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Superficial Face and Parotid Region
6/21/11 lecture 2 hrs
132
Anatomy
Undergraduate 4
06/06/2011

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Term
bone
Definition
what do facial muscles NOT insert on?
Term
bone to skin (their purpose is to move skin over the surface of the bone)
Definition
most facial muscle connect ___ to ___
Term
2nd branchial arch
Definition
what branchial arch are facial muscles derived from?
Term
1) protect the eyes
2) move and shape the mouth
3) move and shape the nostrils
4) move the scalp and ears
Definition
what are the functions of the muscles of facial expression?
Term
CN VII
Definition
what innervates the muscles of facial expression?
Term
procerus
Definition
what muscle moves skin between the eyebrows down toward the bridge of the nose?
Term
levator labii superioris alaeque nasi
Definition
what muscles elevates the upper lip and widens the nostril by elevating the nasal cartilage?
Term
nasalis
Definition
what muscle covers most of the nose and is associated with changing nose shape?
Term
occiptofrontalis
Definition
made up of actually two muscles that insert on the galea sponeurotica
Term
corrugator supercilii
Definition
what muscle wrinkles the skin of the forehead?
Term
orbicularis occuli
Definition
what muscle surrounds the orbit and extends to the upper/lower eyelid and closes the eye tight for protection?
Term
circular, like a sphincter
Definition
what direction are the fibers of orbicularis occuli?
Term
ANTERIOR:
1)anterior auricular muscle
2)temporo parietalis
3)auricularis superior
4) auricularis posterior
Definition
list the muscles that move the ear (in order of anterior to posterior)
Term
1) levator labii superioris alaeque nasi
2) levator labii superioris
3) levator anguli oris
4) zygomaticus major
5) zygomaticus minor
6) risorius (kind of)
Definition
list all of the muscles that elevate the lip
Term
levator labii superioris
Definition
what muscle originates right below orbicularis occuli and elevates the lip?
Term
major is more lateral
Definition
which muscles is more lateral? zygomaticus major or minor?
Term
levator anguli oris
Definition
what muscle is deep to zygomaticus minor and levator labii superioris that pulls the corner of the mouth upward?
Term
zygomaticus major
Definition
what muscle helps you smile and spans from the cheek to the corner of the mouth to draw it backwards?
Term
risorius
Definition
what muscle is inferior to zygomaticus major (IF PRESENT) that retracts the corner of the mouth
Term
depressor anguli oris
Definition
what muscle helps you frown by pulling the corner of the mouth down? (this one spans from the corner of the mouth to the edge of the mandible)
Term
platisma
Definition
what muscles pulls the corners of the mouth down but spans past the inferior border of the mandbile down into the neck?
Term
depressor labii inferioris
Definition
this muscle draws the lower lip down to the chin
Term
mentalis
Definition
what muscle moves the skin of the chin over the mandible?
Term
orbicularis oris
Definition
this muscle is circumferential around the mouth to close it when it contracts?
Term
buccinator
Definition
what muscle forms the wall of the cheek and draws the mouth back from side to side to help maintain a bolus of food between the teeth rows?
Term
platysma
Definition
what is the most superficial subcutaneous structure in the neck?
Term
deep to it, only cutaneous branches are superficial to it
Definition
where are the vessels and nerves to the thyroid in relation to the platysma?
Term
Definition
what is the action of occipitofrontalis?
