004头部PPT.pptVIP

颈外动脉、耳颞神经 “parotid bed” Glossopharyngeal n. Vagus n. Accessory n. Hypoglossal n. styloid process and its attached m. Internal jugular v. Internal carotid a. Stylopharyngeus m. Styloglossus m. Stylohyoid m. 5. 腮腺的毗邻 relation of parotid gland 腮腺的毗邻 咬肌及其浅面的结构 咬肌、咬肌筋膜、咬肌神经 面神经 面横血管 腮腺管 腮腺浅部 二、面侧深区结构The deep structures of the lateral face 位置与境界 location and boundary 翼内、外肌medial and lateral pterygoid musceles 翼静脉丛 pterygoid venous plexus 上颌动脉 maxillary artery and its branches 下颌神经 mandibular nerve 颞下窝 boundaris of infratemporal fossa 上界：蝶骨大翼的颞下面。superiorly - the infratemporal surface of the greater wing of the sphenoid bone and a portion of the squamous part of the temporal bone. 内侧界：蝶骨的翼突外侧板。Medially- the outer plate of the pterygoid process of the sphenoid bone 外侧界：下颌支的上部和颧弓。laterally- the upper portion of the ramus of mandible and the zygomatic arch 前界：颧骨的下部和上颌骨的颞下面。Anteriorly-the lower portion of the zygomatic bone and the infratemporal surface of the maxillary bone. 翼内、外肌 翼静脉丛 Pterygoid venous plexus上颌静脉Maxillary vein 局部解剖学 头部的局部解剖与操作 头部 head 　颅　部 颅顶 额顶枕区　 frontoparietooccipital region 颞区 temporal region 颅底与颅腔及其内容物 　面　部 面浅部　 superficial part of the face 腮腺咬肌区 Parotid and masseteric region 面深部 deep part of the face 一、概 述 境界与分区 Boundary and region of head 表面解剖 体表标志 surface landmark 体表投影 surface projection 境 界 与 分 区 表面解剖 Pterion Zygomatic arch Angle of mandible Mastoid process External occipital protuberance Temporal line superior Eyebrow 体 表 投 影 Surface projection 1.Middle meningeal a. 2.Central sulcus 3.Lateral sulcus 二、颅　顶 额顶枕区软组织的层次及其特点 颞区软组织的层次及其特点 （一）Layers of Scalp (Frontal Section) Skin 皮肤 Connective tissue 结缔组织 Aponeurosis 帽状腱膜 Loose connective tissue 疏松结缔组织 Pericarnium 骨膜 浅筋膜内的血管神经 分组 行径与分布特点及其临床意义 Layers of Scalp (lateral aspect ) （二）Layers of Temporal Region 1. 皮肤 skin 2. 浅筋膜 Superficial fascia 3. 颞筋膜 Temporal fascia 4. 颞肌 Temporalis 5. 骨膜 Pericranium 咬 肌Masseter 颞 肌Temporalis 颞区各层次的结构特点 皮肤