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London, Berlin, Chicago, Tokyo, Barcelona, Beijing, Istanbul, Milan, Moscow,
New Delhi, Paris, Prague, São Paulo, Seoul, Singapore and Warsaw
The Face
Pictorial Atlas of Clinical Anatomy
Ralf J.Radlanski
Karl H.Wesker
The_Face.indb 3 05.09.2012 16:28:14
Throughout an individual’s lifetime, there is a fateful connec-
tion between the face and the person. With the face, we rec-
ognize each other; we communicate with our facial expression.
When we meet for the first time, it is the face that makes the
first, unrepeatable visual impression.
We dress ourselves according to our mood, and according to
the role we intend to play. In order to signal a certain identity,
we are set, however, with the appearance of our face.
Purely morphologically, each face shows very individual char-
acteristics and proportions.
Faces differ in countless nuances in relation to skin character-
istics, the form and color of the eyes, the eye spacing, the out-
line of the eyebrows, the prominence of the cheeks, the con-
tour of the nose, and the cut of the mouth and the chin, just to
mention a few examples. From these features, not only Johann
Caspar Lavater, the eighteenth century promoter of physi-
ognomy, but also long before this Aristotle and peasant public
opinion developed misguided theories of types.
Many people are not aware why they perceive a certain face as
nice, friendly, personable and attractive – but not another one.
However, the importance of our face is evident even at birth.
There are studies that show that caresses of an infant by the
mother are much more numerous and more intense when the
mother finds her baby attractive.
So, very early, there is an intensive interaction between the ex-
pectations and fulfillments to the response by people – or a
deep disappointment.
Prologue: The Face
Moods are reflected in our facial expression; thus the face be-
comes a mirror of our soul.
Things like the luster of the eyes can hardly be influenced by
the individual but are undoubtedly perceived by those around.
The tension and activity of the muscles of facial expression
contribute to the overall impression. It is not surprising that
a complete lifetime can be engraved into the face by the per-
manent activity of the muscles of facial expression and, with
this, the position, orientation and depth of the wrinkles and
creases. Consequently, the face shows not only a spontaneous
impression of the person but also a lived identity.
The interdependency between the face and the identity of a
person has to be acknowledged not only by the individual but
also by the therapist. In particular, severe malformations or
traumatic facial damage, which cannot be hidden by clothing,
causes the affected person to be mercilessly exposed during in-
teractions with the world around. These individuals need the
most advanced specialist efforts of medical science and tech-
nology. However, individuals who feel that their person, their
identity, is not or is no longer congruent with their face also
require special medical attention. The face can be subtly modi-
fied therapeutically, with a high degree of responsibility to bal-
ance the self-perception and the desires against the feasible
changes. The detailed knowledge of the anatomy of the face is
one of the many foundations for such interventions. This is the
use that is intended for this atlas.
The_Face.indb 9 05.09.2012 16:28:14
1 The face . . . . . . . . . . . . . . . . . . . . 1
1.1 Introduction . . . . . . . . . . . . . . . . . . . . 2
1.1.1 General remarks . . . . . . . . . . . . . . . . . . 2
1.1.2 Regions of the face . . . . . . . . . . . . . . . . 4
1.1.3 Morphometry and proportions of the face . . . . 6
1.2 The face in anterior view . . . . . . . . . . . . . . 18
1.2.1 Fat compartments of the face
in anterior view . . . . . . . . . . . . . . . . . . . 18
1.2.2 Muscles of the face in anterior view . . . . . . . . 25
1.2.3 Vascular and nerve supply of the face
in anterior view . . . . . . . . . . . . . . . . . . . 38
1.3 The face in lateral view . . . . . . . . . . . . . . . 54
1.3.1 Fat compartments of the face
in lateral view . . . . . . . . . . . . . . . . . . . . 54
1.3.2 Muscles of the face in lateral view . . . . . . . . . 62
1.3.3 Vascular and nerve supply of the face
in lateral view . . . . . . . . . . . . . . . . . . . . 78
1.4 The head in vertical view . . . . . . . . . . . . 106
1.5 The head in dorsal view . . . . . . . . . . . . . 116
1.6 The neck . . . . . . . . . . . . . . . . . . . . . 122
1.6.1 The neck in anterior view . . . . . . . . . . . . 123
1.6.2 The neck in lateral view . . . . . . . . . . . . . 128
1.6.3 The neck in dorsal view . . . . . . . . . . . . . 133
1.7 Facial expression . . . . . . . . . . . . . . . . . 136
1.8 The facial skeleton . . . . . . . . . . . . . . . . 148
1.9 Sectional anatomy . . . . . . . . . . . . . . . . 162
1.10 Schematic representations of pathways
in the face . . . . . . . . . . . . . . . . . . . . 172
2 The orbital region. . . . . . . . . . . . 180
2.1 Surface topography of the orbital region . . . . 182
2.2 Preseptal muscles and fat layers . . . . . . . . . 185
2.3 The orbital septum and the eyeball . . . . . . . 189
2.4 Vascular and nerve supply in the orbital region . . . 196
Contents
2.5 Vascular and nerve supply in the orbital region
in relation to the muscles . . . . . . . . . . . . 205
2.6 Sectional anatomy of the orbital region . . . . . 210
3 The nasal and midfacial region . . 216
3.1 Surface topography of the nasal region . . . . . 218
3.2 The nose in anterior view . . . . . . . . . . . . 222
3.3 The nose in lateral view . . . . . . . . . . . . . 230
3.4 The nose in caudal view . . . . . . . . . . . . . 244
3.5 The nasal cavity . . . . . . . . . . . . . . . . . 245
3.6 The sinuses . . . . . . . . . . . . . . . . . . . 258
4 The mouth . . . . . . . . . . . . . . . . . 262
4.1 Extraoral topography of the oral region . . . . . 264
4.2 Topographical anatomy of the oral region . . . . 265
4.3 Vascular and nerve supply of the oral region . . . 267
4.4 The oral cavity . . . . . . . . . . . . . . . . . . 278
4.5 Anatomy of the lips, teeth, periodontium
and alveolar bone in sections . . . . . . . . . . 283
4.6 The anterior oral vestibule . . . . . . . . . . . . 289
4.7 Anatomy in the area around the
mandibular ramus . . . . . . . . . . . . . . . . 290
4.8 The temporomandibular joint . . . . . . . . . . 303
4.9 Anatomy of the oral region in sections . . . . . 308
4.10 Pathways of odontogenic spread of infections . . 314
5 The ear. . . . . . . . . . . . . . . . . . . . 316
6 The skin and aging of the face . . . . 330
Appendix . . . . . . . . . . . . . . . . . . . . . 345
References . . . . . . . . . . . . . . . . . . . . . . . 347
Index . . . . . . . . . . . . . . . . . . . . . . . . . . 349
The_Face.indb 11 05.09.2012 16:28:15
Galea
aponeurotica
Occipitofrontalis,
frontal belly
Procerus
Orbicularis oculi
ROOF (retroorbicularis
oculi fat)
Levator labii superioris
alaeque nasi muscle
Nasalis
Zygomaticus minor
Levator labii superioris
Levator anguli oris
Zygomaticus major
Orbicularis oris
Masseter
Depressor labii
inferioris
Mentalis
Temporoparietal
SOOF (suborbicularis
oculi fat)
ROOF (retroorbicularis
oculi fat)
Zygomatic bone,
zygomatic arch
Mandible
Parotid gland
Buccal fat pad
(of Bichat)
Parotid duct
Submental
fat compartment
Glabella fat pad
Fig 1-28 Right half of the face shows the subcutaneous fat layer removed and the cheek fat exposed.
Left half of the face shows the orbicularis oculi muscle removed and the retroorbicularis oculi fat (ROOF),
suborbicularis oculi fat (SOOF) and buccal fat pads exposed.
The face
24
The_Face.indb 24 05.09.2012 16:30:21
The relationship between the fat compartments and the facial
muscles was the main topic in the previous section. In the fol-
lowing figures, the facial muscles themselves will be addressed
directly, starting again with the most superficial muscle layers
of the face.
 Fig 1-29 The left side of the face shows the superficial facial
muscles. The occipitofrontalis muscle (seen here: frontal belly)
is connected to the sturdy galea aponeurotica. Fiber tracts of
the depressor supercilii muscles originate from the glabella re-
gion and become concomitant with the muscle fibers in the
eyebrow region. Some muscle fibers merge with the orbicu-
laris oculi muscle. In the region of the glabella, the procerus
muscle stretches out and corresponds with the fibers of the un-
derlying occipitofrontalis muscle. The outer cartilaginous nasal
skeleton is covered by the nasalis muscle, the anterior dilator
naris muscle and the compressor narium minor muscle. In the
border between the orbicularis oculi muscle and the nose, the
levator labii superioris alaeque nasi muscle takes a narrow but
long course. In the lower lip region, the orbicularis oris muscle
is covered completely by the depressor anguli oris and depres-
sor labii inferioris muscles. The upper lip is partly overlapped
by the levator labii superioris alaeque nasi, levator labii su-
perioris and zygomaticus minor muscles. In the corner of the
mouth, the zygomaticus major muscle inserts together with
the risorius muscle, with fibers that preferentially run horizon-
tally. Still further posteriorly, some extensions of the platysma
muscle run across the margin of the jaw. The tip of the chin is
dominated by the mentalis muscle. Large parts of the lower
cheek muscles and the temporal region are still covered with
solid fascia. The chiasm of the facial muscles at the corners of
the mouth is called the modiolus. It is formed by the orbicula-
ris oris, buccinator, levator anguli oris, depressor anguli oris,
zygomaticus major, risorius and platysma muscles.
 Fig 1-30 As soon as the platysma, the risorius muscle and
the fascia in the deep cheek region are removed in the right
part of the face, the parotid gland, the parotid duct, the mas-
seter muscle and the buccal fat pad (of Bichat) become ex-
posed.
 Fig 1-31 After removal of the peripheral portion of the or-
bicularis oculi muscle in the left half of the face, the insertion
of the levator anguli oris muscle in the maxilla becomes vis-
ible. Furthermore, in the left half of the face, the zygomaticus
minor and major muscles and the depressor anguli oris mus-
cles are removed. As a result, the course of the parotic duct,
which crosses over the masseter muscle, can be traced. Also,
some parts of the mandible become visible.
 Fig 1-32 In the left half of the face, the depressor supercilii
muscle has been removed to expose some parts of the corru-
gator supercilii muscle. Although most parts of this muscle run
underneath the frontal belly of the occipitofrontalis muscle,
its fibers must eventually penetrate this muscle. The complete
removal of the orbicularis oculi muscle exposes the orbital sep-
tum. At its caudal margin, the infraorbital foramen becomes
visible as soon as the levator labii superioris muscle has been
elevated. This also allows the levator anguli oris muscle to be
completely visible. Removal of the depressor labii inferius mus-
cle exposes the lower lip portion of the orbicularis oris mus-
cle. The fascia wrapping the parotid gland has also been re-
moved.
 Fig 1-33 When the temporal fascia is removed (left half
of the face), the temporalis muscle becomes exposed. In addi-
tion, the temporal process of the buccal fat pad becomes visi-
ble. The chin region parts of the orbicularis oris muscle run un-
derneath the depressor labii inferioris muscles and above the
mentalis muscle.
 Fig 1-34 The corrugator supercilii muscle runs underneath
the frontal belly of the occipitofrontalis muscle. However, its
fibers eventually penetrate the frontal belly in order to in-
sert into the subcutaneous connective tissue. Portions of the
procerus muscle, which runs on top of the frontal belly, have
been kept visible in the left half of the face. Also in the left
half of the face, the fascia of the masseter muscle has been re-
moved.
The parotid duct perforates the buccal fat pad and the buc-
cinator muscle close to the anterior margin of the masseter
muscle.
The nasalis muscle, dorsal part, has been removed in the left
half of the face to expose the upper lateral cartilage of the
nose.
 Fig 1-35 In the right half of the face, parts of the procerus
muscle, which runs above the corrugator supercilii muscle, are
preserved. All muscles that radiate into the perioral region,
such as the levator anguli oris muscle (which still is visible in
the right half of the face), have connections with the fibers of
the orbicularis oris muscle.
 Fig 1-36 The orbicularis oris and the buccinator muscles
form a functional unit that embraces the oral cavity. As well
as running around the oral cavity in a circular pattern, fibers
of the orbicularis oris muscle also radiate into the buccinator
muscle.
 Fig 1-37 The oral vestibulum is formed by the buccinator
muscle in the maxilla and mandible.
 Fig 1-38 The right half of the face is shown with the bucci-
nator muscle and gingiva maintained.