Term
o: epicranial sponeruosis
i: skin and subcutaneous tissue of the eyebrows and forehead
a: wrinkle forehead, raise eyebrows
Definition
describe the origin, insertion, and action of occipitofronatlis
Term
o:nasal bone, lateral nasal cartilage (upper part)
i: skin of lower forehead between eyebrows
a: pulls medial angle of eyebrows inferiorly producing transverse wrinkles over bridge of nose
Definition
describe the origin, insertion, and action of procerus
Term
o: medial orbital margin, medial palpebral ligament, lacrimal bone
i: skin around margin of orbit, superior and inferior tarsal plates
a: papebral portion gently closes eye, orbital portion tightly closes (winkles)
Definition
describe the origin, insertion, and action of orbicularis occuli
Term
o: maxilla (superior regon of canine ridge
i: nasal cartilages
a: flares nostrils by drawing ala(Side) of nose toward nasal septum
Definition
describe the origin insertion and action of nasalis
Term
o: maxilla(frontal process)
i: ala cartilage of nose and upper lip
a: elevates upper lip and opens nostril
Definition
describe the origin insertion and action of levator labii superioris alaeque nasi
Term
o: temporal fascia
i: helix of the ear
a: pulls ear superiorly and anteriorly
Definition
describe the origin insertion and action of anterior auricular muscles
Term
o: epicranial aponeurosis on side of head
i: upper portion of auricle
a: elevates the ear
Definition
describe the origin insertion and action of superior auricular muscles
Term
o: mastoid process
i: convexity of concha of ear
a: pull ear superior and posterior
Definition
describe the origin insertion and action of posterior auricular muscles
Term
o: zygomatic bone
i: skin at corner of mouth
a: pulls corner of mouth lateral and superior
Definition
describe the origin insertion and action of zygomaticus major
Term
o: zygomatic bone
i: upper lip just medial to the corner of the mouth
a: pulls upper lip superiorly
Definition
describe the origin insertion and action of zygomaticus minor
Term
o: maxilla (frontal process and infraorbital region)
i: skin of upper lip, alar cartilages of nose
a: elevates lip, dilates nostril, raises angle of the mouth
Definition
describe the origin insertion and action of levator labii superioris
Term
o: maxilla (anterior portion of oblique line)
i: skin at corner of the mouth
a: pulls lower lip inferiorly and laterally
Definition
describe the origin insertion and action of depressor labii inferioris
Term
o: maxilla
i: skin at corner of mouth
a: raises angle of mouth, helps form nasolabial furrow
Definition
describe the origin insertion and action of levator anguli oris
Term
o:mandible
i: skin at corner of mouth, blends with orbicularis oris
a: pulls angle of mouth inferiorly and laterally
Definition
describe the origin insertion and action of depressor anguli oris
Term
o: mandible
i: angle of mouth, orbicularis oris
a: presses cheek against molar teeth, working with tongue to keep food between occlusal surfaces and out of oral vestibule, expels air from oral cavity/resists distension when blowing
unilateral-draws mouth to one side
Definition
describe the origin insertion and action of buccinator
Term
o: fascia over masseter
i: skin of corner of mouth
a: retracts corner of mouth as in grimacing
Definition
describe the origin insertion and action of risorius
Term
o: mandible
i: skin of chin
a: elevates and protrudes lower lip
Definition
describe the origin insertion and action of mentalis
Term
o:skin over lower lip and upper lateral rectus
i: mandible
a: depresses and wrinkles skin of lower face and mouth, tenses skin of neck, aids in forced depression of the mandible
Definition
describe the origin insertion and action of platysma
Term
all carry somatic muscle except the auricular branch which carries somatic sensory too
Definition
all of the muscles of facial expression are innervated by branches of the facial nerve and carry ________ _______ innervation except for 1 branch, name it
Term
(Posterior) Auricular
Temporal
Zygomatic
Buccal (BRANCH)
Mandibular
Cervical


(potent tender zygotes bump matt's cervix)
Definition
list the branches of the facial nerve that go to muscles of facial expression
Term
ansa facialis
Definition
name the loop of the facial nerve that tunnels through the parotid gland
Term
occipitalis, posterior/superior auricular muscles, and sensory to external ear, ear canal, and ear drum
Definition
describe the structures innervated by the auricular nerve
Term
1) emerges from under the mandible at ANTERIOR BORDER OF SUPERFICIAL MASSETER
2) passes behind the corner of the mouth and gives off SUPERIOR and INFERIOR LABIAL arteries
3) ends at the medial corner of the eye
Definition
describe the path of the facial artery and its branches (here it emerges, what it passes over/behind, and where it ends)
Term
superficial temporal artery
Definition
what supplies blood to the anterior scalp?
Term
1)transverse facial artery, which may give off the labial artery
Definition
what are the branches of the superficial temporal artery?
