The facial nerve Flashcards
What is cranial nerve 7?
The facial nerve
Where does the cranial nerve emerge from?
The brain
It travels through the posterior cranial fossa before entering the facial canal in the temporal bone
What happens to the facial nerve while it is in the temporal bone?
It gives off a number of branches that play a central role in the sense of taste and in controlling salivation
Where do the motor nerve fibres of VIII emerge from?
stylomastioid foramen
Where is the stylomastioid foramen located?
medial to the mastoid process and styloid process
Where is the mastoid process
It is the lump of bone you can feel just behind your ear
What is the styloid process
It is a stylus-like projection of the temporal bone
What do the motor fibres of the facial nerves supply?
The muscles of facial expression
What does the facial nerve do when it comes out of the stylomastoid foramen?
It gives off a couple of small branches one that goes to the posterior belly of the digastric muscle
Where does the main truck of nerves enter after leaving the stylomastoid process and branching off?
Enters the posterior aspect of the parotid salivary gland on the side of your face.
What happens to the facial nerve when it enters the parotid gland?
It splits off into 5 sets of branches
What are the 5 sets of branches that the facial nerve splits of into called?
(In the parotid gland)
- The temporal branches
- The zygomatic branches
- The buccal branches
- The marginal mandibular branches
- The cervical branches
Describe the pathway the facial nerve takes before splitting into 5 branches in the parotid gland
- Originates in the brain
- Travels through the posterior cranial fossa
- Enters the facial canal in the temporal bone
- Branches
- Exits via the stylomastioid foramen
- Branches
- Enters the posterior aspect of the parotid salivary gland
- Branches into 5 sets
When are dentist most likely to interfere with the motor fibres of the facial nerve?
Which the nerve fibres are in the parotid gland
How can a dentist accidentally inter with the function of the motor fibres of the facial nerve?
A misplaced needle can turn an inferior alveolar nerve block anaesthetic procedure into a facial nerve block anaesthetic procedure
If the needle passes posterior to the mandible, the anaesthetic solution ends up being deposited into the substance of the parotid gland, anaesthetising any nerves that happen to be running through it.
What is the result of a dentist accidentally anaesthetising the facial nerve?
The patient loses the ability to move the muscles of facial expression on the affected side of the face