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The procerus muscles pull the skin into horizontal wrinkles. The frontalis muscle, which runs from the upper forehead, halfway between the coronal suture (which traverses the top of the skull) and the top edge of the orbit, attaches to the eyebrow skin. Since it pulls the eyebrows upward, it is the antagonist of the orbicularis oculi.
The word blepharospasm is derived from the Greek: βλέφαρον / blepharon, eyelid, and σπασμός / spasmos, spasm, an uncontrolled muscle contraction. The condition should be distinguished from the more common, and milder, involuntary quivering of an eyelid, known as myokymia or fasciculation .
The orbicularis oris is not a simple sphincter muscle like the orbicularis oculi; it consists of numerous strata of muscular fibers surrounding the orifice of the mouth, but having different direction. It consists partly of fibers derived from the other facial muscles which are inserted into the lips, and partly of fibers proper to the lips.
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).
A number of techniques for surgical correction exist. The Hotz-Celsus technique involves the removal of strip of skin and orbicularis oculi muscle parallel to the affected portion of the lid and then the skin is sutured. Alternative techniques such as the Wyman technique focus on tightening the lower eyelid.
Satchmo's syndrome is a disorder due to the rupture of orbicularis oris muscle in trumpet players. [1] This syndrome is named after the nickname of Louis Armstrong , the trumpet player from New Orleans , because apparently it fits with the symptoms he experienced in 1935.
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This technique was first applied by Davis. In peribulbar block, local anaesthetic is injected to the peripheral spaces of the orbit. The anaesthetic diffuses into the muscle cone and eyelids, causing global and orbicularis akinesia and anaesthesia. After injection, orbital compression is applied for around 15 minutes.