Term
infraorbital artery
Definition
what artery is hidden under muscle that supplies the mid face, side of the nose, lower eyelid, and anastamoses with the transverse facial artery
Term
facial vein (parallel to the facial artery)
Definition
what is the primary route of venous drainage of the face?
Term
facial vein + anterior division of the retromandibular vein form the common facial which drains to the internal jugular vein
Definition
what forms the common facial vein and what does this drain to?
Term
NO VALVES, it communicates with veins of the orbit and thus the cavernous sinous
Definition
does the facial vein have valves? what is it connected to that makes this significant?
Term
1) deep to superficial fascia (and its own fascia)
2) anterior to earlobe and TMJ
3) superficial to superficial masseter (the duct wraps around and pierces the oral mucosa)
4) inferior to zygomatic arch
Definition
describe the location of the parotid gland (what layers is it between?)
Term
above the upper second molar
Definition
where does the parotid gland duct enter the oral cavity?
Term
superior:
1) zygomatic arch
2) transverse facial artery
3) parotid duct
(inferior)

they all run parallel to each other
Definition
what is the relationship between the zygomatic arch, transverse facial artery and the parotid duct (list them superior to inferior)
Term
the vessels are on the LATERAL surface of superficial masster
Definition
what side of superficial masseter are the transverse facial artery/vein and parotid duct?
Term
parotid duct
Definition
the ______ turns medial at the anterior edges of superficial masseter and runs through a space occupied by the buccal fat pad
Term
where it crosses the lower border of the mandible anterior to the superficial masseter insertion
Definition
where can you feel the pulse of the facial artery?
Term
submandibular gland
Definition
what gland do the facial artery and vein cross lateral to?
Term
the artery is deeper and more anterior to the vein, for the most part they run in parallel
Definition
which is more anterior/deeper, the facial artery or vein?
Term
lateral palpebral ligament
Definition
what ligament is at the corner of the eye external(superficial) to the orbital septum and attaches to the zygomatic bone?
Term
inferior tarsus
Definition
name the CT plate in the lower eyelid
Term
the vein is straighter, and the artery is more tortuous
Definition
besides the spacial relationship between the facial artery and vein, how can you tell them apart?
Term
orbital septum
Definition
name the connective tissue that forms the anterior border of the orbit
Term
lacrimal sac
Definition
name the soft connective tissue tube that collects tears
Term
medial palpebral ligament
Definition
what ligament is external to the septum and attaches to the maxilla and the lacrimal bone after splitting around the lacrimal sac
Term
levator palpebrae superioris
Definition
name the most superior extrinsic eye muscle
Term
fornix
Definition
name the space that is located in the angle where the 2 sides of conjunctiva fold over on each other
Term
conjunctiva (palpebral, bulbar, and fornical)
Definition
name the thing that is on the cornea and goes posterior and up to line the eyelid and lubricates the eye
Term
the superior tarsal muscle(smooth muscle) attaches to the superior tarsus and also to levator palpebrae which is a skeletal muscle
Definition
on the upper eyelid only there is a muscle that sends a slip of smooth muscle to tarsus, name the muscle, and the muscle it attaches to
Term
open: CN III
close: CN VII
Definition
name the cranial nerve that opens the eye. name the one that closes it.
Term
levator palpebrase sends slips of muscle between the fibers of orbicularis oculi
Definition
how are the fibers of levator papebrae superioris related to orbicularis oculi?
Term
orbicularis occuli is most external, then levator palpebrae superioris, then the tarsal plate/glands are closest to the eye in the eyelid
Definition
which is more external, orbicularis occuli, or the tarsal plate and tarsal glands?
Term
blocked ciliary glands for styes, they are found on the edge of the eyelid near the cilia (eye lashes)
Definition
what gland forms a stye when it is blocked, where is it found?
Term
a chalazion (these form on the inner surface of the lid)
Definition
what is a blocked meibomian gland called?
Term
inferior rectus
Definition
a small slip of what muscle goes to the lower eyelid?
