medially t ...
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Supraorbital Artery
The supraorbital artery is a branch of the ophthalmic artery. It passes anteriorly within the orbit to exit the orbit through the supraorbital foramen or notch alongside the supraorbital nerve, splitting into two terminal branches which go on to form anastomoses with arteries of the head. Structure Origin The supraorbital artery arises from the ophthalmic artery. Course and relations It travels anteriorly in the orbit by passing superior to the eye and medial to the superior rectus and levator palpebrae superioris. It then joins the supraorbital nerve to jointly pass between the periosteum of the roof of the orbit and the levator palpebrae superioris towards the supraorbital foramen or notch. After passing through the supraorbital foramen or notch, it often splits into a superficial branch and a deep branch. Distribution The supraorbital artery contributes arterial supply to: the superior rectus muscle, superior oblique muscle, levator palpebrae muscles, periorbita, th ...
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Ophthalmic Nerve
The ophthalmic nerve (V1) is a sensory nerve of the face. It is one of three divisions of the trigeminal nerve (CN V). It has three branches that provide sensory innervation to the eye, the skin of the upper face, and the skin of the anterior scalp. Structure The ophthalmic nerve is the first branch of the trigeminal nerve (CN V). It is joined by filaments from the cavernous plexus of the sympathetic, and communicates with the oculomotor, trochlear, and abducent nerves. It gives off a recurrent (meningeal) filament which passes between the layers of the tentorium. Branches The ophthalmic nerve divides into three major branches as it passes through the superior orbital fissure. *The nasociliary nerve gives off several sensory branches to the orbit. It then continues out through the anterior ethmoidal foramen, where it enters the nasal cavity. It provides innervation for much of the anterior nasal mucosa. It also gives off a branch which exits through the nasal bones to form ...
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Upper Eyelid
An eyelid is a thin fold of skin that covers and protects an eye. The levator palpebrae superioris muscle retracts the eyelid, exposing the cornea to the outside, giving vision. This can be either voluntarily or involuntarily. The human eyelid features a row of eyelashes along the eyelid margin, which serve to heighten the protection of the eye from dust and foreign debris, as well as from perspiration. "Palpebral" (and "blepharal") means relating to the eyelids. Its key function is to regularly spread the tears and other secretions on the eye surface to keep it moist, since the cornea must be continuously moist. They keep the eyes from drying out when asleep. Moreover, the blink reflex protects the eye from foreign bodies. The appearance of the human upper eyelid often varies between different populations. The prevalence of an epicanthic fold covering the inner corner of the eye account for the majority of East Asian and Southeast Asian populations, and is also found in ...
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Eyelid
An eyelid is a thin fold of skin that covers and protects an eye. The levator palpebrae superioris muscle retracts the eyelid, exposing the cornea to the outside, giving vision. This can be either voluntarily or involuntarily. The human eyelid features a row of eyelashes along the eyelid margin, which serve to heighten the protection of the eye from dust and foreign debris, as well as from perspiration. "Palpebral" (and "blepharal") means relating to the eyelids. Its key function is to regularly spread the tears and other secretions on the eye surface to keep it moist, since the cornea must be continuously moist. They keep the eyes from drying out when asleep. Moreover, the blink reflex protects the eye from foreign bodies. The appearance of the human upper eyelid often varies between different populations. The prevalence of an epicanthic fold covering the inner corner of the eye account for the majority of East Asian and Southeast Asian populations, and is also found i ...
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Conjunctiva
The conjunctiva is a thin mucous membrane that lines the inside of the eyelids and covers the sclera (the white of the eye). It is composed of non-keratinized, stratified squamous epithelium with goblet cells, stratified columnar epithelium and stratified cuboidal epithelium (depending on the zone). The conjunctiva is highly vascularised, with many microvessels easily accessible for imaging studies. Structure The conjunctiva is typically divided into three parts: Blood supply Blood to the bulbar conjunctiva is primarily derived from the ophthalmic artery. The blood supply to the palpebral conjunctiva (the eyelid) is derived from the external carotid artery. However, the circulations of the bulbar conjunctiva and palpebral conjunctiva are linked, so both bulbar conjunctival and palpebral conjunctival vessels are supplied by both the ophthalmic artery and the external carotid artery, to varying extents. Nerve supply Sensory innervation of the conjunctiva is divided into ...
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