1.2.2 Muscles of the face in anterior view
The face in anterior view
25
The_Face.indb 25 05.09.2012 16:30:21
Articular capsule
Lateral ligament
Temporalis
Masseter
Body
(of mandible)
Zygomatic arch
Infraorbital
foramen
Buccal fat pad
(of Bichat)
Parotid duct
Orbicularis oris
Buccinator
Mental foramen
Mentalis
Fig 1-58 Zygomatic arch and masseter muscle partly removed to reveal the exten-
sion of the buccal fat pad with its temporal process.
 Fig 1-58 The continuity of the buccal fat pad into the tem-
poral region becomes visible when the zygomatic arch and the
masseter muscle are partly removed.
 Fig 1-59 In the cheek region, all muscles are more or less
tightly, but continuously, connected together and with the
skin by means of interwoven connective tissue, the SMAS.
From here, strands run toward the skin (false retaining liga-
ments) and form the septa of the compartments. There are
also strands of connective tissue that insert into bone; these
are called true retaining fibers.
The connective tissue may contain some fat, the amount vary-
ing from individual to individual.
This aponeurotic system is manipulated during facial cosmetic
surgery, particularly rhytidectomy (facelift).
 Fig 1-60 The SMAS is continuous with the facial muscles
and allows facial expression. These connections between mus-
cles and the connective tissue of the skin, or between muscles,
are called false retaining ligaments.
 Fig 1-61 There are also strands of connective tissue that in-
sert into bone; they are called true retaining ligaments.
The face
60
The_Face.indb 60 05.09.2012 16:33:14
Parotid gland
Buccal branches
(CN VII)
Accessory
parotid gland
Zygomatico-
cutaneous ligament
Zygomaticus
major and minor
Parotid duct
Platysma
Fig 1-60 False retaining ligaments of the superficial musculo-
aponeurotic system.
Fig 1-61 True retaining ligaments of the superficial musculo-
aponeurotic system.
Fig 1-59 Detail of the superficial musculo-aponeurotic system (SMAS) in the cheek region.
The face in lateral view
61
The_Face.indb 61 05.09.2012 16:33:23
Frontal bone
Frontal bone
Procerus
Procerus
Nasal bone
Nasal bone
Levator labii superioris
Levator labii superioris
alaeque nasi muscle
alaeque nasi muscle
Orbicularis
Orbicularis
oculi
Medial
Medial
nasal concha
nasal concha
Inferior
Inferior
nasal concha
nasal concha
Angular a. and v.
Angular a. and v.
Maxilla
Maxilla
Levator
Levator
anguli oris
anguli oris
Tongue
Tongue
Levator labii
superioris
Depressor
anguli oris
Orbicularis
oris
Facial v.
Perpendicular
lamina
Corrugator
supercilii
Fig 3-54 Frontal section through the nasal cavity at the level of the incisor teeth.
 Fig 3-54 Frontal section through the nasal cavity at the
level of the incisor teeth.
 Fig 3-55 Frontal section through the nasal cavity at the
level of the first molar teeth.
 Fig 3-56 Frontal section through the nasal cavity at the
level of the second molar teeth.
 Fig 3-57 Horizontal section through the nasal cavity at the
level of the medial nasal concha.
 Fig 3-58 Horizontal section through the nasal cavity at the
level of the superior nasal concha.
 Fig 3-59 Horizontal section through the nasal cavity at
lower-eye level.
 Fig 3-60 Horizontal section through the nasal cavity at
mid-eye level.
The nasal and midfacial region
254
The_Face.indb 254 05.09.2012 16:48:12
Medial nasal
concha
Perpendicular
lamina
Inferior nasal
concha
Tongue
Vomer
Maxillary
sinus
Maxilla
Middle nasal
meatus
Ethmoidal
cells
Medial nasal
concha
Perpendicular
lamina
Olfactory
bulb (CN I)
Inferior nasal
concha
Tongue
Vomer
Maxillary
sinus
Maxilla
Crista galli
Ethmoidal
cells
Fig 3-55 Frontal section through the nasal cavity at the level of the first molar teeth.
Fig 3-56 Frontal section through the nasal cavity at the level of the second molar teeth.
255
The nasal cavity
The_Face.indb 255 05.09.2012 16:48:16
 Fig 4-21 The mucosa at the ventral surface of the tongue is
as thin as the one on the floor of the mouth. The thickness of
the epithelium is only 0.2 mm. The blood vessels can be clearly
seen through this thin epithelium; in some older individuals
varicose veins may protrude.
 Fig 4-22 The tongue is a body with varying motility that
completely fills the space palatal of the dental arches when
the mouth is closed. The tip of the tongue can reach almost
every point of the oral mucosa. The dorsal mucosa of the
tongue is completely different from the epithelium at the ven-
tral side. The epithelium of the dorsum of the tongue is kerat-
inized. Underneath is a tough lamina propria, rich in vessels
and nerves. The superficial layer of the lamina propria carries
a large number of papillae, which are covered by epithelium.
According to their form and size, they are distinguished into
thready (filiform papilla), mushroom-shaped (fungiform papil-
lae), leaf-shaped (foliated papillae) and wall-like (circumvallate
papillae) papillae. The papillae greatly enlarge the surface of
the tongue. An enormous number of taste buds are embedded
into the epithelium of the papillae, each taste bud bearing re-
ceptors for specific taste sensations. Consequently, each taste is
perceptible at any place of the tongue but there are maxima
of specific flavor perception at certain regions of the tongue.
 Fig 4-23 Much of the epithelium of the cheek is not kerati-
nized. However, along a horizontal line, parallel to the occlusal
plane, there can be a white line (linea alba) in some individu-
als, which represents a line of keratinization of the epithelium.
The cheek epithelium is the thickest epithelium of the oral mu-
cosa (0.5–0.6 mm).
Fig 4-21 Sublingual mucosa.
Fig 4-22 Papillae of the tongue.
Fig 4-23 Cheek mucosa and pharyngeal mucosa.
The mouth
282
The_Face.indb 282 05.09.2012 16:49:27
Alveolar
process
Alveolar
part
Glosso-
alveolar sulcus
Genio-
glossus
Maxilla
Orbicularis
oris
Oral
vestibule
Upper lip
Lower lip
Orbicularis
oris
Oral
vestibule
Body
(of mandible)
Fig 4-24 Sagittal section through the anterior region of the mouth, slightly lateral of the midline.
 Fig 4-24 The alveolar processes and the teeth are bordered
by the tongue on the inside and the lips (and cheeks laterally)
on the outside. The physiologically correct alignment of the
upper to the lower incisors is an overlap of the incisal ridge of
the upper incisor over that of the lower incisor (overbite). A bi-
omechanically ideal support would be given if the lower incisal
ridge rests at the transition between the palatal concavity and
the convexity of the tubercle. This would result in an overlap
of the upper incisal ridge anterior to the labial surface of the
lower incisor (overjet).
The angulation of the dental axis is influenced by the forces
exercised by the tongue and the lips. Swallowing and speak-
ing, however, is of minor importance and the permanent pres-
sure exercised by the tongue and by the lips is more signifi-
cant.
4.5 Anatomy of the lips, teeth, periodontium
and alveolar bone in sections
283
Anatomy of the lips, teeth, periodontium and alveolar bone in sections
The_Face.indb 283 05.09.2012 16:49:31
A
Adipose tissue of the orbit 191, 211
Agger nasi 250
Alar
– lobe 223ff, 235, 237, 240, 243f, 266
– – lobular connective tissue 223ff, 235,
237, 240, 243f, 266
– sidewall 218f
Alar-facial junction 218f
Alveolar
– crest 287
– part (of mandible) 283, 286ff
– process (of maxilla) 283
– yokes 35f, 77, 157f, 226, 238
Angle
– mandibular 159, 340
– of eye
– – lateral 183
– – medial 183, 186, 194
– of mouth 264
Ansa cervicalis, superficial 125f, 131
Anterior
– nasal spine (Point Spa) 17, 35, 157,
226, 244
– septal angle 244
Anthelix 318ff
Antitragus 318ff
Arch, venous, jugular 126
Arterial palpebral arch
– inferior 39, 79
– superior 39, 49, 79
Arteries
– nasal septal, posterior 248
– superior labial 228, 240
– temporal, deep 79, 84, 86, 93, 294
Artery
– angular 39, 79, 173, 198, 228, 239,
257, 275ff
– anterior
– – auricular 323
– – ethmoidal 248, 251f
– – – external nasal branches 240
– – nasal 44, 198, 201, 206, 252
– basilar 168
– buccal 39, 79, 84, 272, 291
– common carotid 39, 84, 167, 173
– dorsal nasal 39, 79, 173, 228, 239
– external carotid 39, 79, 84, 126, 173
– facial 39, 79, 84, 173, 260ff, 311ff
– frontal 39, 44, 79, 84, 96, 98, 100, 102,
Index
173, 191, 197f, 201ff
– inferior
– – alveolar 84, 164f, 291, 311ff
– – labial 39, 79, 84, 173, 268, 273ff,
285f
– infraorbital 39, 79, 84, 86, 93, 198,
201, 239, 268
– infratrochlear 191, 197f, 201f, 206
– internal carotid 84, 167, 173, 310ff
– labial superior 39, 79, 84, 173, 268,
273ff
– lacrimal 198, 201ff
– lingual 84
– masseteric 86, 91, 273, 294
– – anterior 39, 47, 79, 268
– – posterior 39, 79, 268, 291
– maxillary 39, 79, 84, 268, 252, 291
– meningeal, middle 294
– mental 39, 79, 84, 173, 268, 272ff,
289
– nasal septal, posterior 248
– nasopalatine 252, 281
– occipital 79, 86, 129ff
– – posterior branch 109, 115, 119f
– ophthalmic 198f
– palatine
– – descending 252
– – greater 260, 281
– – lesser 252
– palpebral
– – lateral 173, 198, 201
– – medial 173, 198, 201
– posterior
– – auricular 79, 84, 119, 322ff
– – cerebral 168
– – ethmoidal 248, 252
– – superior alveolar 291, 294
– sphenopalatine 84, 248, 252
– sublingual 281
– submental 39, 79, 86, 173, 268, 272ff
– superficial cervical 131
– supraorbital 39, 79, 84, 173, 191, 197,
201, 206
– supratrochlear 39, 44, 79, 84, 173,
191, 197f, 201ff
– temporal 102, 206
– – deep 100, 102, 115, 170, 228, 239
– – superficial 39, 79, 84, 113ff, 173,
322
– – – frontal branch 39, 79, 115, 173,
239
– – – parietal branch 39,79, 109, 173
– transverse facial 39, 79, 86, 173, 268,
272f
– zygomaticofacial 39, 191, 197f, 201ff,
206f, 272ff
– zygomaticoorbital 39, 79, 86, 198, 201
Articular
– capsule, 58ff, 300ff, 307
– disc 166, 296, 305f, 309f, 340
– fossa 160, 306
– tubercle 293, 304, 306, 309
Articulare (Point Ar) 17
Atlas 153
Auditory tube 169, 247, 249, 310
Axis 153
B
Bipupillar line (PP) 9
Body (of mandible) 32ff, 69ff, 94f, 150f,
300ff, 340
Bone
– ethmoid 75, 226, 238, 247ff
– – orbital plate 35, 75, 157, 159
– – perpendicular plate 35, 157, 163
– frontal 30ff, 74ff, 150ff, 188ff, 224ff,
236ff, 247ff
– – orbital part 35, 157
– hyoid 126
– lacrimal 35, 75, 157f, 190, 225f, 238
– nasal 30ff, 75, 150f, 157ff, 190ff,
224ff, 236ff, 247ff
– occipital 77, 151ff, 159ff
– – basilar part 296f
– palatine 247ff
