face
TRANSCRIPT
the FACEthe FACEE.A.HILARIO, MD
Assistant ProfessorDepartment of Anatomy
Our Lady of Fatima University
BOUNDARIES BOUNDARIES OF THE FACEOF THE FACE
THE THE ANTERIOR ANTERIOR ASPECT OF ASPECT OF THE HEADTHE HEAD
FROM FROM FOREHEAD TO FOREHEAD TO CHINCHIN
FROM ONE FROM ONE EAR TO THE EAR TO THE OTHER EAROTHER EAR
AREAS OF AREAS OF THE FACETHE FACE FOREHEADFOREHEAD ORBITALORBITAL MALARMALAR ZYGOMATICZYGOMATIC INFRAORBITALINFRAORBITAL NASALNASAL MAXILLARYMAXILLARY BUCCALBUCCAL MANDIBULARMANDIBULAR AURICULARAURICULAR ORAL (LABIAL)ORAL (LABIAL) MENTAL (CHIN)MENTAL (CHIN)
THE SHAPE THE SHAPE OF THE FACEOF THE FACE
RELIES ON RELIES ON THE THE UNDERLYING UNDERLYING STRUCTURESSTRUCTURES◦BONESBONES◦BUCCAL FADSBUCCAL FADS◦FACIAL FACIAL
MUSCLESMUSCLES
STRUCTURES STRUCTURES UNDERNEATUNDERNEATH THE SKIN H THE SKIN OF THE FACEOF THE FACE
• MUSCLESMUSCLES
• FATSFATS
• NERVESNERVES
• BLOOD BLOOD VESSELSVESSELS
THE MUSCLES THE MUSCLES OF THE FACEOF THE FACE MUSCLES OF MUSCLES OF
FACIAL FACIAL EXPRESSIONSEXPRESSIONS
IN THE IN THE SUBCUTANEOUS SUBCUTANEOUS TISSUETISSUE
ATTACHED FROM ATTACHED FROM THE SKULL THE SKULL BONES & FASCIAE BONES & FASCIAE AND TO THE SKIN AND TO THE SKIN AND MUCOUS AND MUCOUS MEMBRANE MEMBRANE WHERE THEY WHERE THEY PRODUCE THEIR PRODUCE THEIR EFFECTEFFECT
INNERVATED BY INNERVATED BY FACIAL NERVE FACIAL NERVE (C.N.VII)(C.N.VII)
MUSCLES MUSCLES OF THE OF THE FOREHEADFOREHEAD
FRONTALIS FRONTALIS (EPICRANIUS)(EPICRANIUS)
MUSCLES MUSCLES OF THE OF THE FOREHEADFOREHEAD
FRONTALIS FRONTALIS (EPICRANIUS)(EPICRANIUS)
MUSCLES OF MUSCLES OF THE CHEEKS & THE CHEEKS & LIPS LIPS SURROUNDING SURROUNDING THE MOUTHTHE MOUTH
ORBICULARIS ORISORBICULARIS ORIS LEVATOR LABII LEVATOR LABII
SUPERIORIS ALA QUE SUPERIORIS ALA QUE NASINASI
MENTALISMENTALIS BUCCINATORBUCCINATOR DEPRESSOR ANGULI DEPRESSOR ANGULI
ORIS (TRIANGULARIS)ORIS (TRIANGULARIS) LEVATOR ANGULI ORISLEVATOR ANGULI ORIS ZYGOMATICUS MAJORZYGOMATICUS MAJOR ZYGOMATICUS MINORZYGOMATICUS MINOR LEVATOR LABII LEVATOR LABII
INFERIORISINFERIORIS DEPRESSOR LABII DEPRESSOR LABII
INFERIORIS INFERIORIS (QUADRANGULARIS)(QUADRANGULARIS)
RISORIUSRISORIUS
• FACIAL FACIAL EXPRESSION EXPRESSION MUSCLEMUSCLE
BUCCINATORBUCCINATOR
MUSCLES OF MUSCLES OF THE CHEEKS & THE CHEEKS & LIPS LIPS SURROUNDING SURROUNDING THE MOUTHTHE MOUTH ORBICULARIS ORISORBICULARIS ORIS LEVATOR LABII LEVATOR LABII
SUPERIORIS ALA SUPERIORIS ALA QUE NASIQUE NASI
