HLAVA HEAD klinicky zaměřená anatomie clinically oriented anatomy Ivo Klepáček M.Grim,R.Druga et al.:Základy anatomie 5. anatomie krajin těla M.Schuenke et al.: Atlas of Anatomy. Head and Neuroanatomy V.Seichert:Anatomická pitva V.Seichert:A little anatomical atlas IK
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HLAVA HEAD IK - Univerzita Karlovaanat.lf1.cuni.cz/souhrny/ka01.pdfPars parotidea Lamina profundafasciaeparotideae * Styalgie - dráždění n. IX IK Eagle s. Glandula parotisPovrchová
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Levator alae nasihořký pláčhopeless cryPetrovický a spol. 2001
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Trakční svaly: pars labialis m. levator labii superioris alaequae nasi, levator labii superioris, zygomaticus minor, depressor labii inferioris, pars labialis platysmatisKolmo se připojují do rtu (deprese, protrakce, everse)
Svaly kolem koutku: m. levator anguli oris, depressor anguli oris, levator labii superioris, zygomaticus major, pars modiolaris platysmatis, buccinator, risorius, orbicularis oris, m. incisivus superior et m. incisivus inferiorHýbou koutkem (elevace, deprese, konstrikce a dilatace rima oris)
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10 mm
5 m
mIK
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Motor ická inervace z nervus
facialisVII.nervus
sutura tympanomastoidea“drop off pointnejvíce vystupující bod“IK
n. VII. : Tzv. „facial danger zones“ - oblasti,kde je zranitelněji uloženIK
Petrovický a spol. 2001
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Headovy zónyHead´s zonesIK
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Apparatus lacrimalis Lacrimal apparatus
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Fissura orbitalis superior et canalis opticus et fissura
orbitalis inferiorIK
Vztah mezi orbitou, canalis opticus a paranasálními
dutinami
.....Relation between orbit, optic canal
and paranasal cavitiesIK
Vztah mezi venae ophtalmicae, sinus cavernosus, plexus pterygoideus a v. facialis
Relation between ophtalmic veins, cavernous sinus, pterygoidplexus and facial veinIK
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Tukové těleso tvářeThe buccal fat pad
(Bichat pillow, corpus adiposum Bichati)
a jeho rozšíření and its extensions
FAT PAD has to be differed from the following ones: The malar fat pad (it is directly below the skin of the cheek). It is implicated in the formation of hollow cheeks and the nasolabial fold.IK
M. temporalis et fascia temporalis
Spatium interfasciale
pars ventralispars media
pars dorsalis
Klidové střední postavení90% vřetének
pars media
Nn. temporales profundi
aa. temporalis media (a.temp.superf.)a. temporalis profunda ant., post. (a. maxillaris)
Plexus pterygoideus
3.6cm2IK
Tendo centralisIK
M. masseter
Plexus pterygoideus
a. (r.) masseterica (-us) (z a. maxillaris)
N. massericus 2.9cm2
Digitationes tendineaeIK
Pars superficialis rozbíhající se šlachy
Pars mediaPars profunda hustěji u sebe uložené šlachyIK
After Jost , G, Levet, V.: Parotid fascia and Face lifting: A critical Evaluation of the SMAS concept. Plastic and Reconstructive Surg, 74:42-51, 1983 modified
Fascia parotideomassetericaPars parotidea (lamina superficialis)Pars masseterica
Pars parotidea
Lamina profunda fasciae parotideae
*
Styalgie - dráždění n. IXEagle s.
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Glandula parotis Povrchová Superficial partHluboká Deep part (processus pharyngeus)
Serózní tkáň Serous tissueDuctus parotideus (Stenoni, of Stensen)IK
pars sphenoidea profunda m. temporalis, pars medialis m. temporalis,pars. secundam. zygomaticomandibularis,capout accesorium m. temporalis, m. sphenomandibularis, venteranteriomedialis m. temporalis
The musculus pterygoïdeus proprius: an in-vivo approach with magnetic resonance imagingSnoeck T, Provyn S,Balestra C, Parlak B,Emonts P, Sesbouë B,6 and Clarys JP
4 yr“ostiomeatal unit“ Functional and developmental connection between sinuses
N. Highmore:Corporis humani disquisitio anatomica; in qua sanguinis circulationem in quavis corporis particula plurimis typis novis ac aenigmatum medicorum succincta dilucidatione ornatam prosecuutus est.Hagai-Comitis [The Hague], 1651.
The sinus was well known to anatomists before Highmore. It had been illustrated by Leonardo da Vinci (1452-1519) and had been noticed by Giulio Casserio (1561-1616)
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Following Waters (Towne) projection
Upper posteroanterior projectionIK
Wilhelm Kiesselbach (1839-1902) Germanotolaryngologist,
a.ethmoidalis ant. a. palatina major, a. sphenopalatina, a. labialis superioranterior ethmoid , great palatine arteries, sphenopalatine a. and superior labial a.rr. septales a.ethmoidalis post. a. sphenopalatinaSeptal branches of the posterior ethmoid, sphenopalatine arteries
Přerušení označených kostních linií signalizuje zlomeninu podle le Forta
Interruption of the labelled osseous lines indicates Le Fort fractures
(René Le Fort 1902)IK
Hlavní lomné linie v lebeční baziMain fracture lines in skull baseIK
Fracture lines in mandible
Traction and pressure lines
•Condyle•UpperLower neckRetromolar (angular)•Through canine,•Through mental region
•Krčku•Retromolární•Špičáková•Bradové krajinyIK
Zevní ucho
External earIK
William H. Battle, English surgeon, 1855-1936
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Tvar zevního zvukovodu
Form of the external acoustic meatusIK
Otoskopický pohled
Otoscopic viewIK
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? Esteticky a proporčně vyhovující obličej ?Pythagoreans Euclid Egyptians Greeks up to date
Albert Dürer 1471-1528
Leonardo da Vinci 1452-1519 Jacques Joseph
1865-1934
Petrus Camperus (Pieter Camper)
1722-1789Joseph A. de Gobineau
1816-1882Paul Broca
1824-1880Paul Topinard
1830-1911Cesare Lombroso
1836-1909
Mario González-Ulloa 1913-1995R.M. Ricketts IK
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Horní ret u chlapců roste v prvých šesti letech pomaleji než u dívekDolní ret roste více a déleObličej u dívek dosahuje dospělých hodnot cca o dva roky dříve než u chlapcůIK
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Dura mater, Arachnoid membrane, Pia materEpidural space, Subdural space, Subarachnoid space
Meningeal membranes inside skull and covering brainIK
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Cirkulace mozkomíšního moku
Circulation of the CSF (cerebrospinal fluid)
From the choroid plexus –ventricle I.,II. – interventricular foramina – ventricle III. -- aquaduct cerebri – ventricle IV. – cerebellomedullar cistern – subarachnoid space –arachnoid granulations –sagittal sinus
500 ml/day is changed150ml total volume IK
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Hematoma, hemorrhage:extradural (epidural) -
from the middle meningeal artery
dural border (subdural) - from the cerebral veins
subarachnoid -is usually arterialIK
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Epidural haematoma -aa. meningeae, very often from middle meningeal a.IK
Subarachnoid leakageaa. cerebri - aneurysm
Intraparenchymatous leakageIK
Subdural hematoma – leakage from the „bridging“ veins slowly develops, it is insidious, maliciousIK