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Norma verticalis
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Bones
- Ant- upper part of frontal bone
posteriorly- uppermost part of occipital bone
on each side- parietal bone
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Fontanelles
- Sites of growth of skull, permitting growth of brain & help to determine age
- If fontanelles fuse early, brain growth is stunted, such children are less intelligent
- Clinical: if ant fontanelle is bulging, there is raised intracranial pressure. If ant fontanelle is depressed , it shows decreased intracranial pressure, mostly due to dehydration
- Caput succedaneum - soft tissue swelling on any part of skull due to rupture of capillaries during delivery. Becomes normal within a few days
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Sutures
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Coronal suture
- Present between frontal bone & two parietal bones
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Sagittal suture
- Present between two parietal bones
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Lambdoid suture
- Occipital & two parietal bones
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Metopic suture
- Separates two halves of frontal bone & rarely seen
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Important points on sutures
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Vertex
- Highest point on sagittal suture
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Bregma
- Meeting point between coronal & sagittal sutures
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Lambda
- Meeting point between sagittal & lambdoid sutures
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Obelion
- Point on sagittal suture between two parietal foramen
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Norma Occipitalis
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Bones
- 1. Posterior parts of parietal bones- above
2. Upper part of squamous part of occipital bone - below
3. Mastoid part of the temporal bone- on each side
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Sutures
- Lambdoid suture
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Occipitomastoid
- Occipital bone & mastoid part of temporal bone
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Parietomastoid
- Lies between parietal bone & mastoid part of temporal bone
- Posterior part of sagittal sutures
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Other features
- Lambda, parietal foramina & obelion
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External occipital protuberance
- Median prominance in lower part, marks the junction of head & neck. Most prominent point on protuberance is INION
- Superior nuchal lines
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Occipital point
- Median point, a little above inion
- Mastoid foramen
- Interparietal bone
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Norma Lateralis
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Bones
- 1. Frontal
2. Parietal
3. Occipital
4. Temporal
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Other features
- Temporal lines
- Zygomatic Arch or zygoma: formed by temporal process of zygomatic bone in ant 1/3 & the zygomatic process of temporal bone in posterior 2/3 rd
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External acoustic meatus: opens just below the posterior part of posterior root of zygoma
- Suprameatal triangle( triangle of Mc Ewen) is small depression posterosuperior to the meatus, triangle forms lateral wall of tympanic or mastoid antrum
- Mastoid part of the Temporal Bone
mastoid process & mastoid foramen
- Styloid Process: provides space for muscles to attach
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Norma Frontalis
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Bones
- 1. Frontal bone
2. Maxilla
3. Nasal bones
4. Zygomatic bones from bridge of nose
5. Mandible
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Frontal region
- Superciliary arch : situated above medial part of each orbit
- Glabella: median elevation connecting the two superciliary arches
- Nasion : pt at which internasal suture meets with frontonasal suture
- Frontal tuber or eminence : low rounded elevation above superciliary arch
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Orbital openings
- Each opening is quadrangular in shape & bounded by following margins
1. Supraorbital margin : formed by frontal bone. At the junction of its lateral two-thirds & its medial one-third, it presents the supraorbital notch or foramen
- 2. Infraorbital margin : formed by zygomatic bone laterally, & maxilla medially
- 3. Medial orbital margin: formed by frontal bone above, & by the lacrimal crest of frontal process of maxilla
- 4. Lateral orbital margin formed mostly by frontal process of zygomatic bone & zygomatic process of frontal bone
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Sutures
- 1. Internasal
2. Frontonasal
3. Nasomaxillary
4. Lacrimomaxillary
5. Frontomaxillary
6. Intermaxillary
7. Zygomaticomaxillary
8. Zygomaticofrontal
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Clinical
- The Nasal bone is most commonly fractured bone of the face