Facial Nerve

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Questions and Answers

What is a possible consequence of damage to the facial nerve due to intracranial lesions?

  • Loss of taste on the anterior 2/3 of the tongue (correct)
  • Excessive salivation
  • Severe headaches and migraines
  • Increased taste sensitivity on the posterior tongue

Which of the following conditions can lead to paralysis of the muscles of facial expression due to extrinsic factors?

  • Stroke
  • Nerve compression
  • Neuropathy
  • Tumor of the parotid gland (correct)

What role does the facial nerve play beyond motor supply to facial expression?

  • Taste to the posterior one-third of the tongue
  • Sensory innervation to the ear
  • Primary sensation to the scalp
  • Parasympathetic innervation to salivary glands (correct)

Which of the following is NOT a symptom of damage to the facial nerve?

<p>Loss of facial sensation (B)</p> Signup and view all the answers

Which infection is particularly known to affect the facial nerve?

<p>Herpes virus infection (A)</p> Signup and view all the answers

What is the primary function of the motor root of the facial nerve?

<p>Innervation of muscles responsible for facial expression (D)</p> Signup and view all the answers

Which of the following glands is NOT directly innervated by fibers of the facial nerve?

<p>Parotid gland (D)</p> Signup and view all the answers

What structure does the facial nerve enter after passing through the internal auditory meatus?

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

Which branch of the facial nerve contains parasympathetic fibers for tear production?

<p>Greater petrosal nerve (C)</p> Signup and view all the answers

The facial nerve is responsible for providing taste sensation to which part of the tongue?

<p>Anterior 2/3 of the tongue (D)</p> Signup and view all the answers

What is the role of the nerve to stapedius within the function of the facial nerve?

<p>Dampens loud sounds in the middle ear (C)</p> Signup and view all the answers

During its anatomical course, which section describes the facial nerve when it is just outside the cranium?

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

Which facial expression-related muscle does the facial nerve NOT innervate?

<p>Sternocleidomastoid (C)</p> Signup and view all the answers

What is the function of the chorda tympani?

<p>Innervates the anterior 2/3 of the tongue with taste (D)</p> Signup and view all the answers

Which branch of the facial nerve supplies the platysma muscle?

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

Which branch of the facial nerve is mainly involved in facial expression around the forehead?

<p>Zygomatic Branch (C)</p> Signup and view all the answers

What structure does the facial nerve exit the cranium through?

<p>Stylomastoid foramen (D)</p> Signup and view all the answers

Which muscle does the mandibular branch of the facial nerve specifically innervate?

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

The temporal branch of the facial nerve supplies which of the following muscles?

<p>Corrugator supercilii (D)</p> Signup and view all the answers

What does the posterior auricular nerve innervate?

<p>Occipital part of the occipitofrontalis muscle (A)</p> Signup and view all the answers

Which of the following is NOT a branch of the facial nerve emerging from the parotid gland?

<p>Otic branch (D)</p> Signup and view all the answers

Flashcards

What is the origin and structure of the Facial nerve?

The Facial nerve (VII) emerges from the brain between the pons and medulla. It has two roots: a larger motor root and a smaller sensory root (nervus intermedius).

What are the functions of the motor root of the Facial nerve?

The motor root controls muscles of facial expression, the stylohyoid muscle, the posterior belly of the digastric muscle, and the stapedius muscle in the ear.

What are the functions of the sensory root (nervus intermedius) of the Facial nerve?

The sensory root (nervus intermedius) is responsible for: taste of the anterior 2/3 of the tongue, sensation from the external ear, and parasympathetic control of the submandibular and sublingual salivary glands, as well as lacrimal, nasal, palatine, and pharyngeal glands.

Describe the course of the Facial nerve inside the skull.

The Facial nerve travels through the internal acoustic meatus and facial canal, then branches into the greater petrosal nerve, the nerve to stapedius, and the chorda tympani.

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What is the role of the greater petrosal nerve?

The greater petrosal nerve carries parasympathetic fibers to glands in the nose, sinuses, palate, and lacrimal gland for tear production.

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What is the function of the nerve to stapedius?

The nerve to stapedius carries motor fibers to the stapedius muscle in the middle ear, which helps dampen loud noises.

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What are the functions of the chorda tympani nerve?

The chorda tympani nerve carries taste fibers from the anterior 2/3 of the tongue and parasympathetic fibers to the submandibular and sublingual salivary glands.

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Explain the relevance of the Facial nerve to dentistry.

The Facial nerve plays a crucial role in dentistry by affecting the muscles involved in facial expressions and influencing salivary gland function. Understanding its anatomy and function is essential for diagnosing and treating conditions like Bell's palsy or salivary gland disorders.

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Chorda Tympani

A branch of the facial nerve that originates within the facial canal and carries taste sensation from the anterior 2/3 of the tongue.