MENTALISMENTALIS BUCCINATORBUCCINATOR DEPRESSOR ANGULI DEPRESSOR ANGULI
ORIS ORIS (TRIANGULARIS)(TRIANGULARIS)
LEVATOR ANGULI LEVATOR ANGULI ORISORIS
ZYGOMATICUS ZYGOMATICUS MAJORMAJOR
ZYGOMATICUS ZYGOMATICUS MINORMINOR
LEVATOR LABII LEVATOR LABII INFERIORISINFERIORIS
DEPRESSOR LABII DEPRESSOR LABII INFERIORIS INFERIORIS (QUADRANGULARIS)(QUADRANGULARIS)
RISORIUSRISORIUS
MUSCLES OF MUSCLES OF THE CHEEKS & THE CHEEKS & LIPS LIPS SURROUNDING SURROUNDING THE MOUTHTHE MOUTH ORBICULARIS ORISORBICULARIS ORIS LEVATOR LABII LEVATOR LABII
SUPERIORIS ALA SUPERIORIS ALA QUE NASIQUE NASI
MENTALISMENTALIS BUCCINATORBUCCINATOR DEPRESSOR ANGULI DEPRESSOR ANGULI
ORIS ORIS (TRIANGULARIS)(TRIANGULARIS)
LEVATOR ANGULI LEVATOR ANGULI ORISORIS
ZYGOMATICUS ZYGOMATICUS MAJORMAJOR
ZYGOMATICUS ZYGOMATICUS MINORMINOR
LEVATOR LABII LEVATOR LABII INFERIORISINFERIORIS
DEPRESSOR LABII DEPRESSOR LABII INFERIORIS INFERIORIS (QUADRANGULARIS)(QUADRANGULARIS)
RISORIUSRISORIUS
MUSCLES MUSCLES SURROUNDING SURROUNDING THE ORBITTHE ORBIT
ORBICULARIS ORBICULARIS OCULIOCULI◦ LACRIMAL PARTLACRIMAL PART◦ PALPEBRAL PALPEBRAL
PARTPART◦ ORBITAL PARTORBITAL PART
CORRUGATOR CORRUGATOR SUPERCILIISUPERCILII
MUSCLES MUSCLES SURROUNDING SURROUNDING THE ORBITTHE ORBIT
ORBICULARIS ORBICULARIS OCULIOCULI◦ LACRIMAL PARTLACRIMAL PART◦ PALPEBRAL PALPEBRAL
PARTPART◦ ORBITAL PARTORBITAL PART
CORRUGATOR CORRUGATOR SUPERCILIISUPERCILII
MUSCLES MUSCLES OF THE OF THE NOSENOSE
NASALISNASALIS◦ COMPRESSOR COMPRESSOR
PARTPART TRANSVERSETRANSVERSE BRIDGEBRIDGE
◦ DILATOR PARTDILATOR PART ALAEALAE
PROCERUSPROCERUSDEPRESSOR DEPRESSOR
SEPTISEPTI
FACIAL EXPRESSIONSFACIAL EXPRESSIONS
FACIAL EXPRESSIONSFACIAL EXPRESSIONS
TRIGEMINAL TRIGEMINAL NERVE:NERVE: -THE SENSORY -THE SENSORY NERVE SUPPLY NERVE SUPPLY OF THE FACEOF THE FACE -THE MOTOR -THE MOTOR NERVE SUPPLY NERVE SUPPLY OF THE OF THE MUSCLES OF MUSCLES OF MASTICATIONMASTICATION
Ophthalmic Ophthalmic NerveNerve
Maxillary NerveMaxillary Nerve Mandibular Mandibular
NerveNerve
TRIGEMINAL TRIGEMINAL NERVE:NERVE: -THE SENSORY -THE SENSORY NERVE SUPPLY NERVE SUPPLY OF THE FACEOF THE FACE -THE MOTOR -THE MOTOR NERVE SUPPLY NERVE SUPPLY OF THE OF THE MUSCLES OF MUSCLES OF MASTICATIONMASTICATION
Ophthalmic Ophthalmic NerveNerve
Maxillary NerveMaxillary Nerve Mandibular Mandibular
NerveNerve
TRIGEMINAL TRIGEMINAL NERVE:NERVE: THE SENSORY THE SENSORY NERVE OF THE FACENERVE OF THE FACE
OPHTHALMIC N.OPHTHALMIC N.MAXILLARY N.MAXILLARY N.MANDIBULAR N.MANDIBULAR N.
