Superficial Face and Parotid Region Flashcards
What nerve fibers pass through the Infraorbital foramen?
Infraorbital n. (V2)
What formina lie directly superior and inferior to the infraorbital foramen and also carry fibers of the trigeminal nerve (CN V)?
- Associated Bones?
Supraorbital Foramen (frontal bone) - Supraorbital n. (V1)
Infraorbital Foramen (Maxillary bone) - Infraorbital n. (V2)
Mental Foramen (Mandible) - Mental n. (V3)
**All just take the name of the foramen
What is a common job of the supraorbital (V1), Infraorbital (V2) and Mental (V3) nerves?
- They all provide major cutaneous innervation to the face
What pharyngeal arch to the muscles of facial expression arise from?
2nd pharyngeal arch (so innervated by CN VII)
What is the general origin and insertion of the facial mm.?
Originate from bone
Insert onto skin
What parts of the orbicularis oris m. are involved in gently closing the eye and which are involved in tight closure?
- Palpebral (inner) portion gently closes the eyelids
- Orbital Part (outer ring) closes eyelids more tightly
(CN VII innervated)
What muscle would you flex to wink an eye?
- Palpebral AND Orbital part
What does the occipitofrontalis mm. do?
- Elevates eyebrows and wrinkles to forehead
CN VII innervated
What muscle forms the sphincter around the mouth?
Orbicularis Oris
What is the function of orbicularis oris?
- Protrudes Lips
- Puckers the Mouth
What is the common insertion of levator labii superioris and depressor labii inferioris?
- actions
BOTH insert into fibers of Orbicularis oris
Levator Labii Superioris action:
- Elevates upper lip and raises the angle of the mouth
Depressor Labii Inferioris action:
- Pulls lip inferiorly and laterally
What is the action of zygomaticus major and minor?
Pulls corner of the mouth superiorly and laterally
Where does zygomaticus major insert?
Into the skin at the corner of the mouth
What is the job of Levator and Depressor Anguli oris?
Levator Anguli Oris:
- Raises angle of the mouth
Depressor Anguli oris:
- pulls angle of the mouth inferiorly and laterally
What facial muscle orginates in part from the pterygomandibular raphe?
- Buccinator
What are the jobs of the buccinator?
- Presses Cheek against too during mastication to keep food out of oral vestibule
- Active when expelling air from oral cavity (blowing)
What does the investing fascia continue as superiorly in the parotid region?
- Parotid Fascia or Capsule
Describe the complete path of the parotid duct?
- where does it empty?
- Anterior Border of Parotid
- Extends forward below to zygomatic bone
- Crosses the Masseter
- Turns deep at anterior border of buccal fat pad
- Penetrates Buccinator m.
- Opens at 2nd molar
What is the isthmus of the parotid gland?
- What is anterior and posterior
- Waist-like constriction of Parotid
Anterior:
- Ramus of Mandible
- Masseter
Posterior:
- Mastoid process
What major nerve, artery, and vein course THROUGH the parotid?
Nerve:
Facial n. (CN VII)
Vein:
Retromandibular
Artery:
External Carotid
What fascial layers bound the Lateral Pharyngeal Space?
- Partoid Fascia (continuation of investing fascia)
- Buccopharyngeal Fascia
What space does the lateral pharyngeal space communicate with medially?
Retropharyngeal
What is the relationship between the vein artery and nerve that are buried in the parotid from superficial to deep?
Superficial: CN VII
Middle: Retromandibular v.
Deep: External Carotid a.
What is the trunk of CN VII?
- CN VII as it emerges from stylomastoid foramen before it divides into inferior (Cervicofacial) and superior (Temporofacial) divisions
What nerve provides GVE innervation to the parotid?
- associated ganglia
NOTE: GVE = Parasympathetic in head
Nerve:
Glossopharyngeal N. (IX)
Ganglia:
Otic Ganglia
What nerve provides GSA innervation to parotid capsule/ sheath?
- C2 and C3 via Great Auricular n.
2. Mandibular Division (V3) of trigeminal n.
Where does the mental nerve become its own branch of V3?
- course
- Branches from inferior alveolar n. as inf. alveolar n. descends into mandibular foramen
2. Continues on medial side of mandible
3. Goes through the mental foramen to the outside of the face
What innervates the tip of the nose to the occipital part of the head?
Opthalmic division (V1)
*Via Supraorbital n.
Note: this includes upper eyelids