The facial nerve Flashcards

1
Q

What is cranial nerve 7?

A

The facial nerve

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2
Q

Where does the cranial nerve emerge from?

A

The brain

It travels through the posterior cranial fossa before entering the facial canal in the temporal bone

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3
Q

What happens to the facial nerve while it is in the temporal bone?

A

It gives off a number of branches that play a central role in the sense of taste and in controlling salivation

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4
Q

Where do the motor nerve fibres of VIII emerge from?

A

stylomastioid foramen

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5
Q

Where is the stylomastioid foramen located?

A

medial to the mastoid process and styloid process

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6
Q

Where is the mastoid process

A

It is the lump of bone you can feel just behind your ear

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7
Q

What is the styloid process

A

It is a stylus-like projection of the temporal bone

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8
Q

What do the motor fibres of the facial nerves supply?

A

The muscles of facial expression

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9
Q

What does the facial nerve do when it comes out of the stylomastoid foramen?

A

It gives off a couple of small branches one that goes to the posterior belly of the digastric muscle

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10
Q

Where does the main truck of nerves enter after leaving the stylomastoid process and branching off?

A

Enters the posterior aspect of the parotid salivary gland on the side of your face.

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11
Q

What happens to the facial nerve when it enters the parotid gland?

A

It splits off into 5 sets of branches

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12
Q

What are the 5 sets of branches that the facial nerve splits of into called?
(In the parotid gland)

A
  1. The temporal branches
  2. The zygomatic branches
  3. The buccal branches
  4. The marginal mandibular branches
  5. The cervical branches
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13
Q

Describe the pathway the facial nerve takes before splitting into 5 branches in the parotid gland

A
  1. Originates in the brain
  2. Travels through the posterior cranial fossa
  3. Enters the facial canal in the temporal bone
  4. Branches
  5. Exits via the stylomastioid foramen
  6. Branches
  7. Enters the posterior aspect of the parotid salivary gland
  8. Branches into 5 sets
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14
Q

When are dentist most likely to interfere with the motor fibres of the facial nerve?

A

Which the nerve fibres are in the parotid gland

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15
Q

How can a dentist accidentally inter with the function of the motor fibres of the facial nerve?

A

A misplaced needle can turn an inferior alveolar nerve block anaesthetic procedure into a facial nerve block anaesthetic procedure
If the needle passes posterior to the mandible, the anaesthetic solution ends up being deposited into the substance of the parotid gland, anaesthetising any nerves that happen to be running through it.

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16
Q

What is the result of a dentist accidentally anaesthetising the facial nerve?

A

The patient loses the ability to move the muscles of facial expression on the affected side of the face

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17
Q

Is the paralysis of one side of your face due to misacted needle when giving an IA block permanent ?

A

No it is only temporary, and will disappear as the anaesthetic effect wears off BUT the patient teeth have not been anaesthetised

18
Q

How do motor branches of the facial nerve allow you to change your expression?

A

They act on muscles in the skin of your face (the muscles of facial expression).

19
Q

What are Orbicularis Oculi, Orbibularis Oris describes as?

A

Sphincter muscles

20
Q

What is orbiculares oculi supplied by?

A

The temporal and zygomatic branches of the facial nerve

21
Q

What is orbiculares oris supplied by?

A

The buccal and marginal mandibular branches of the facial nerve

22
Q

What does the levator labii superioris muscle allow you to do?

A

Curl your upper lip upwards

23
Q

What does the zygomaticus major muscle allow you to do?

A

lift the corners of your mouth

24
Q

What does the depressor anguli oris muscle allow you to do?

A

depress the corners of your mouth

25
Q

What does the depressor labii inferioris muscle allow you to do?

A

curl your lower lip downwards

26
Q

What does the mentalis muscle allow you to do?

A

stick your lower lip out as if sulking.

27
Q

Where is the mentalist found?

A

in the mid-line below your lower lip

28
Q

What is the disease associated with paralysis of the muscles of facial expression for no apparent reason?

A

Bell’s palsy

29
Q

What causes Bell’s palsy?

A

Inflammation of the facial nerve in the facial canal interferes with its function, thereby affecting the muscles of facial expression.

30
Q

Where is the facial canal located?

A

In the temporal bone

31
Q

The facial nerve is cranial nerve…?

A

7 (VII)

32
Q

Which muscle alloes you to depress the corners of your mouth?

A

depressor anguli oris

33
Q

Motor fibres of the facial nerve emerge from where?

A

The stylomastoid foramen

34
Q

What do the by buccal and marginal mandibular branches of the facial nerve supply?

A

Orbicularis oris

35
Q

Which muscle allows you to lift the corners of your mouth?

A

zygomaticus major

36
Q

Where does the facial nerve branch off into 5 different sets?

A

The parotid gland

37
Q

Which muscle allows you to curl your lower lip downwards?

A

depressor labii inferioris

38
Q

Name the sphincter muscles of facial expression

A

Orbicularis Oculi and Orbibularis Oris

39
Q

What do the temporal and zygomatic branches of the facial nerve supply?

A

orbiculares oculi

40
Q

Which muscle allows you to Curl your upper lip upwards?

A

Levator labii superioris

41
Q

Which muscle allows you to stick your lower lip out as if sulking?

A

Mentalis

42
Q

What is Bell’s palsy?

A

paralysis of the muscles of facial expression for no apparent reason?