Parotid Region & Facial Nerve Flashcards

1
Q

where is the parotid region?

A

anterior to the each and inferior to the zygomatic arch

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2
Q

what is the parotid gland?

A

the largest of the salivary glands
- produces mostly serous secretions

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3
Q

what is the parotid enclosed in?

A

Enclosed in the parotid sheath
- tough fascial capsule derived from investing layer of deep cervical fascia

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4
Q

what muscle does the parotid duct pierce?

A

buccinator

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5
Q

what structures are embedded in the parotid gland?

A
  • retromandibular vein
  • external carotid artery
  • parotid lymph nodes
  • CNVII
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6
Q

what is the parasympathetic innervation of the parotid gland?

A
  • preganglionic fibres from the Glossopharyngeal nerve (CNIX) travel to the otic ganglion in the tympanic nerve & lesser petrosal nerve
  • post ganglionic fibres from the otic ganglion pass to the auriculotemporal nerve (CNV3) that sens branches to the parotid gland
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7
Q

what supplies blood to the parotid gland?

A

the parotid gland receives its arterial supply from the branches of the external carotid that run through it

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8
Q

what is the venous drainage of the parotid gland?

A
  • maxillary vein
  • superficial temporal vein
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9
Q

what is the sympathetic innervation of the parotid gland?

A
  • derived from the superior cervical ganglion & nerve plexus on the ECA
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10
Q

what does sympathetic activation of the parotid gland result in?

A

vasoconstriction & reduction in volume of saliva (leading to dry mouth)

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11
Q

what foramena does the facial nerve travel through?

A

internal acoustic meatus

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12
Q

describe the facial nerve supply to the tongue:

A

the chorda tympani branches off the facial to hitchhike with the lingual nerve
- supplies taste & sensation to the anterior 2/3 of tongue

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13
Q

where does the facial nerve exit the skull?

A

stylomastoid foramen

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14
Q

when the facial nerve exist the skull, what are the two branches that it immediately gives off?

A
  • posterior auricular
  • digastric branch
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15
Q

what does the posterior auricular nerve supply?

A
  • auricularis posterior
  • occipital belly of the occipitofrontalis muscle
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16
Q

what does the digastric branch of the facial nerve supply?

A

the posterior belly of the digastric

17
Q

what are the 5 terminal branches of the facial nerve?

A
  • temporal
  • zygomatic
  • buccal
  • marginal mandibular
  • cervical
18
Q

During a parotidectomy, the patient suffers from damage to the zygomatic branch of the facial nerve, what would occur?

A
  • paralysis
  • loss of tonus of orbicularis oculi in the inferior eyelid causing it to EVERT
  • damage of cornea
  • impaired vision
19
Q

what occurs if the buccal branch of the facial nerve is damaged?

A

paralysis of buccinator & superior portion of orbicularis oris & upper lip muscles

20
Q

what is Bell’s palsy?

A

unilateral facial paralysis in the upper and lower portions of the face, with no apparent cause for the paralysis

21
Q

what may be used to treat Bell’s Palsy?

A
  • steroids
  • anti-viral medication
22
Q

how is the parotid gland related to the viral infection mumps?

A

The most common & recognisable symptom is swelling of the parotid gland