– – pyramidal process 160
– parietal 34ff, 73ff, 150ff, 161
– sphenoid 35, 247ff
– – greater wing 34, 73ff, 150f, 161,
296
– – – orbital surface 35, 157
– temporal 34f, 77, 150f, 157ff, 190,
296, 310
– – mastoid process 33ff, 77, 150ff,
300ff, 319f
– – petrous part 152f
– – squamous part 73ff, 151ff, 160
– – tympanic part 159
– – zygomatic arch 28ff, 60, 73ff, 77,
151, 157, 159, 165f, 188ff, 207, 293,
300ff, 314
349
Index
The_Face.indb 349 05.09.2012 16:52:46
– zygomatic 28ff, 60, 73ff, 77, 151, 159,
165f, 188ff, 207, 293, 300ff, 314
B-point, soft tissue (Point B’) 7, 11, 17
Branch
– cervical (CN VII) 42, 82, 89, 92ff, 125f,
131, 270
– external nasal (CN V2) 49ff, 82, 84f,
89ff, 176f, 208f, 227ff, 241ff
– marginal mandibular (CN VII) 42, 47ff,
82, 89, 101ff, 270ff
– mental of inferior alveolar v. 44, 48,
86, 91, 93, 174
Branches
– anterior auricular 322, 327
– auricular (CN X) 178, 325, 329
– buccal (CN VII) 42, 82, 89, 92ff, 270,
277
– glandular, of submental a. 100
– inferior labial branches (CN V3) 177
– lateral posterior nasal (CN V1) 251
– medial superior alveolar (CN V2) 291ff
– parotid (CN V3) 297
– posterior superior alveolar (CN V2)
291ff
– superior
– – labial (CN V2) 85, 176f, 241ff
– – posterior alveolar 89, 92, 177, 292
– temporal (CN VII) 42, 47ff, 82, 89ff,
101ff, 111ff
– zygomatic (CN VII) 42, 82, 89ff, 101ff,
177, 203, 270
Brow fat, prolapse 336ff
Buccal fat pad (of Bichat) 22, 27ff, 30ff,
59ff, 164ff, 314
C
Canal, optic 35, 157, 226
Canthus
– lateral 183
– medial 183, 186, 194
Capsule, articular 58ff, 300ff, 307
Caput mandibulae, head of mandible
74f, 169, 310
Cartilage
– alar 150f, 168, 223ff, 231ff, 239ff, 266
– – lateral crus 235ff
– – medial crus 225, 232f, 235ff, 240ff
– quadrangular cartilage 168, 224f,
235f, 240ff, 249, 253, 256f
– sesamoid 225, 233ff, 240, 253
– upper lateral 224f, 233ff, 251
Caruncle
– lacrimal 183, 193ff
– sublingual 280f
Cauda of helix 319ff
Cavity, nasal 213, 256ff
Cells, ethmoidal 164f, 255, 257ff
Cementum 288
Cervical
– fascia
– – pretracheal lamina 126
– – prevertebral layer 131, 135
Cervicale (Point C) 7, 13, 17
Cheek 264, 278f
– fat compartment
– – lateral-temporal 21, 56f, 105
– – medial 21, 57, 105
– fat pad, deep 23f
Chin fat compartment 22, 57, 105
Ciliae 183, 186, 211
Ciliar body 210f
Columella (Point Cm) 7, 12, 218ff
Commissure
– lateral palpebral 183
– medial palpebral 183, 186, 194
Concha 318ff
– nasal
– – inferior 35, 157, 163ff, 169, 237,
250ff, 314
– – medial 35, 157, 163ff, 237, 250ff,
296
Condylar process 151, 159, 160, 304ff,
340
Condyle 304, 309
Condylion (Point Co) 17
Corium 333
Cornea 210f, 339
Coronoid process 74f, 159, 169, 304ff,
340
Corpus callosum 168
Crest, alveolar 287
Crista galli 255
Crow’s feet 337
Crus helicis 318ff
Cymba conchae 318ff
D
Darwin’s tubercle (helical tubercle) 318
Dental pulp 287f
Dentine 288
Dentogingival fibers 288
Dermis 333
Disc, articular 166, 296, 305f, 309f, 340
Dome
– lateral angle of 244
– medial angle of 244
Dorsum nasi (Point DN) 6f
Duct
– nasolacrimal 170f, 193, 213ff, 226,
256f
– parotid 27ff, 58ff, 65ff, 89ff, 102, 272,
293
– submandibular 281
E
Ear lobe 318ff
Eminentia
– cavitatis conchae 321, 326f
– fossae triangularis 321
– scaphae 321
Enamel 288
Erb’s point (punctum nervosum) 129ff
Ethmoid bone
– orbital plate 75
– perpendicular lamina 168, 226, 236f,
253ff
Ethmoidal cells 164f, 255, 257ff
Eyelid
– upper 183, 190
– lower 183, 190
F
Facet 218f
Falx cerebri 168, 249
Fascia
– cervial
– – pretracheal lamina 126
– – prevertebral layer 131, 135
– – superficial lamina, investing layer
124ff, 135
Fat compartment
– cervical 57, 130
– cheek
– – lateral-temporal 21, 56f, 105
– – medial 21, 57, 105
– chin 22, 57, 105
– jowl 21f, 57, 105
– nasolabial 57, 105
– submental 22ff, 57f, 124ff
Fat pad
– buccal (of Bichat) 22, 27ff, 30ff, 59ff,
164ff, 314
– cheek, deep 23f
Fibers
– dentogingival 288
– olfactory 248
– periosteogingival 288
Fissure
– inferior orbital 35, 157
– superior orbital 35, 157, 226
Fold
– labiomental 336
– marionette 336
– mentolabial 336
Index
350
The_Face.indb 350 05.09.2012 16:52:47
Foramen
– apical 286
– – accessory 287
– incisive 152, 160
– infraorbital 28ff, 70ff, 150f, 157,
190ff, 208, 300ff
– mandibular 152f, 160
– mastoid 118, 152f
– mental 29ff, 70ff, 150f, 157, 159, 293,
340
– nasal 240
– parietal 154
– supraorbital 34ff, 150, 157, 192f, 226,
238
– transverse 153
– zygomaticofacial 192f, 208
Fornix
– inferior conjunctival 210
– superior conjunctival 211
Fossa
– antitragicohelicina 319ff
– articular 160, 306
– infratemporal 213
– jugular fossa 5
– major supraclavicular 5
– minor supraclavicular 5
– retromandibular fossa 4
– triangular 318ff
Frenulum
– of tongue 278ff
– of upper lip 278f, 289
Frenum, buccal 280f
Frontal notch 35f, 42, 157, 192f, 226
G
Galea aponeurotica 22, 58, 95, 107, 114,
120
Ganglion, pterygopalatine 84f, 295
Gingiva 278f, 288f
– attached 286f
Gingival
– margin 286ff
– sulcus 288
Glabella
– fat pad 22ff, 58, 105, 186ff
– (Point Gl) 6f, 9ff, 17, 218f
– soft tissue (Point Gl’) 17
Gland
– accessory parotid 58, 61, 65, 66, 102ff
– lacrimal 164, 171, 191ff, 213
– – orbital lobe 197, 226
– – palpebral lobe 197, 226
– parotid 27f, 52, 58, 102, 126, 130ff,
165ff, 277, 309ff
– – accessory 58, 61, 65, 66, 102ff
– sebaceous 333f
– sublingual 164f, 281, 313f
– submandibular 104, 126, 165, 167,
312ff
Glands
– ciliar (Moll glands) 211
– labial 285f
– meibomian (tarsal glands) 211
– palatine 281
– tarsal 211
Gonial angle, soft tissue (point Go’) 15
Gonion (Point Go) 15
Granular layer (of Tomes) 288
Gray line 183
H
Hair
– bulb 334
– cortex 334
– follicle 333
– medulla 334
Helix 318ff
Horner-muscle 171, 195, 213, 257
– deep insertions 190
Hypophysis 168, 247, 249
I
Incisure, intertragic 319ff
Inferior
– arterial palpebral arch 39, 79
– orbital fissure 35, 157
– palpebral branch (CN V2) 42, 44, 47ff,
82, 101ff, 176f, 231, 270
Infratip lobule 218f
Intertragic incisure 319ff
Investing layer, cervical fascia,
superficial lamina 124ff, 135
Iris 183, 211, 213
J
Jowl fat compartment 21f, 57, 105
Jugular venous arch 126
Junction
– alar-facial 218f
– osseocartilaginous (Rhinion) 218
L
Labiomental fold 336
Labrale
– inferior (Point Lb inf) 7, 11
– superior (Point Lb sup) 7, 11, 13
Lacrimal
– canaliculus
– – inferior 193f, 226
– – superior 193f, 226, 236f, 247ff
– caruncle 183, 193ff
– lake 193
– punctum 194, 226
– sac 190ff, 226
– trough 336
Lateral palpebral commissure 183
Lens 210, 213, 339
Ligament
– of levator palpebrae 192f
– orbicularis retaining 190
– palpebral
– – lateral 191ff, 214
– – medial 191ff, 214
– periodontal 287f
– sphenomandibular 307
– stylomandibular 304, 307
– zygomaticocutaneous 61, 190
Limen nasi 250
Line, oblique 157, 159, 340
Lip
– lower 264f, 278f, 283
– upper 264f, 278f, 283
– vermilion zone 285
Lip seal 264f
Lobe
– alar 223ff, 235, 237, 240, 243f, 266
– ear 318ff
Lobular connective tissue (at alar lobe)
223ff, 235, 237, 240, 243f, 266
Locus Kiesselbachi 248
Lower lip 264f, 278f, 283
Lymph nodes
– anterior superficial cervical 130
– deep
– – cervical 132, 175
– – parotid 130, 175
– facial 175
– lateral superficial cervical 126, 130,
132
– mastoid (retroauricular) 132, 175
– occipital 132, 175
– submandibular 126, 132, 175
– submental 132, 175
M
Malar bag 211, 337
Mandible 23f, 28ff, 48, 77, 152ff, 163ff,
312ff
– head of (Caput mandibulae) 74f, 169,
310
– ramus of 32ff, 73ff, 150ff, 160, 266,
272, 300ff
Index
351
The_Face.indb 351 05.09.2012 16:52:47
Mandibular angle 159, 340
Mandibulare (Point Md) 15
Marionette fold 336
Maxilla 28ff, 75, 150f, 159ff, 188ff,
206ff, 236ff, 272ff, 281, 283, 300ff
– frontal process 32ff, 77, 150f, 157,
224ff, 237
– orbital surface 35, 157, 226, 238
– palatine process 152
Maxillare (Point Mx) 15
Meatus
– acoustic, external 77, 151, 159, 293,
300ff
– inferior nasal 237, 250, 253
– middle nasal 237, 250, 253, 255
– superior nasal 237, 250, 253
Medial
– palpebral commissure 183, 186, 194
– pterygoid 85, 166ff, 261, 291ff, 307ff
Medietas dentium (Point MD) 6f
Meibomian glands 211
Meissner corpuscles 333
Mental
– protuberance 37, 157
– tubercle 340
Mentolabial fold 336
Menton
– (Point Me) 15
– soft tissue (Point Me’) 7, 9, 10, 12f, 15,
17
Merkel cell 333
Moll glands (ciliar glands) 211
Mucosa, alveolar 278f, 286
Muscle
– alar nasalis 47f, 58f, 63ff, 91ff, 223f,
231ff, 239f
– anterior auricularis 58f, 101ff, 321,
327f
– antitragicus 321, 327, 329
– arrector pili 333
– buccinator 30ff, 47ff, 63ff, 89ff, 164ff,
223f, 260f, 272ff, 311ff
– compressor narium minor 36, 47f, 58f,
63ff, 91ff, 228ff
– corrugator supercilii 28ff, 47f, 71, 91f,
138ff, 254
– depressor
– – anguli oris 22ff, 36, 50ff, 76, 99ff,
137, 146, 254, 265f, 276f
– – labii inferioris 22f, 50ff, 96ff, 137,
146, 265f, 275ff
– – septi nasi 36, 47f, 76, 223f, 231ff
– – supercilii 26f, 49f, 70, 137, 187f
– digastric
– – anterior belly 126, 164f, 293, 314
– – posterior belly 166, 293, 309ff
– dilator naris anterior 36, 47f, 58ff,
91ff, 223f, 231f
– genioglossus 85, 164f, 168, 281, 296f,
314
– genohyoid 85, 164f, 168f, 281, 296f,
314
– helicis
– – major 321
– – minor 321
– Horner- 171, 195, 213, 257
– – superficial insertions 190
– hyoglossus 167
– inferior
– – oblique 170, 192f, 190, 210, 214f,
257
– – pharyngeal constrictor 85
– – rectus 165, 170, 192f, 199, 210, 215
– – tarsal 190, 211
– lateral
– – pterygoid 85, 166, 169, 296, 309f
– – – lower head 261, 296f, 305f
– – – upper head 261, 293ff, 305f
– – rectus 165, 171, 192f, 199, 213, 257
– levator
– – anguli oris 22ff, 36, 49ff, 76, 97f,
137ff, 254, 266, 275f
– – labii superioris 22ff, 36, 50ff, 96ff,
137, 140ff, 261, 266, 276f
– – – alaeque nasi 22ff, 36, 51, 58ff,
76, 100ff, 137, 141ff, 223f, 228ff,
254ff
– longissimus capitis 76
– masseter 23ff, 36, 47, 58ff, 104, 164ff,
273, 277, 291ff, 309ff
– – deep part 48f, 91ff, 104, 300ff
– – superficial part 50f, 91ff, 104, 274ff,
300ff
– medial
– – pharyngeal constrictor 167
– – rectus 165, 171, 199, 213, 257
– mentalis 22ff, 47ff, 58ff, 91ff, 137,
142ff, 163, 265f, 273ff, 286, 313
– mylohyoid 126, 164ff, 281, 296f,
313f
– nasalis 22ff, 49ff, 76, 137, 142ff, 169f,
206ff, 223ff, 231ff, 256f
– oblique
– – auriculae 321
– – capitis superior 76
– occipitofrontalis
– – frontal belly 23ff, 48ff, 58ff, 93ff,
114f, 137f, 163ff, 187f, 206, 210,
339
– – occipital belly 58ff, 93ff, 107f, 114f,
117, 120, 134f