TRIGEMINAL TRIGEMINAL NERVE:NERVE: THE SENSORY THE SENSORY NERVE OF THE FACENERVE OF THE FACE
OPHTHALMIC N.OPHTHALMIC N.MAXILLARY N.MAXILLARY N.MANDIBULAR N.MANDIBULAR N.
OPHTHALMIC OPHTHALMIC NERVE (CNV1)NERVE (CNV1)THE SMALLEST DIVISIONTHE SMALLEST DIVISION
BRANCHES: NASOCILIARY N.NASOCILIARY N.
◦ ANTERIOR ETHMOIDAL ANTERIOR ETHMOIDAL N.N. EXTERNAL NASAL N.EXTERNAL NASAL N.
◦ POSTERIOR POSTERIOR ETHMOIDAL N.ETHMOIDAL N.
◦ INFRATROCHLEAR N.INFRATROCHLEAR N. FRONTAL N.FRONTAL N.
◦ SUPRATROCHLEAR N.SUPRATROCHLEAR N.◦ SUPRAORBITAL N.SUPRAORBITAL N.
LACRIMAL N.LACRIMAL N.
• OPHTHALMIC NERVE (CNV1)OPHTHALMIC NERVE (CNV1)THE SMALLEST DIVISIONTHE SMALLEST DIVISION
BRANCHES: NASOCILIARY NERVENASOCILIARY NERVE
◦ ANTERIOR ANTERIOR ETHMOIDAL NERVEETHMOIDAL NERVE EXTERNAL NASAL EXTERNAL NASAL
NERVENERVE◦ POSTERIOR POSTERIOR
ETHMOIDAL NERVEETHMOIDAL NERVE◦ INFRATROCHLEAR INFRATROCHLEAR
NERVENERVE FRONTAL N.FRONTAL N.
◦ SUPRATROCHLEAR SUPRATROCHLEAR NERVENERVE
◦ SUPRAORBITAL SUPRAORBITAL NERVENERVE
LACRIMAL NERVELACRIMAL NERVE
• OPHTHALMIC OPHTHALMIC NERVE (CNV1)NERVE (CNV1)THE SMALLEST DIVISION
MAJOR CUTANEOUS BRANCHES:
EXTERNAL NASAL EXTERNAL NASAL NERVENERVE
INFRATROCHLEAR N.INFRATROCHLEAR N. SUPRATROCHLEAR SUPRATROCHLEAR
NERVENERVE SUPRAORBITAL SUPRAORBITAL
NERVENERVE LACRIMAL NERVELACRIMAL NERVE
• OPHTHALMIC OPHTHALMIC NERVE (CNV1)NERVE (CNV1)THE SMALLEST DIVISIONTHE SMALLEST DIVISION
MAJOR CUTANEOUS BRANCHES:
EXTERNAL NASAL EXTERNAL NASAL NERVENERVE
INFRATROCHLEAR INFRATROCHLEAR NERVENERVE
SUPRATROCHLEAR SUPRATROCHLEAR NERVENERVE
SUPRAORBITAL SUPRAORBITAL NERVENERVE
LACRIMAL NERVELACRIMAL NERVE
• MAXILLARY MAXILLARY NERVE (CNV2)NERVE (CNV2)THE INTERMEDIATE DIVISIONTHE INTERMEDIATE DIVISION
BRANCHES: BRANCHES TO BRANCHES TO
PTERYGOPALATINE PTERYGOPALATINE GANGLIONGANGLION
ZYGOMATIC NERVEZYGOMATIC NERVE ZYGOMATICOTEMPORAL ZYGOMATICOTEMPORAL
NERVENERVE ZYGOMATICOFACIAL ZYGOMATICOFACIAL
NERVENERVE INFRATROCHLEAR NERVEINFRATROCHLEAR NERVE COMMUNICATING COMMUNICATING
BRANCH TO LACRIMAL BRANCH TO LACRIMAL NERVENERVE