Term
1) lacrimal gland (Superiolateral in orbit)
2) puncta
3) lacrimal canaliculus
4) lacrimal sac
5) nasolacrimal duct (soft) in nasolacrimal canal(bone
6) inferior nasal meatus below the inferior nasal concha
Definition
describe the path of tears from their origin
Term
lateral to medial
Definition
describe the path of tears across the surface of the eye
Term
Periosteum
Loose connective tissues
Aponeurosis and muscle
Connective tissue(Dense)
Skin

note: this is SCALP backwards
Definition
name the layers of the scalp, deep to superficial
Term
the loose connective tissue layer, it has no borders and infection can spread through it easily
Definition
what layer of the scalp is the danger space?
Term
the loose connective tissue layer
Definition
why do scalp movements occur?
Term
SCA (skin, Connective tissue (Dense), aponeurosis-galea aponeurotica)
Definition
what 3 layers of the scalp are tightly bound to each other?
Term
1) supratrochlear(V1)
2) supraorbital (V1)
3) Zygomaticotemporal (V2)
3) auriculotemporal(V3) - in front of ear
4) lesser occipital (ventral C2-C3) - behind the ear
5) greater occipital (dorsal C2)
6) third occipital (dorsal C3)

(NO C1)
Definition
list the nerves that supply sensation to the scalp from anterior to posterior
Term
1) supratrochlear(ICA)
2) supraorbital(ICA)
3) superficial temporal(ECA)
4) posterior auricular(ECA)
5) occipital(ECA)
Definition
describe the blood supply to the scalp (list the arteries from anterior to posterior)
Term
they help make the head a radiator for heat, but its bad because scalp wounds bleed like crazy
Definition
what is the purpose of the extensive anastamoses on the scalp?
Term
1) the scalp is highly vascularized
2) arteries lie in dense CT and are held open when severed (normally smooth muscle contracts and closes off the arteries)
Definition
why do scalp wounds bleed profusely?
Term
transverse cuts are worse because they are pulled open by scalp muscles, longitudinal cuts are reduced
Definition
which direction of cut on a scalp would bleed more severely? transverse or longitudinal?
Term
blood can drain forward into the eye under the aponeurosis (in the loose CT layer)
Definition
why can black eyes accompany scalp lacerations?
Term
the TMJ and superficial masseter are deep to the gland
Definition
what is the spacial relationship between the parotid gland, the TMJ and superficial masseter?
Term
a line drawn from the mastoid process to the corner of the mouth
Definition
what estimates the location of the parotid duct?
Term
the inferior alveolar nerve, artery and vein
Definition
what nerves/vessels lie between medial pterygoid and the mandibular ramus?
Term
between the ramus of the mandible and sternocleidomastoid
Definition
where is the constriction in the parotid gland dividing the deep and superficial lobes?
Term
1)ECA/superficial temporal artery
2)retromandibular vein
Definition
what blood vessels run THROUGH the parotid gland?
Term
posterior digastric and stylohyoid
Definition
what muscles form the deep part(bed) of the parotid gland?
Term
1) carotid artery
2) vagus nerve (posterior to the vessels and between them)
3) jugular vein
Definition
list the crap in the carotid sheath from medial to lateral
Term
1) internal jugular vein
2) carotid artery
3) CN X
4) CN XI
5) CN XII
Definition
list all the structures that pass DEEP to posterior digastric and stylohyoid in the bed of the parotid gland
Term
stylohoid
Definition
what muscle splits the teondon of posterior digastric because they lie in the same plane?
Term
foramen ovale
Definition
what hole does V3 pop out of?
Term
1) auriculotemporal
2) nerve to muscle of masticaiton
3) buccal n
4) lingual n
5) inferior alveolar (Which gives off the next 2)
6) nerve to mylohyoid
7) mental nerve
Definition
list the branches of V3 after the foramen ovale
Term
sensory (motor is from facial)
Definition
what innervation does the buccal nerve of V3 carry?
Term
inferior alveolar (motor to mylohyoid, the rest of the branches are all sensory)
Definition
what is the only mixed nerve off V3?
