Parotid Region and Facial Nerve Flashcards

1
Q

what is the parotid gland enclosed in

A

parotid sheath

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2
Q

what structure does the parotid duct pierce

A

the buccinator

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3
Q

what are the three structures that pass through the parotid gland

A

retromandibular vein
external carotid artery
CN VII

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4
Q

what is the arterial supply of the parotid gland

A

the branches of ECA that run through it (posterior auricular, maxillary and superficial temporal)

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5
Q

what is the venous drainage of the parotid gland

A

maxillary and superficial temporal veins that join to give the retromandibular vein

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6
Q

what is the parasympathetic innervation of the parotid gland

A

preganglionic fibres (CN IX via tympanic nerve and lesser petrosal) - octic gnaglion - auriculotemporal nerve

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7
Q

what does sympathetic innervation of the parotid gland result in

A

vasoconstriction and reduction in saliva

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8
Q

what portion of the facial nerve is classed as the intratemporal portion

A

from where it exits the pons to where it exits the skull

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9
Q

what occurs before the facial nerve exits the skull

A

it gives off two branches - nerve to the stapedius and the chorda tympani

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10
Q

where does the facial nerve exit the skull

A

stylomastoid foramen

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11
Q

what is the extratemporal portion of the temporal nerve classed as

A

where it exits the skull at the styloid foramen

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12
Q

what 2 branches are given off of the facial nerve before the nerve enters the parotid gland

A

posterior auricular
digastric

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13
Q

what are the branches of the facial nerve when it enters the parotid gland

A

temporal
zygomatic
buccal
marginal mandibular
cervical

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14
Q

what is the most common type of facial paralysis

A

bells palsy

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15
Q

what can you do after 2 years of paralysis from bells palsy

A

surgery for facial reconstruction - static reconstruction

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16
Q

parotid tumours are usually benign but what can be affected during procedures to remove them

A

facial nerve

17
Q

where does the great auricular nerve arise from

A

ventral rami of the second and third cervical spinal nerves

18
Q

where does the great auricular nerve innervate

A

skin over parotid region, angle of mandible, mastoid process and auricle

19
Q

what can a great auricular nerve graft be used for

A

a graft for the facial nerve

20
Q

what is a clinical consideration for the parotid gland

A

mumps - a viral infection that has symptoms of general fever, headache and joint pain, swelling of parotid gland

21
Q

why is swelling of the parotid gland so painful

A

parotid gland is contained within the fibrous capsule