PALATINE NERVEPALATINE NERVE NASAL NERVENASAL NERVE INFRAORBITAL NERVEINFRAORBITAL NERVE
• MAXILLARY MAXILLARY NERVE (CNV2)NERVE (CNV2)THE INTERMEDIATE THE INTERMEDIATE DIVISIONDIVISION
MAJOR CUTANEOUS BRANCHES:
ZYGOMATICOTEMPORAL ZYGOMATICOTEMPORAL NERVENERVE
ZYGOMATICOFACIAL NERVEZYGOMATICOFACIAL NERVE INFRAORBITAL NERVEINFRAORBITAL NERVE
MANDIBULAR MANDIBULAR NERVE (CNV3)NERVE (CNV3)THE INFERIOR & LARGEST THE INFERIOR & LARGEST DIVISIONDIVISION
MOTOR BRANCHES:◦ TENSOR TYMPANI◦ MUSCLES OF
MASTICATION TEMPORALIS MASSETER MEDIAL PTERYGOID LATERAL PTERYGOID
SENSORY BRANCHES:◦ AURICULOTEMPORAL AURICULOTEMPORAL
NERVENERVE◦ BUCCAL NERVEBUCCAL NERVE◦ MENTAL NERVEMENTAL NERVE
• MANDIBULAR MANDIBULAR NERVE (CNV3)NERVE (CNV3)THE INFERIOR & LARGEST THE INFERIOR & LARGEST DIVISIONDIVISION
MOTOR BRANCHES:◦ TENSOR TYMPANI◦ MUSCLES OF
MASTICATION TEMPORALIS MASSETER MEDIAL PTERYGOID LATERAL PTERYGOID
SENSORY BRANCHES:◦ AURICULOTEMPORAL AURICULOTEMPORAL
NERVENERVE◦ BUCCAL NERVEBUCCAL NERVE◦ MENTAL NERVEMENTAL NERVE
MUSCLES OF MASTICATIONMUSCLES OF MASTICATION
MUSCLES OF MASTICATIONMUSCLES OF MASTICATION
FACIAL FACIAL NERVENERVE
MOTORMOTOR◦ NERVE TO NERVE TO
STAPEDIUSSTAPEDIUS◦ POSTERIOR POSTERIOR
AURICULAR NERVEAURICULAR NERVE AURICULARIS AURICULARIS
POSTERIOR AND POSTERIOR AND OCCIPITALISOCCIPITALIS
◦ PAROTID PLEXUS: PAROTID PLEXUS: MUSCLES OF MUSCLES OF FACIAL EXPRESSIONFACIAL EXPRESSION TEMPORALTEMPORAL ZYGOMATICZYGOMATIC BUCCALBUCCAL MANDIBULARMANDIBULAR CERVICALCERVICAL
SENSORYSENSORY◦ NONE IN THE SKIN NONE IN THE SKIN
OF THE FACEOF THE FACE◦ TASTE TO THE TASTE TO THE
ANTERIOR TWO-ANTERIOR TWO-THIRDS OF THE THIRDS OF THE TOUNGETOUNGE
FACIAL NERVEFACIAL NERVE --THE SPECIAL THE SPECIAL SENSORY NERVE SENSORY NERVE SUPPLY OF THE SUPPLY OF THE ANTERIOR TONGUEANTERIOR TONGUE -THE MOTOR NERVE -THE MOTOR NERVE SUPPLY OF THE SUPPLY OF THE MUSCLES OF FACIAL MUSCLES OF FACIAL EXPRESSIONEXPRESSION
TEMPORAL N.TEMPORAL N. ZYGOMATIC N.ZYGOMATIC N. BUCCAL N.BUCCAL N. MANDIBULAR N.MANDIBULAR N. CERVICAL N.CERVICAL N.
