Face Flashcards
angle of the mandible and the parotid gland is supplied by
great auricular nerve
The ophthalmic nerve supplies
the skin of the forehead, the upper eyelid, the conjunctiva, and the side of the nose down to and including the tip
five branches of ophthalmic nerve
- The lacrimal nerve supplies the skin and conjunctiva of the lateral part of the upper eyelid
- The supraorbital nerve winds around the upper mar- gin of the orbit at the supraorbital notch. It divides into branches that supply the skin and conjunctiva on the central part of the upper eyelid; it also supplies the skin of the forehead.
- The supratrochlear nerve winds around the upper margin of the orbit medial to the supraorbital nerve . It divides into branches that supply the skin and conjunctiva on the medial part of the upper eyelid and the skin over the lower part of the forehead, close to the median plane.
- The infratrochlear nerve leaves the orbit below the pulley of the superior oblique muscle. It supplies the skin and conjunctiva on the medial part of the upper eyelid and the adjoining part of the side of the nose
-The external nasal nerve leaves the nose by emerging between the nasal bone and the upper nasal cartilage. It supplies the skin on the side of the nose down as far as the tip
The maxillary nerve supplies
the skin on the posterior part of the side of the nose, the lower eyelid, the cheek, the upper lip, and the lateral side of the orbital opening.
branches of maxillary nerve
- The infraorbital nerve is a direct continuation of the maxillary nerve. It enters the orbit and appears on the face through the infraorbital foramen. It immediately divides into numerous small branches, which radiate out from the foramen and supply the skin of the lower eyelid and cheek, the side of the nose, and the upper lip
- The zygomaticofacial nerve passes onto the face through a small foramen on the lateral side of the zygomatic bone. It supplies the skin over the prominence of the cheek
-The zygomaticotemporal nerve emerges in the tempo- ral fossa through a small foramen on the posterior sur- face of the zygomatic bone. It supplies the skin over the temple
The mandibular nerve supplies
the skin of the lower lip, the lower part of the face, the temporal region, and part of the
auricle.
branches of mandibular nerve
- The mental nerve emerges from the mental foramen of the mandible and supplies the skin of the lower lip and chin
- The buccal nerve emerges from beneath the anterior border of the masseter muscle and supplies the skin over a small area of the cheek
- The auriculotemporal nerve ascends from the upper border of the parotid gland between the superficial tem- poral vessels and the auricle. It supplies the skin of the auricle, the external auditory meatus, the outer surface of the tympanic membrane, and the skin of the scalp above the auricle
Trigeminal neuralgia
is a relatively common condition in which the patient experiences excru- ciating pain in the distribution of the mandibular or maxillary division, with the ophthalmic division usually escaping
The face receives a rich blood supply from which two main vessels
the facial and superficial temporal arteries
facial artery pulse can be felt as
it curves around the inferior margin of the body of the mandible at the anterior border of the masseter muscle
branches of facial artery
- The submental artery arises from the facial artery at the lower border of the body of the mandible. It supplies the skin of the chin and lower lip.
- The inferior labial artery arises near the angle of the mouth. It runs medially in the lower lip and anastomoses with its fellow of the opposite side.
- The superior labial artery arises near the angle of the mouth. It runs medially in the upper lip and gives branches to the septum and ala of the nose.
- The lateral nasal artery arises from the facial artery alongside the nose. It supplies the skin on the side and dorsum of the nose
- The superficial temporal artery (the smaller terminal branch of the external carotid artery, com- mences in the parotid gland. It ascends in front of the auricle to supply the scalp
- The transverse facial artery, a branch of the superficial temporal artery, arises within the parotid gland. It runs forward across the cheek just above the parotid duct
- The supraorbital and supratrochlear arteries, branches of the ophthalmic artery, supply the skin of the forehead
Facial Infections and Cavernous Sinus Thrombosis
The area of facial skin bounded by the nose, the eye, and the upper lip is a potentially dangerous zone to have an infection. For example, a boil in this region can cause thrombosis of the facial vein, with spread of organisms through the inferior oph- thalmic veins to the cavernous sinus. The resulting cavernous sinus thrombosis may be fatal unless adequately treated with antibiotics
The facial vein is formed at the medial angle of the eye by the union of
supraorbital and supratrochlear veins
facial vein is connected to the superior ophthalmic vein directly through
the supraorbital vein
superior ophthalmic vein connects facial vein to
the cavernous sinus
facial vein is joined to the pterygoid venous plexus by
the deep facial vein
Lymph from the forehead and the anterior part of the face drains into
the submandibular lymph nodes
The lateral part of the face, includ- ing the lateral parts of the eyelids, is drained by lymph vessels that end in the
parotid lymph nodes