G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve...

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G20A: Superficial Face and Infratemporal Fossa No Lab Today David A. Morton, Ph.D. Pg 51

Transcript of G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve...

Page 1: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

G20A: Superficial Face and

Infratemporal Fossa

No Lab Today

David A. Morton, Ph.D. Pg 51

Page 2: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

1) Cutaneous Innervation

CN V (GS)

Page 3: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

1) Cutaneous Innervation

CN V (GS)

• CN V-1

• CN V-2

• CN V-3

Page 4: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

CN V-1

Page 5: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

1) Cutaneous Innervation

CN V (GS)

• CN V-1

• CN V-2

• CN V-3

Page 6: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

1) Cutaneous Innervation

CN V (GS)

• CN V-1

• CN V-2

• CN V-3

Page 7: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

1) Cutaneous Innervation

CN V (GS)

• CN V-1

• CN V-2

• CN V-3

Page 8: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

2) Parotid Gland

•Parotid gland

•Facial n. (BM)

•Ext carotid a.

•Retromand. v.

•Masseter m.

•Buccinator m.

Page 9: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

2) Parotid Gland

•Parotid gland

•Facial n. (BM)

•Ext carotid a.

•Retromand. v.

•Masseter m.

•Buccinator m.

Page 10: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

2) Parotid Gland

•Parotid gland

•Facial n. (BM)

•Ext carotid a.

•Retromand. v.

•Masseter m.

•Buccinator m.

Page 11: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

2) Parotid Gland

•Parotid gland

•Facial n. (BM)

•Ext carotid a.

•Retromand. v.

•Masseter m.

•Buccinator m.

Page 12: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

2) Parotid Gland

•Parotid gland

•Facial n. (BM)

•Ext carotid a.

•Retromand. v.

•Masseter m.

•Buccinator m.

Page 13: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

2) Parotid Gland

Tympanic

canal

•CN IX (VM)

Page 14: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

2) Parotid Gland

Tympanic

canal

•CN IX (VM)

Lesser

petrosal

hiatus

Page 15: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

2) Parotid Gland

•CN IX (VM)

•Lesser petrosal n.

•Otic ganglion

•Auriculotemporal n.

Page 16: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

2) Parotid Gland

•CN IX (VM)

•Lesser petrosal n.

•Otic ganglion

•Auriculotemporal n.

Page 17: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

2) Parotid Gland

•CN IX (VM)

•Lesser petrosal n.

•Otic ganglion

•Auriculotemporal n.

CN V-3

Page 18: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

2) Parotid Gland

•CN IX (VM)

•Lesser petrosal n.

•Otic ganglion

•Auriculotemporal n.

Page 19: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

2) Parotid Gland

•CN IX (VM)

•Lesser petrosal n.

•Otic ganglion

•Auriculotemporal n.

Middle meningeal a.

Page 20: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

2) Parotid Gland

•Parotid gland

•Facial n. (BM)

•Ext carotid a.

•Retromand. v.

•Masseter m.

•Buccinator m.

Page 21: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

•Parotid gland

•Facial n. (BM)

•Ext carotid a.

•Retromand. v.

•Masseter m.

•Buccinator m.

2) Parotid Gland

Page 22: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

3) Facial Expression

•CN VII (BM)

Page 23: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

•Parotid gland

•Facial n. (BM)

•Ext carotid a.

•Retromand. v.

•Masseter m.

•Buccinator m.

3) Facial Expression

Page 24: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

3) Facial Expression

Page 25: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

4) Blood Supply to the Face

•Parotid gland

•Facial n. (BM)

•Ext carotid a.

•Retromand. v.

•Masseter m.

•Buccinator m.

Page 26: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

4) Blood Supply to the Face

Page 27: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

2) Parotid Gland

•Parotid gland

•Facial n. (BM)

•Ext carotid a.

•Retromand. v.

•Masseter m.

•Buccinator m.

Page 28: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

5) Infratemporal fossa

Page 29: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

5) Infratemporal fossa

Page 30: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

5) Infratemporal fossa

Page 31: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

5) Infratemporal fossa

Page 32: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

TMJPg. 76

Page 33: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

TMJPg. 76

Page 34: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

TMJPg. 76

Page 35: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

TMJ Pg. 77

- 3 muscles close the jaw: Masseter, teMporalis, Medial pterygoid (M’smunch)-1 muscle opens: lateral pterygoid (Lateral Lowers … when speaking ofpterygoids and jaw motion)- All of the muscles of mastication are innervated by branches of CN V-3

Page 36: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

Maxillary Artery Pg. 78

- External carotid artery- Maxillary artery

- Divides into 3 parts by lateral pterygoid muscle

3 Parts

Page 37: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

Maxillary Artery Pg. 78

- External carotid artery- Maxillary artery

- Divides into 3 parts by lateral pterygoid muscle

3 Parts

Page 38: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

Maxillary Artery Pg. 78

- External carotid artery- Maxillary artery

- Divides into 3 parts by lateral pterygoid muscle

3 Parts

Page 39: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

GAFS, Fig. 8.137

Pterygoid plexus of veinsPg. 79-80

Page 40: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

GAFS, Fig. 8.137

Infratemporal fossa Pg. 79-80

V-3

Page 41: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

GAFS, Fig. 8.137

Infratemporal fossa Pg. 79-80

Chorda tympani

Page 42: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

GAFS, Fig. 8.137

Infratemporal fossa Pg. 79-80

Lingual n.

Page 43: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

GAFS, Fig. 8.137

Infratemporal fossa Pg. 79-80

Submand gang.