FACIAL NERVE FACIAL NERVE (CNVII)(CNVII)MIXED CRANIAL NERVEMIXED CRANIAL NERVE
MOTOR BRANCHES:◦ STAPEDIUS◦ MUSCLES OF
EXPRESSIONS◦ STYLOHYOID
SENSORY BRANCHES:◦ PAROTID PLEXUSPAROTID PLEXUS◦ TERMINAL BRANCHES:TERMINAL BRANCHES:
TEMPORAL NERVETEMPORAL NERVE ZYGOMATIC NERVEZYGOMATIC NERVE BUCCAL NERVEBUCCAL NERVE MANDIBULAR NERVEMANDIBULAR NERVE CERVICAL NERVECERVICAL NERVE
FACIAL NERVE FACIAL NERVE (CNVII)(CNVII)MIXED CRANIAL NERVEMIXED CRANIAL NERVE
MOTOR BRANCHES:◦ STAPEDIUS◦ MUSCLES OF
EXPRESSIONS◦ STYLOHYOID
SENSORY BRANCHES:◦ PAROTID PLEXUSPAROTID PLEXUS◦ TERMINAL BRANCHES:TERMINAL BRANCHES:
TEMPORAL N.TEMPORAL N. ZYGOMATIC N.ZYGOMATIC N. BUCCAL N.BUCCAL N. MANDIBULAR N.MANDIBULAR N. CERVICAL N.CERVICAL N.
• FACIAL FACIAL VASCULATURESVASCULATURESARTERIES OF THE FACEARTERIES OF THE FACE
FACIAL ARTERY◦ FROM:
EXT. CAROTID ARTERY◦ BRANCHES:
SUPERIOR LABIAL A. INFERIOR LABIAL A. ANGULAR A.
SUPERFICIAL TEMPORAL ARTERY◦ FROM:
EXTERNAL CAROTID ARTERY
TRANSVERSE FACIAL ARTERY◦ FROM:FROM:
SUPERFICIAL SUPERFICIAL TEMPORAL ARTERYTEMPORAL ARTERY
• FACIAL FACIAL VASCULATURESVASCULATURESARTERIES OF THE FACEARTERIES OF THE FACE
FACIAL ARTERY◦ FROM:
EXT.ERNAL CAROTID ARTERY
◦ BRANCHES: SUPERIOR LABIAL
ARTERY INFERIOR LABIAL
ARTERY ANGULAR ARTERY
SUPERFICIAL TEMPORAL ARTERY◦ FROM:
EXTERNAL CAROTID ARTERY
TRANSVERSE FACIAL ARTERY◦ FROM:FROM:
SUPERFICIAL SUPERFICIAL TEMPORAL ARTERYTEMPORAL ARTERY
• FACIAL FACIAL VASCULATURESVASCULATURESARTERIES OF THE FACEARTERIES OF THE FACE
FACIAL ARTERY◦ FROM:
EXTERNAL CAROTID ARTERY
◦ BRANCHES: SUPERIOR LABIAL
ARTERY INFERIOR LABIAL
ARTERY ANGULAR ARTERY
SUPERFICIAL TEMPORAL ARTERY◦ FROM:
EXTERNAL CAROTID ARTERY
TRANSVERSE FACIAL ARTERY◦ FROM:FROM:
SUPERFICIAL SUPERFICIAL TEMPORAL ARTERYTEMPORAL ARTERY
ARTERIES ARTERIES OF THE OF THE FACEFACE
• FACIAL FACIAL VASCULATURESVASCULATURESVEINS OF THE FACEVEINS OF THE FACE
SUPRATROCHLEAR V.◦ TRIBUTARIES:
VENOUS PLEXUS OF FORHEAD & SCALP
FRONTAL BRANCH OF SUPERFICIAL TEMPORAL V.
