Face, Orbits, and Temporal Region Flashcards
- What are the contents of the superficial fascia of the face?
- What is the motor innervation?
- What is the sensory innervation?
contents:
- parotid gland
- muscles of fascial expression
- branches of facial nerve (CN VII)
- branches of trigeminal nerve (CN V)
- branches of facial a and v
motor innervation
- facial nerve (CN VII)
sensory innervation
- trigeminal nerve (CN V)
- Where can you find muscles of facial expression?
- What do they attach to?
- What do they do?
- What else do they surround?
- What do they act as?
- within subcutaneous tissue of anterior and posterior scalp, face, and neck
- most attach to bone or fascia & produce their effects by pulling the skin
- move the skin and change facial expressions to convey mood
- surround orifices of the mouth, eyes, and nose
- act as sphincters and dilators that close/open orifices
What are the different muscles of facial expression?
- occipitofrontalis
- orbicularis oculi
- levator labii superioris
- zygomaticus major
- orbicularis oris
- platysma
- depressor anguli oris
- buccinator
What are the actions of occipitofrontalis?
- elevates eyebrows
- wrinkles skin of forehead
- protracts scalp (frontal belly)
- retracts scalp (occipital belly)
What are the actions of orbicularis oculi?
- closes eyelids (winking)
What are the actions of levator labii superioris?
- part of dilators of mouth
- retract (elevate) and/or evert upper lip
- deepen nasolabial sulcus
What are the actions of zygomaticus major?
- part of dilators of mouth
- elevate labial commissure (bilaterally to smile)
What are the actions of orbicular oris?
- tonus closes oral fissure
- phasic contraction compresses/protrudes lips (kissing)
- resists distention (when blowing)
What are the actions of platysma?
- depresses mandible (against resistance)
- tenses skin of inferior face and neck (conveying tension and stress)
What are the actions o the depressor anguli oris?
- part of dilators of mouth
- depresses labial commissure bilaterally to frown (sadness)
What is the action of the buccinator?
- presses cheek against molar teeth
- works with tongue to keep food down between occlusal surfaces and out of oral vestibule
- resists distention (when blowing)
What are the 5 terminal branches of CN VII (facial nerve)?
- temporal
- zygomatic
- buccal
- marginal mandibular
- cervical
- Where does the facial nerve originate from?
- How does it enter the skull?
- After entering the skull, what does it pass through?
- Then it descends to emerge from the (…)
- What does it pass through after this to distribute its terminal branches to the face and neck?
- brainstem
- enters the internal acoustic meatus
- passes through facial canal in petrous portion of temporal bone
- from the stylomastoid foramen
- passes through the parotid gland
What results when the facial nerve becomes damaged so the facial muscles are affected/droop on one side?
Bell’s palsy
What provides sensory innervation to the face?
- trigeminal nerve (3 branches)
- great auricle nerve
What are the 3 divisions of the trigeminal nerve?
- ophthalmic division (V1)
- maxillary division (V2)
- mandibular division (V3)
- What areas of the face does the ophthalmic division of CN V innervate?
- What areas of the face does the maxillary division of CN V innervate?
- What areas of the face does the mandibular division of CN V innervate?
- skin of forehead, upper eyelids, nose
- skin of lower eyelid, cheek, and upper lip
- skin of lower face, part of side of the head
What areas of the face does the great auricle nerve innervate/provide sensation to?
- skin over the angle of the mandible just in front of the ear
What are the 3 facial vasculature arteries that come off the external carotid artery?
- facial artery
- superficial temporal artery
- maxillary artery
What are the 3 branches of the facial artery and what do they supply?
- superior and inferior labial arteries: upper and lower lips
- lateral nasal artery: side of the nose
- angular artery: medial angle of the eye (terminal branch of facial a)
- What does the superficial temporal artery give off?
- What do the branches of the superficial temporal artery supply?
- gives off the transverse facial artery
- supplies parotid gland/duct, masseter, and skin of face
What does the maxillary artery supply?
supplies upper and lower jaws
- The facial vein gives off the (…) vein
- What does this drain?
- What is this vein joined by?
- This original vein drains directly or indirectly into the (…) vein
- Describe the direct/indirect drainage
- gives off the deep facial vein
- drained the pterygoid venous plexus
- joined by anterior branch of the retromandibular vein
- internal jugular vein
- directly drain into internal jugular or indirectly drain into the retromandibular vein
- What does the facial vein communicate with?
- What does it drain into?
- superior ophthalmic vein
- drains into cavernous sinus (venous drainage from the v)