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FACIAL NERVE
ANATOMY
Md kaushar
Resident
Contents
• Introduction
• Embroyology
• Course and branches
• Blood supply
• Surgical landmarks and applied anatomy
Introduction
• VIIth craial nerve, mixed type, parasympathetic
• Nerve of 2nd branchial arch
• Master of Facial expression
• secretion and Touch pain temperature taste
sensation
Embryology
• 3rd week fascioacoustic primordium– VII and
VIII cranial nerve
• 4th week- chorda tympani seperates from
main trunk
• By 5th week-- Geniculate ganglion, nervus
intermedius, and greater petrosal nerve are
visible
• By 11th week- fascia nerve arborized
extensively
Anatomy
• Mixed nerve
• 1. Motor: supply to the facial muscles.posterior belly of
digastric, stylohoid and stapedius
• 2. Sensory: Sensory root (Nervus
intermedius/Wrisberg) joins motor root at fundus of
Internal Auditory Canal(IAC) , supply-part of post-aural
concha / ext. auditory canal and Tympanic membrane
• 3. Secretomotor: lacrimal, submandibular,
sublingual,nasal mucosa and mucous membrane
• 4.Taste: anterior 2/3rd of tongue (via chorda tympani
nerve)
Course
• Supranuclear
• Nuclear
• Infranuclear – intra and extra temporal
Supranuclear segment
Nuclear segment
• Motor and sensory root
• 4 nucleus-
branchiomotor (main motor)
visceromotor ( superior salivatory nucleus)
secretomotor parasympathetic fiber
special sensory ( tractus solitarus) taste
general sensory (upper part of spinal TG nucleus)
bipolar with cell body in geniculate
ganglon
Infranuclear
• Intracranial portion
Motor fiber + nervus
intermedius along with VIII
CN leaves CP angle
• Intra tempoal and extra temporal
Cont.
• Intratemporal –
• meatal
• labyrinthine
• tympanic
• mastoid
Course
Cont.
• Extra temporal-
Cont .
• Muscles supplied
Blood supply
• Cortical motor area-rolandic branch of MCA
• CP angle- AICA
• Internal auditory canal- labyrinthine br of AICA
• Geniculate ganglion- superficial petrosal
artery (MMA)
• Mastoid segment- stylomastoid artery of
posterior auricular artery
• Extratemporal part- posterior auricular artery
Facial nerve kaushr
Facial nerve kaushr
Facial nerve kaushr
Facial nerve kaushr

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Facial nerve kaushr

  • 2. Contents • Introduction • Embroyology • Course and branches • Blood supply • Surgical landmarks and applied anatomy
  • 3. Introduction • VIIth craial nerve, mixed type, parasympathetic • Nerve of 2nd branchial arch • Master of Facial expression • secretion and Touch pain temperature taste sensation
  • 4. Embryology • 3rd week fascioacoustic primordium– VII and VIII cranial nerve • 4th week- chorda tympani seperates from main trunk • By 5th week-- Geniculate ganglion, nervus intermedius, and greater petrosal nerve are visible • By 11th week- fascia nerve arborized extensively
  • 5. Anatomy • Mixed nerve • 1. Motor: supply to the facial muscles.posterior belly of digastric, stylohoid and stapedius • 2. Sensory: Sensory root (Nervus intermedius/Wrisberg) joins motor root at fundus of Internal Auditory Canal(IAC) , supply-part of post-aural concha / ext. auditory canal and Tympanic membrane • 3. Secretomotor: lacrimal, submandibular, sublingual,nasal mucosa and mucous membrane • 4.Taste: anterior 2/3rd of tongue (via chorda tympani nerve)
  • 6. Course • Supranuclear • Nuclear • Infranuclear – intra and extra temporal
  • 8.
  • 9. Nuclear segment • Motor and sensory root • 4 nucleus- branchiomotor (main motor) visceromotor ( superior salivatory nucleus) secretomotor parasympathetic fiber special sensory ( tractus solitarus) taste general sensory (upper part of spinal TG nucleus) bipolar with cell body in geniculate ganglon
  • 10.
  • 11. Infranuclear • Intracranial portion Motor fiber + nervus intermedius along with VIII CN leaves CP angle • Intra tempoal and extra temporal
  • 12. Cont. • Intratemporal – • meatal • labyrinthine • tympanic • mastoid
  • 13.
  • 14.
  • 15.
  • 16.
  • 18.
  • 19.
  • 21.
  • 22.
  • 23. Cont . • Muscles supplied
  • 24.
  • 25.
  • 26. Blood supply • Cortical motor area-rolandic branch of MCA • CP angle- AICA • Internal auditory canal- labyrinthine br of AICA • Geniculate ganglion- superficial petrosal artery (MMA) • Mastoid segment- stylomastoid artery of posterior auricular artery • Extratemporal part- posterior auricular artery

Editor's Notes

  1. Coticonuclear tract/ UMN
  2. Feom entry of fascial canal upto genu– labyrinthne Branch- greater petrosal nerve
  3. Tympanic- behind oval window and promontary
  4. Mastoid segments 3 branches- stapedius, chorda tymmpani and posterior auricular
  5. Passes between posterior belly of digastric and styloyoid and enters parotid between superficial and deep lobes and from anterior border 5 branches