CONTRALATERAL V. (PARTNER)
SUPRAORBITAL V.◦ TERMINATION:
ANGULAR V.
SUPRAORBITAL V.◦ TRIBUTARIES:
FRONTAL TRIBUTARY OF SUPERFICIAL TEMPORAL V.
SUPRATROCHLEAR V. SUPERIOR OPHTHALMIC V.
◦ TERMINATION: ANGULAR V.
THE ARTERIES OF THE FACETHE ARTERIES OF THE FACE
SUPERFICIAL TEMPORAL ARTERY◦ ORIGIN: EXTERNAL CAROTID ARTERY◦ COURSE: ASCENDS ANTERIOR TO EAR,
TO TEMPORAL REGION AND ENDS IN THE SCALP
◦ SUPPLIES: FACIAL MUSCLES, SKIN OF FRONTAL AND TEMPORAL AREAS
TRANSVERSE FACIAL ARTERY◦ ORIGIN: SUPERFICIAL TEMPORAL
ARTERY◦ COURSE: CROSSES FACE EXTERNAL TO
THE MASSETER AND INFERIOR TO THE ZYGOMATIC ARCH
◦ SUPPLIES: PAROTID GLAND AND DUCT, MUSCLES AND SKIN OF THE FACE
FACIAL ARTERY◦ ORIGIN: EXTERNAL CAROTID ARTERY◦ COURSE: ASCENDS DEEP TO THE
SUBMANDIBULAR GLAND, WINDS AROUND THE INFERIOR BORDER OF THE MANDIBLE AND ENTERS THE FACE
◦ BRANCHES: SUPERIOR & INFERIOR LABIAL ARTERIES TERMINAL: ANGULAR ARTERY
◦ THE MAJOR BLOOD SUPPLY THE FACE (SKIN AND MUSCLES OF FACIAL EXPRESSIONS)
• FACIAL FACIAL VASCULATURESVASCULATURESVEINS OF THE FACEVEINS OF THE FACE
SUPRATROCHLEAR VEIN◦ FORMATION:
FROM A VENOUS PLEXUS ON THE FORHEAD AND SCALP, COMMUNICATES WITH THE FRONTAL BRANCH OF THE SUPERFICIAL TEMPORAL VEIN, CONTRALATERAL PARTNER AND SUPRAORBITAL VEIN
◦ COURSE: DESCENDS NEAR THE
MIDLINE OF THE FOREHEAD TO THE ROOT OF THE NOSE WHERE IT JOINS THE SUPRAORBITAL VEIN
◦ TERMINATION: ANGULAR VEIN AT THE
ROOT OF THE NOSE◦ AREAS DRAINED :
ANTERIOR PART OF THE SCALP AND FOREHEAD
• FACIAL FACIAL VASCULATURESVASCULATURESVEINS OF THE FACEVEINS OF THE FACE
SUPRAORBITAL VEIN◦ FORMATION:
AT THE FOREHEAD BY THE ANASTOMOSIS WITH THE TRIBUTARIES OF THE SUPERFICIAL TEMPORAL VEIN IN THE FRONTAL AREA
◦ COURSE: PASSES MEDIALLY
SUPERIOR TO THE ORBIT JOINS THE
SUPRATROCHLEAR VEIN COMMUNICATES WITH THE
SUPERIOR OPHTHALMIC VEIN THROUGH A BRANCH PASSING THROUGH THE SUPRAORBITAL NOTCH
◦ TERMINATION: ANGULAR VEIN AT THE
ROOT OF THE NOSE◦ AREAS DRAINED :
ANTERIOR PART OF THE SCALP AND FOREHEAD
• FACIAL FACIAL VASCULATURESVASCULATURESVEINS OF THE FACEVEINS OF THE FACE
ANGULAR VEIN◦ FORMATION:
UNION OF SUPRATROCHLEAR VEIN & SUPRAORBITAL VEIN
ROOT OF THE NOSE◦ COURSE:
DESCENDS OBLIQUELY ALONG THE ROOT AND THE SIDE OF THE NOSE AND THEN TO THE INFERIOR MARGIN OF THE ORBIT
◦ TERMINATION: FACIAL VEIN AT THE
INFERIOR MARGIN OF THE ORBIT
◦ AREAS DRAINED : ROOT AND SIDE OF THE
NOSE INFERIOR MARGIN OF
ORBIT UPPER AND LOWER LIDS
AND CONJUNCTIVAE CAVERNOUS SINUS
• FACIAL FACIAL VASCULATURESVASCULATURESVEINS OF THE FACEVEINS OF THE FACE
FACIAL VEIN◦ TRIBUTARIES:
COMMUNICATES WITH THE SUPERIOR OPHTHALMIC VEIN AT THE MEDIAL CANTHUS OF THE EYE THAT DRAINS INTO THE CEVERNOUS SINUS
DEEP FACIAL VEIN THAT DRAINS THE PTERYGOID VENOUS PLEXUS OF THE INFRATEMPORAL FOSSA ANTERIORLY
SUPERIOR AND INFERIOR LABIAL VEINS THAT DRAIN THE UPPER AND LOWER LIPS
JOINED BY THE ANTERIOR COMMUNICATING BRANCH OF THE RETROMANDIBULAR VEIN AT THE INFERIOR ANGLE OF THE MANDIBLE
◦ TERMINATION: DIRECTLY OR INDIRECTLY INTO
THE INTERNAL JUGULAR VEIN
THE FACIAL VEINTHE FACIAL VEIN
THE VENOUS DRAINAGE OF THE FACE
TRIBUTARIES:TRIBUTARIES:◦ DEEP FACIAL VEIN THAT DEEP FACIAL VEIN THAT
DRAINS THE PTERYGOID DRAINS THE PTERYGOID VENOUS PLEXUS OF THER VENOUS PLEXUS OF THER INFRATEMPORAL FOSSAINFRATEMPORAL FOSSA
◦ SUPERFIOR AND INFERIOR SUPERFIOR AND INFERIOR LABIAL VEINS THAT DRAIN LABIAL VEINS THAT DRAIN THE UPPER AND LOWER THE UPPER AND LOWER LIPSLIPS
JOINED BY THE JOINED BY THE ANTERIOR BRANCH OF ANTERIOR BRANCH OF THE THE RETROMANDIBULAR RETROMANDIBULAR VEIN INFERIOR TO THE VEIN INFERIOR TO THE ANGLE OF THE ANGLE OF THE MANDIBLEMANDIBLE
COMMUNICATES WITH COMMUNICATES WITH THE SUPERIOR THE SUPERIOR OPHTHALMIC VEIN AT OPHTHALMIC VEIN AT THE MEDIAL CANTHUS THE MEDIAL CANTHUS OF THE EYE WHICH OF THE EYE WHICH DRAINS INTO THE DRAINS INTO THE RETROMANDIBULAR RETROMANDIBULAR VEINVEIN
DRAINS DIRECTLY OR DRAINS DIRECTLY OR INDIRECTLY INTO THE INDIRECTLY INTO THE INTERNAL JUGULAR INTERNAL JUGULAR VEINVEIN
• FACIAL FACIAL VASCULATURESVASCULATURESVEINS OF THE FACEVEINS OF THE FACE
SUPERFICIAL TEMPORAL VEIN◦ ORIGIN:
FORMED BY A WIDESPEAD VENOUS PLEXUS ON THE SIDE OF THE SCALP AND ALONG THE ZYGOMATIC ARCH
◦ COURSE: ITS FRONTAL AND PARIETAL
TRIBUTARIES UNITE ANTERIOR TO THE AURICLE
CROSSES THE TEMPORAL ROOT OF THE ZYGOMATIC ARCH TO PASS FROM THE TEMPORAL REGION AND ENTER THE SUBSTANCE OF THE PAROTID GLAND
