Podcast
Questions and Answers
Which of the following tissues is NOT part of the superficial structures lining the viscerocranium?
Which of the following tissues is NOT part of the superficial structures lining the viscerocranium?
- Skin
- Facial n. divisions
- Buccopharyngeal fascia
- Deep fascia (correct)
Which structure is primarily responsible for the innervation of the muscles of facial expression?
Which structure is primarily responsible for the innervation of the muscles of facial expression?
- Superficial musculo-aponeurotic system (SMAS)
- Buccopharyngeal fascia
- Parotid-masseteric fascia
- Facial nerve (correct)
What is the primary role of the temporoparietal fascia in relation to the facial structures?
What is the primary role of the temporoparietal fascia in relation to the facial structures?
- Supporting blood vessels
- Providing a layer above the zygomatic arch (correct)
- Anchoring muscles of mastication
- Acting as a barrier for venous drainage
Which of the following describes the main concern of a lower motor neuron lesion (LMNL) related to the facial nerve?
Which of the following describes the main concern of a lower motor neuron lesion (LMNL) related to the facial nerve?
Which fascia is positioned deep to the buccal fat pad and associated with the muscles of mastication?
Which fascia is positioned deep to the buccal fat pad and associated with the muscles of mastication?
Which anatomical structure is located in the vicinity of the foramen lacerum?
Which anatomical structure is located in the vicinity of the foramen lacerum?
What function is primarily associated with the deep petrosal nerve?
What function is primarily associated with the deep petrosal nerve?
Which of the following structures is most closely associated with the pterygopalatine ganglion?
Which of the following structures is most closely associated with the pterygopalatine ganglion?
What is the primary role of the internal carotid artery in relation to the cranial structures?
What is the primary role of the internal carotid artery in relation to the cranial structures?
Which anatomical feature is a prominent landmark for the passage of cranial nerves?
Which anatomical feature is a prominent landmark for the passage of cranial nerves?
Which structure is associated with the sphenopalatine foramen?
Which structure is associated with the sphenopalatine foramen?
What is the function of the lateral nasal nerves?
What is the function of the lateral nasal nerves?
Which of the following nerves is linked with the stapedius muscle?
Which of the following nerves is linked with the stapedius muscle?
Which structure demonstrates a connection to the pterygoid canal?
Which structure demonstrates a connection to the pterygoid canal?
Which of the following structures does NOT play a role in the sensory innervation of the nasal region?
Which of the following structures does NOT play a role in the sensory innervation of the nasal region?
Which branch of the facial nerve is directly associated with the submandibular ganglion?
Which branch of the facial nerve is directly associated with the submandibular ganglion?
What is the primary function of the buccal branches of the facial nerve?
What is the primary function of the buccal branches of the facial nerve?
Which gland is primarily innervated by the branches associated with the submandibular ganglion?
Which gland is primarily innervated by the branches associated with the submandibular ganglion?
Which branch of the facial nerve is NOT involved in the innervation of the tongue?
Which branch of the facial nerve is NOT involved in the innervation of the tongue?
The submandibular ganglion is primarily influenced by which part of the facial nerve?
The submandibular ganglion is primarily influenced by which part of the facial nerve?
Which structure is primarily associated with the Chorda Tympani?
Which structure is primarily associated with the Chorda Tympani?
What is the primary function of the Palatine Nerves?
What is the primary function of the Palatine Nerves?
To which area are the Palatine Nerves directed?
To which area are the Palatine Nerves directed?
Which nerve is primarily responsible for the sensory supply to the nasal mucosa?
Which nerve is primarily responsible for the sensory supply to the nasal mucosa?
What is the route taken by the Chorda Tympani to reach its target area?
What is the route taken by the Chorda Tympani to reach its target area?
Which structure does the Chorda Tympani primarily travel with?
Which structure does the Chorda Tympani primarily travel with?
Which of the following structures is not directly associated with the Chorda Tympani?
Which of the following structures is not directly associated with the Chorda Tympani?
What is primarily affected by Bell's palsy?
What is primarily affected by Bell's palsy?
Which muscles are affected in the event of a supranuclear lesion?
