Facial Anatomy: Muscles, Nerves & Blood Supply

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Questions and Answers

The muscles of facial expression attach only to the bones of the face.

False (B)

The facial nerve supplies all the muscles of the face.

True (A)

The temporalis muscle is considered a muscle of facial expression.

False (B)

The orbicularis oris muscle is important for compressing the lips during articulation.

<p>True (A)</p> Signup and view all the answers

The buccinator muscle is responsible compressing the vestibule of the mouth, pushing the cheek against the teeth.

<p>True (A)</p> Signup and view all the answers

The buccinator muscle is pierced by the parotid gland duct.

<p>True (A)</p> Signup and view all the answers

The orbicularis oculi muscle is innervated by the oculomotor nerve.

<p>False (B)</p> Signup and view all the answers

The orbital part of the orbicularis oculi causes a light closure of the eyelids.

<p>False (B)</p> Signup and view all the answers

The lacrimal part of the orbicularis oculi assists in draining tears.

<p>True (A)</p> Signup and view all the answers

The facial nerve is purely a sensory nerve, providing sensation to the face.

<p>False (B)</p> Signup and view all the answers

The facial artery originates from the internal carotid artery in the neck.

<p>False (B)</p> Signup and view all the answers

The facial artery has a direct branch called the lateral nasal branch.

<p>True (A)</p> Signup and view all the answers

The facial artery terminates into the mental artery at the medial corner of the eye.

<p>False (B)</p> Signup and view all the answers

The pulsation of the external carotid artery can be palpated anterior to the masseter muscle.

<p>False (B)</p> Signup and view all the answers

The facial artery follows a straight linear path along the face.

<p>False (B)</p> Signup and view all the answers

The angular artery is a branch of the maxillary artery.

<p>False (B)</p> Signup and view all the answers

The facial vein drains directly into the internal jugular vein.

<p>False (B)</p> Signup and view all the answers

The anterior facial vein begins as a continuation of the superficial temporal vein.

<p>False (B)</p> Signup and view all the answers

The retromandibular vein unites with the posterior auricular vein to form the external jugular vein.

<p>True (A)</p> Signup and view all the answers

The deep facial vein connects to the cavernous sinus in the brain.

<p>True (A)</p> Signup and view all the answers

The external jugular vein is formed by the union of the anterior facial and maxillary veins.

<p>False (B)</p> Signup and view all the answers

The external jugular vein is the only tributary of the subclavian vein.

<p>True (A)</p> Signup and view all the answers

Sensory innervation of the face is provided by branches of the trigeminal nerve.

<p>True (A)</p> Signup and view all the answers

The facial nerve provides sensory innervation to the skin of the face.

<p>False (B)</p> Signup and view all the answers

The facial nerve exits the skull through the foramen ovale.

<p>False (B)</p> Signup and view all the answers

The temporal branch of the facial nerve supplies the frontalis muscle.

<p>True (A)</p> Signup and view all the answers

The ophthalmic nerve supplies the infraorbital region.

<p>False (B)</p> Signup and view all the answers

The Ophthalmic division of the trigeminal nerve does not supply sensation to external regions of the nose.

<p>False (B)</p> Signup and view all the answers

The area covering the angle of the mandible is supplied by the great auricular nerve.

<p>True (A)</p> Signup and view all the answers

The buccal nerve is a branch of the facial nerve, responsible for sensory innervation of the cheek.

<p>False (B)</p> Signup and view all the answers

The masseter muscle is innervated by the facial nerve.

<p>False (B)</p> Signup and view all the answers

The parotid gland is innervated by the same nerve that innervates the muscles of facial expression.

<p>False (B)</p> Signup and view all the answers

The zygomatic branch of the facial nerve controls muscles around the lips and mouth.

<p>False (B)</p> Signup and view all the answers

There are typically less than 15 muscles of facial expression.

<p>False (B)</p> Signup and view all the answers

The risorius muscle is utilized during smiling.

<p>True (A)</p> Signup and view all the answers

The mentalis muscle elevates the lower lip.

<p>True (A)</p> Signup and view all the answers

The levator labii superioris alaeque nasi is responsible for elevating the upper lip.

<p>True (A)</p> Signup and view all the answers

Superficial temporal vein is a direct branch to the superior ophthalmic vein.

<p>False (B)</p> Signup and view all the answers

The auriculotemporal nerve is part of the maxillary division of the trigeminal nerve.