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Facial Nerve Extracranial Branches

A branch of the facial nerve responsible for innervating muscles of facial expression, with different branches supplying specific areas.

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Nerves to Digastric and Stylohyoid Muscles

The nerve that carries signals to the posterior belly of the digastric muscle, which is involved in opening the mouth; it helps us chew.

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Temporal Branch of Facial Nerve

The temporal branch of the facial nerve supplies muscles around the eye and forehead, enabling expressions like raising the eyebrows.

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Buccal Branch of Facial Nerve

Supplies the muscles around the cheek, including the buccinator, which assists in chewing and blowing air.

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Zygomatic Branch of Facial Nerve

Branches of the facial nerve that innervate muscles of the upper lip and nose, contributing to various facial expressions.

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Mandibular Branch of Facial Nerve

The branch of the facial nerve that provides innervation to the muscles of the lower lip, enabling expressions like pouting or pulling the mouth down.

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Cervical Branch of Facial Nerve

Responsible for innervating the platysma muscle, which helps with neck movement and expressions like grimacing.

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Intracranial Facial Nerve Lesion

Damage occurring to the Facial nerve before it exits the skull, often caused by ear infections, stroke, or tumours.

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Extracranial Facial Nerve Lesion

Weakness or paralysis of facial muscles caused by a problem with the Facial nerve after it exits the skull. Common causes include parotid gland surgery, tumours or infections.

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Facial nerve damage symptoms

Symptoms of damage to the Facial nerve include drooping of the face, inability to close the eye, and difficulty controlling mouth movements.

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Facial nerve damage effects

Reduced saliva production, loss of taste on the front of the tongue, and dryness of the eyes are common consequences of Facial nerve damage.

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Facial nerve function summary

The Facial nerve supplies motor function to the muscles of facial expression. It also carries taste sensation from the front of the tongue and helps control salivary and tear gland function.

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Study Notes

Facial Nerve Overview

  • The facial nerve (CN VII) is a cranial nerve
  • It has a dual role - motor function and sensory function
  • It controls muscles of facial expression
  • It plays a role in taste, and other sensory functions
  • The facial nerve emerges from the brain between the pons and medulla.

Facial Nerve Roots

  • The facial nerve has two roots:
    • A larger motor root originating from the motor nucleus
    • A smaller root, called the nervus intermedius, which has some sensory functions

Facial Nerve Pathways

  • The facial nerve passes into the internal auditory meatus.

Facial Nerve Motor Functions

  • Facial nerve motor functions innervate muscles that control facial expressions
  • The nerve innervates muscles including (e.g., temporalis, orbicularis oculi, zygomaticus, masseter buccinator , risorius, platysma)

Facial Nerve Sensory Functions

  • The nervus intermedius (a branch of the facial nerve) transmits taste information from the anterior two-thirds of the tongue.
  • It also carries sensory information from the external ear.

Facial Nerve Parasympathetic Functions

  • The facial nerve has parasympathetic function
  • It supplies the sublingual and submandibular salivary glands.
  • It also supplies mucous glands of the nasal cavity, paranasal sinuses, palate and lacrimal gland for tear production.

Anatomical Course

  • The facial nerve's course is divided into two parts:
    • Intracranial: the nerve travels through the cranial cavity
    • Extracranial: the nerve travels through the face and neck after exiting the skull.

Branches of the Facial Nerve

  • The facial nerve exits the skull via the stylomastoid foramen
  • It gives off many branches in the parotid gland
    • Temporal branch
    • Zygomatic branch
    • Buccal branch
    • Marginal mandibular branch
    • Cervical branch
  • Each branch serves a specific group of muscles or sensory areas.

Function of Branches

  • Temporal nerve supplies auricular muscles, frontalis, orbicularis oculi, and corrugator supercilii.
  • Zygomatic nerve innervates orbicularis oculi, and contributes to muscles of the upper lip and nose..
  • Buccal nerve innervates orbicularis oris, buccinator, zygomaticus.
  • Marginal mandibular nerve supplies depressor labii inferioris, depressor anguli oris, and mentalis.
  • Cervical nerve supplies platysma muscle.

Intracranial Lesions - Causes

  • Infections (related to the outer or middle ear)
  • Stroke

Damage and Symptoms

  • Facial nerve damage can result in facial paralysis or weakness.
  • Damage can also result in sensory loss (e.g., loss of taste, dry mouth), difficulty talking

Extracranial Lesions - Causes

  • Parotid gland pathology (e.g., tumor, parotitis, surgery)
  • Infection (often herpes virus)

Trigeminal and Facial Nerve Examination

  • A planned examination procedure for the trigeminal and facial nerves.

Summary

  • The facial nerve is crucial for facial movement, taste, and parasympathetic functions.
  • The nerve has a complex path involving cranial and extracranial components.
  • Damage to the nerve has distinct symptoms depending upon location and cause

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