Which muscles are affected in the event of a supranuclear lesion?
What is a key characteristic of ipsilateral hypo-lacrimation in facial nerve palsy?
What is a key characteristic of ipsilateral hypo-lacrimation in facial nerve palsy?
Which branch of the facial nerve is primarily responsible for innervating the mentalis muscle?
Which branch of the facial nerve is primarily responsible for innervating the mentalis muscle?
Which symptom is associated with ipsilateral hyperacusis in facial nerve palsy?
Which symptom is associated with ipsilateral hyperacusis in facial nerve palsy?
Which of the following branches innervates the muscles around the mouth?
Which of the following branches innervates the muscles around the mouth?
What type of nerve lesion is indicated by the term 'lower motor neuron lesion' (LMNL)?
What type of nerve lesion is indicated by the term 'lower motor neuron lesion' (LMNL)?
Which muscle is primarily responsible for elevating the upper lip?
Which muscle is primarily responsible for elevating the upper lip?
Which structure is primarily associated with the innervation of the stapedius muscle?
Which structure is primarily associated with the innervation of the stapedius muscle?
Which nerve is involved in the sensory supply to the nasal mucosa?
Which nerve is involved in the sensory supply to the nasal mucosa?
Which anatomical feature is prominently associated with the passage of the nasopalatine nerve?
Which anatomical feature is prominently associated with the passage of the nasopalatine nerve?
Which of the following nerves is likely to affect the lateral nasal regions?
Which of the following nerves is likely to affect the lateral nasal regions?
Which structure has a direct connection to the foramen lacerum?
Which structure has a direct connection to the foramen lacerum?
Which of the following branches is directly involved in providing innervation to both the buccal and mental regions?
Which of the following branches is directly involved in providing innervation to both the buccal and mental regions?
Which structure is primarily connected with the sublingual gland through its branches?
Which structure is primarily connected with the sublingual gland through its branches?
Which anatomical feature is the main landmark for the routes taken by both the Chorda Tympani and Mandibular Branches?
Which anatomical feature is the main landmark for the routes taken by both the Chorda Tympani and Mandibular Branches?
Which branch of the facial nerve is specifically responsible for innervating the muscles of facial expression?
Which branch of the facial nerve is specifically responsible for innervating the muscles of facial expression?
Which ganglion is closely associated with the innervation pathways of the facial nerve branches?
Which ganglion is closely associated with the innervation pathways of the facial nerve branches?
Which anatomical structure is located at the petrotympanic fissure?
Which anatomical structure is located at the petrotympanic fissure?
Which nerve primarily innervates the hard palate?
Which nerve primarily innervates the hard palate?
Which structure does not have a direct association with the Chorda Tympani?
Which structure does not have a direct association with the Chorda Tympani?
Which of the following nerves is responsible for supplying sensory innervation to the nasal mucosa?
Which of the following nerves is responsible for supplying sensory innervation to the nasal mucosa?
Which branch is specifically associated with taste sensation from the anterior two-thirds of the tongue?
Which branch is specifically associated with taste sensation from the anterior two-thirds of the tongue?
What is the primary function of the temporal branches of the facial nerve?
What is the primary function of the temporal branches of the facial nerve?
Which anatomical feature serves as a prominent landmark for the passage of cranial nerves?
Which anatomical feature serves as a prominent landmark for the passage of cranial nerves?
What is the primary characteristic of Bell’s palsy?
What is the primary characteristic of Bell’s palsy?
Which symptom is specifically associated with involvement of the greater petrosal nerve?
Which symptom is specifically associated with involvement of the greater petrosal nerve?
What indicates the presence of Bell's phenomenon in a patient?
What indicates the presence of Bell's phenomenon in a patient?
Which nerve is associated with ipsilateral hyperacusis in individuals with facial nerve issues?
Which nerve is associated with ipsilateral hyperacusis in individuals with facial nerve issues?
Which symptom can arise due to a lesion affecting the Chorda tympani?
Which symptom can arise due to a lesion affecting the Chorda tympani?
What role does the orbicularis oculi play in Bell's phenomenon?
What role does the orbicularis oculi play in Bell's phenomenon?
