Face Flashcards
Innervation of muscles of facial expression embedded in superficial fascia
Facial Nerve (VII)
Insertion of facial muscles which are embedded in superficial fascia
insert onto skin
Lower motor neuron (alpha motor neuron) disorder of facial nerve
Bell’s Palsy
Virus associated with Bell’s palsy
herpes simplex
Symptoms of Bell’s Palsy
1) paralysis of all facial muscles on one side
2) drooling
3) inability to close eye
4) loss of taste to anterior tongue
5) pain in or behind ear
6) hyperacousia
What is different about a upper motor neuron disorder of cranial nerve VII as opposed to lower?
spares the upper face, symptoms only present on the lower face.
Source of left common carotid artery
aortic arch
Source of right common carotid artery
brachiocephalic trunk
The common carotid arteries divide into…
external and internal carotid arteries
Where can the pulse of the carotid artery be taken
upper border of thyroid cartilage
Facial and superficial temporal arteries branch off of…
external carotid artery
Arteries supplying brain (2)
internal carotid and vertebral arteries
Branches of the external carotid artery (8)
1) Superior Thyroid
2) Ascending Pharyngeal
3) Lingual
4) Facial
5) Occipital
6) Posterior Auricular
7) Maxillary
8) Superficial Temporal
SOME ANATOMISTS LIKE FREAKING OUT POOR MEDICAL STUDENTS
Branches of the facial artery
1) Superior Labial Artery
2) Inferior Labial Artery
3) Angular Artery
Why do the labial arteries bleed so much?
anastomose with the opposite side
Artery from which you take facial pulse
Facial artery
Branch arising anterior to the exterior auditory meatus (opening to ear)
superficial temporal artery
What do the vertebral arteries course through?
Foramina transversaria C1-C6
Source of ophthalmic artery
internal carotid artery
Major blood supply to orbit/eye
ophthalmic artery
Unique aspect of veins of the face
Have no or few valves
Medical term for blurred vision (double vision, really)
diplopia
Why do prolonged infections spread through facial veins
low pressure and no valves
Prolonged infections passing through cavernous sinus lead to…
cavernous sinus thrombosis
Clinical sign of cavernous sinus thrombosis
Blurred vision (diplopia) – remember, cranial nerves to eye muscles pass through cavernous sinus
Cranial Nerve I
Olfactory
Cranial Nerve II
Optic
Cranial Nerve III
Oculomotor
Cranial Nerve IV
Trochlear