Face and Parotid Region Flashcards

1
Q

where do muscles of facial expression insert?

A

skin

fascia underlying the skin

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2
Q

how are the muscles of facial expression innervated

A

branches of the facial nerve (CN VII)

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3
Q

what are the muscles of facial expression?

A
platysma
orbicularis oris
buccinator
orbicularis oculi
nasalis muscle
frontalis muscle
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4
Q

platysma

-what is its innervation (specific)

A

facial nerve

  • cervical branch
  • mandibular branch
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5
Q

orbicularis oris

  • function
  • innervation
A
function
-sphincter muscle surrounding mouth
innervation
-facial nerve
--buccal  branch
--mandibular branch
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6
Q

what other muscles effect movement around the mouth

-function of each

A
zygomaticus major
-smile muscle
zygomaticus minor
-sneer muscle, along with levators
mentalis
-"Kirk Douglas" muscle (prominent dimple in middle of chin)
risorius
-grin muscle
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7
Q

buccinator

  • function
  • innervation
A

necessary for firmness on the lateral side of oral cavity
innervation
-facial
–buccal branch

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8
Q

orbicularis oculi

  • what are the parts?
  • overall innervation
A
parts
-orbital part
-palbebral part
-lacrimal part
innervation
-facial nerve
--zygomatic branch
--temporal branch
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9
Q

orbicularis oculi orbital part

-functioin

A

sphincter

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10
Q

orbicularis oculi palebral part

-function

A

eyelid

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11
Q

orbicularis oculi lacrimal part

-function

A

medial extension of eyelid over lacrimal puncta, necessary for bathing eye with tears

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12
Q

nasalis muscle

  • parts
  • origin and insertion
  • innervation
A
parts
-compressor part
-dilator part
origin
-maxilla
-insertion
-near alar cartilage of the nose
innervation
-facial nerve
--zygomatic branch
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13
Q

frontalis muscle

  • continuous with ____ muscle on the posterior part of the skull as _____
  • these 2 muscles are connected by…
  • innervation of each muscle
A

continuous with occipitalis as occipitofrontalis
connected by epicranial aponeurosis
frontalis innervation
-facial nerve, temporal branh
occipitalis
-facial nerve, posterior auricular branch

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14
Q

trigeminal nerve

  • sensory component for…
  • divisions
  • nerves have names specific to…
  • which division has a motor component
A

sensory component for all sensation over face, including proprioception of muscles of facial expression
3 divisions
-V1 (ophthalmic)
-V2 (maxillary)
-V3 (mandibular)
nerves have names specific to the regions they innervate
V3 is only division with motor component

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15
Q

trigeminal nerve

  • how does each branch leave the middle cranial fossa?
  • where do they emerge
A
leave middle cranial fossa via
-superior orbital fissure (V1)
-foramen rotundum (V2)
-foramen ovale (V3)
emerge through a number of different opening son outside of skull
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16
Q

branches of V1 of trigeminal nerve

A
supraorbital
supratrochlear
infratrochlear
external nasal
lacrimal
17
Q

branches of V2 of trigeminal nerve

A

infraorbital
zygomaticofacial
zygomaticotemporal
superior alveolar

18
Q

branches of V3 of trigeminal nerve

A
auriculotemporal
buccal
mental
inferior alveolar
lingual
19
Q

buccal nerve of trigeminal nerve

-function

A

sensory only

does not innervate buccinator muscle (innervated by buccal branch of facial nerve)

20
Q

trigeminal nerve V3 motor component

-innervates…

A

muscles of mastication

  • temporalis
  • masseter
  • medial pterygoid
  • lateral pterygoid
  • 2 other smaller suprahyoid muscles
21
Q

facian nerve

  • function
  • location
A

innervates all muscles of facial expression
location
-emerges from base of skull through stylomastoid foramen
-branches after it passes through parotid gland

22
Q

facial nerve branches

-which one turns posteriorly and what does it innervate

A
cervical
mandibular
buccal
zygomatic
temporal
posterior auricular
-turns posteriorly to innervate occipitalis muscle
23
Q

arteries of face

  • branches of…
  • branch off into… (in ascending order)
A
branches of external carotid
branches
-superior thyroid (neck)
-ascending pharyngeal (neck)
-lingual
-facial
-occipital (saw in suboccipital triangle)
-posterior auricular
-superficial temporal
-maxillary (final branch)
24
Q

maxillary artery of face

  • seen where
  • branches
A
seen in infratemporal fossa
branches
-middle meningeal (foramen spinosum)
-inferior alveolar
-infraorbital
25
veins of the face - how much do they intermesh? - names
``` highly anastomotic venous plexus names -facial vein -retromandibular vein -external jugular vein ```
26
facial vein | -drains into
drains into internal jugular vein draining the majority of the face
27
retromandibular vein | -drains into
external jugular vein | facial vein
28
veins around the nose are continuous with... - these drain into - source of infections to...
continuous with veins in orbit drain into cranial cavity source of infection to meninges and brain
29
parotid gland - location - encased in... - histological compsition - -potential consequence
location -lies in the parotid bed wedged between the ear and posterior edge of the ramus of the mandible encased in parotid sheath all glands are epithelial and highly mitotic -can lead to tumors in this gland that impinge the facial nerve
30
parotid duct - location - empties into
location -below zygomatic arch empties into oral cavity adjacent to upper second molar
31
parotid gland - what nerve travels through it (without innervating) - how can this nerve be damaged
facial nerve | surgery of the parotid gland can result in damage to the facial nerve
32
parotid gland - innervated by... - type of innervation
innervated by glossopharyngeal (CN IX) | autonomic innervation
33
parotid gland parasympathetic innervation - what is responsible for this innervation - produces
``` CN IX (glossopharyngeal) produces watery saliva ```
34
parotid gland sympathetic activation - what is responsible for this innervation - produces
carotid plexus | produces thick saliva
35
auriculotemporal nerve - part of which nerve - location in relation to parotid gland - function
``` part of V3 of trigeminal lies deep to parotid gland function -carries glossopharyngeal innervation to parotid gland -doesn't carry sensory fibers into gland ```
36
clinical correlations to the face and parotid region
Bell's palsy trigeminal neuralgia Herpes zoster (shingles) cancer of the parotid gland