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FACE, EYELIDS,

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FACE, EYELIDS, LACRIMAL APPARATUS & SCALP Steven J. Zehren, Ph.D. This is a GREAT PLATE because it highlights the fact that the TRIGEMINAL N. IS THE CHIEF SENSORY ... – PowerPoint PPT presentation

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Title: FACE, EYELIDS,


1
FACE, EYELIDS, LACRIMAL
APPARATUS SCALP Steven J.
Zehren, Ph.D.
2
BONES OF THE FACE
3
SKULL (ANTERIOR VIEW)
Supraorbital f.
NASAL
LACRIMAL
ZYGOMATIC
INF. NASAL CONCHA
VOMER
MAXILLA
MANDIBLE
Zygomatic pr.
Ramus
Orbital surface
Body
Infraorbital f.
Mental f.
Frontal pr.
Mental tubercle
Alveolar pr.
Mental protuberance
4
SKULL (LATERAL VIEW)
Temporomandibular Joint (TMJ)
LACRIMAL
NASAL
MAXILLA
Frontal pr.
Infraorbital f.
MANDIBLE
Alveolar pr.
Head
Mandibular notch
Coronoid pr.
ZYGOMATIC
Ramus
Body
Mental f.
Zygomatic arch
5
MANDIBLE (MEDIAL VIEW)
Mandibular foramen (inf. alveolar n.)
6
INFERIOR ALVEOLAR AND MENTAL NERVES
Inferior alveolar n. (w/in mandibular canal)
Mental n. (emerging from mental f.)
7
RESORPTION OF THE ALVEOLAR PROCESS
OF THE
MANDIBLE
Mental foramen
Mandible of aged person
8
MAXILLARY SINUS (RELATIONSHIPS)
Opening of sinus into middle meatus of nasal
cavity
Maxillary sinus
Orbital surface
Infratemporal surface
Facial surface
Roots of teeth
9
NEWBORN
ADULT
FACE FORMS 1/8 OF SKULL
FACE FORMS 1/3 OF SKULL
10
SKULL OF NEWBORN (LATERAL VIEW)
Mastoid process absent
11
MUSCLES OF FACE
12
MUSCLES OF FACIAL EXPRESSION
13
MUSCLES OF FACIAL EXPRESSION DERIVED FROM
PHARYNGEAL ARCH 2
14
MUSCLES OF FACIAL EXPRESSION
Epicranial aponeurosis
Orbicularis oculi (orbital part)
Orbicularis oculi (palpebral part)
Frontalis
Occipitalis
Levator labii superioris
Nasalis (transverse part)
Nasalis (alar part)
Orbicularis oris
Zygomaticus minor
Zygomaticus major
Mentalis
Depressor labii inferioris
Depressor anguli oris
Buccinator
Risorius
Platysma
15
ORIGIN OF BUCCINATOR MUSCLE
Alveolar process of maxilla
Parotid duct
Superior pharyngeal constrictor m.
Buccinator m.
Pterygomandibular raphe
Alveolar process of mandible
16
INSERTION OF BUCCINATOR MUSCLE
Parotid duct
Buccinator m.
Orbicularis oris m.
17
FUNCTION OF THE BUCCINATOR MUSCLE
(coronal section through oral cavity)
Oral vestibule
Buccinator
18
NERVES OF FACE
19
FACIAL N. (VII) EXITS CRANIAL CAVITY VIA
INTERNAL AUDITORY MEATUS
INTERNAL AUDITORY MEATUS (VII
VIII)
20
VII EMERGES FROM STYLOMASTOID FORAMEN
STYLOID PROCESS
MASTOID PROCESS STYLOMASTOID F.
21
FACIAL NERVE BRANCHES IN PAROTID GLAND
Temporal branches
Zygomatic branches
Main trunk of VII
Buccal branches
TO ZANZIBAR BY MOTOR CAR
Marginal mandibular branch
Cervical branch
22
BELLS PALSY
23
COURSE OF VII IN FACIAL CANAL
Int. auditory meatus
Greater petrosal n.
VII in facial canal of temporal bone
Nerve to stapedius
Stylomastoid for.
Chorda tympani n.
Branches to muscles of facial expression