– omohyoid 84f, 126
– – inferior belly 131f
– – superior belly 132
– orbicularis
– – oculi 22ff, 49ff, 96ff, 137ff, 186f,
206ff, 254, 257, 275, 309
– – – lacrimal part 36, 76, 187
– – – orbital part 22, 36, 76, 187, 190,
209ff, 339
– – – palpebral part 187, 190, 209ff,
339
– – oris 23ff, 47ff, 58ff, 91ff, 137, 144f,
223ff, 247ff, 266, 273ff, 283ff, 311ff
– posterior auricularis 58f, 101ff, 321,
327ff
– procerus 22ff, 49ff, 76, 96ff, 137ff,
186ff, 206ff, 223f, 231ff
– rectus capitis posterior
– – major 76
– – minor 76
– risorius 22, 26, 52, 63ff, 137, 140ff,
266, 277
– semispinalis capitis 76, 135
– splenius capitis 76, 135
– sternocleidomastoid 76, 104, 131ff,
166, 312f
– sternohyoid 84f, 126, 132
– sternothyroid 85, 132
– styloglossus 76
– stylohyoid 293
– stylopharyngeus 167, 312, 315
– superior
– – auricularis 58ff, 99ff, 321, 327ff
– – pharyngeal constrictor 167
– – rectus 165, 193, 199, 210
– – tarsal 190, 210
– temporalis 27ff, 47ff, 59ff, 91ff, 108,
165ff, 206ff, 261, 296f, 300ff, 309f
– temporoparietal 58f, 63ff. 98ff, 209
– thyrohyoid 84f, 132
– tragicus 321
– transverse auriculae 321, 327, 329
– trapezius 76, 131, 135
– uvulae 247, 249f
– zygomaticus
– – major 23ff, 36, 51ff, 76, 100ff, 137,
140f, 147, 266, 277, 312
– – minor 22ff, 36, 51f, 63ff, 76, 100ff,
137, 140ff, 260, 266, 277, 309
N
Nasal
– cavity 213, 256ff
– septum 164f, 247, 256f, 314
Nasion
– (Point N) 15, 17, 218f
Index
352
The_Face.indb 352 05.09.2012 16:52:47
– soft tissue (Point N’) 7, 12f, 17
Nasolabial fold 264, 336f
Nasolacrimal duct 170f, 193, 213ff, 226,
256f
Nerve
– 3rd occipital 135
– abducent (CN VI) 199
– accessory, external branch (CN XI)
131f, 135
– anterior ethmoidal 248, 251
– auriculotemporal 42, 82, 84f, 89, 94ff,
104, 111ff, 176ff, 291ff, 324f
– buccal (CN V3) 47ff, 82, 84f, 176f,
272ff, 291ff
– deep temporal 47, 82, 84f, 89, 94ff,
177, 295
– facial (CN VII) 82, 84f, 92ff, 101, 273ff,
291ff, 313, 324f
– glossopharyngeal (CN IX) 167, 312f
– greater
– – auricular 82, 103f, 119f, 124ff, 324f
– – – anterior branch 178, 325
– – occipital 82, 103, 111ff, 119f, 132ff
– – palatine 251, 281
– hypoglossal (CN XII) 281, 312
– inferior
– – alveolar 284f, 176f, 272f, 291ff, 307,
311ff
– – oculomotor (CN III) 199
– infraorbital (CN V2) 42, 47ff, 82, 84f,
176, 191, 197ff, 270ff
– infratrochlear 42, 47ff, 84f, 176f,
197ff, 227ff, 241ff
– lacrimal 197ff, 208
– lateral pterygoid 84f, 291ff, 307
– lesser occipital 82, 94ff, 111ff, 119,
129ff, 178, 324f
– lingual (CN V3) 82, 281, 291ff, 307
– mandibular (CN V3) 82, 85, 177f,
291ff, 307, 309
– masseteric (CN V3) 94ff, 176f, 291ff
– maxillary (CN V2) 178, 261
– medial pterygoid 177, 294ff, 307
– mental (CN V3) 42, 47f, 82, 84f, 89,
176f, 270ff, 289
– mylohyoid 297, 299, 307
– nasociliar 199
– nasopalatine 81
– ophthalmic (CN V1) 178
– optic (CN II) 199, 213, 248f, 257, 310
– posterior auricular 82, 103f, 111ff,
135, 324f
– superior oculomotor 199
– supraorbital
– – lateral branch 42, 47ff, 82, 84f, 92ff,
176f, 197ff, 227ff, 241ff
– – medial branch 42, 47ff, 82, 84f,
93ff, 101f, 176f, 197ff, 227f, 241ff
– supratrochlear 42, 47ff, 82, 94ff, 176,
197, 201ff, 227ff, 241ff
– transverse cervical 124ff, 130f, 178
– vagus (CN X) 167, 313
– zygomaticofacial 42, 47ff, 82, 84, 94ff,
176f, 201ff, 208f, 272ff, 294f
Nostril sill 218f
Notch, frontal 35f, 42, 157, 192f, 226
O
Oblique line 157, 159, 340
Occipital condyle 152
Odontoblasts 288
Olfactory
– bulb 250, 255
– fibers 248
Optic chiasm 257
Oral vestibule 34f, 281, 283, 286f
Orbit 35, 157
– soft tissue (Point Or’) 7, 11, 14
Orbital
– plate, ethmoid bone 75
– septum 29ff, 70ff, 86, 89ff, 188ff, 203,
339
Orbitale (Point Or) 15, 17
Osseocartilaginous junction, Rhinion,
218f
Otobasion inferius 318
P
Palatine rugae (Transverse palatine
folds) 280f
Palbebronasal sulcus 183
Palpebral
– inferior sulcus 183
– superior sulcus 183
Palpebromalar groove 336
Papilla
– dermal 334
– incisive 280f
– interdental gingival 286f
Parotid duct 27ff, 58ff, 65ff, 89ff, 102,
272, 293
Periodontal ligament 287f
Periosteogingival fibers 288
Perpendicular lamina of ethmoid bone
168, 226, 236f, 253ff
Philtrum (Point Ph) 6f, 218f, 264
Piriform aperture 35, 157, 226
Platysma 22, 58ff, 103f, 124, 129ff, 137,
145f, 164ff, 266, 277, 312ff
Plexus
– infraparotidoid 82
– pterygoid (deep temporal vv.) 81, 169,
174, 310
Plica semilunaris 183, 194
Pogonion, soft tissue (Point Pg’) 7, 11ff
Porion (Point Por) 7, 11, 17
Posterior nasal spine posterior (Point
Spp) 17
Process
– alveolar 283
– condylar 151, 159, 160, 304ff, 340
– coronoid 74f, 159, 169, 304ff, 340
– spinous 153
– styloid 151ff, 159, 300ff
– transverse 153
Prolapse
– of brow fat 336ff
– of lower lid fat 336f, 339
– of the postseptal orbital fat body 339
– of the postseptal preaponeurotic fat
body 339
Protuberance
– external occipital 117f, 152f, 160
– mental 37, 157
Pulp, dental 287f
Punctum nervosum (Erb’s point) 129ff
Pupil 183
R
Ramus of mandible 32ff, 73ff, 150ff,
160, 266, 272, 300ff
Region
– auricular 4f
– buccal 4f
– frontal 4
– infraorbital 4f
– infratemporal 4
– lateral cervical 4f
– mastoid 4f
– mental 4f
– nasal 4
– occipital 4f
– oral 4f
– orbital 4f
– parietal 4f
– parotideomasseteric 4f
– posterior cervical 4f
– sternocleidomastoid 4f
– temporal 4f
– zygomatic 4f
Retina 210f
Rhinion (osseocartilaginous junction)
218f
ROOF (retroorbicularis oculi fat) 24, 58,
187f, 213
Index
353
The_Face.indb 353 05.09.2012 16:52:47
S
Scapha 318ff
Sclera 183
Sella turcica (Point S) 17
Sinus
– ethmoidal
– frontal 167f, 236f, 247ff, 258f
– maxillary 164f, 167ff, 210f, 255ff, 314
– sphenoid 168, 170, 215, 247ff
SOOF (suborbicularis oculi fat) 22ff, 58,
187ff, 215
Sphenoid, greater wing 34f, 73ff,
77,150f, 159, 296
Spine
– anterior nasal (Point Spa) 17, 35, 157,
226, 244
– posterior nasal (Point Spp) 17
Stomium (Point St) 7, 9, 11
Stratum
– basale 334
– corneum 334
– granulosum 334
– papillare 334
– spinosum 334
Subcutis 333f
Sublingual caruncle 280f
Submandibular duct 281
Subnasale (Point Sn) 7, 9ff, 14, 17, 220
Sulcus, palpebromalar 183
Supercilium 183, 186
Superfical ansa cervicalis 125f, 131
Superior
– arterial palpebral arch 39, 49, 79
– nasal concha 237, 250, 253
– oblique m. 165, 192f, 197, 199
– orbital fissure 35, 157, 226
– palpebral branch (CN V2) 52f, 82, 101,
103, 177, 231
Supraorbitale (Point SOr) 15
Supratip
– dorsum 218
– – dorsum nasi (Point DN) 6f
Suture
– coronal 73ff, 151, 154, 159, 161
– frontal 157, 226
– intermaxillary 35, 157, 226
– internasal 226
– lambdoid 74f, 118, 151ff, 159ff
– nasofrontal 236f, 253
– sagittal 118, 152ff, 160f
– sphenofrontal 73ff, 151, 159
– sphenosquamous 73ff, 151, 159
– squamous 73ff, 151, 159
T
Tarsus
– inferior 192f, 210ff, 339
– superior 192f, 210ff, 339
Tip-defining point, alar cartilage (Point
AN) 6f, 11, 13, 17
Tongue 163f, 254f, 260, 314
Tonsil, pharyngeal 248f
Tragion (Point Trg) 7, 10, 13f
Tragus 318ff
Triangle
– carotid 4f
– omotracheal 4f
– submandibular 4f
– submental 4f
Trichion (Point Tri) 7, 9
Trochlea 192ff, 197
Tubercle
– articular 293, 304, 306, 309
– mental 340
Tuberculum helicis (Darwin’s tubercle)
318ff
U
Upper lip 264f, 278f, 283
V
Vein
– angular 41, 50f, 171, 174, 202, 239,
269, 276f
– anterior
– – auricular 323
– – ethmoidal, external nasal branch 240
– deep facial 81, 91, 174
– external
– – jugular 41, 98, 124ff, 129ff
– – nasal 41, 49ff, 81, 174, 202
– facial 41, 47ff, 81, 132, 174, 202, 239,
269, 272ff, 309ff
– inferior
– – alveolar 164f, 311ff
– – – mental branch 269, 272ff, 289
– – labial 41, 47ff, 81, 174, 269, 273ff
– – ophthalmic 199
– infraorbital 41, 47, 81, 174, 201ff,
239f, 269, 272ff
– internal jugular 41, 126, 167, 312f
– lacrimal 202
– masseteric 86, 91
– maxillary 81, 174, 323
– occipital 81, 110, 129ff, 174
– – posterior branch 113ff, 119f
– posterior auricular 86, 113ff, 323, 328
– retromandibular 81, 132, 174, 309ff,
323
– right subclavian 131f
– submental 41, 47ff, 81, 125f, 174, 269,
272ff
– superficial
– – cervical 131
– – temporal 41, 47ff, 81, 113ff, 174,
202, 272ff
– – – frontal branch 51f, 81, 115, 174, 239
– – – parietal branch 81, 115, 174, 207
– superior
– – labial 41, 47ff, 81, 174, 239f, 269,
273ff
– – ophthalmic 191, 197, 199
– supraorbital 44, 81, 174, 201f, 239
– supratrochlear 41, 44, 47ff, 49ff, 81,
110, 113, 174, 197, 228f
– transversal facial 81, 102, 174, 269
– zygomaticofacial 41, 47ff, 81, 174,
201ff, 269, 272ff
– zygomaticoorbital 86, 91
Veins
– deep temporal 47, 81, 174
– inferior palpebral 41, 81, 174, 202
– masseteric 41, 81, 174, 269
– superior palpebral 41, 81, 174, 201ff
Vermilion zone of lip 285
Vertrebra prominens (C7) 4f, 153
Vomer 35, 152, 157, 160, 168ff, 226,
236f, 249, 253ff, 260, 296
Y
Yokes, alveolar 35f, 77, 157f, 226, 238
Z
Zonula fibers 211
Zygomatic arch (zygomatic bone) 28ff,
60, 73ff, 77, 151, 159, 165f, 188ff, 207,
293, 300ff, 314
Index
354
The_Face.indb 354 05.09.2012 16:52:47

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Atlas - The Face

  • 1. London, Berlin, Chicago, Tokyo, Barcelona, Beijing, Istanbul, Milan, Moscow, New Delhi, Paris, Prague, São Paulo, Seoul, Singapore and Warsaw The Face Pictorial Atlas of Clinical Anatomy Ralf J.Radlanski Karl H.Wesker The_Face.indb 3 05.09.2012 16:28:14
