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The mandibular nerve immediately passes between tensor veli palatini, which is medial, and lateral pterygoid, which is lateral, and gives off a meningeal branch (nervus spinosus) and the nerve to medial pterygoid from its medial side. The nerve then divides into a small anterior division and a large posterior division.
Thus the facial artery can be used as an important landmark in locating the marginal mandibular nerve during surgical procedures. [2] Damage can cause paralysis of the three muscles it supplies, which can cause an asymmetrical smile due to lack of contraction of the depressor labii inferioris muscle . [ 3 ]
Bell's palsy is the most common cause of acute facial nerve paralysis. [ 3 ] [ 4 ] There is no known cause of Bell's palsy, [ 5 ] [ 6 ] although it has been associated with herpes simplex infection. Bell's palsy may develop over several days, and may last several months, in the majority of cases recovering spontaneously.
The mandibular nerve (V 3) carries sensory information from the lower lip, the lower teeth and gums, the chin and jaw (except the angle of the jaw, which is supplied by C2-C3), parts of the external ear and parts of the meninges. The mandibular nerve carries touch-position and pain-temperature sensations from the mouth.
The buccal branches of the facial nerve (infraorbital branches), are of larger size than the rest of the branches, pass horizontally forward to be distributed below the orbit and around the mouth. Branches
The temporal branch of the facial nerve is typically found between the temporoparietal fascia (i.e., superficial temporal fascia) and temporal fascia (i.e., deep temporal fascia). This layer is also known as the innominate fascia. There are several methods using anatomic landmarks that may be used to find the temporal branch of the facial nerve.
Damage to the marginal mandibular branch of the facial nerve may cause paralysis of the depressor anguli oris muscle. [1] This may contribute to an asymmetrical smile. [1] This may be corrected by resecting (cutting and removing) the depressor labii inferioris muscle, which has a more significant impact on smiling. [1]
The auriculotemporal nerve is a sensory branch of the mandibular nerve (CN V 3) that runs with the superficial temporal artery and vein, and provides sensory innervation to parts of the external ear, scalp, and temporomandibular joint. The nerve also conveys post-ganglionic parasympathetic fibres from the otic ganglion to the parotid gland. [1]