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Facial nerve paralysis is a common problem that involves the paralysis of any structures innervated by the facial nerve.The pathway of the facial nerve is long and relatively convoluted, so there are a number of causes that may result in facial nerve paralysis. [2]
The facial motor nucleus contains ventral and dorsal areas that have lower motor neurons that supply the upper and lower face muscles. When central facial palsy occurs, there are lesions in the corticobulbar tract between the cerebral cortex. Because of these lesions, the facial motor nucleus reduces or destroys input in the ventral division. [1]
The zygomatic branches of the facial nerve (malar branches) are nerves of the face. They run across the zygomatic bone to the lateral angle of the orbit . Here, they supply the orbicularis oculi muscle , and join with filaments from the lacrimal nerve and the zygomaticofacial branch of the maxillary nerve (CN V 2 ).
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
Once the facial paralysis sets in, many people may mistake it as a symptom of a stroke; however, there are a few subtle differences. A stroke will usually cause a few additional symptoms, such as numbness or weakness in the arms and legs. And unlike Bell's palsy, a stroke will usually let patients control the upper part of their faces.
The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of facial expression, and functions in the conveyance of taste sensations from the anterior two-thirds of the tongue.
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.
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 ]