Skull

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Skull
Skeletal system
Identifiers
MeSHD012886
FMA54964
Anatomical terminology]

The skull is a

sensory structures such as the eyes, ears, nose, and mouth.[3]
In humans, these sensory structures are part of the facial skeleton.

Functions of the skull include protection of the brain, fixing the distance between the eyes to allow

sound localisation of the direction and distance of sounds. In some animals, such as horned ungulates (mammals with hooves), the skull also has a defensive function by providing the mount (on the frontal bone) for the horns
.

The English word skull is probably derived from

sutures
.

The skull is made up of a number of fused

foramina, fossae, processes, and several cavities or sinuses. In zoology, there are openings in the skull called fenestrae
.

Structure

Humans

Skull in situ
Anatomy of a flat bone – the periosteum of the neurocranium is known as the pericranium
Human skull from the front
Side bones of skull

The human skull is the bone structure that forms the head in the human skeleton. It supports the structures of the face and forms a cavity for the brain. Like the skulls of other vertebrates, it protects the brain from injury.[5]

The skull consists of three parts, of different embryological origin—the neurocranium, the sutures, and the facial skeleton. The neurocranium (or braincase) forms the protective cranial cavity that surrounds and houses the brain and brainstem.[6] The upper areas of the cranial bones form the calvaria (skullcap). The membranous viscerocranium includes the mandible.

The sutures are fairly rigid joints between bones of the neurocranium.

The facial skeleton is formed by the bones supporting the face.

Bones

Except for the mandible, all of the bones of the skull are joined by

Wormian bones or sutural bones. Most commonly these are found in the course of the lambdoid suture
.

The human skull is generally considered to consist of 22 bones—eight cranial bones and fourteen facial skeleton bones. In the neurocranium these are the occipital bone, two temporal bones, two parietal bones, the sphenoid, ethmoid and frontal bones.

The bones of the facial skeleton (14) are the vomer, two inferior nasal conchae, two nasal bones, two maxilla, the mandible, two palatine bones, two zygomatic bones, and two lacrimal bones. Some sources count a paired bone as one, or the maxilla as having two bones (as its parts); some sources include the hyoid bone or the three ossicles of the middle ear, the malleus, incus, and stapes, but the overall general consensus of the number of bones in the human skull is the stated twenty-two.

Some of these bones—the occipital, parietal, frontal, in the neurocranium, and the nasal, lacrimal, and vomer, in the facial skeleton are flat bones.

Cavities and foramina

CT scan of a human skull in 3D

The skull also contains

foramina. The sinuses are lined with respiratory epithelium. Their known functions are the lessening of the weight of the skull, the aiding of resonance to the voice and the warming and moistening of the air drawn into the nasal cavity
.

The foramina are openings in the skull. The largest of these is the foramen magnum, of the occipital bone, that allows the passage of the spinal cord as well as nerves and blood vessels.

Processes

The many

mastoid process and the zygomatic processes
.

Other vertebrates

Fenestrae

Chimpanzee skull

The

fenestrae
(from Latin, meaning windows) are openings in the skull.

Bones

The

jugal is a skull bone found in most reptiles, amphibians, and birds. In mammals, the jugal is often called the zygomatic bone or malar bone.[7]

The prefrontal bone is a bone separating the lacrimal and frontal bones in many tetrapod skulls.

Fish

Fish head parts, 1889, Fauna of British India, Sir Francis Day

The skull of fishes is formed from a series of only loosely connected bones.

holost
fish. The lower jaw defines a chin.

The simpler structure is found in

jawless fish, in which the cranium is normally represented by a trough-like basket of cartilaginous elements only partially enclosing the brain, and associated with the capsules for the inner ears and the single nostril. Distinctively, these fish have no jaws.[8]

foramina for the cranial nerves. The jaws consist of separate hoops of cartilage, almost always distinct from the cranium proper.[8]

Skull of a swordfish

In

ray-finned fish, there has also been considerable modification from the primitive pattern. The roof of the skull is generally well formed, and although the exact relationship of its bones to those of tetrapods is unclear, they are usually given similar names for convenience. Other elements of the skull, however, may be reduced; there is little cheek region behind the enlarged orbits, and little, if any bone in between them. The upper jaw is often formed largely from the premaxilla, with the maxilla itself located further back, and an additional bone, the symplectic, linking the jaw to the rest of the cranium.[9]

Although the skulls of fossil lobe-finned fish resemble those of the early tetrapods, the same cannot be said of those of the living lungfishes. The skull roof is not fully formed, and consists of multiple, somewhat irregularly shaped bones with no direct relationship to those of tetrapods. The upper jaw is formed from the pterygoids and vomers alone, all of which bear teeth. Much of the skull is formed from cartilage, and its overall structure is reduced.[9]

Tetrapods

The skulls of the earliest

sharks and rays. The various separate bones that compose the temporal bone of humans are also part of the skull roof series. A further plate composed of four pairs of bones forms the roof of the mouth; these include the vomer and palatine bones. The base of the cranium is formed from a ring of bones surrounding the foramen magnum and a median bone lying further forward; these are homologous with the occipital bone and parts of the sphenoid in mammals. Finally, the lower jaw is composed of multiple bones, only the most anterior of which (the dentary) is homologous with the mammalian mandible.[9]

In living tetrapods, a great many of the original bones have either disappeared or fused into one another in various arrangements.