  • 2. Throughout an individual’s lifetime, there is a fateful connec- tion between the face and the person. With the face, we rec- ognize each other; we communicate with our facial expression. When we meet for the first time, it is the face that makes the first, unrepeatable visual impression. We dress ourselves according to our mood, and according to the role we intend to play. In order to signal a certain identity, we are set, however, with the appearance of our face. Purely morphologically, each face shows very individual char- acteristics and proportions. Faces differ in countless nuances in relation to skin character- istics, the form and color of the eyes, the eye spacing, the out- line of the eyebrows, the prominence of the cheeks, the con- tour of the nose, and the cut of the mouth and the chin, just to mention a few examples. From these features, not only Johann Caspar Lavater, the eighteenth century promoter of physi- ognomy, but also long before this Aristotle and peasant public opinion developed misguided theories of types. Many people are not aware why they perceive a certain face as nice, friendly, personable and attractive – but not another one. However, the importance of our face is evident even at birth. There are studies that show that caresses of an infant by the mother are much more numerous and more intense when the mother finds her baby attractive. So, very early, there is an intensive interaction between the ex- pectations and fulfillments to the response by people – or a deep disappointment. Prologue: The Face Moods are reflected in our facial expression; thus the face be- comes a mirror of our soul. Things like the luster of the eyes can hardly be influenced by the individual but are undoubtedly perceived by those around. The tension and activity of the muscles of facial expression contribute to the overall impression. It is not surprising that a complete lifetime can be engraved into the face by the per- manent activity of the muscles of facial expression and, with this, the position, orientation and depth of the wrinkles and creases. Consequently, the face shows not only a spontaneous impression of the person but also a lived identity. The interdependency between the face and the identity of a person has to be acknowledged not only by the individual but also by the therapist. In particular, severe malformations or traumatic facial damage, which cannot be hidden by clothing, causes the affected person to be mercilessly exposed during in- teractions with the world around. These individuals need the most advanced specialist efforts of medical science and tech- nology. However, individuals who feel that their person, their identity, is not or is no longer congruent with their face also require special medical attention. The face can be subtly modi- fied therapeutically, with a high degree of responsibility to bal- ance the self-perception and the desires against the feasible changes. The detailed knowledge of the anatomy of the face is one of the many foundations for such interventions. This is the use that is intended for this atlas. The_Face.indb 9 05.09.2012 16:28:14
  • 3. 1 The face . . . . . . . . . . . . . . . . . . . . 1 1.1 Introduction . . . . . . . . . . . . . . . . . . . . 2 1.1.1 General remarks . . . . . . . . . . . . . . . . . . 2 1.1.2 Regions of the face . . . . . . . . . . . . . . . . 4 1.1.3 Morphometry and proportions of the face . . . . 6 1.2 The face in anterior view . . . . . . . . . . . . . . 18 1.2.1 Fat compartments of the face in anterior view . . . . . . . . . . . . . . . . . . . 18 1.2.2 Muscles of the face in anterior view . . . . . . . . 25 1.2.3 Vascular and nerve supply of the face in anterior view . . . . . . . . . . . . . . . . . . . 38 1.3 The face in lateral view . . . . . . . . . . . . . . . 54 1.3.1 Fat compartments of the face in lateral view . . . . . . . . . . . . . . . . . . . . 54 1.3.2 Muscles of the face in lateral view . . . . . . . . . 62 1.3.3 Vascular and nerve supply of the face in lateral view . . . . . . . . . . . . . . . . . . . . 78 1.4 The head in vertical view . . . . . . . . . . . . 106 1.5 The head in dorsal view . . . . . . . . . . . . . 116 1.6 The neck . . . . . . . . . . . . . . . . . . . . . 122 1.6.1 The neck in anterior view . . . . . . . . . . . . 123 1.6.2 The neck in lateral view . . . . . . . . . . . . . 128 1.6.3 The neck in dorsal view . . . . . . . . . . . . . 133 1.7 Facial expression . . . . . . . . . . . . . . . . . 136 1.8 The facial skeleton . . . . . . . . . . . . . . . . 148 1.9 Sectional anatomy . . . . . . . . . . . . . . . . 162 1.10 Schematic representations of pathways in the face . . . . . . . . . . . . . . . . . . . . 172 2 The orbital region. . . . . . . . . . . . 180 2.1 Surface topography of the orbital region . . . . 182 2.2 Preseptal muscles and fat layers . . . . . . . . . 185 2.3 The orbital septum and the eyeball . . . . . . . 189 2.4 Vascular and nerve supply in the orbital region . . . 196 Contents 2.5 Vascular and nerve supply in the orbital region in relation to the muscles . . . . . . . . . . . . 205 2.6 Sectional anatomy of the orbital region . . . . . 210 3 The nasal and midfacial region . . 216 3.1 Surface topography of the nasal region . . . . . 218 3.2 The nose in anterior view . . . . . . . . . . . . 222 3.3 The nose in lateral view . . . . . . . . . . . . . 230 3.4 The nose in caudal view . . . . . . . . . . . . . 244 3.5 The nasal cavity . . . . . . . . . . . . . . . . . 245 3.6 The sinuses . . . . . . . . . . . . . . . . . . . 258 4 The mouth . . . . . . . . . . . . . . . . . 262 4.1 Extraoral topography of the oral region . . . . . 264 4.2 Topographical anatomy of the oral region . . . . 265 4.3 Vascular and nerve supply of the oral region . . . 267 4.4 The oral cavity . . . . . . . . . . . . . . . . . . 278 4.5 Anatomy of the lips, teeth, periodontium and alveolar bone in sections . . . . . . . . . . 283 4.6 The anterior oral vestibule . . . . . . . . . . . . 289 4.7 Anatomy in the area around the mandibular ramus . . . . . . . . . . . . . . . . 290 4.8 The temporomandibular joint . . . . . . . . . . 303 4.9 Anatomy of the oral region in sections . . . . . 308 4.10 Pathways of odontogenic spread of infections . . 314 5 The ear. . . . . . . . . . . . . . . . . . . . 316 6 The skin and aging of the face . . . . 330 Appendix . . . . . . . . . . . . . . . . . . . . . 345 References . . . . . . . . . . . . . . . . . . . . . . . 347 Index . . . . . . . . . . . . . . . . . . . . . . . . . . 349 The_Face.indb 11 05.09.2012 16:28:15
  • 4. Galea aponeurotica Occipitofrontalis, frontal belly Procerus Orbicularis oculi ROOF (retroorbicularis oculi fat) Levator labii superioris alaeque nasi muscle Nasalis Zygomaticus minor Levator labii superioris Levator anguli oris Zygomaticus major Orbicularis oris Masseter Depressor labii inferioris Mentalis Temporoparietal SOOF (suborbicularis oculi fat) ROOF (retroorbicularis oculi fat) Zygomatic bone, zygomatic arch Mandible Parotid gland Buccal fat pad (of Bichat) Parotid duct Submental fat compartment Glabella fat pad Fig 1-28 Right half of the face shows the subcutaneous fat layer removed and the cheek fat exposed. Left half of the face shows the orbicularis oculi muscle removed and the retroorbicularis oculi fat (ROOF), suborbicularis oculi fat (SOOF) and buccal fat pads exposed. The face 24 The_Face.indb 24 05.09.2012 16:30:21
  • 5. The relationship between the fat compartments and the facial muscles was the main topic in the previous section. In the fol- lowing figures, the facial muscles themselves will be addressed directly, starting again with the most superficial muscle layers of the face.  Fig 1-29 The left side of the face shows the superficial facial muscles. The occipitofrontalis muscle (seen here: frontal belly) is connected to the sturdy galea aponeurotica. Fiber tracts of the depressor supercilii muscles originate from the glabella re- gion and become concomitant with the muscle fibers in the eyebrow region. Some muscle fibers merge with the orbicu- laris oculi muscle. In the region of the glabella, the procerus muscle stretches out and corresponds with the fibers of the un- derlying occipitofrontalis muscle. The outer cartilaginous nasal skeleton is covered by the nasalis muscle, the anterior dilator naris muscle and the compressor narium minor muscle. In the border between the orbicularis oculi muscle and the nose, the levator labii superioris alaeque nasi muscle takes a narrow but long course. In the lower lip region, the orbicularis oris muscle is covered completely by the depressor anguli oris and depres- sor labii inferioris muscles. The upper lip is partly overlapped by the levator labii superioris alaeque nasi, levator labii su- perioris and zygomaticus minor muscles. In the corner of the mouth, the zygomaticus major muscle inserts together with the risorius muscle, with fibers that preferentially run horizon- tally. Still further posteriorly, some extensions of the platysma muscle run across the margin of the jaw. The tip of the chin is dominated by the mentalis muscle. Large parts of the lower cheek muscles and the temporal region are still covered with solid fascia. The chiasm of the facial muscles at the corners of the mouth is called the modiolus. It is formed by the orbicula- ris oris, buccinator, levator anguli oris, depressor anguli oris, zygomaticus major, risorius and platysma muscles.  Fig 1-30 As soon as the platysma, the risorius muscle and the fascia in the deep cheek region are removed in the right part of the face, the parotid gland, the parotid duct, the mas- seter muscle and the buccal fat pad (of Bichat) become ex- posed.  Fig 1-31 After removal of the peripheral portion of the or- bicularis oculi muscle in the left half of the face, the insertion of the levator anguli oris muscle in the maxilla becomes vis- ible. Furthermore, in the left half of the face, the zygomaticus minor and major muscles and the depressor anguli oris mus- cles are removed. As a result, the course of the parotic duct, which crosses over the masseter muscle, can be traced. Also, some parts of the mandible become visible.  Fig 1-32 In the left half of the face, the depressor supercilii muscle has been removed to expose some parts of the corru- gator supercilii muscle. Although most parts of this muscle run underneath the frontal belly of the occipitofrontalis muscle, its fibers must eventually penetrate this muscle. The complete removal of the orbicularis oculi muscle exposes the orbital sep- tum. At its caudal margin, the infraorbital foramen becomes visible as soon as the levator labii superioris muscle has been elevated. This also allows the levator anguli oris muscle to be completely visible. Removal of the depressor labii inferius mus- cle exposes the lower lip portion of the orbicularis oris mus- cle. The fascia wrapping the parotid gland has also been re- moved.  Fig 1-33 When the temporal fascia is removed (left half of the face), the temporalis muscle becomes exposed. In addi- tion, the temporal process of the buccal fat pad becomes visi- ble. The chin region parts of the orbicularis oris muscle run un- derneath the depressor labii inferioris muscles and above the mentalis muscle.  Fig 1-34 The corrugator supercilii muscle runs underneath the frontal belly of the occipitofrontalis muscle. However, its fibers eventually penetrate the frontal belly in order to in- sert into the subcutaneous connective tissue. Portions of the procerus muscle, which runs on top of the frontal belly, have been kept visible in the left half of the face. Also in the left half of the face, the fascia of the masseter muscle has been re- moved. The parotid duct perforates the buccal fat pad and the buc- cinator muscle close to the anterior margin of the masseter muscle. The nasalis muscle, dorsal part, has been removed in the left half of the face to expose the upper lateral cartilage of the nose.  Fig 1-35 In the right half of the face, parts of the procerus muscle, which runs above the corrugator supercilii muscle, are preserved. All muscles that radiate into the perioral region, such as the levator anguli oris muscle (which still is visible in the right half of the face), have connections with the fibers of the orbicularis oris muscle.  Fig 1-36 The orbicularis oris and the buccinator muscles form a functional unit that embraces the oral cavity. As well as running around the oral cavity in a circular pattern, fibers of the orbicularis oris muscle also radiate into the buccinator muscle.  Fig 1-37 The oral vestibulum is formed by the buccinator muscle in the maxilla and mandible.  Fig 1-38 The right half of the face is shown with the bucci- nator muscle and gingiva maintained. 1.2.2 Muscles of the face in anterior view The face in anterior view 25 The_Face.indb 25 05.09.2012 16:30:21
