Anatomy Topic 3 Case 6 Flashcards
Outline the two muscles of the orbital group of facial muscles
- Orbicularis oculi which surrounds each orbit, it closes the eyelid
- Corrugator supercilii which is located deep to the eyebrows, it is involved in frowning
Outline the three muscles of the nasal group of facial muscles
- Nasalis, compressor naris and dilator naris
- Procerus, which is superficial to nasal bone, and is active during frowning
- Depressor septi nasi, arising from maxilla and inserting onto lower part of nasal septum, widens the nares
Outline the lower group of oral group
- Depressor anguli oris, depresses the corner of the mouth
- Depressor labii inferioris, depresses the lower lip and moves it laterally
- Mentalis, which helps position the lip when drinking
Outline the upper group of oral muscles
- Risorius, pulls the corner of the mouth laterally and upward
- Zygomaticus major and minor which help produce smile by raising the corner of the mouth and moving it laterally
- Levator labii superioris, which deepens the furrow between the nose and corner of the mouth during sadness
- Levator labii supeiroris alaque nasi, which assists in flaring the nares
- Levator anguli oris, which elevates the corners of the mouth during sadness
What is the role of the parotid gland?
- Produces a serous watery saliva and salivary amylase
- Which are necessary for bolus formation, oral digestion and passage of bolus into the upper GI tract
Which forms the boundaries of the parotid gland?
- Sternocleidomastoid behind
- Ramus of the mandible anteriorly
- External acoustic meatus superiorly
Outline the course taken by the parotid duct
- Leaves anterior edge of parotid gland
- Crosses medial border of masseter
- Turns medially and penetrates the buccinator muscle
- Opens into the oral cavity near the second upper molar tooth
Where does the facial nerve exit the skull to penetrate the parotid gland?
- Stylomastoid foramen
Name the five branches of the facial nerve that emerge from the parotid gland?
- Temporal
- Zygomatic
- Buccal
- Marginal mandibular
- Cervical
Which artery penetrates the parotid gland?
- External carotid
- Gives off posterior auricular artery
- Before dividing into maxillary and superficial temporal arteries
Which vein forms in the substance of the parotid gland?
- Retromandibular vein
- Formed when the superficial temporal vein and maxillary veuns join
What is the sensory innervation of the parotid gland?
- Auriculotemporal nerve, a branch of the mandibular branch of the trigeminal nerve
What is the secretomotor innervation of the parotid gland?
- Preganglionic fibres to otic ganglion from glossopharyngeal nerve
- Postganglionic fibres from otic ganglion via auriculotemporal nerve
Identify the 3 auricular muscles
- Anterior auricular, pulling the ear upward and forward
- Superior auricular, which elevates the ear
- Posterior auricular, which retracts and elevates the ear
Outline the boundaries of the scalp
- Anteriorly: superciliary arches
- Posteriorly: external occipital protuberance and superior nuchal lines
- Laterally: zygomatic arch
Outline the five layers of the scalp from superficial to deep
- Skin
- Dense connective tissue
- Aponeurosis of occipitofrontalis
muscle - Loose areolar connective tissue containing emissary veins
- Pericranium (periosteum)
Outline the arterial supply of the scalp
- External carotid artery
OR
- Ophthalmic artery, a branch of the internal carotid artery
Outline the innervation of the scalp
- Anterior to the ears and vertex via the trigeminal nerve
- Posterior to the ears and vertex via C2 and C3
What is the occipitofrontalis?
- Consists of large frontal belly and smaller occipital belly
- Connected by epicranial aponeurosis (gala aponeurotica)
- Moves the scalp, wrinkles the forehead and raises the eyebrows
- Innervated by facial nerve
What is the primary arterial supply of the face?
- External carotid artery
Outline the course of the facial artery
- Branches from anterior surface of external carotid artery
- Passes through deep structures of neck on lower border of mandible
- Curves around inferior border of mandible
- Runs upward and passes along side of nose to terminate as angular artery
What do the superior and inferior labial branches of the facial artery supply?
- Superior: Upper lip
- Inferior: Lower lip
What are the two terminal branches of the external carotid artery
- Transverse facial artery
- Maxillary artery
Identify the three branches of the maxillary artery
- Infra-orbital artery supplying the lower eyelid, upper lip and structures between
- Buccal artery, supplying the structures in the area of the buccinator muscle
- Mental artery, supplying the chin
Which branch of the internal carotid artery supplies the face?
- Ophthalmic artery
Identify the three branches of the ophthalmic artery
- Zygomaticofacial and zygomaticotemporal arteries, supplying area over zygomatic bone
- Dorsal nasal artery supplying the dorsum of the nose
- Supra-orbital and supra-trochlear arteries supplying the anterior scalp