What is the effect of Bell's palsy on salivation?
What is the effect of Bell's palsy on salivation?
Which statement best describes Bell's phenomenon?
Which statement best describes Bell's phenomenon?
What is the primary route for venous drainage of the face that collects blood from the inferior orbit?
What is the primary route for venous drainage of the face that collects blood from the inferior orbit?
Which vein is primarily responsible for draining blood from the forehead and the angular region of the face?
Which vein is primarily responsible for draining blood from the forehead and the angular region of the face?
What structure does the superior ophthalmic vein traverse en route to the cavernous sinus?
What structure does the superior ophthalmic vein traverse en route to the cavernous sinus?
Which drainage route of the face carries the highest risk of infection due to its connection with the cavernous sinus?
Which drainage route of the face carries the highest risk of infection due to its connection with the cavernous sinus?
Which vein works in coordination with the maxillary vein to drain portions of the face?
Which vein works in coordination with the maxillary vein to drain portions of the face?
What vein primarily drains blood from the eye and superior orbit?
What vein primarily drains blood from the eye and superior orbit?
Which structure is associated with the relationship between the inferior and superior ophthalmic veins?
Which structure is associated with the relationship between the inferior and superior ophthalmic veins?
What is the function of the pterygoid plexus in relation to facial venous drainage?
What is the function of the pterygoid plexus in relation to facial venous drainage?
Which nerve is specifically a branch of the ophthalmic nerve (V1)?
Which nerve is specifically a branch of the ophthalmic nerve (V1)?
Which structure serves as the location for the cell bodies of incoming sensory nerve fibers in the divisions discussed?
Which structure serves as the location for the cell bodies of incoming sensory nerve fibers in the divisions discussed?
What anatomical feature is associated with the passage of the infraorbital nerve?
What anatomical feature is associated with the passage of the infraorbital nerve?
Which nerve is responsible for sensation from the skin of the anterior temple and midface?
Which nerve is responsible for sensation from the skin of the anterior temple and midface?
Which neural structure provides sensory innervation to the external nose?
Which neural structure provides sensory innervation to the external nose?
How many branches of the maxillary nerve (V2) contribute to general sensation from the midface region?
How many branches of the maxillary nerve (V2) contribute to general sensation from the midface region?
What is the primary function of the supraorbital nerve?
What is the primary function of the supraorbital nerve?
In which anatomical region are the supra-orbital foramen and notch typically located?
In which anatomical region are the supra-orbital foramen and notch typically located?
Which nerve primarily travels through the petrotympanic fissure to reach its targeted area?
Which nerve primarily travels through the petrotympanic fissure to reach its targeted area?
What is the primary function of the Chorda Tympani in relation to the tongue?
What is the primary function of the Chorda Tympani in relation to the tongue?
Which of the following areas does the Palatine Nerves primarily innervate?
Which of the following areas does the Palatine Nerves primarily innervate?
Which anatomical structure serves as a prominent landmark for the passage of the Chorda Tympani?
Which anatomical structure serves as a prominent landmark for the passage of the Chorda Tympani?
Which structure does NOT have any association with the nasal mucosa's sensory supply?
Which structure does NOT have any association with the nasal mucosa's sensory supply?
Which nerve provides sensory innervation to the hard palate?
Which nerve provides sensory innervation to the hard palate?
What type of nerve fibers are associated with the Chorda Tympani?
What type of nerve fibers are associated with the Chorda Tympani?
Which nerve has a significant connection with the muscles associated with the posterior belly of the digastric?
Which nerve has a significant connection with the muscles associated with the posterior belly of the digastric?
What is the correct sequence of the layers of the scalp from superficial to deep?
What is the correct sequence of the layers of the scalp from superficial to deep?
Which structure is primarily responsible for general sensation from the skin of the face?
Which structure is primarily responsible for general sensation from the skin of the face?
What is a potential complication associated with a rupture of emissary veins during a delivery?
What is a potential complication associated with a rupture of emissary veins during a delivery?
Which division of the Trigeminal nerve provides sensory innervation to the forehead and upper eyelid?
Which division of the Trigeminal nerve provides sensory innervation to the forehead and upper eyelid?