  • 6. Articular capsule Lateral ligament Temporalis Masseter Body (of mandible) Zygomatic arch Infraorbital foramen Buccal fat pad (of Bichat) Parotid duct Orbicularis oris Buccinator Mental foramen Mentalis Fig 1-58 Zygomatic arch and masseter muscle partly removed to reveal the exten- sion of the buccal fat pad with its temporal process.  Fig 1-58 The continuity of the buccal fat pad into the tem- poral region becomes visible when the zygomatic arch and the masseter muscle are partly removed.  Fig 1-59 In the cheek region, all muscles are more or less tightly, but continuously, connected together and with the skin by means of interwoven connective tissue, the SMAS. From here, strands run toward the skin (false retaining liga- ments) and form the septa of the compartments. There are also strands of connective tissue that insert into bone; these are called true retaining fibers. The connective tissue may contain some fat, the amount vary- ing from individual to individual. This aponeurotic system is manipulated during facial cosmetic surgery, particularly rhytidectomy (facelift).  Fig 1-60 The SMAS is continuous with the facial muscles and allows facial expression. These connections between mus- cles and the connective tissue of the skin, or between muscles, are called false retaining ligaments.  Fig 1-61 There are also strands of connective tissue that in- sert into bone; they are called true retaining ligaments. The face 60 The_Face.indb 60 05.09.2012 16:33:14
  • 7. Parotid gland Buccal branches (CN VII) Accessory parotid gland Zygomatico- cutaneous ligament Zygomaticus major and minor Parotid duct Platysma Fig 1-60 False retaining ligaments of the superficial musculo- aponeurotic system. Fig 1-61 True retaining ligaments of the superficial musculo- aponeurotic system. Fig 1-59 Detail of the superficial musculo-aponeurotic system (SMAS) in the cheek region. The face in lateral view 61 The_Face.indb 61 05.09.2012 16:33:23
  • 8. Frontal bone Frontal bone Procerus Procerus Nasal bone Nasal bone Levator labii superioris Levator labii superioris alaeque nasi muscle alaeque nasi muscle Orbicularis Orbicularis oculi Medial Medial nasal concha nasal concha Inferior Inferior nasal concha nasal concha Angular a. and v. Angular a. and v. Maxilla Maxilla Levator Levator anguli oris anguli oris Tongue Tongue Levator labii superioris Depressor anguli oris Orbicularis oris Facial v. Perpendicular lamina Corrugator supercilii Fig 3-54 Frontal section through the nasal cavity at the level of the incisor teeth.  Fig 3-54 Frontal section through the nasal cavity at the level of the incisor teeth.  Fig 3-55 Frontal section through the nasal cavity at the level of the first molar teeth.  Fig 3-56 Frontal section through the nasal cavity at the level of the second molar teeth.  Fig 3-57 Horizontal section through the nasal cavity at the level of the medial nasal concha.  Fig 3-58 Horizontal section through the nasal cavity at the level of the superior nasal concha.  Fig 3-59 Horizontal section through the nasal cavity at lower-eye level.  Fig 3-60 Horizontal section through the nasal cavity at mid-eye level. The nasal and midfacial region 254 The_Face.indb 254 05.09.2012 16:48:12
  • 9. Medial nasal concha Perpendicular lamina Inferior nasal concha Tongue Vomer Maxillary sinus Maxilla Middle nasal meatus Ethmoidal cells Medial nasal concha Perpendicular lamina Olfactory bulb (CN I) Inferior nasal concha Tongue Vomer Maxillary sinus Maxilla Crista galli Ethmoidal cells Fig 3-55 Frontal section through the nasal cavity at the level of the first molar teeth. Fig 3-56 Frontal section through the nasal cavity at the level of the second molar teeth. 255 The nasal cavity The_Face.indb 255 05.09.2012 16:48:16
  • 10.  Fig 4-21 The mucosa at the ventral surface of the tongue is as thin as the one on the floor of the mouth. The thickness of the epithelium is only 0.2 mm. The blood vessels can be clearly seen through this thin epithelium; in some older individuals varicose veins may protrude.  Fig 4-22 The tongue is a body with varying motility that completely fills the space palatal of the dental arches when the mouth is closed. The tip of the tongue can reach almost every point of the oral mucosa. The dorsal mucosa of the tongue is completely different from the epithelium at the ven- tral side. The epithelium of the dorsum of the tongue is kerat- inized. Underneath is a tough lamina propria, rich in vessels and nerves. The superficial layer of the lamina propria carries a large number of papillae, which are covered by epithelium. According to their form and size, they are distinguished into thready (filiform papilla), mushroom-shaped (fungiform papil- lae), leaf-shaped (foliated papillae) and wall-like (circumvallate papillae) papillae. The papillae greatly enlarge the surface of the tongue. An enormous number of taste buds are embedded into the epithelium of the papillae, each taste bud bearing re- ceptors for specific taste sensations. Consequently, each taste is perceptible at any place of the tongue but there are maxima of specific flavor perception at certain regions of the tongue.  Fig 4-23 Much of the epithelium of the cheek is not kerati- nized. However, along a horizontal line, parallel to the occlusal plane, there can be a white line (linea alba) in some individu- als, which represents a line of keratinization of the epithelium. The cheek epithelium is the thickest epithelium of the oral mu- cosa (0.5–0.6 mm). Fig 4-21 Sublingual mucosa. Fig 4-22 Papillae of the tongue. Fig 4-23 Cheek mucosa and pharyngeal mucosa. The mouth 282 The_Face.indb 282 05.09.2012 16:49:27
  • 11. Alveolar process Alveolar part Glosso- alveolar sulcus Genio- glossus Maxilla Orbicularis oris Oral vestibule Upper lip Lower lip Orbicularis oris Oral vestibule Body (of mandible) Fig 4-24 Sagittal section through the anterior region of the mouth, slightly lateral of the midline.  Fig 4-24 The alveolar processes and the teeth are bordered by the tongue on the inside and the lips (and cheeks laterally) on the outside. The physiologically correct alignment of the upper to the lower incisors is an overlap of the incisal ridge of the upper incisor over that of the lower incisor (overbite). A bi- omechanically ideal support would be given if the lower incisal ridge rests at the transition between the palatal concavity and the convexity of the tubercle. This would result in an overlap of the upper incisal ridge anterior to the labial surface of the lower incisor (overjet). The angulation of the dental axis is influenced by the forces exercised by the tongue and the lips. Swallowing and speak- ing, however, is of minor importance and the permanent pres- sure exercised by the tongue and by the lips is more signifi- cant. 4.5 Anatomy of the lips, teeth, periodontium and alveolar bone in sections 283 Anatomy of the lips, teeth, periodontium and alveolar bone in sections The_Face.indb 283 05.09.2012 16:49:31
  • 12.
  • 13. A Adipose tissue of the orbit 191, 211 Agger nasi 250 Alar – lobe 223ff, 235, 237, 240, 243f, 266 – – lobular connective tissue 223ff, 235, 237, 240, 243f, 266 – sidewall 218f Alar-facial junction 218f Alveolar – crest 287 – part (of mandible) 283, 286ff – process (of maxilla) 283 – yokes 35f, 77, 157f, 226, 238 Angle – mandibular 159, 340 – of eye – – lateral 183 – – medial 183, 186, 194 – of mouth 264 Ansa cervicalis, superficial 125f, 131 Anterior – nasal spine (Point Spa) 17, 35, 157, 226, 244 – septal angle 244 Anthelix 318ff Antitragus 318ff Arch, venous, jugular 126 Arterial palpebral arch – inferior 39, 79 – superior 39, 49, 79 Arteries – nasal septal, posterior 248 – superior labial 228, 240 – temporal, deep 79, 84, 86, 93, 294 Artery – angular 39, 79, 173, 198, 228, 239, 257, 275ff – anterior – – auricular 323 – – ethmoidal 248, 251f – – – external nasal branches 240 – – nasal 44, 198, 201, 206, 252 – basilar 168 – buccal 39, 79, 84, 272, 291 – common carotid 39, 84, 167, 173 – dorsal nasal 39, 79, 173, 228, 239 – external carotid 39, 79, 84, 126, 173 – facial 39, 79, 84, 173, 260ff, 311ff – frontal 39, 44, 79, 84, 96, 98, 100, 102, Index 173, 191, 197f, 201ff – inferior – – alveolar 84, 164f, 291, 311ff – – labial 39, 79, 84, 173, 268, 273ff, 285f – infraorbital 39, 79, 84, 86, 93, 198, 201, 239, 268 – infratrochlear 191, 197f, 201f, 206 – internal carotid 84, 167, 173, 310ff – labial superior 39, 79, 84, 173, 268, 273ff – lacrimal 198, 201ff – lingual 84 – masseteric 86, 91, 273, 294 – – anterior 39, 47, 79, 268 – – posterior 39, 79, 268, 291 – maxillary 39, 79, 84, 268, 252, 291 – meningeal, middle 294 – mental 39, 79, 84, 173, 268, 272ff, 289 – nasal septal, posterior 248 – nasopalatine 252, 281 – occipital 79, 86, 129ff – – posterior branch 109, 115, 119f – ophthalmic 198f – palatine – – descending 