Epicranial aponeurosis

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Epicranial aponeurosis
1106 Side Views of the Muscles of Facial Expressions numbered.jpg
Muscles of the head, face, and neck. (Epicranial aponeurosis visible at top labeled 1.)
Details
System Skeletal
Identifiers
Latin galea aponeurotica,
aponeurosis epicranialis,
aponeurosis epicrania
TA98 A04.1.03.007
TA2 2059
FMA 46768
Anatomical terminology

The epicranial aponeurosis (aponeurosis epicranialis, galea aponeurotica) is an aponeurosis (a tough layer of dense fibrous tissue). It covers the upper part of the skull in humans and many other animals.

Contents

Structure

In humans, the epicranial aponeurosis originates from the external occipital protuberance and highest nuchal lines of the occipital bone. [1] It merges with the occipitofrontalis muscle. In front, it forms a short and narrow prolongation between its union with the frontalis muscle (the frontal part of the occipitofrontalis muscle).

On either side, the epicranial aponeurosis attaches to the anterior auricular muscles and the superior auricular muscles. Here it is less aponeurotic, and is continued over the temporal fascia to the zygomatic arch as a layer of laminated areolar tissue.

It is closely connected to the integument by the firm, dense, fibro-fatty layer which forms the superficial fascia of the scalp. It is attached to the pericranium by loose cellular tissue, which allows the aponeurosis, carrying with it the integument, to move through a considerable distance.

Clinical significance

Subgaleal haemorrhage is defined as bleeding between the epicranial aponeurosis and the skull. [2] Conservative management is usually appropriate for these, as there is little risk of further damage to surrounding structures. [2]

History

The epicranial aponeurosis is also known as the aponeurosis epicranialis (from Latin),[ citation needed ] and the galea aponeurotica. [2]

Additional images

See also

Related Research Articles

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The nuchal lines are four curved lines on the external surface of the occipital bone:

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The posterior auricular nerve is a nerve of the head. It is a branch of the facial nerve. It communicates with branches from the vagus nerve, the great auricular nerve, and the lesser occipital nerve. Its auricular branch supplies the posterior auricular muscle, the intrinsic muscles of the auricle, and gives sensation to the auricle. Its occipital branch supplies the occipitalis muscle.

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<span class="mw-page-title-main">Superior auricular muscle</span> Muscle that draws the auricle of the outer ear upwards

The superior auricular muscle is a muscle above the auricle of the outer ear. It originates from the epicranial aponeurosis, and inserts into the upper part of the medial surface of the auricle. It draws the auricle upwards.

<span class="mw-page-title-main">Anterior auricular muscle</span> Muscle connectingthe epicranial aponeurosis to the helix of the ear

The anterior auricular muscle, the smallest of the three auricular muscles, is thin and fan-shaped, and its fibers are pale and indistinct. It arises from the lateral edge of the epicranial aponeurosis, and its fibers converge to be inserted into a projection on the front of the helix.

Scalp reconstruction is a surgical procedure for people with scalp defects. Scalp defects may be partial or full thickness and can be congenital or acquired. Because not all layers of the scalp are elastic and the scalp has a convex shape, the use of primary closure is limited. Sometimes the easiest way of closing the wound may not be the ideal or best way. The choice for a reconstruction depends on multiple factors, such as the defect itself, the patient characteristics and surgeon preference.

References

PD-icon.svgThis article incorporates text in the public domain from page 380 of the 20th edition of Gray's Anatomy (1918)

  1. Cunningham, Craig; Scheuer, Louise; Black, Sue (2016). "5 - The Skull". Developmental juvenile osteology (2nd ed.). Amsterdam: Academic Press. pp. 43–148. doi:10.1016/B978-0-12-382106-5.00005-0. ISBN   978-0-12-382107-2. OCLC   956277358.
  2. 1 2 3 Stewart, Christopher C. (2007). "143 - Neurosurgical Issues". Comprehensive Pediatric Hospital Medicine. Philadelphia: Mosby. pp. 908–914. doi:10.1016/B978-032303004-5.50147-2. ISBN   978-0-323-07040-9. OCLC   324998103.