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Temporal Branches Of The Facial Nerve
The temporal branches of the facial nerve (frontal branch of the facial nerve) crosses the zygomatic arch to the temporal region, supplying the auriculares anterior and superior, and joining with the zygomaticotemporal branch of the maxillary nerve, and with the auriculotemporal branch of the mandibular nerve. The more anterior branches supply the frontalis, the orbicularis oculi, and corrugator supercilii, and join the supraorbital and lacrimal branches of the ophthalmic. The temporal branch acts as the efferent limb of the corneal reflex. Anatomic location The temporal branch of the facial nerve is typically found between the temporoparietal fascia (i.e., superficial temporal fascia) and temporal fascia (i.e., deep temporal fascia). This layer is also known as the innominate fascia. There are several methods using anatomic landmarks that may be used to find the temporal branch of the facial nerve The facial nerve, also known as the seventh cranial nerve, cranial n ...
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Facial Nerve
The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of facial expression, and functions in the conveyance of taste sensations from the anterior two-thirds of the tongue. The nerve typically travels from the pons through the facial canal in the temporal bone and exits the skull at the stylomastoid foramen. It arises from the brainstem from an area posterior to the cranial nerve VI (abducens nerve) and anterior to cranial nerve VIII (vestibulocochlear nerve). The facial nerve also supplies preganglionic parasympathetic fibers to several head and neck ganglia. The facial and intermediate nerves can be collectively referred to as the nervus intermediofacialis. The path of the facial nerve can be divided into six segments: # intracranial (cisternal) segment (from brainstem pons to internal auditory canal) # meatal (canalicular) segment (with ...
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Orbicularis Oculi
The orbicularis oculi is a sphincter-like muscle in the face that closes the eyelids. It arises from the nasal part of the frontal bone, from the frontal process of the maxilla in front of the lacrimal groove, and from the anterior surface and borders of a short fibrous band, the medial palpebral ligament. From this origin, the fibers are directed laterally, forming a broad and thin layer, which occupies the eyelids or palpebræ, surrounds the circumference of the orbit, and spreads over the temple, and downward on the cheek. Structure There are at least 3 clearly defined sections of the orbicularis muscle. However, it is not clear whether the lacrimal section is a separate section, or whether it is just an extension of the preseptal and pretarsal sections. Orbital orbicularis The orbital portion is thicker and of a reddish color; its fibers form a complete ellipse without interruption at the lateral palpebral commissure; the upper fibers of this portion blend with the fronta ...
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Temporal Fascia
The temporal fascia (or deep temporal fascia) is a fascia of the head that covers the temporalis muscle and structures situated superior to the zygomatic arch. The fascia is attached superiorly at the superior temporal line; inferiorly, it splits into two layers at the superior border of the zygomatic arch. The superficial layer then attaches to the lateral aspect of the superior border of the arch, and the deep layer to its medial aspect. The space between the two layers is occupied by adipose tissue and contains a branch of the superficial temporal artery, and the zygomaticotemporal nerve. Anatomy The temporal fascia is a strong fibrous investment. Structure Superiorly, it is a single layer, attached to the entire extent of the superior temporal line. Inferiorly, where it is fixed to the zygomatic arch, it consists of two layers, one of which is inserted into the lateral, and the other into the medial border of the arch. Contents A small quantity of fat, the orbital ...
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Temporoparietal Fascia
The temporoparietal fascia (or superficial temporal fascia) is a superficial fascia of the side of the head over the area of the temporal fossa situated superficial to the (deep) temporal fascia, and deep to the skin and subcutaneous tissue of the region. Anatomy The temporoparietal fascia consists of a thin layer of connective tissue. It measures some 2-3mm in thickness. Relations The fascia unites anteriorly with the orbicularis oris muscle, and the frontalis muscle; it unites posteriorly with the occipitalis muscle. Inferior to the zygomatic arch, the fascia is continuous with the superficial muscular aponeurotic system; both structures are continuous with the platysma muscle of the neck, creating a single continuous fascial layer between the scalp superiorly and the clavicle inferiorly. The fascia is situated superficial to the (deep) temporal fascia, with an intervening layer of (sources differ) avascular loose connective tissue (the ''innominate fascia'') situated in th ...
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Corneal Reflex
The corneal reflex, also known as the blink reflex or eyelid reflex, is an involuntary blinking of the eyelids elicited by stimulation of the cornea (such as by touching or by a foreign body), though it could result from any peripheral stimulus. Stimulation should elicit both a direct and consensual response (response of the opposite eye). The reflex occurs at a rapid rate of 0.1 seconds. The purpose of this reflex is to protect the eyes from foreign bodies and bright lights (the latter known as the optical reflex). The blink reflex also occurs when sounds greater than 40–60 dB are made. The reflex is mediated by: * the nasociliary branch of the ophthalmic branch (V1) of the trigeminal nerve (CN V) sensing the stimulus on the cornea only (afferent fiber). * the temporal and zygomatic branches of the facial nerve (CN VII) initiating the motor response (efferent fiber). * the center ( nucleus) is located in the pons of the brainstem. Use of contact lenses may diminish ...
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Ophthalmic Nerve
The ophthalmic nerve (CN V1) is a sensory nerve of the head. It is one of three divisions of the trigeminal nerve (CN V), a cranial nerve. It has three major branches which provide sensory innervation to the eye, and the skin of the upper face and anterior scalp, as well as other structures of the head. Structure Origin The ophthalmic nerve is the first branch of the trigeminal nerve (CN V), the first and smallest of its three divisions. It arises from the superior part of the trigeminal ganglion. Course It passes anterior-ward along the lateral wall of the cavernous sinus inferior to the oculomotor nerve (CN III) and trochlear nerve (N IV). It exits the skull into the orbit through the superior orbital fissure. Branches Within the skull, the ophthalmic nerve produces: * meningeal branch (tentorial nerve) The ophthalmic nerve divides into three major branches which pass through the superior orbital fissure: * frontal nerve ** supraorbital nerve ** supratrochlea ...