252 – – greater 260, 281 – – lesser 252 – palpebral – – lateral 173, 198, 201 – – medial 173, 198, 201 – posterior – – auricular 79, 84, 119, 322ff – – cerebral 168 – – ethmoidal 248, 252 – – superior alveolar 291, 294 – sphenopalatine 84, 248, 252 – sublingual 281 – submental 39, 79, 86, 173, 268, 272ff – superficial cervical 131 – supraorbital 39, 79, 84, 173, 191, 197, 201, 206 – supratrochlear 39, 44, 79, 84, 173, 191, 197f, 201ff – temporal 102, 206 – – deep 100, 102, 115, 170, 228, 239 – – superficial 39, 79, 84, 113ff, 173, 322 – – – frontal branch 39, 79, 115, 173, 239 – – – parietal branch 39,79, 109, 173 – transverse facial 39, 79, 86, 173, 268, 272f – zygomaticofacial 39, 191, 197f, 201ff, 206f, 272ff – zygomaticoorbital 39, 79, 86, 198, 201 Articular – capsule, 58ff, 300ff, 307 – disc 166, 296, 305f, 309f, 340 – fossa 160, 306 – tubercle 293, 304, 306, 309 Articulare (Point Ar) 17 Atlas 153 Auditory tube 169, 247, 249, 310 Axis 153 B Bipupillar line (PP) 9 Body (of mandible) 32ff, 69ff, 94f, 150f, 300ff, 340 Bone – ethmoid 75, 226, 238, 247ff – – orbital plate 35, 75, 157, 159 – – perpendicular plate 35, 157, 163 – frontal 30ff, 74ff, 150ff, 188ff, 224ff, 236ff, 247ff – – orbital part 35, 157 – hyoid 126 – lacrimal 35, 75, 157f, 190, 225f, 238 – nasal 30ff, 75, 150f, 157ff, 190ff, 224ff, 236ff, 247ff – occipital 77, 151ff, 159ff – – basilar part 296f – palatine 247ff – – pyramidal process 160 – parietal 34ff, 73ff, 150ff, 161 – sphenoid 35, 247ff – – greater wing 34, 73ff, 150f, 161, 296 – – – orbital surface 35, 157 – temporal 34f, 77, 150f, 157ff, 190, 296, 310 – – mastoid process 33ff, 77, 150ff, 300ff, 319f – – petrous part 152f – – squamous part 73ff, 151ff, 160 – – tympanic part 159 – – zygomatic arch 28ff, 60, 73ff, 77, 151, 157, 159, 165f, 188ff, 207, 293, 300ff, 314 349 Index The_Face.indb 349 05.09.2012 16:52:46
  • 14. – zygomatic 28ff, 60, 73ff, 77, 151, 159, 165f, 188ff, 207, 293, 300ff, 314 B-point, soft tissue (Point B’) 7, 11, 17 Branch – cervical (CN VII) 42, 82, 89, 92ff, 125f, 131, 270 – external nasal (CN V2) 49ff, 82, 84f, 89ff, 176f, 208f, 227ff, 241ff – marginal mandibular (CN VII) 42, 47ff, 82, 89, 101ff, 270ff – mental of inferior alveolar v. 44, 48, 86, 91, 93, 174 Branches – anterior auricular 322, 327 – auricular (CN X) 178, 325, 329 – buccal (CN VII) 42, 82, 89, 92ff, 270, 277 – glandular, of submental a. 100 – inferior labial branches (CN V3) 177 – lateral posterior nasal (CN V1) 251 – medial superior alveolar (CN V2) 291ff – parotid (CN V3) 297 – posterior superior alveolar (CN V2) 291ff – superior – – labial (CN V2) 85, 176f, 241ff – – posterior alveolar 89, 92, 177, 292 – temporal (CN VII) 42, 47ff, 82, 89ff, 101ff, 111ff – zygomatic (CN VII) 42, 82, 89ff, 101ff, 177, 203, 270 Brow fat, prolapse 336ff Buccal fat pad (of Bichat) 22, 27ff, 30ff, 59ff, 164ff, 314 C Canal, optic 35, 157, 226 Canthus – lateral 183 – medial 183, 186, 194 Capsule, articular 58ff, 300ff, 307 Caput mandibulae, head of mandible 74f, 169, 310 Cartilage – alar 150f, 168, 223ff, 231ff, 239ff, 266 – – lateral crus 235ff – – medial crus 225, 232f, 235ff, 240ff – quadrangular cartilage 168, 224f, 235f, 240ff, 249, 253, 256f – sesamoid 225, 233ff, 240, 253 – upper lateral 224f, 233ff, 251 Caruncle – lacrimal 183, 193ff – sublingual 280f Cauda of helix 319ff Cavity, nasal 213, 256ff Cells, ethmoidal 164f, 255, 257ff Cementum 288 Cervical – fascia – – pretracheal lamina 126 – – prevertebral layer 131, 135 Cervicale (Point C) 7, 13, 17 Cheek 264, 278f – fat compartment – – lateral-temporal 21, 56f, 105 – – medial 21, 57, 105 – fat pad, deep 23f Chin fat compartment 22, 57, 105 Ciliae 183, 186, 211 Ciliar body 210f Columella (Point Cm) 7, 12, 218ff Commissure – lateral palpebral 183 – medial palpebral 183, 186, 194 Concha 318ff – nasal – – inferior 35, 157, 163ff, 169, 237, 250ff, 314 – – medial 35, 157, 163ff, 237, 250ff, 296 Condylar process 151, 159, 160, 304ff, 340 Condyle 304, 309 Condylion (Point Co) 17 Corium 333 Cornea 210f, 339 Coronoid process 74f, 159, 169, 304ff, 340 Corpus callosum 168 Crest, alveolar 287 Crista galli 255 Crow’s feet 337 Crus helicis 318ff Cymba conchae 318ff D Darwin’s tubercle (helical tubercle) 318 Dental pulp 287f Dentine 288 Dentogingival fibers 288 Dermis 333 Disc, articular 166, 296, 305f, 309f, 340 Dome – lateral angle of 244 – medial angle of 244 Dorsum nasi (Point DN) 6f Duct – nasolacrimal 170f, 193, 213ff, 226, 256f – parotid 27ff, 58ff, 65ff, 89ff, 102, 272, 293 – submandibular 281 E Ear lobe 318ff Eminentia – cavitatis conchae 321, 326f – fossae triangularis 321 – scaphae 321 Enamel 288 Erb’s point (punctum nervosum) 129ff Ethmoid bone – orbital plate 75 – perpendicular lamina 168, 226, 236f, 253ff Ethmoidal cells 164f, 255, 257ff Eyelid – upper 183, 190 – lower 183, 190 F Facet 218f Falx cerebri 168, 249 Fascia – cervial – – pretracheal lamina 126 – – prevertebral layer 131, 135 – – superficial lamina, investing layer 124ff, 135 Fat compartment – cervical 57, 130 – cheek – – lateral-temporal 21, 56f, 105 – – medial 21, 57, 105 – chin 22, 57, 105 – jowl 21f, 57, 105 – nasolabial 57, 105 – submental 22ff, 57f, 124ff Fat pad – buccal (of Bichat) 22, 27ff, 30ff, 59ff, 164ff, 314 – cheek, deep 23f Fibers – dentogingival 288 – olfactory 248 – periosteogingival 288 Fissure – inferior orbital 35, 157 – superior orbital 35, 157, 226 Fold – labiomental 336 – marionette 336 – mentolabial 336 Index 350 The_Face.indb 350 05.09.2012 16:52:47
  • 15. Foramen – apical 286 – – accessory 287 – incisive 152, 160 – infraorbital 28ff, 70ff, 150f, 157, 190ff, 208, 300ff – mandibular 152f, 160 – mastoid 118, 152f – mental 29ff, 70ff, 150f, 157, 159, 293, 340 – nasal 240 – parietal 154 – supraorbital 34ff, 150, 157, 192f, 226, 238 – transverse 153 – zygomaticofacial 192f, 208 Fornix – inferior conjunctival 210 – superior conjunctival 211 Fossa – antitragicohelicina 319ff – articular 160, 306 – infratemporal 213 – jugular fossa 5 – major supraclavicular 5 – minor supraclavicular 5 – retromandibular fossa 4 – triangular 318ff Frenulum – of tongue 278ff – of upper lip 278f, 289 Frenum, buccal 280f Frontal notch 35f, 42, 157, 192f, 226 G Galea aponeurotica 22, 58, 95, 107, 114, 120 Ganglion, pterygopalatine 84f, 295 Gingiva 278f, 288f – attached 286f Gingival – margin 286ff – sulcus 288 Glabella – fat pad 22ff, 58, 105, 186ff – (Point Gl) 6f, 9ff, 17, 218f – soft tissue (Point Gl’) 17 Gland – accessory parotid 58, 61, 65, 66, 102ff – lacrimal 164, 171, 191ff, 213 – – orbital lobe 197, 226 – – palpebral lobe 197, 226 – parotid 27f, 52, 58, 102, 126, 130ff, 165ff, 277, 309ff – – accessory 58, 61, 65, 66, 102ff – sebaceous 333f – sublingual 164f, 281, 313f – submandibular 104, 126, 165, 167, 312ff Glands – ciliar (Moll glands) 211 – labial 285f – meibomian (tarsal glands) 211 – palatine 281 – tarsal 211 Gonial angle, soft tissue (point Go’) 15 Gonion (Point Go) 15 Granular layer (of Tomes) 288 Gray line 183 H Hair – bulb 334 – cortex 334 – follicle 333 – medulla 334 Helix 318ff Horner-muscle 171, 195, 213, 257 – deep insertions 190 Hypophysis 168, 247, 249 I Incisure, intertragic 319ff Inferior – arterial palpebral arch 39, 79 – orbital fissure 35, 157 – palpebral branch (CN V2) 42, 44, 47ff, 82, 101ff, 176f, 231, 270 Infratip lobule 218f Intertragic incisure 319ff Investing layer, cervical fascia, superficial lamina 124ff, 135 Iris 183, 211, 213 J Jowl fat compartment 21f, 57, 105 Jugular venous arch 126 Junction – alar-facial 218f – osseocartilaginous (Rhinion) 218 L Labiomental fold 336 Labrale – inferior (Point Lb inf) 7, 11 – superior (Point Lb sup) 7, 11, 13 Lacrimal – canaliculus – – inferior 193f, 226 – – superior 193f, 226, 236f, 247ff – caruncle 183, 193ff – lake 193 – punctum 194, 226 – sac 190ff, 226 – trough 336 Lateral palpebral commissure 183 Lens 210, 213, 339 Ligament – of levator palpebrae 192f – orbicularis retaining 190 – palpebral – – lateral 191ff, 214 – – medial 191ff, 214 – periodontal 287f – sphenomandibular 307 – stylomandibular 304, 307 – zygomaticocutaneous 61, 190 Limen nasi 250 Line, oblique 157, 159, 340 Lip – lower 264f, 278f, 283 – upper 264f, 278f, 283 – vermilion zone 285 Lip seal 264f Lobe – alar 223ff, 235, 237, 240, 243f, 266 – ear 318ff Lobular connective tissue (at alar lobe) 223ff, 235, 237, 240, 243f, 266 Locus Kiesselbachi 248 Lower lip 264f, 278f, 283 Lymph nodes – anterior superficial cervical 130 – deep – – cervical 132, 175 – – parotid 130, 175 – facial 175 – lateral superficial cervical 126, 130, 132 – mastoid (retroauricular) 132, 175 – occipital 132, 175 – submandibular 126, 132, 175 – submental 132, 175 M Malar bag 211, 337 Mandible 23f, 28ff, 48, 77, 152ff, 163ff, 312ff – head of (Caput mandibulae) 74f, 169, 310 – ramus of 32ff, 73ff, 150ff, 160, 266, 272, 300ff Index 351 The_Face.indb 351 05.09.2012 16:52:47