<p>False (B)</p> Signup and view all the answers

The anterior and posterior deep temporal arteries stem directly from the facial artery.

<p>False (B)</p> Signup and view all the answers

Flashcards

Muscles of facial expression

Muscles attached to the bones and skin of the face that control facial expressions.

Orbicularis Oculi

Muscle around the eye that closes the eyelids, protects the eye and drains tears.

Orbicularis Oris Function

Muscle that compresses the lips together and are very important during articulation.

Buccinator Function

Muscle that empties the vestibule of the mouth and is an accessory muscle of mastication.

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Facial Artery

The main artery that supplies blood to the face, originating from the external carotid artery.

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Facial Artery Course

Artery appears at the lower border of the mandible, runs upwards and terminates at the medial corner of the eye.

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Facial Artery Branches in the Face

Branches of the facial artery that supply blood to the face.

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Anterior Facial Vein

The facial vein, begins at the medial angle of the eye and drains into the internal jugular vein.

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Posterior Facial Vein

A vein that begins behind the mandible by the union of temporal and maxillary veins.

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Nerve Supply of the Face

The branches of the trigeminal (sensory) and facial (motor) nerves.

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Trigeminal Nerve (Sensory)

Supplies the sensation from the skin of the face, except the skin covers the angle of the mandible.

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Ophthalmic Division

Division of the trigeminal nerve, that covers the forehead and eye.

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Maxillary Nerve

The nerve division of the trigeminal nerve that covers the midface.

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Mandibular Nerve

The nerve division of the trigeminal nerve that covers the lower face.

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Study Notes

  • The objectives are to study the muscles, nerve supply, arterial supply, and venous drainage of the face.

Facial Muscles

  • More than 20 muscles are attached to the bones and skin
  • These muscles are called muscles of facial expression
  • The facial nerve supplies all the muscles of the face

Orbicularis Oculi

  • Consists of orbital, palpebral, and lacrimal parts
  • Orbital part action is forced closure of the eyelids
  • Palpebral part action is light closure of eyelids or during sleep
  • Lacrimal Part’s action dilates the lacrimal sac to drain tears

Orbicularis Oris

  • Compresses the lips together and is very important during articulation

Buccinator

  • Empties the vestibule of the mouth by compressing the cheek against the teeth
  • It is an accessory muscle of mastication
  • The duct of the parotid gland pierces it
  • All facial muscles are supplied by the facial nerve

Facial Artery

  • Originates from the external carotid artery in the neck
  • Pulsations can be felt at the lower border of the mandible, just anterior to the masseter
  • It runs upwards and medially in a tortuous course lateral to the angle of the mouth and along the lateral side of the nose
  • Terminates as angular artery at the medial corner of the eye
  • Branches include the inferior labial, superior labial, and lateral nasal

Venous Drainage

  • Anterior and posterior facial veins provide venous drainage

Anterior Facial Vein

  • It starts as a direct continuation of the angular vein at the medial angle of the eye
  • It typically merges with the anterior branch of the retromandibular vein to create the common facial vein, which empties into the internal jugular vein

Posterior Facial Vein

  • Begins behind the neck of the mandible where the union of the superficial temporal and the maxillary veins are inside the parotid gland
  • It has anterior and posterior branches
  • The anterior branch joins the anterior facial vein to form the common facial vein that drains into the internal jugular vein
  • The posterior branch joins the posterior auricular vein to form the external jugular vein

External Jugular Vein

  • It begins behind the angle of the mandible from the union of the posterior auricular vein and the posterior branch of the retromandibular vein
  • It descends down in what is coined the posterior triangle
  • Pierces the deep fascia one inch above the clavicle to terminate in the subclavian vein
  • It is the only tributary of the subclavian vein

Nerve Supply

  • Each half of the face has a motor and a sensory nerve supply
  • Sensory: Branches of trigeminal nerve (5th cranial nerve)
  • Motor: Branches of facial nerve (7th cranial nerve)

Trigeminal Nerve

  • Transports sensations from the skin on the face, with the exception of the skin angle of the mandible, which is supplied by the great auricular nerve.

Facial Nerve

  • The motor nerve supply to the face
  • Branches are temporal, zygomatic, buccal, mandibular, and cervical

Ophthalmic Division

  • Branches are supraorbital, supratrochlear, lacrimal, infratrochlear and external nasal

Maxillary Division

  • Branches are Zygomaticotemporal, Zygomaticofacial and infraorbital

Mandibular Division

  • Branches are Auriculo-temporal, buccal and mental

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