Posterolaterally, the epicranial aponeurosis attachment extends from the superior nuchal line to the superior temporal line. Laterally, the epicranial aponeurosis continues as the temporal fascia. Anteriorly, the subaponeurotic area extends to the upper eyelids due to the lack of a bony insertion. This free areolar tissue gives a potential subaponeurotic space that allows fluids and blood to cross from the scalp to the upper eyelids.
Areolar tissue loosely connects the epicranial aponeurosis to the pericranium and allows the superficial 3 layers of the scalp to move over the pericranium. Scalp flaps are elevated along a relatively avascular airplane in craniofacial and neurosurgical procedures. Nevertheless, certain emissary veins traverse this layer, which connects the scalp veins to the diploic veins and intracranial venous sinuses. The pericranium is the periosteum of the skull bones.
Along the suture strains, the pericranium turns into steady with the endosteum. A subperiosteal hematoma, therefore, types within the form of the skull bones. Origin: The occipitofrontalis muscle consists of 2 occipital bellies and a pair of frontal bellies. The occipital bellies arise from the superior nuchal strains on the occipital bone. The frontal bellies originate from the skin and superficial fascia of the upper eyelids.
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