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The orbicularis oculi is a muscle in the face that closes the eyelids.It arises from the nasal part of the frontal bone, from the frontal process of the maxilla in front of the lacrimal groove, and from the anterior surface and borders of a short fibrous band, the medial palpebral ligament.
The lateral palpebral raphe is a ligamentous band near the eye. Its existence is contentious, and many sources describe it as the continuation of nearby muscles. It is formed from the lateral ends of the orbicularis oculi muscle. It connects the orbicularis oculi muscle, the frontosphenoidal process of the zygomatic bone, and the tarsi of the ...
The orbicularis oculi closes the eye, while the contraction of the levator palpebrae muscle opens the eye. The Müller's muscle, or the superior tarsal muscle, in the upper eyelid and the inferior palpebral muscle in the lower 3 eyelid are responsible for widening the eyes. These muscles are not only imperative in blinking, but they are also ...
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 levator palpebrae superioris receives motor innervation from the superior division of the oculomotor nerve. [1] [2] [3] The smooth muscle that originates from its undersurface, called the superior tarsal muscle is innervated by postganglionic sympathetic axons from the superior cervical ganglion.
Diagnosis of blepharospasm has been enhanced by the proposal of objective diagnostic criteria that start from "stereotyped, bilateral and synchronous orbicularis oculi spasms" and proceed to the identification of a "sensory trick" or "increased blinking". [38] The criteria have been validated across multiple ethnicities in multiple centers. [39]
It becomes noticeable only when the orbicularis oculi muscle becomes weak as in, for example, bilateral facial palsy associated with Guillain–Barré syndrome. It is, however, present behind forcibly closed eyelids in most healthy people and should not be regarded as a pathognomonic sign.
The afferent sensory signals are transmitted by the trigeminal nerve to the brain stem; the efferent signals go to the orbicularis oculi muscle via the facial nerve, causing the muscle to reflexively contract, yielding blinking. This reflex was first identified by Walker Overend. [4]