Facial Nerve Anatomy

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Questions and Answers

What type of nerve fibers are indicated in section (a) of the diagram?

  • Parasympathetic efferents and sensory afferents (correct)
  • Purely motor fibers
  • Sympathetic efferents and motor afferents
  • Purely sensory fibers

In the diagram, section (b) illustrates motor branches of the facial nerve that innervate muscles responsible for what primary function?

  • Facial expression and scalp movement (correct)
  • Eye movement
  • Swallowing
  • Jaw movement

If a patient loses the ability to produce tears, which part of the facial nerve might be affected based on the diagram?

  • Parasympathetic efferents to the lacrimal gland (correct)
  • Sensory afferents from the tongue
  • Motor branches to the jaw
  • Motor branches to the forehead

A patient reports a loss of taste sensation on the anterior two-thirds of their tongue. Which aspect of the facial nerve is most likely compromised?

<p>Sensory afferents from the tongue (A)</p> Signup and view all the answers

Based on the diagram, which function would remain intact if only the motor branches to muscles of facial expression and scalp muscles were damaged?

<p>Taste sensation from the anterior tongue (D)</p> Signup and view all the answers

Damage to which nerve branch would MOST directly impair the ability to wrinkle the forehead?

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

Bell's palsy, characterized by facial paralysis, typically results from dysfunction of which cranial nerve?

<p>Facial nerve (D)</p> Signup and view all the answers

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

<p>Difficulty in swallowing (D)</p> Signup and view all the answers

A lesion affecting parasympathetic efferents of the facial nerve would MOST likely result in:

<p>Dry mouth (D)</p> Signup and view all the answers

Damage to the chorda tympani nerve, a branch of the facial nerve, would primarily affect which two functions?

<p>Taste sensation from the anterior tongue and salivation (A)</p> Signup and view all the answers

If a patient is unable to close their mouth properly or purse their lips, which branch of the facial nerve is MOST likely affected?

<p>Marginal mandibular branch (B)</p> Signup and view all the answers

A stroke affecting the motor cortex can lead to weakness in facial muscles. How would this presentation typically differ from Bell’s palsy, which also causes facial weakness?

<p>Stroke spares the forehead; Bell’s palsy affects the entire side of the face equally (C)</p> Signup and view all the answers

During a physical exam, you ask a patient to smile. You notice that only one side of their mouth elevates. This suggests an issue with:

<p>The facial nerve on the affected side (A)</p> Signup and view all the answers

Which diagnostic test would be MOST useful in determining the extent of damage to the facial nerve following a traumatic injury?

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

A patient with damage to the facial nerve is experiencing excessive dryness of the eye. Which of the following interventions would be MOST appropriate?

<p>Prescription of artificial tears (A)</p> Signup and view all the answers

If a patient has difficulty whistling, which facial nerve branch is likely affected?

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

Lesions to the facial nerve as it passes through the middle ear can affect both taste and hearing. Which structure is MOST likely damaged along with the nerve?

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

A patient presents with an inability to close their eye completely, leading to corneal dryness. Which of the following muscles is MOST likely affected?

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

Which of the following nerves provides sensory innervation to the skin over the parotid gland, an area closely related to the facial nerve's path?

<p>Great Auricular Nerve (B)</p> Signup and view all the answers

Following a surgical procedure near the parotid gland, a patient notices that saliva is dripping from the corner of their mouth. Which branch of the facial nerve was MOST likely injured?

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

Flashcards

Lacrimal nerve

A branch of the facial nerve that enters the orbit through the superior orbital fissure.

Zygomaticotemporal nerve

The point where the temporal and zygomatic branches of the facial nerve converge.

Buccal branch

Branch of the facial nerve that innervates muscles around the nose and upper lip.

Mandibular branch

Innervates muscles in the lower face and chin.

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Cervical branch

Supplies the platysma muscle and other muscles in the neck and lower face.

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Temporal branch

Facial nerve branch that innervates the frontalis and orbicularis oculi muscles.

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Procerus

Motor nerve that innervates muscles of facial expression by lowering the brow.

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Orbicularis oculi m.

Facial muscle that allows closing and squinting of the eyes.

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Zygomaticus major m.

Muscle in the cheek area that is responsible for smiling.

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Platysma m.

Muscle that wrinkles the skin of the neck and helps depress the mandible.

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Orbicularis oris m.

Muscle around the mouth responsible for controlling lip movements.

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Study Notes

  • Facial Nerve

Parasympathetic efferents and sensory afferents

  • 1: Greater Petrosal nerve
  • 2: Nerve to Stapedius
  • 3: Chorda Tympani
  • 4: Geniculate ganglion
  • 5: Lacrimal gland
  • 6: Nasal gland
  • 7: Palatine gland
  • 8: Submandibular ganglion
  • 9: Sublingual gland
  • 10: Submandibular gland
  • 11: Lingual nerve
  • 12: Taste from anterior 2/3 of tongue
  • 13: Sensory afferents

Motor branches to muscles of facial expression and scalp muscles

  • 14: Temporal branch
  • 15: Zygomatic branch
  • 16: Buccal branch
  • 17: Mandibular branch
  • 18: Cervical branch

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