24
TRIGEMINAL NERVE (V)
Ophthalmic N. (V1) (GSA)
Trigeminal ganglion (GSA)
Maxillary N. (V2) (GSA)
Sensory root of V ganglion
Mandibular N. (V3) (GSA, SVE)
25
VERTEX EAR CHIN LINE
Dorsal rami of cervical nerves
Ophthalmic N. (V1)
Maxillary N. (V2)
Ventral rami of cervical nerves
Mandibular N. (V3)
26
CUTANEOUS NERVES OF HEAD AND NECK
OPHTHALMIC N.
Supraorbital n.
Supratrochlear n.
DORSAL RAMI
Lacrimal n.
Infratrochlear n.
Gr. occipital n. (C2)
Ant. ethmoidal n. (ext. nasal br.)
3rd occipital n. (C3)
MAXILLARY N.
Infraorbital n.
Zygomaticofacial n.
Zygomaticotemporal n.
VENTRAL RAMI
Lsr. occipital n. (C2,3)
MANDIBULAR N.
Gr. auricular n. (C2,3)
Mental n.
Transverse cervical n. (C2,3)
Buccal n.
Supraclavicular nn. (C3,4)
Auriculotemporal n.
27
VESSELS OF FACE
28
FACIAL ARTERY
29
ARTERIAL SUPPLY TO FACE
Black from internal carotid a. (via
ophthalmic a.) Red from external carotid a.
30
FACIAL VEIN
31
EXTERNAL NOSE
32
NOSE (SKELETON)
Major alar cartilage
Frontal
Nasals
Medial crus
Maxilla (frontal pr.)
Lateral crus
Septal cartilage (lateral prs.)
Septal cartilage
Major alar cartilage
Lateral crus
Medial crus
Alar fibrofatty tissue
Septal cartilage
Alar fibrofatty tissue
33
EYELIDS LACRIMAL APPARATUS
34
EYELIDS (SAGITTAL SECTION)
Levator palpebrae superioris m.
Orbital septum
Sup. tarsal m.
Sclera
Sup. conjunctival fornix
Bulbar conjunctiva
Orbicularis oculi m. (palpebral pt.)
Palpebral conjunctiva
Sup. tarsus
Cornea
Tarsal glands
Sebaceous glands
Eyelashes (cilia)
Openings of tarsal glands
Inf. tarsus
Orbicularis oculi m. (palpebral pt.)
Inf. conjunctival fornix
Orbital septum
35
TARSOFASCIAL LAYER OF EYELIDS
Orbital septum
Superior tarsus
Lat. palpebral lig.
Lacrimal sac
Inferior tarsus
Med. palpebral lig.
Orbital septum
36
LACRIMAL APPARATUS
Sup. lacrimal papilla and punctum
Orbital part of lacrimal gland
Lacrimal canaliculi
Palpebral part of lacrimal gland
Lacrimal sac
Ducts of lacrimal gland
Nasolacrimal duct
Plica semilunaris
Opening of nasolacrimal duct (into inf. meatus of
nasal cavity)
Lacrimal caruncle
Inf. lacrimal papilla and punctum
37
AUTONOMIC INNERVATION OF LACRIMAL GLAND
Trigeminal ganglion (V)
Greater petrosal n.
Maxillary n. (V2)
N. of pterygoid canal
Facial n. (VII)
Pterygopalatinganglion
Pterygopalatine ganglion
Sup. salivatory nucleus
Lacrimal gland
Deep petrosal n.
Int. carotid plexus
Sup. cervical sympathetic ganglion
1st and 2nd thoracic spinal nn.
Sympathetic presynaptic fibers Sympathetic
postsynaptic fibers Parasympathetic presynaptic
fibers Parasympathetic postsynaptic fibers
38
AUTONOMIC INNERVATION OF LACRIMAL GLAND
(CONTINUED)
Communicating branch
Lacrimal gland
Lacrimal n.
Zygomaticotemporal n.
V ganglion
Maxillary n. (V2)
Zygomatic n.
N. of pterygoid canal
Pterygopalatine ganglion
Pterygopalatine nn.
39
SCALP
40
S. C. A. L. P.
41
NERVES AND ARTERIES OF SCALP
42
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