◦ DRAINS THE: SIDE OF THE SCALP SUPERFICIAL PART OF
TEMPORALIS MUSCLE EXTERNAL EAR
◦ DRAINS INTO: RETROMANDIBULAR VEIN
AS IT IS JOINED BY THE MAXILLARY VEIN
• FACIAL FACIAL VASCULATURESVASCULATURESVEINS OF THE FACEVEINS OF THE FACE
RETROMANDIBULAR VEIN◦ ORIGIN:
FORMED BY THE UNION OF THE SUPERFICIAL TEMPORAL AND MAXILLARY VEIN ANTERIOR TO THE EAR
◦ COURSE: RUNS POSTERIOR AND
DEEP TO THE RAMUS OF THE MANDIBLE THROUGH THE SUBSTANCE OF THE PAROTID GLAND
COMMUNICATES AT ITS INFERIOR END WITH THE FACIAL VEIN
◦ DRAINS THE: PAROTID GLAND MASSETER MUSCLE
◦ DRAINS INTO: EXTERNAL JUGULAR
VEIN VIA UNION WITH POSTERIOR AURICULAR VEIN
LYMPHATIC LYMPHATIC DRAINAGEDRAINAGEOF THE FACEOF THE FACE
SUPERFICIAL & DEEP LYMPHATICS
ALL LYMPHS DRAINS INTO THE DEEP CERVICAL GROUP OF LYMPH NODES THEN INTO THE JUGULAR LYMPHATIC TRUNK
PAROTID LN.◦ LATERAL FACE & EYELIDS
DEEP CERVICAL LN.◦ DEEP PAROTID
SUBMANDIBULAR LN.◦ UPPER LIP & LATERAL
LOWER LIP SUBMENTAL LN.
◦ CHIN & MIDLOWER LIP
LYMPHATIC LYMPHATIC DRAINAGEDRAINAGEOF THE FACEOF THE FACE
SUPERFICIAL & DEEP LYMPHATICS
LYMPH NODE GROUPS:◦ PAROTID LYMPH
NODES DRAINING THE LATERAL FACE & EYELIDS
◦ DEEP PAROTID LYMPH NODES DRAINING TO THE DEEP CERVICAL LYMPH NODES
◦ SUBMANDIBULAR LYMPH NODES DRAINING THE UPPER LIP & LATERAL LOWER LIP
◦ SUBMENTAL LYMPH NODES DRAINING THE CHIN & CHIN & MIDLOWER LIPMIDLOWER LIP
LYMPHATIC LYMPHATIC DRAINAGEDRAINAGEOF THE FACEOF THE FACE
FLOW OF THE LYMPHATICS:
ALL LYMPHS DRAINS INTO THE DEEP CERVICAL GROUP OF LYMPH NODES THEN INTO THE THE JUGULAR JUGULAR LYMPHATIC LYMPHATIC TRUNKTRUNK
CLINICAL CLINICAL CONDITIONSCONDITIONSOF THE FACEOF THE FACE
FACIAL NERVE INJURY
LESIONS OF TRIGEMINAL NERVE
TRIGEMINAL NERVE NEURALGIA◦ TIC DOLOREAUX
THROMBOPHLEBITIS OF THE FACIAL VEIN
FACIALNERVEINJURY
TRIGEMINAL NERVESENSORY DEFICITSENSORY DEFICITNEURALGIA (TIC DOLOREAUX)NEURALGIA (TIC DOLOREAUX)
DANGEROUS AREA OF THE FACE
CAVERNOUS SINUS CAVERNOUS SINUS THROMBOSISTHROMBOSIS
CLEFT LIP(HARELIP)(HARELIP)
CLEFT LIP(HARELIP)(HARELIP)
HYDROPS FETALIS
CHEILOPLASTY
MACROGNATIA
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