Birds

Cuckoo skull

Birds have a diapsid skull, as in reptiles, with a prelacrimal fossa (present in some reptiles). The skull has a single occipital condyle.[10] The skull consists of five major bones: the frontal (top of head), parietal (back of head), premaxillary and nasal (top beak), and the mandible (bottom beak). The skull of a normal bird usually weighs about 1% of the bird's total bodyweight. The eye occupies a considerable amount of the skull and is surrounded by a sclerotic eye-ring, a ring of tiny bones. This characteristic is also seen in reptiles.

Amphibians

Amphibians' skulls, Hans Gadow, 1909 Amphibia and Reptiles

Living amphibians typically have greatly reduced skulls, with many of the bones either absent or wholly or partly replaced by cartilage.[9] In mammals and birds, in particular, modifications of the skull occurred to allow for the expansion of the brain. The fusion between the various bones is especially notable in birds, in which the individual structures may be difficult to identify.

Development

Skull of a new-born child from the side

The skull is a complex structure; its bones are formed both by intramembranous and endochondral ossification. The skull roof bones, comprising the bones of the facial skeleton and the sides and roof of the neurocranium, are dermal bones formed by intramembranous ossification, though the temporal bones are formed by endochondral ossification. The endocranium, the bones supporting the brain (the occipital, sphenoid, and ethmoid) are largely formed by endochondral ossification. Thus frontal and parietal bones are purely membranous.[11] The geometry of the skull base and its fossae, the anterior, middle and posterior cranial fossae changes rapidly. The anterior cranial fossa changes especially during the first trimester of pregnancy and skull defects can often develop during this time.[12]

At birth, the human skull is made up of 44 separate bony elements. During development, many of these bony elements gradually fuse together into solid bone (for example, the

sutures. The five sutures are the two squamous sutures, one coronal, one lambdoid, and one sagittal suture
. The posterior fontanelle usually closes by eight weeks, but the anterior fontanel can remain open up to eighteen months. The anterior fontanelle is located at the junction of the frontal and parietal bones; it is a "soft spot" on a baby's forehead. Careful observation will show that you can count a baby's heart rate by observing the pulse pulsing softly through the anterior fontanelle.

The skull in the

base of the skull is short and narrow, though the inner ear is almost adult size.[13]

Clinical significance

sutures in an infant skull prematurely fuses,[14] and changes the growth pattern of the skull.[15] Because the skull cannot expand perpendicular to the fused suture, it grows more in the parallel direction.[15] Sometimes the resulting growth pattern provides the necessary space for the growing brain, but results in an abnormal head shape and abnormal facial features.[15] In cases in which the compensation does not effectively provide enough space for the growing brain, craniosynostosis results in increased intracranial pressure leading possibly to visual impairment, sleeping impairment, eating difficulties, or an impairment of mental development.[16]

A copper beaten skull is a phenomenon wherein intense intracranial pressure disfigures the internal surface of the skull.[17] The name comes from the fact that the inner skull has the appearance of having been beaten with a ball-peen hammer, such as is often used by coppersmiths. The condition is most common in children.

Injuries and treatment

Injuries to the brain can be life-threatening. Normally the skull protects the brain from damage through its high resistance to deformation; the skull is one of the least deformable structures found in nature, needing the force of about 1 ton to reduce its diameter by 1 cm.

subdural haematoma. In these cases, the raised intracranial pressure can cause herniation of the brain out of the foramen magnum ("coning") because there is no space for the brain to expand; this can result in significant brain damage or death unless an urgent operation is performed to relieve the pressure. This is why patients with concussion must be watched extremely carefully. Repeated concussions can activate the structure of skull bones as the brain's protective covering.[19]

Dating back to

craniectomy
.

In March 2013, for the first time in the U.S., researchers replaced a large percentage of a patient's skull with a precision, 3D-printed polymer implant.[20] About 9 months later, the first complete cranium replacement with a 3D-printed plastic insert was performed on a Dutch woman. She had been suffering from hyperostosis, which increased the thickness of her skull and compressed her brain.[21]

A study conducted in 2018 by the researchers of Harvard Medical School in Boston, funded by National Institutes of Health (NIH), suggested that instead of travelling via blood, there are "tiny channels" in the skull through which the immune cells combined with the bone marrow reach the areas of inflammation after an injury to the brain tissues.[22]

Transgender procedures

Surgical alteration of sexually dimorphic skull features may be carried out as a part of facial feminization surgery, a set of reconstructive surgical procedures that can alter male facial features to bring them closer in shape and size to typical female facial features.[23][24] These procedures can be an important part of the treatment of transgender people for gender dysphoria.[25][26]

Society and culture

Mount Calvary
. Silk embroidery (17th century).