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Lacrimal Nerve
The lacrimal nerve is the smallest of the three main branches of the ophthalmic nerve (CN V1) (itself a branch of the trigeminal nerve (CN V)). It enters the orbit outside the common tendinous ring and passes forward along the side wall of the orbit. It provides sensory innervation to the skin and both surfaces of conjunctiva at the lateral portion of the upper eyelid. It also receives a parasympathetic secretomotor communicating branch for the lacrimal gland which it conveys to the gland. Structure Origin The lacrimal nerve branches from the ophthalmic nerve immediately before traveling through the superior orbital fissure to enter the orbit. At the superior portion of the lateral wall of the orbit, it also receives a secretomotor communicating parasympathetic branch from the zygomaticotemporal nerve for the lacrimal gland. Course It enters the orbit through the superior orbital fissure outside (lateral to) the common tendinous ring, coursing lateral to the front ...
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Supraorbital Nerve
The supraorbital nerve is one of two terminal branches - the other being the supratrochlear nerve - of the frontal nerve (itself a branch of the ophthalmic nerve (CN V1)). It exits the orbit via the supraorbital foramen/notch before splitting into a medial branch and a lateral branch. It innervates the skin of the forehead, upper eyelid, and the root of the nose. Structure Origin The supraorbital nerve branches from the frontal nerve midway between the base and apex of the orbit. Course It travels anteriorly superior to the levator palpebrae superioris muscle. It exits the orbit through the supraorbital foramen/notch in the superior margin orbit, exiting it lateral to the supratrochlear nerve. It then ascends onto the forehead deep to the corrugator supercilii muscle and frontalis muscles. Fate It divides into a medial branch and lateral branch - usually after emerging from the orbit, but sometimes already within the orbit. Distribution The supraorbital nerv ...
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Corrugator Supercilii
The corrugator supercilii muscle is a small, narrow, pyramidal muscle of the face. It arises from the medial end of the superciliary arch; it inserts into the deep surface of the skin of the eyebrow. It draws the eyebrow downward and medially, producing the vertical "frowning" wrinkles of the forehead. It may be thought as the principal muscle in the facial expression of suffering. It also shields the eyes from strong sunlight. Structure The corrugator supercilii muscle is located at the medial end of the eyebrow. Its fibers pass laterally and somewhat superiorly from its origin to its insertion. Origin It arises from bone at the medial extremity of the superciliary arch. Insertion It inserts between the palpebral and orbital portions of the orbicularis oculi muscle. It inserts into the deep surface of the skin of the eyebrow, above the middle of the orbital arch. Innervation Motor innervation is provided by the temporal branches of facial nerve (CN VII). Vasculatu ...
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Frontalis Muscle
The frontalis muscle () is a muscle which covers parts of the forehead of the skull. Some sources consider the frontalis muscle to be a distinct muscle. However, Terminologia Anatomica currently classifies it as part of the occipitofrontalis muscle along with the occipitalis muscle. In humans, the frontalis muscle only serves for facial expressions. The frontalis muscle is supplied by the facial nerve and receives blood from the supraorbital and supratrochlear arteries. Structure The frontalis muscle is thin, of a quadrilateral form, and intimately adherent to the superficial fascia. It is broader than the occipitalis and its fibers are longer and paler in color. It is located on the front of the head. The muscle has no bony attachments. Its medial fibers are continuous with those of the procerus; its intermediate fibers blend with the corrugator and orbicularis oculi muscles, thus attached to the skin of the eyebrows; and its lateral fibers are also blended with the latte ...
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Intermediate Nerve
The intermediate nerve, nervus intermedius, nerve of Wrisberg or glossopalatine nerve is the part of the facial nerve (cranial nerve VII) located between the motor component of the facial nerve and the vestibulocochlear nerve (cranial nerve VIII). It contains the sensory and parasympathetic fibers of the facial nerve. Upon reaching the facial canal, it joins with the motor root of the facial nerve at the geniculate ganglion. Alex Alfieri postulates that the intermediate nerve should be considered as a separate cranial nerve and not a part of the facial nerve. Parasympathetic fibers The superior salivatory nucleus contains the cell bodies of parasympathetic axons within the intermediate nerve. These fibers reach the geniculate ganglion but do not synapse. Some of these preganglionic parasympathetic fibers persist within the greater petrosal nerve as they exit the geniculate ganglion and subsequently synapse with neurons in the pterygopalatine ganglion. These postganglionic neuron ...
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Mandibular Nerve
In neuroanatomy, the mandibular nerve (V) is the largest of the three divisions of the trigeminal nerve, the fifth Cranial nerves, cranial nerve (CN V). Unlike the other divisions of the trigeminal nerve (ophthalmic nerve, maxillary nerve) which contain only Afferent nerve fiber, afferent fibers, the mandibular nerve contains both afferent and Efferent nerve fiber, efferent fibers. These nerve fibers innervate structures of the lower jaw and face, such as the tongue, lower lip, and chin. The mandibular nerve also innervates the muscles of mastication. Structure Course The large sensory root of mandibular nerve emerges from the lateral part of the trigeminal ganglion and exits the cranial cavity through the Foramen ovale (skull), foramen ovale. The motor root (Latin: ''radix motoria'' s. ''portio minor''), the small motor root of the trigeminal nerve, passes under the trigeminal ganglion and through the Foramen ovale (skull), foramen ovale to unite with the sensory root just out ...
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