Title: FACE, EYELIDS,
1 FACE, EYELIDS, LACRIMAL
APPARATUS SCALP Steven J.
Zehren, Ph.D.
2BONES 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
4SKULL (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
5MANDIBLE (MEDIAL VIEW)
Mandibular foramen (inf. alveolar n.)
6INFERIOR 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
9NEWBORN
ADULT
FACE FORMS 1/8 OF SKULL
FACE FORMS 1/3 OF SKULL
10 SKULL OF NEWBORN (LATERAL VIEW)
Mastoid process absent
11MUSCLES OF FACE
12MUSCLES OF FACIAL EXPRESSION
13 MUSCLES OF FACIAL EXPRESSION DERIVED FROM
PHARYNGEAL ARCH 2
14MUSCLES 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
15ORIGIN OF BUCCINATOR MUSCLE
Alveolar process of maxilla
Parotid duct
Superior pharyngeal constrictor m.
Buccinator m.
Pterygomandibular raphe
Alveolar process of mandible
16INSERTION OF BUCCINATOR MUSCLE
Parotid duct
Buccinator m.
Orbicularis oris m.
17FUNCTION OF THE BUCCINATOR MUSCLE
(coronal section through oral cavity)
Oral vestibule
Buccinator
18NERVES OF FACE
19FACIAL N. (VII) EXITS CRANIAL CAVITY VIA
INTERNAL AUDITORY MEATUS
INTERNAL AUDITORY MEATUS (VII
VIII)
20VII EMERGES FROM STYLOMASTOID FORAMEN
STYLOID PROCESS
MASTOID PROCESS STYLOMASTOID F.
21FACIAL 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
22BELLS PALSY
23COURSE 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
24TRIGEMINAL NERVE (V)
Ophthalmic N. (V1) (GSA)
Trigeminal ganglion (GSA)
Maxillary N. (V2) (GSA)
Sensory root of V ganglion
Mandibular N. (V3) (GSA, SVE)
25VERTEX EAR CHIN LINE
Dorsal rami of cervical nerves
Ophthalmic N. (V1)
Maxillary N. (V2)
Ventral rami of cervical nerves
Mandibular N. (V3)
26CUTANEOUS 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.
27VESSELS OF FACE
28FACIAL ARTERY
29ARTERIAL SUPPLY TO FACE
Black from internal carotid a. (via
ophthalmic a.) Red from external carotid a.
30FACIAL VEIN
31EXTERNAL NOSE
32NOSE (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
34EYELIDS (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
35TARSOFASCIAL LAYER OF EYELIDS
Orbital septum
Superior tarsus
Lat. palpebral lig.
Lacrimal sac
Inferior tarsus
Med. palpebral lig.
Orbital septum
36LACRIMAL 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
37AUTONOMIC 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
38AUTONOMIC 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.
39SCALP
40S. C. A. L. P.
41NERVES AND ARTERIES OF SCALP
42(No Transcript)