Term
superficial temporal artery & the maxillary
Definition
what arteries does the ECA split into right behind the mandible?
Term
1) deep auricular
2) anterior tympanic
3) middle meningeal
4) accessory meningeal
5) inferior alveolar
6) deep temporal arteries
7) buccal artery
8) sphenopalatine
9) descending palatine artery
10) posterior superior alveolar artery
11) infraorbital artery
Definition
list the branches of the maxillary artery in order they come off
Term
1) where it branches from ECA to the inferior head of lateral pterygoid
2) where it overlies lateral pterygoid
3) where it crosses the pterygomaxillary fissure
Definition
what are the 3 divisions of the maxillary artery?
Term
1) deep auricular
2) anterior tympanic artery
3) middle meningeal
4) accessory meningeal
5) inferior alveolar
Definition
what branches off of the maxillary artery in its first section (ECA to lateral pterygoid)?
Term
1) deep temporal arteries
2) buccal artery
Definition
what branches off the maxillary artery in its second section (where it overlies lateral pterygoid)?
Term
1) sphenopalatine(goes into fissure)
2) descending palatine artery (into fissure)
3) posterior superior alveolar
4) infraorbital
Definition
what branches off of the maxillary artery as it crosses the pterygomaxillary fissure?
Term
anterior tympanic artery
Definition
name the branch of the maxillary artery that goes to the middle ear inside the tympanic membrane
Term
accessory meningeal artery
Definition
name the branch of the maxillary artery that goes through the foramen ovale with V3
Term
deep auricular artery
Definition
what branch of the maxillary artery sends a superficial branch to the external ear on the deep surface of the cartilage & supplies the tympanic membrane and the skin lining the canal
Term
auriculotemporal nerve
Definition
what nerve runs with the superficial temporal artery?
Term
middle meningeal
Definition
what branch of the maxillary artery is subject to injury when the side of the head is hit, supplies neurcranial bone and dura, and goes through the foramen spinosum then to the auriculotemporal nerve and back?
Term
the inferior alveolar artery
Definition
what is the biggest branch off the first segment of the maxillary artery that supplies blood to the lower teeth, chin, and lower lip?
Term
buccal artery
Definition
what branch of the maxillary artery follows the same named nerve to the corner of the mouth?
Term
descending palatine artery
Definition
what branch of the maxillary artery supplies blood to the oral mucosa in the roof of the mouth and splits at the palatine foramina
Term
posterior superior alveolar
Definition
what branch of the maxillary artery supplies molars 1-3?
Term
infraorbital artery
Definition
what branch of the maxillary artery supplies the area of the same named nerve and has branches such as: palpebral, lateral nasal, and labial
Term
nasopalatine nerve
Definition
what nerve runs with the sphenopalatine artery?
Term
sphenopalatine artery aka artery of epistaxis
Definition
what branch of the maxillary artery goes through the sphenopalatine foramen to the nasal cavity to supply the septum
Term
deep temporal artery
Definition
what branch of the maxillary artery goes to temporalis between the temporalis muscle and the skull?
Term
in the mandibular foramen, then by the first premolar, out the mental forament
Definition
what foramen does the inferior alveolar nerve travel through?
Term
medial pterygoid, the artery is DEEP to the muscle, the nerve is superficial and runs with a branch of the inferior alveolar
Definition
what muscle separates the lingual artery and lingual nerve? which is on the deep side?
Term
chorda tympani(facial n)
Definition
what nerve lies deep to V3 nerves as they come out the foramen ovale?
Term
1) cavernous sinus which drains to the
2) pterygoid plexus to the
3) internal jugular
Definition
describe the path of drainage of the inferior opthalmic vein
Term
from the pterygoid plexus to the anterior division of the retromandibular vein
Definition
where does the maxillary vein drain?
Term
the needle goes through the infratemporal fossa which contains the pterygoid plexus of veins
Definition
why can you get a hematoma when you anesthetize the lingual nerve for dental surgery?
Term
the auroculotemporal off V3 (sensory to parotid gland, glossopharyngeal follows this and doe para to the parotid)
Definition
what nerve is pierced by the middle meningeal artery?
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