Artificial cranial deformation is a largely historical practice of some cultures. Cords and wooden boards would be used to apply pressure to an infant's skull and alter its shape, sometimes quite significantly. This procedure would begin just after birth and would be carried on for several years.[citation needed]

Osteology

Like the face, the skull and teeth can also indicate a person's life history and origin.

shell mounds in Japan, osteologists can use traits, such as the proportions of length, height and width, to know the relationships of the population of the study with other living or extinct populations.[citation needed
]

The German physician Franz Joseph Gall in around 1800 formulated the theory of phrenology, which attempted to show that specific features of the skull are associated with certain personality traits or intellectual capabilities of its owner. His theory is now considered to be pseudoscientific.[citation needed]

Sexual dimorphism

In the mid-nineteenth century,

craniology. These cranial measurements were also used to draw a connection between women and black people.[27]

Research has shown that while in early life there is little difference between male and female skulls, in adulthood male skulls tend to be larger and more robust than female skulls, which are lighter and smaller, with a cranial capacity about 10 percent less than that of the male.[28] However, later studies show that women's skulls are slightly thicker and thus men may be more susceptible to head injury than women.[29] However, other studies shows that men's skulls are slightly thicker in certain areas.[30] As well as some studies showing that females are more susceptible to head injury (concussion) than males.[31] Men's skulls have also been shown to maintain density with age, which may aid in preventing head injury, while women's skull density slightly decreases with age.[32][33]

Male skulls can all have more prominent

occipital condyles than those of females. Male mandibles typically have squarer chins and thicker, rougher muscle attachments than female mandibles.[34]

Craniometry

The cephalic index is the ratio of the width of the head, multiplied by 100 and divided by its length (front to back). The index is also used to categorize animals, especially dogs and cats. The width is usually measured just below the parietal eminence, and the length from the glabella to the occipital point.

Humans may be:

  • Dolichocephalic — long-headed
  • Mesaticephalic — medium-headed
  • Brachycephalic — short-headed[13]

The vertical cephalic index refers to the ratio between the height of the head multiplied by 100 and divided by the length of the head.

Humans may be:

  • Chamaecranic — low-skulled
  • Orthocranic — medium high-skulled
  • Hypsicranic — high-skulled

Terminology

History

prehistoric skulls found had trepanation holes.[36]

Additional images

See also

References

Public domain This article incorporates text in the public domain from page 128 of the 20th edition of Gray's Anatomy (1918)

  1. Merriam-Webster Dictionary. Archived
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  2. .
  3. ^ "Cephalization: Biology". Encyclopædia Britannica. Archived from the original on 2 May 2016. Retrieved 23 April 2016.
  4. ^ "Definition of skull | Dictionary.com". www.dictionary.com. Retrieved 6 September 2021.
  5. .
  6. .
  7. ^ "Jugal Bone – an overview | ScienceDirect Topics".
  8. ^ .
  9. ^ .
  10. ^ Wing, Leonard W. (1956). "The Place of Birds in Nature". Natural History of Birds. The Ronald Press Company. pp. 22–23.
  11. .
  12. PMID 14507064. Archived from the original
    on 24 September 2011.
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  14. ^ Silva, Sandra; Jeanty, Philippe (7 June 1999). "Cloverleaf skull or kleeblattschadel". TheFetus.net. MacroMedia. Archived from the original on 13 February 2008. Retrieved 3 February 2007.
  15. ^
    S2CID 34344899
    .
  16. .
  17. ^ Gaillard, Frank. "Copper beaten skull". Radiopaedia. Archived from the original on 25 April 2018. Retrieved 25 April 2018.
  18. .
  19. ^ "Repeated Concussions Can Thicken the Skull". 2 September 2022.
  20. ^ "3D-Printed Polymer Skull Implant Used For First Time in US". Medical Daily. 7 March 2013. Archived from the original on 28 September 2013. Retrieved 24 September 2013.
  21. ^ "Dutch hospital gives patient new plastic skull, made by 3D printer". DutchNews.nl. 26 March 2014. Archived from the original on 28 March 2014.
  22. ^ Cohut, Maria (29 August 2018). "Newly discovered skull channels play role in immunity". Medical News Today. Retrieved 30 August 2018.
  23. S2CID 601504
    .
  24. .
  25. ^ World Professional Association for Transgender Health. WPATH Clarification on Medical Necessity of Treatment, Sex Reassignment, and Insurance Coverage in the U.S.A. Archived 30 September 2011 at the Wayback Machine (2008).
  26. ^ World Professional Association for Transgender Health. Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People, Version 7. Archived 3 March 2012 at the Wayback Machine pg. 58 (2011).
  27. ^
    PMID 394780
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  28. ^ "5d. The Interior of the Skull". Gray's Anatomy. Archived from the original on 31 March 2014. Retrieved 22 October 2014.
  29. ^ Other Sources:
  30. .
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  32. .
  33. .
  34. .
  35. .
  36. .

External links

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