Muscles of facial expression - orbital group Flashcards

1
Q

where are muscles of facial expression located?

A

in subcutaneous tissue

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2
Q

where do muscles of facial expression originate from? insert?

A

bone or fascia and insert onto the skin

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3
Q

by contracting, how do the muscles exert their effects?

A

by pulling on the skin

only group of muscle that inserts into the skin

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4
Q

what is the common embryonic origin of this group of muscles?

A

2nd pharyngeal arch

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5
Q

how do nerves innervate this group of muscles? (embryology)

A

as the muscles migrate from the 2nd pharyngeal arch, they take the nerve supply with them

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6
Q

what are all the muscles of the facial expression innervated by?

A

facial nerve (CN VII)

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7
Q

how can the facial muscles be split?

A

roughly into 3 groups:
orbital
nasal
oral

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8
Q

what does the orbital group of facial muscles contain?

A

2 muscles associated with the eye socket

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9
Q

what does the orbital group of facial muscle control?

A

the movements of the eyelids
important in protecting cornea from damage
innervated by facial nerve (CN VII)

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10
Q

what are the muscles of the orbital group?

A

orbicularis oculi

corrugator supercilli

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11
Q

where is the orbicularis oculi located?

A

muscle surrounds the eye socket and extends into the eyelid

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12
Q

what is the function of orbicularis oculi?

A

functionally split into 2 parts:
outer orbital part
inner palpebral part

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13
Q

what is the action of palpebral part of orbicularis oculi?

A

performs gentle closure of the eyelid

gentle palpate

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14
Q

what is the action of the orbital part of the orbicularis oculi?

A

closes eyelid fOrcefully

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15
Q

where is the corrugator supercilli muscle located?

A

much smaller muscle, located posteriorly to the orbicularis oculi muscle

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16
Q

where does the corrugator supercilli muscle originate and insert?

A

originates from superciliary arch, runs in superolateral direction
inserts into skin of eyebrown

17
Q

what is the action of the corrugator supercilli muscle?

A

acts to draw eyebrows together, creating vertical wrinkles on the bridge of the nose

18
Q

what is the innervation of corrugator supercilli?

A

facial nerve (CN VII)

19
Q

Clinical: what happens if facial nerve becomes damaged? (in terms of orbital muscles)

A

orbital muscles will cease to function

20
Q

Clinical: what happens if orbital muscles cease to function?

A

the eye cannot shut

the lower eyelid droops

21
Q

clinical: what happens if the eye cannot shut?

A

can cause the cornea to dry out

22
Q

what is it called when the cornea dries out?

A

exposure keratitis

result of facial nerve damage

23
Q

what happens if the lower eyelid droops as a result of facial nerve damage?

A

lacrimal fluid pools in the lower eyelid, and cannot be spread across the surface of the eye

24
Q

what can happen if the lacrimal fluid pools in the lower eyelid and cannot spread across the surface of the eye?

A

result in a failure to remove debris and ulceration of the corneal surface

25
Q

what is it called when the lower eyelid droops?

A

ectropion

26
Q

what is the test for facial nerve palsy?

A

raising the eyebrows and closing the eyelids