What condition is characterized by the presence of a hematoma in the subgaleal space?
What condition is characterized by the presence of a hematoma in the subgaleal space?
What type of innervation is primarily provided by the trigeminal nerve?
What type of innervation is primarily provided by the trigeminal nerve?
Which layer of the scalp contains veins, arteries, and nerves that supply the scalp?
Which layer of the scalp contains veins, arteries, and nerves that supply the scalp?
What is typically associated with Ventouse-assisted delivery in neonates?
What is typically associated with Ventouse-assisted delivery in neonates?
What is the primary characteristic of Bell's palsy related to facial muscles?
What is the primary characteristic of Bell's palsy related to facial muscles?
Which area would be significantly affected by a supranuclear lesion?
Which area would be significantly affected by a supranuclear lesion?
Which facial expression muscle is primarily innervated by the mandibular branch of the facial nerve?
Which facial expression muscle is primarily innervated by the mandibular branch of the facial nerve?
What symptom is NOT associated with facial nerve palsy?
What symptom is NOT associated with facial nerve palsy?
Which branch of the facial nerve is responsible for innervating the muscles of facial expression in the upper face?
Which branch of the facial nerve is responsible for innervating the muscles of facial expression in the upper face?
What characteristic feature distinguishes lower motor neuron lesions from upper motor neuron lesions?
What characteristic feature distinguishes lower motor neuron lesions from upper motor neuron lesions?
Which statement best describes the innervation of the muscles of facial expression?
Which statement best describes the innervation of the muscles of facial expression?
Which muscle primarily functions to lower the lower lip?
Which muscle primarily functions to lower the lower lip?
Which branch of the facial nerve is most closely associated with the sublingual gland?
Which branch of the facial nerve is most closely associated with the sublingual gland?
What is the primary function of the branches stemming from the submandibular ganglion?
What is the primary function of the branches stemming from the submandibular ganglion?
Which structure serves as a landmark for the branching of the facial nerve near the buccal region?
Which structure serves as a landmark for the branching of the facial nerve near the buccal region?
Which branches of the facial nerve are involved in the sensory and motor functions of the tongue?
Which branches of the facial nerve are involved in the sensory and motor functions of the tongue?
Which nerve is primarily responsible for innervation of the muscles of facial expression?
Which nerve is primarily responsible for innervation of the muscles of facial expression?
Which nerve is part of the V2 division of the trigeminal nerve?
Which nerve is part of the V2 division of the trigeminal nerve?
Where does the sensory root of the trigeminal nerve enter?
Where does the sensory root of the trigeminal nerve enter?
Which foramen is associated with the exit of the infra-orbital nerve?
Which foramen is associated with the exit of the infra-orbital nerve?
Which structure encloses the trigeminal ganglion?
Which structure encloses the trigeminal ganglion?
Which branches of the ophthalmic nerve (V1) provide sensation to the external nose?
Which branches of the ophthalmic nerve (V1) provide sensation to the external nose?
What anatomical feature is located nearly halfway between the medial rim and midpoint of the superior rim of the orbit?
What anatomical feature is located nearly halfway between the medial rim and midpoint of the superior rim of the orbit?
Which nerve primarily serves the skin of the midface and inferolateral orbit?
Which nerve primarily serves the skin of the midface and inferolateral orbit?
Which veins primarily drain the blood from the face to the cavernous sinus?
Which veins primarily drain the blood from the face to the cavernous sinus?
What role does the superior ophthalmic vein play in venous drainage?
What role does the superior ophthalmic vein play in venous drainage?
Which of the following veins joins the superior ophthalmic vein?
Which of the following veins joins the superior ophthalmic vein?
Identifying the route, which vein drains into the angular vein from the forehead region?
Identifying the route, which vein drains into the angular vein from the forehead region?
What is the main function of the pterygoid plexus in the venous drainage system?
What is the main function of the pterygoid plexus in the venous drainage system?
Which of the following statements regarding the danger triangle of the face is true?
Which of the following statements regarding the danger triangle of the face is true?
Which vein collects blood from facial structures and drains into the external jugular vein?
Which vein collects blood from facial structures and drains into the external jugular vein?
