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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]
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 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 mentalis muscle causes a weak upward-inward movement of the soft tissue complex of the chin. [2] This raises the central portion of the lower lip. [2] In the setting of lip incompetence (the upper and lower lips not touching each other at rest), the contraction of the mentalis muscle can bring temporary but strained oral competence.
A nerve decompression is a neurosurgical procedure to relieve chronic, direct pressure on a nerve to treat nerve entrapment, a pain syndrome characterized by severe chronic pain and muscle weakness. In this way a nerve decompression targets the underlying pathophysiology of the syndrome and is considered a first-line surgical treatment option ...
Hereditary neuropathy with liability to pressure palsy (HNPP) is a peripheral neuropathy, a condition that affects the nerves. [4] Pressure on the nerves can cause tingling sensations, numbness , pain, weakness, muscle atrophy and even paralysis of the affected area.
The House–Brackmann score is a score to grade the degree of nerve damage in a facial nerve palsy. The measurement is determined by measuring the upwards (superior) movement of the mid-portion of the top of the eyebrow, and the outwards (lateral) movement of the angle of the mouth. Each reference point scores 1 point for each 0.25 cm movement ...