Face Flashcards

1
Q

Where do the majority of the facial muscles insert

A

The skin

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2
Q

What nerve is damaged in Bells Palsy/what type of disorder is it
and what structures are affected

A

Lower motor neuron disorder of facial nerve VII causing unilateral analysis of all facial muscles on one side, inability to close the eye, loss of taste to the anterior tongue, pain in/behind the ear, and hyperacousia

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3
Q

Upper motor neuron lesions of CN VII

A

Upper motor neuron is damaged usually during a cortical stroke, and the lower face is paralyzed but the upper facial muscles are unaffected.

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4
Q

What arteries branch off the arch of the aorta

A

Brachiocephalic trunk(right common carotid)
Left common carotid
Left subclavian

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5
Q

What does the common carotid branch to

A

The internal and external carotid arteries

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6
Q

What does the internal carotid artery do

A

It and the vertebral artery supply the brain

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7
Q

What does the external carotid artery branch to

A
  1. Superior thyroid
  2. Ascending pharyngeal
  3. Lingual
  4. Facial
  5. Occipital
  6. Posterior auricular
  7. Superficial temporal
  8. Maxillary
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8
Q

What are the two arteries that supply the face primarily

A

The facial artery and the superficial temporal arteries

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9
Q

What are the branches of the facial artery

A

Superior and inferior facial arteries(this is where you take the facial pulse) and the angular artery

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10
Q

Where does the superficial temporal artey arise

A

Anterior to the external auditory meatus and deep to the parotid

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11
Q

What branch comes off the superficial temporal artery and where does it lie

A

The transverse facial artery and it lies above the parotid duct

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12
Q

Where does the vertebral artery pass and what does it supply

A

Through the foramena transversaria of C1-C6 and it supplies the brain stem and spinal chord

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13
Q

What does the internal carotid artery branch to

A

To the brain and the ophthalmic artery and branches of the ophthalmic supply the face for head and nasal cavity

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14
Q

What are the branches of the internal carotid to the face from the ophthalmic artery

2 of them

A
  1. Supraorbital artery- to the scalp above the orbit (more lateral)
  2. Supratrochelear artery- on the medial side of the supraorbital artery above the trochlea (more medial)
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15
Q

What is the venous drainage of the face

They follow the arteries

Interesting note about the facial veins

A

Supraorbital and supratrochlear

Also facial vein
Facial veins have no valves and there are extensive anastomoses between the branches of the facial and ophthalmic veins of the face have low pressure and no valves so infections can spread through the veins to the cavernous sinus.

Clinical sign is DIPLOPIA or blurred vision

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16
Q

Cranial nerve 1

A

Olfactory nerve

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17
Q

Cranial nerve II

A

Optic nerve

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18
Q

CN III

A

Oculomotor (eye movement)

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19
Q

CN IV

A

Trochlear (eye movement)

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20
Q

CN V

A

Trigeminal (touch general sensation to skin, oral cavity, nasal cavity, and more)

21
Q

CN VI

A

Abducens (eye movement)

22
Q

CN VII

A

Facial (muscle of facial expression and alot more)

23
Q

CN VIII

A

Vestibulo-chochlear (hearing and balance)

24
Q

CN IX

A

Glossopharyngeal (sensory to pharynx and more)

25
CN X
Vagus (larynx, pharynx and the rest of the body)
26
CN XI
Accessory (sternocleidomastoid and trapezius)
27
CN XII
Hypoglossal (muscles of the tongue)
28
Trigeminal nerve divisions and borders for the divisions
V1= ophthalmic division (lateral border of the eye) V2= maxillary division (lateral border of the mouth) V3 mandibular division
29
Obicularis oculi 2 parts and function
Palpebrl part- closes the eyelids | Orbital part- buries the eyelids
30
Orbicularis oris
Surrounds and closes the mouth
31
Compressor nares
Lateral to the bridge of the nose and compresses the nasal cartilage
32
Dialtor nares
Lateral to the nares and dilates (flares the nostrils
33
Procerus
Wrinkles skin of the nose
34
Levator labii
Lifts the upper lip
35
Zygomaticus major nd minor
Raise and pull the upper lip laterally
36
Elevator anguli oris
Raise the corner of the mouth
37
Risorius
Smile
38
Depressor Anguli o ris
Tragedy
39
Depressor labii inferioris
Depresses the lower lip
40
Mentalis
Wrinkles the skin of the chin
41
Buccinator
Compresses the mouth and keeps food between the teeth when chewing
42
Frontalis Clinical correlate
Muscle of the scalp that is attached to the epicranial aponeurosis and raises the eyebrows Used int he clinic to test the facial nerve
43
Platysma
Extends front he mandible to the fascia over the pec major--> it tenses and moves the skin of the neck
44
What are the five branches of the facial nerve and where does it leave the skull **special note for the buccal**
1. Temporal 2. Zygomatic 3. Buccal 4. Mandibular 5. Cervical ** buccal branch VII=motor Buccal branch V=sensory
45
When do the facial primordia form
The 4th week
46
Where do nasal placodes form
On the side of frontonasal process
47
Describe the formation of the philtrum
Medial and lateral nasal processes form at the margins of the nasal placodes and the medial and maxillary processes fuse to form the upper lip
48
Wht is the pathology of cleft lip
Failure of fusion of the medial nasal processes and the maxillary process
49
Describe the development of the nasolacrimal duct and what does it connect Clinical correlate
It develops as a solid cord from the medial angle of the eye to the nasal cavity and becomes canalized and it connects the anterior eye to the nasal cavity Clinical correlate- an obstructed duct happens when the duct fails to canalize and needs to be surgically for tear drainage