What is primarily drained by the inferior ophthalmic vein?
What is primarily drained by the inferior ophthalmic vein?
Flashcards
Superficial Musculo-Aponeurotic System (SMAS)
Superficial Musculo-Aponeurotic System (SMAS)
A fibrous membrane that lies deep to the subcutaneous fat and superficial to the muscles of facial expression. It forms a network that supports and anchors the facial muscles.
Skin
Skin
The layer of skin that covers the face and scalp. It is composed of the epidermis and dermis.
Fibro-adipose Tissue (Subcutaneous Layer)
Fibro-adipose Tissue (Subcutaneous Layer)
The fatty tissue found beneath the skin. It helps insulate the body and provides cushioning for the muscles and nerves.
Parotid-Masseteric Fascia
Parotid-Masseteric Fascia
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Buccopharyngeal Fascia
Buccopharyngeal Fascia
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Carotid Canal
Carotid Canal
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Foramen Lacerum
Foramen Lacerum
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Inferior Orbital Fissure
Inferior Orbital Fissure
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Pterygoid Canal
Pterygoid Canal
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Pterygopalatine Ganglion
Pterygopalatine Ganglion
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Sphenopalatine Foramen
Sphenopalatine Foramen
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Nerve of the Sphenopalatine Foramen
Nerve of the Sphenopalatine Foramen
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Nasopalatine and Lateral Nasal Nerves
Nasopalatine and Lateral Nasal Nerves
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Bell's Palsy
Bell's Palsy
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Supranuclear Facial Palsy
Supranuclear Facial Palsy
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Facial Nerve
Facial Nerve
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Ageusia
Ageusia
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Hyperacusis
Hyperacusis
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Hypo-lacrimation
Hypo-lacrimation
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Hypo-salivation
Hypo-salivation
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LMNL Facial Palsy
LMNL Facial Palsy
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Facial Nerve (VII)
Facial Nerve (VII)
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Buccal Branches
Buccal Branches
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Mandibular Branches
Mandibular Branches
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Cervical Branches
Cervical Branches
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Submandibular Ganglion
Submandibular Ganglion
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Chorda Tympani
Chorda Tympani
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Petrotympanic Fissure
Petrotympanic Fissure
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Palatine Nerves
Palatine Nerves
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Stylomastoid Foramen
Stylomastoid Foramen
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Temporal Branches
Temporal Branches
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Zygomatic Branches
Zygomatic Branches
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Marginal Mandibular Branch
Marginal Mandibular Branch
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Facial Nerve (CN VII) Function
Facial Nerve (CN VII) Function
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What is the Pterygoid Canal?
What is the Pterygoid Canal?
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What is the Nerve of the Sphenopalatine Foramen?
What is the Nerve of the Sphenopalatine Foramen?
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What are the Lateral Nasal Nerves?
What are the Lateral Nasal Nerves?
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What is the Acoustic Meatus?
What is the Acoustic Meatus?
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What does the Nerve to the Stapedius do and where is it located?
What does the Nerve to the Stapedius do and where is it located?
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What is the supraorbital nerve?
What is the supraorbital nerve?
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What is the infraorbital nerve?
What is the infraorbital nerve?
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What is the mental nerve?
What is the mental nerve?
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What is the auriculotemporal nerve?
What is the auriculotemporal nerve?
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What is the trigeminal ganglion?
What is the trigeminal ganglion?
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How is the trigeminal nerve organized?
How is the trigeminal nerve organized?
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What does the sensory root of the trigeminal nerve do?
What does the sensory root of the trigeminal nerve do?
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Where do the branches of the trigeminal nerve converge?
Where do the branches of the trigeminal nerve converge?
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Bell's Phenomenon
Bell's Phenomenon
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Superior Ophthalmic Vein
Superior Ophthalmic Vein
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Inferior Ophthalmic Vein
Inferior Ophthalmic Vein
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Pterygoid Plexus
Pterygoid Plexus
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Cavernous Sinus
Cavernous Sinus
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Facial Vein
Facial Vein
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Danger Triangle
Danger Triangle
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Retromandibular Vein
Retromandibular Vein
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Deep Facial Vein
Deep Facial Vein
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Chorda Tympani Nerve
Chorda Tympani Nerve
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What does the supraorbital nerve innervate?
