Padalecki 4 Flashcards
The face is richly supplied with vasculature. The ends of these arteries ______ freely.
anastomose
Origin of facial artery
external carotid artery
Course of facial artery
a. Usually runs _____ to the submandibular gland
b. Crosses mandible _____ to masseter m. and enters the face
b. Follows tortuous course toward _______.
c. _____ to superficial facial muscles
a. deep
b. anterior
c. medial canthus of eye
d. Deep
Facial artery branches (neck) - do not reach the face; named according to main areas of termination
a. Ascending palatine a.
b. Tonsillar a.
c. Submandibular a.
d. Submental a.
Facial artery branches (face)
a. Inferior labial a.
b. Superior labial a.
c. Lateral nasal a.
d. Angular artery
runs medially in and supplies the lower lip
Inferior labial a.
runs medially in and supplies the upper lip, nasal ala and septum
Superior labial a.
passes medially to the ala of the nose to supply the skin on the ala and dorsum of nose
Lateral nasal a.
terminal branch of the facial artery passing to the medial canthus of the eye to supply to superior part of the cheek and the inferior eyelid (end artery after the lateral nasal branch )
Angular artery
Connections of facial artery
a. Buccal branch of maxillary a.
b. Transverse facial a.
c. Infraorbital branch of maxillary a.
d. Dorsal nasal branch of opthalmic a.
e. Mental branch of maxillary a.
artery near buccinator muscle
Buccal branch of maxillary a.
branch of the superficial temporal artery within parotid gland; crosses face superficial to the masseter and inferior to the zygomatic arch; supplies parotid gland and duct; tissues of face
Transverse facial a.
terminal branch of the inferior alveolar artery; emerges from mental foramen to supply skin and tissues of the chin
Mental branch of maxillary a.
Other arteries of the face
- Supraorbital branch of ophthalmic a.
- Supratrochlear branch of ophthalmic a.
- Superficial temporal a.
a. Smaller terminal branch of the external carotid a.
b. Divides into frontal and parietal branches
Superficial temporal a.
Origin of facial vein
formed by the supraorbital and supratrochlear veins
a. Posterolateral to facial a.
b. Straighter than facial a.
c. More superficial than facial a. in submandibular triangle
Course of facial vein
The facial vein communicates with the ophthalmic veins and thus, the _______ or Danger Area of the Face.
cavernous sinus
roughly triangular area from upper lip to bridge of nose where the facial vein and its tributaries have direct connections to intracranial venous structures allowing for the possible spread of infection
Danger Area of the Face
a. Fever and disorientation (general infection)
b. loss of papillary reflex (CNIII)
c. diplopia (CNIII, IV, VI (extraocular muscles)
d. pain in orbit and forehead (CN V)
e. edema of eyes/orbit (blockage of venous blood flow)
Cavernous sinus thrombosis
important during inferior alveolar n. block because it is vulnerable to penetration by needle (resulting in intravascular injection of anesthesia or hematoma formation
Pterygoid plexus
Termination of facial vein
a. Joined by anterior branch of retromandibular vein
b. Ends in internal jugular vein (may be direct or indirect connection)
Other facial veins
- Supraorbital vein
- Supratrochlear vein
- Deep facial vein
- Superficial temporal vein
near (long) buccal nerve; terminates by entering the posterior aspect of the facial vein; drains infratemporal fossa
Deep facial vein
joined by the maxillary vein to form the retromandibular vein; drains scalp, forehead and part of temple and face
Superficial temporal vein
Parotid nodes receive lymph from:
a. Forehead
b. Lateral scalp
c. Lateral eyelids
d. Preauricular nodes