Theme 3 Flashcards
The Face
Muscles of Facial Expression
- Sensory innervation
- Motor Innervation
- CNV3
- CNVII
What are muscles of facial expression attached to?
What is their common embryological origin?
All have one attachment to bone, one attachment to skin
2nd Pharyngeal Arch
Facial Muscles of the Mouth
- Location
- Function
Orbicularis Oris - sphincter of oral aperture
- upper & lower lip
- Control of mouth
Levator Anguli Oris
- Attaches to mouth angles from above
- Elevates angles of mouth
Depressor Anguli Oris
- Attaches to mouth angles from below
- Depresses angles of the mouth
Zygomatic Major
- Attaches to mouth angles by coming downwards & Medially from the Zygomatic bone - outer muscle
- Pulls angle of mouth up & back
Risouris
- Attaches to mouth angles by coming horizontally
- Pulls angle of mouth backwards (laterally)
Facial Muscles of the Lips
- Location
- Function
Levator Labii Superioris <span>(+ = joins)</span>
- Arises from Frontal process of Maxilla + Zygomaticus Minor + Levator Labii superioris Alaque Nasi to insert as one into upper lip
- Raises Upper lip - LLSAN flares nostril
Depressor Labi Superioris
- Inserts upwards from oblique line of mandible into lower lip
- Depresses lower lips
Facial Muscle of the Cheek
- Location
- Function
Buccinator
- Location:
- 1st Maxillary molar to Palatine bone & Lateral Pterygoid plate
- Short ligaments from Palatine bone to tip of Hamulus of medial Pterygoid plate
- Attached to the Pterygomandibular raphe (stretching from the tip of the hamulus to the mylohyoid line on interior mandible)
- The muscle then runs from the mylohyoid line along the buccal surface of the alveolar process of the mandibular to the 1st mandibular molar
2.
- Mastication: Keeps muscles tout during mastication
- Denture fitting: Anterior attachments are important landmarks
- Dental Anaesthesia: Pterygomandibular Raphe, posterior attachment of buccinator, is an important landmark for IAN
Facial Muscles of the Chin
- Location
- Function
Mentalis
- Skin of chin
- Pushes up the lower lip & wrinkles the chin
Facial Muscles of the Nose
- Location
- Function
Nasalis:
- Overlining nose
- Compresses nostrils
Levator Labii superioris Alaque Nasi:
- Next to nose, goes downwards into upper lip
- Flares nostril
Facial Muscles of the Eye
Location
Function
Obicularis Oculi - Sphincter muscle with three parts
- Orbital part:
Location: Outer portion encircling the eye
Function: Closes eye forcefully
- Palpebral Part
Location: Portion covering eyelids
Function: Closes eye gently
- Lacrimal Part
Location: Small portion within orbit behind lacrimal sac
Function: Squeezes lubrication tears against eyeball
Facial Muscles of the Forehead
- Location
- Function
Procerus
- On top of unibrow, fibers running vertically along the bridge of the nose
- Wrinkles Nose
Corrugator Supercilii
- Skin underlying eyebrows
- Draws eyebrows downwards & medially = frowning
Frontalis
- Skin of Forehead
- Wrinkles & raises eyebrows
Facial Nerve - CNVII
- What type of innervation does it provide
- Pathway
- Facial Branches
1.
Motor innervation for Facial Expression
Sensory innervation for tongue via chorda tympani
2.
Stylomastoid foramen –> downwards, motor branch to stylohyoid and Posterior Digastric –> Through Parotid Gland from behind & onto the face = branches
- Two Zebras Bit My Coccyx
Temporal
Zygomatic
Buccal
Mandibular
Cervical
What Muscles of Facial expression do the branches of CNVII supply?
Temporal:
- Auricular Muscles
- Frontalis
- Superior part of Obicularis Oculi
Zygomatic:
- Inferior part of Obicularis Ocuili
- Superior parts of Zygomaticus Major, Lavator Labii Superioris, Levator Anguli Oris, Nasalis & Orbicularis Oris muscles
Buccal:
- Buccinator
- Orbicularis Oris
- Inferior portions of Zygomaticus Major, Lavator Labii Superioris, Levator Anguli Oris, Nasalis & Orbicularis Oris muscles
Mandibular:
- Depressors
- Mentalis
Cervical:
- Platysma
What are the three divisions of the Trigeminal nerve?
Where does each division of the trigeminal nerve enter the skull?
What type of innervation do they supply?
What is the role of each division of the trigeminal nerve?
Opthalmic - V1 - Supraorbital Fo
Maxiallary - V2 - Infraorbital Fo
Mandibular - V3 - Mental Fo
Sensory innervation but V3 also supply motor
Each division supplies a specific area of skin - a dermatone
Branches of V1 - Ophthalmic division
What do they each supply?
Supraorbital & Supratrochlear - Eyes and above
Lacrimal - Lacrimal gland
External Nasal & Infratrochlear - Nose
Branches of V2 - Maxillary Division
Infraorbital - Superior Labial & Nasal branches
Zygomaticofacial**: Emerges from Zygomatic fo. & travels down
Zygomaticotemporal**: Emerges from Zygomatic Fo. & travels up
Branches of V3 - Mandibular Division
Auriculotemporal - Side of the head between TMJ
Long Buccal - under ramus of mandible to Cheek
Mental Nerve - Branch of IAN - Mental Fo.