What does the supraorbital nerve innervate?
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What does the infraorbital nerve innervate?
What does the infraorbital nerve innervate?
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What does the mental nerve innervate?
What does the mental nerve innervate?
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What does the auriculotemporal nerve innervate?
What does the auriculotemporal nerve innervate?
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Where is the trigeminal ganglion located and what does it do?
Where is the trigeminal ganglion located and what does it do?
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Subgaleal Space
Subgaleal Space
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Subgaleal Hematoma
Subgaleal Hematoma
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Trigeminal Nerve's Divisions
Trigeminal Nerve's Divisions
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Dermatomes of the Face
Dermatomes of the Face
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Trigeminal Nerve's Functions
Trigeminal Nerve's Functions
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Trigeminal Ganglion
Trigeminal Ganglion
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What does the Superior Ophthalmic Vein drain?
What does the Superior Ophthalmic Vein drain?
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What does the Inferior Ophthalmic Vein drain?
What does the Inferior Ophthalmic Vein drain?
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What is the Pterygoid Plexus and where is it located?
What is the Pterygoid Plexus and where is it located?
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What is the Cavernous Sinus and where is it located?
What is the Cavernous Sinus and where is it located?
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What does the Facial Vein drain?
What does the Facial Vein drain?
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What is the Danger Triangle of the face?
What is the Danger Triangle of the face?
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Where is the Retromandibular Vein located and what forms it?
Where is the Retromandibular Vein located and what forms it?
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What is the Deep Facial Vein and what does it connect?
What is the Deep Facial Vein and what does it connect?
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Study Notes
Face & Scalp Lecture Notes
- This lecture covers the superficial structures of the face and scalp.
- Learning objectives include describing the superficial structures, identifying cutaneous nerves and their territories, identifying facial nerve branches and muscles of facial expression, distinguishing between upper and lower motor neuron lesions of the facial nerve, and describing the blood supply and venous drainage of the face.
- The scalp has five layers: skin, connective tissue, epicranial aponeurosis, loose connective tissue, and periosteum.
- Superficial tissues of the face include skin, fibro-adipose tissue (subcutaneous layer), SMAS (Superficial Musculoaponeurotic System), parotid-masseteric fascia, facial nerve divisions, and buccopharyngeal fascia.
- Major facial nerves (trigeminal) branches and their sensory regions are discussed, including the ophthalmic, maxillary, and mandibular divisions with their terminal cutaneous nerves (supraorbital, supratrochlear, infraorbital, and others).
- Clinical correlates of subgaleal hemorrhage, trigeminal neuralgia, and facial nerve palsy (including Bell's palsy, UMNL vs LMNL, and symptoms like hypo-lacrimation/salivation, ageusia, hyperacusis, and potential issues with the greater/lesser petrosal and chorda tympani nerves, and involvement of the nerves to stapedius, etc.) are included.
- The facial nerve's five major branches (temporal, zygomatic, buccal, mandibular, cervical) and their associated muscles are explained, along with specific muscles like orbicularis oculi, levator labii superioris, etc. A pneumonic (like: "To Zanzibar By Motor Car") can help memorization.
- The facial vasculature, including arteries (facial, maxillary, superficial temporal, posterior auricular, occipital, and ophthalmic, with their associated branches such as superior and inferior labial, etc.) and their associated venous drainage (facial vein, retromandibular vein, occipital vein, posterior auricular vein, and tributaries of IJV and EJV), are detailed. The pathways and functions of various nerves in the face are examined and referenced to diagrams.
- Bell's palsy is a type of facial paralysis.
- Bell's phenomenon is a normal response triggered by forcible eye closure, a defense mechanism.
- The infraorbital, mental, auriculotemporal nerves, and their functions are discussed, related to facial sensation and innervation. The pathways of these major branches are described in diagrams.
- The dermatomes that are served by the trigeminal nerve divisions are addressed. Information on branches serving the skin of the anterior temple, midface, inferolateral orbit, and parts of the internal nose are also included.
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