Page 44: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

GAFS, Fig. 8.137

Infratemporal fossa Pg. 79-80

Otic ganglion

Page 45: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

GAFS, Fig. 8.137

Infratemporal fossa Pg. 79-80

Inf. alv. n.

Page 46: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

A patient suffers a lesion to the nerve within her right stylomastoid

foramen inhibiting the function of this nerve.

A. What nerve is effected by this lesion?

B. Will this lesion effect general sensation of the head (if so which part)

or motor function to the head (if so which part)?

C. Will taste be effected by this lesion? Why or why not?

D. Will this patient have any trouble crying on the right side? Why or

why not?

H. Will parotid gland function be effected by this lesion? Why or why

not?

I. During the physical examination you conduct the pupilary reflex …

what do you expect to observe in your patient?

J. During the physical examination you conduct the corneal reflex …

what do you expect to observe in your patient?

Page 47: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

A patient suffers a lesion to the nerve within her right stylomastoid

foramen inhibiting the function of this nerve.

A. What nerve is effected by this lesion?

B. Will this lesion effect general sensation of the head (if so which part)

or motor function to the head (if so which part)?

C. Will taste be effected by this lesion? Why or why not?

D. Will this patient have any trouble crying on the right side? Why or

why not?

H. Will parotid gland function be effected by this lesion? Why or why

not?

I. During the physical examination you conduct the pupilary reflex …

what do you expect to observe in your patient?

J. During the physical examination you conduct the corneal reflex …

what do you expect to observe in your patient?

Page 48: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

Netter Plate 117, used with permission

Page 49: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

A patient suffers a lesion to the nerve within her right stylomastoid

foramen inhibiting the function of this nerve.

A. What nerve is effected by this lesion?

B. Will this lesion effect general sensation of the head (if so which part)

or motor function to the head (if so which part)?

C. Will taste be effected by this lesion? Why or why not?

D. Will this patient have any trouble crying on the right side? Why or

why not?

H. Will parotid gland function be effected by this lesion? Why or why

not?

I. During the physical examination you conduct the pupilary reflex …

what do you expect to observe in your patient?

J. During the physical examination you conduct the corneal reflex …

what do you expect to observe in your patient?

Page 50: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

Netter Plate 116, used with permission

Page 51: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

A patient suffers a lesion to the nerve within her right stylomastoid

foramen inhibiting the function of this nerve.

A. What nerve is effected by this lesion?

B. Will this lesion effect general sensation of the head (if so which part)

or motor function to the head (if so which part)?

C. Will taste be effected by this lesion? Why or why not?

D. Will this patient have any trouble crying on the right side? Why or

why not?

H. Will parotid gland function be effected by this lesion? Why or why

not?

I. During the physical examination you conduct the pupilary reflex …

what do you expect to observe in your patient?

J. During the physical examination you conduct the corneal reflex …

what do you expect to observe in your patient?

Page 52: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

Netter Plate 116, used with permission

Page 53: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

A patient suffers a lesion to the nerve within her right stylomastoid

foramen inhibiting the function of this nerve.

A. What nerve is effected by this lesion?

B. Will this lesion effect general sensation of the head (if so which part)

or motor function to the head (if so which part)?

C. Will taste be effected by this lesion? Why or why not?

D. Will this patient have any trouble crying on the right side? Why or

why not?

H. Will parotid gland function be effected by this lesion? Why or why

not?

I. During the physical examination you conduct the pupilary reflex …

what do you expect to observe in your patient?

J. During the physical examination you conduct the corneal reflex …

what do you expect to observe in your patient?

Page 54: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

Netter Plate 117, used with permission

Page 55: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

A patient suffers a lesion to the nerve within her right stylomastoid

foramen inhibiting the function of this nerve.

A. What nerve is effected by this lesion?

B. Will this lesion effect general sensation of the head (if so which part)

or motor function to the head (if so which part)?

C. Will taste be effected by this lesion? Why or why not?

D. Will this patient have any trouble crying on the right side? Why or

why not?

H. Will parotid gland function be effected by this lesion? Why or why

not?

I. During the physical examination you conduct the pupilary reflex …

what do you expect to observe in your patient?

J. During the physical examination you conduct the corneal reflex …

what do you expect to observe in your patient?

Page 56: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

Netter Plate 119, used with permission

Page 57: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

A patient suffers a lesion to the nerve within her right stylomastoid

foramen inhibiting the function of this nerve.

A. What nerve is effected by this lesion?

B. Will this lesion effect general sensation of the head (if so which part)

or motor function to the head (if so which part)?

C. Will taste be effected by this lesion? Why or why not?

D. Will this patient have any trouble crying on the right side? Why or

why not?

H. Will parotid gland function be effected by this lesion? Why or why

not?

I. During the physical examination you conduct the pupillary reflex …

what do you expect to observe in your patient?

J. During the physical examination you conduct the corneal reflex …

what do you expect to observe in your patient?

Page 58: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

A patient suffers a lesion to the nerve within her right stylomastoid

foramen inhibiting the function of this nerve.

A. What nerve is effected by this lesion?

B. Will this lesion effect general sensation of the head (if so which part)

or motor function to the head (if so which part)?

C. Will taste be effected by this lesion? Why or why not?

D. Will this patient have any trouble crying on the right side? Why or

why not?

H. Will parotid gland function be effected by this lesion? Why or why

not?

I. During the physical examination you conduct the pupillary reflex …

what do you expect to observe in your patient?

J. During the physical examination you conduct the corneal reflex …

what do you expect to observe in your patient?

Page 59: G20A: Superficial Face and Infratemporal Fossa Morton.ppt.pdfA patient suffers a lesion to the nerve within her right stylomastoid foramen inhibiting the function of this nerve. A.

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