  • 16. Mandibular angle 159, 340 Mandibulare (Point Md) 15 Marionette fold 336 Maxilla 28ff, 75, 150f, 159ff, 188ff, 206ff, 236ff, 272ff, 281, 283, 300ff – frontal process 32ff, 77, 150f, 157, 224ff, 237 – orbital surface 35, 157, 226, 238 – palatine process 152 Maxillare (Point Mx) 15 Meatus – acoustic, external 77, 151, 159, 293, 300ff – inferior nasal 237, 250, 253 – middle nasal 237, 250, 253, 255 – superior nasal 237, 250, 253 Medial – palpebral commissure 183, 186, 194 – pterygoid 85, 166ff, 261, 291ff, 307ff Medietas dentium (Point MD) 6f Meibomian glands 211 Meissner corpuscles 333 Mental – protuberance 37, 157 – tubercle 340 Mentolabial fold 336 Menton – (Point Me) 15 – soft tissue (Point Me’) 7, 9, 10, 12f, 15, 17 Merkel cell 333 Moll glands (ciliar glands) 211 Mucosa, alveolar 278f, 286 Muscle – alar nasalis 47f, 58f, 63ff, 91ff, 223f, 231ff, 239f – anterior auricularis 58f, 101ff, 321, 327f – antitragicus 321, 327, 329 – arrector pili 333 – buccinator 30ff, 47ff, 63ff, 89ff, 164ff, 223f, 260f, 272ff, 311ff – compressor narium minor 36, 47f, 58f, 63ff, 91ff, 228ff – corrugator supercilii 28ff, 47f, 71, 91f, 138ff, 254 – depressor – – anguli oris 22ff, 36, 50ff, 76, 99ff, 137, 146, 254, 265f, 276f – – labii inferioris 22f, 50ff, 96ff, 137, 146, 265f, 275ff – – septi nasi 36, 47f, 76, 223f, 231ff – – supercilii 26f, 49f, 70, 137, 187f – digastric – – anterior belly 126, 164f, 293, 314 – – posterior belly 166, 293, 309ff – dilator naris anterior 36, 47f, 58ff, 91ff, 223f, 231f – genioglossus 85, 164f, 168, 281, 296f, 314 – genohyoid 85, 164f, 168f, 281, 296f, 314 – helicis – – major 321 – – minor 321 – Horner- 171, 195, 213, 257 – – superficial insertions 190 – hyoglossus 167 – inferior – – oblique 170, 192f, 190, 210, 214f, 257 – – pharyngeal constrictor 85 – – rectus 165, 170, 192f, 199, 210, 215 – – tarsal 190, 211 – lateral – – pterygoid 85, 166, 169, 296, 309f – – – lower head 261, 296f, 305f – – – upper head 261, 293ff, 305f – – rectus 165, 171, 192f, 199, 213, 257 – levator – – anguli oris 22ff, 36, 49ff, 76, 97f, 137ff, 254, 266, 275f – – labii superioris 22ff, 36, 50ff, 96ff, 137, 140ff, 261, 266, 276f – – – alaeque nasi 22ff, 36, 51, 58ff, 76, 100ff, 137, 141ff, 223f, 228ff, 254ff – longissimus capitis 76 – masseter 23ff, 36, 47, 58ff, 104, 164ff, 273, 277, 291ff, 309ff – – deep part 48f, 91ff, 104, 300ff – – superficial part 50f, 91ff, 104, 274ff, 300ff – medial – – pharyngeal constrictor 167 – – rectus 165, 171, 199, 213, 257 – mentalis 22ff, 47ff, 58ff, 91ff, 137, 142ff, 163, 265f, 273ff, 286, 313 – mylohyoid 126, 164ff, 281, 296f, 313f – nasalis 22ff, 49ff, 76, 137, 142ff, 169f, 206ff, 223ff, 231ff, 256f – oblique – – auriculae 321 – – capitis superior 76 – occipitofrontalis – – frontal belly 23ff, 48ff, 58ff, 93ff, 114f, 137f, 163ff, 187f, 206, 210, 339 – – occipital belly 58ff, 93ff, 107f, 114f, 117, 120, 134f – omohyoid 84f, 126 – – inferior belly 131f – – superior belly 132 – orbicularis – – oculi 22ff, 49ff, 96ff, 137ff, 186f, 206ff, 254, 257, 275, 309 – – – lacrimal part 36, 76, 187 – – – orbital part 22, 36, 76, 187, 190, 209ff, 339 – – – palpebral part 187, 190, 209ff, 339 – – oris 23ff, 47ff, 58ff, 91ff, 137, 144f, 223ff, 247ff, 266, 273ff, 283ff, 311ff – posterior auricularis 58f, 101ff, 321, 327ff – procerus 22ff, 49ff, 76, 96ff, 137ff, 186ff, 206ff, 223f, 231ff – rectus capitis posterior – – major 76 – – minor 76 – risorius 22, 26, 52, 63ff, 137, 140ff, 266, 277 – semispinalis capitis 76, 135 – splenius capitis 76, 135 – sternocleidomastoid 76, 104, 131ff, 166, 312f – sternohyoid 84f, 126, 132 – sternothyroid 85, 132 – styloglossus 76 – stylohyoid 293 – stylopharyngeus 167, 312, 315 – superior – – auricularis 58ff, 99ff, 321, 327ff – – pharyngeal constrictor 167 – – rectus 165, 193, 199, 210 – – tarsal 190, 210 – temporalis 27ff, 47ff, 59ff, 91ff, 108, 165ff, 206ff, 261, 296f, 300ff, 309f – temporoparietal 58f, 63ff. 98ff, 209 – thyrohyoid 84f, 132 – tragicus 321 – transverse auriculae 321, 327, 329 – trapezius 76, 131, 135 – uvulae 247, 249f – zygomaticus – – major 23ff, 36, 51ff, 76, 100ff, 137, 140f, 147, 266, 277, 312 – – minor 22ff, 36, 51f, 63ff, 76, 100ff, 137, 140ff, 260, 266, 277, 309 N Nasal – cavity 213, 256ff – septum 164f, 247, 256f, 314 Nasion – (Point N) 15, 17, 218f Index 352 The_Face.indb 352 05.09.2012 16:52:47
  • 17. – soft tissue (Point N’) 7, 12f, 17 Nasolabial fold 264, 336f Nasolacrimal duct 170f, 193, 213ff, 226, 256f Nerve – 3rd occipital 135 – abducent (CN VI) 199 – accessory, external branch (CN XI) 131f, 135 – anterior ethmoidal 248, 251 – auriculotemporal 42, 82, 84f, 89, 94ff, 104, 111ff, 176ff, 291ff, 324f – buccal (CN V3) 47ff, 82, 84f, 176f, 272ff, 291ff – deep temporal 47, 82, 84f, 89, 94ff, 177, 295 – facial (CN VII) 82, 84f, 92ff, 101, 273ff, 291ff, 313, 324f – glossopharyngeal (CN IX) 167, 312f – greater – – auricular 82, 103f, 119f, 124ff, 324f – – – anterior branch 178, 325 – – occipital 82, 103, 111ff, 119f, 132ff – – palatine 251, 281 – hypoglossal (CN XII) 281, 312 – inferior – – alveolar 284f, 176f, 272f, 291ff, 307, 311ff – – oculomotor (CN III) 199 – infraorbital (CN V2) 42, 47ff, 82, 84f, 176, 191, 197ff, 270ff – infratrochlear 42, 47ff, 84f, 176f, 197ff, 227ff, 241ff – lacrimal 197ff, 208 – lateral pterygoid 84f, 291ff, 307 – lesser occipital 82, 94ff, 111ff, 119, 129ff, 178, 324f – lingual (CN V3) 82, 281, 291ff, 307 – mandibular (CN V3) 82, 85, 177f, 291ff, 307, 309 – masseteric (CN V3) 94ff, 176f, 291ff – maxillary (CN V2) 178, 261 – medial pterygoid 177, 294ff, 307 – mental (CN V3) 42, 47f, 82, 84f, 89, 176f, 270ff, 289 – mylohyoid 297, 299, 307 – nasociliar 199 – nasopalatine 81 – ophthalmic (CN V1) 178 – optic (CN II) 199, 213, 248f, 257, 310 – posterior auricular 82, 103f, 111ff, 135, 324f – superior oculomotor 199 – supraorbital – – lateral branch 42, 47ff, 82, 84f, 92ff, 176f, 197ff, 227ff, 241ff – – medial branch 42, 47ff, 82, 84f, 93ff, 101f, 176f, 197ff, 227f, 241ff – supratrochlear 42, 47ff, 82, 94ff, 176, 197, 201ff, 227ff, 241ff – transverse cervical 124ff, 130f, 178 – vagus (CN X) 167, 313 – zygomaticofacial 42, 47ff, 82, 84, 94ff, 176f, 201ff, 208f, 272ff, 294f Nostril sill 218f Notch, frontal 35f, 42, 157, 192f, 226 O Oblique line 157, 159, 340 Occipital condyle 152 Odontoblasts 288 Olfactory – bulb 250, 255 – fibers 248 Optic chiasm 257 Oral vestibule 34f, 281, 283, 286f Orbit 35, 157 – soft tissue (Point Or’) 7, 11, 14 Orbital – plate, ethmoid bone 75 – septum 29ff, 70ff, 86, 89ff, 188ff, 203, 339 Orbitale (Point Or) 15, 17 Osseocartilaginous junction, Rhinion, 218f Otobasion inferius 318 P Palatine rugae (Transverse palatine folds) 280f Palbebronasal sulcus 183 Palpebral – inferior sulcus 183 – superior sulcus 183 Palpebromalar groove 336 Papilla – dermal 334 – incisive 280f – interdental gingival 286f Parotid duct 27ff, 58ff, 65ff, 89ff, 102, 272, 293 Periodontal ligament 287f Periosteogingival fibers 288 Perpendicular lamina of ethmoid bone 168, 226, 236f, 253ff Philtrum (Point Ph) 6f, 218f, 264 Piriform aperture 35, 157, 226 Platysma 22, 58ff, 103f, 124, 129ff, 137, 145f, 164ff, 266, 277, 312ff Plexus – infraparotidoid 82 – pterygoid (deep temporal vv.) 81, 169, 174, 310 Plica semilunaris 183, 194 Pogonion, soft tissue (Point Pg’) 7, 11ff Porion (Point Por) 7, 11, 17 Posterior nasal spine posterior (Point Spp) 17 Process – alveolar 283 – condylar 151, 159, 160, 304ff, 340 – coronoid 74f, 159, 169, 304ff, 340 – spinous 153 – styloid 151ff, 159, 300ff – transverse 153 Prolapse – of brow fat 336ff – of lower lid fat 336f, 339 – of the postseptal orbital fat body 339 – of the postseptal preaponeurotic fat body 339 Protuberance – external occipital 117f, 152f, 160 – mental 37, 157 Pulp, dental 287f Punctum nervosum (Erb’s point) 129ff Pupil 183 R Ramus of mandible 32ff, 73ff, 150ff, 160, 266, 272, 300ff Region – auricular 4f – buccal 4f – frontal 4 – infraorbital 4f – infratemporal 4 – lateral cervical 4f – mastoid 4f – mental 4f – nasal 4 – occipital 4f – oral 4f – orbital 4f – parietal 4f – parotideomasseteric 4f – posterior cervical 4f – sternocleidomastoid 4f – temporal 4f – zygomatic 4f Retina 210f Rhinion (osseocartilaginous junction) 218f ROOF (retroorbicularis oculi fat) 24, 58, 187f, 213 Index 353 The_Face.indb 353 05.09.2012 16:52:47
  • 18. S Scapha 318ff Sclera 183 Sella turcica (Point S) 17 Sinus – ethmoidal – frontal 167f, 236f, 247ff, 258f – maxillary 164f, 167ff, 210f, 255ff, 314 – sphenoid 168, 170, 215, 247ff SOOF (suborbicularis oculi fat) 22ff, 58, 187ff, 215 Sphenoid, greater wing 34f, 73ff, 77,150f, 159, 296 Spine – anterior nasal (Point Spa) 17, 35, 157, 226, 244 – posterior nasal (Point Spp) 17 Stomium (Point St) 7, 9, 11 Stratum – basale 334 – corneum 334 – granulosum 334 – papillare 334 – spinosum 334 Subcutis 333f Sublingual caruncle 280f Submandibular duct 281 Subnasale (Point Sn) 7, 9ff, 14, 17, 220 Sulcus, palpebromalar 183 Supercilium 183, 186 Superfical ansa cervicalis 125f, 131 Superior – arterial palpebral arch 39, 49, 79 – nasal concha 237, 250, 253 – oblique m. 165, 192f, 197, 199 – orbital fissure 35, 157, 226 – palpebral branch (CN V2) 52f, 82, 101, 103, 177, 231 Supraorbitale (Point SOr) 15 Supratip – dorsum 218 – – dorsum nasi (Point DN) 6f Suture – coronal 73ff, 151, 154, 159, 161 – frontal 157, 226 – intermaxillary 35, 157, 226 – internasal 226 – lambdoid 74f, 118, 151ff, 159ff – nasofrontal 236f, 253 – sagittal 118, 152ff, 160f – sphenofrontal 73ff, 151, 159 – sphenosquamous 73ff, 151, 159 – squamous 73ff, 151, 159 T Tarsus – inferior 192f, 210ff, 339 – superior 192f, 210ff, 339 Tip-defining point, alar cartilage (Point AN) 6f, 11, 13, 17 Tongue 163f, 254f, 260, 314 Tonsil, pharyngeal 248f Tragion (Point Trg) 7, 10, 13f Tragus 318ff Triangle – carotid 4f – omotracheal 4f – submandibular 4f – submental 4f Trichion (Point Tri) 7, 9 Trochlea 192ff, 197 Tubercle – articular 293, 304, 306, 309 – mental 340 Tuberculum helicis (Darwin’s tubercle) 318ff U Upper lip 264f, 278f, 283 V Vein – angular 41, 50f, 171, 174, 202, 239, 269, 276f – anterior – – auricular 323 – – ethmoidal, external nasal branch 240 – deep facial 81, 91, 174 – external – – jugular 41, 98, 124ff, 129ff – – nasal 41, 49ff, 81, 174, 202 – facial 41, 47ff, 81, 132, 174, 202, 239, 269, 272ff, 309ff – inferior – – alveolar 164f, 311ff – – – mental branch 269, 272ff, 289 – – labial 41, 47ff, 81, 174, 269, 273ff – – ophthalmic 199 – infraorbital 41, 47, 81, 174, 201ff, 239f, 269, 272ff – internal jugular 41, 126, 167, 312f – lacrimal 202 – masseteric 86, 91 – maxillary 81, 174, 323 – occipital 81, 110, 129ff, 174 – – posterior branch 113ff, 119f – posterior auricular 86, 113ff, 323, 328 – retromandibular 81, 132, 174, 309ff, 323 – right subclavian 131f – submental 41, 47ff, 81, 125f, 174, 269, 272ff – superficial – – cervical 131 – – temporal 41, 47ff, 81, 113ff, 174, 202, 272ff – – – frontal branch 51f, 81, 115, 174, 239 – – – parietal branch 81, 115, 174, 207 – superior – – labial 41, 47ff, 81, 174, 239f, 269, 273ff – – ophthalmic 191, 197, 199 – supraorbital 44, 81, 174, 201f, 239 – supratrochlear 41, 44, 47ff, 49ff, 81, 110, 113, 174, 197, 228f – transversal facial 81, 102, 174, 269 – zygomaticofacial 41, 47ff, 81, 174, 201ff, 269, 272ff – zygomaticoorbital 86, 91 Veins – deep temporal 47, 81, 174 – inferior palpebral 41, 81, 174, 202 – masseteric 41, 81, 174, 269 – superior palpebral 41, 81, 174, 201ff Vermilion zone of lip 285 Vertrebra prominens (C7) 4f, 153 Vomer 35, 152, 157, 160, 168ff, 226, 236f, 249, 253ff, 260, 296 Y Yokes, alveolar 35f, 77, 157f, 226, 238 Z Zonula fibers 211 Zygomatic arch (zygomatic bone) 28ff, 60, 73ff, 77, 151, 159, 165f, 188ff, 207, 293, 300ff, 314 Index 354 The_Face.indb 354 05.09.2012 16:52:47