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The superficial temporal artery is a terminal branch of the exterior carotid artery that ascends in front of the auricle. This artery, which supplies the scalp over the temporal region, travels with the auriculotemporal nerve and divides into anterior and posterior branches. The posterior auricular artery is a branch of the external carotid artery that ascends posterior to the auricle. The occipital artery is a department of the external carotid artery. It is accompanied by the better occipital nerve.
The veins of the scalp freely anastomose with each other and are connected to the diploic veins of the skull bones and the intracranial dural sinuses by means of a number of emissary veins. The emissary veins are valveless. The veins of the scalp accompany the arteries and have comparable names. The supratrochlear and supraorbital veins drain the anterior region of the scalp. These 2 veins unite to type the angular vein on the medial angle region of the attention and proceed further because the facial vein.
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The presence of a pulse does not exclude a vascular injury, and absence of a pulse will not be diagnostic of vascular harm. Clinical findings are lacking initially in almost one third of patients with an arterial harm of the neck. Practically one third of carotid artery injuries are associated with a central neurological deficit. Unnecessary probing or manipulation of the wound or performing any motion that will cause the patient to gag, choke, or cough is discouraged.
Any of these reactions may dislodge a clot and provoke a life-threatening hemorrhage.