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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 ]
This asymmetry can be caused by paralysis of the marginal mandibular branch of the facial nerve on one side, so the healthy side may be cut to create symmetry. [1] Local anaesthesia may be used, such as by blocking the mental nerve. [1] This operation tends to be successful. [1]
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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
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.
Facial synkinesis is a common sequela to Idiopathic Facial Nerve Paralysis, also called Bell's Palsy or Facial Palsy. [2] Bell's Palsy, which is thought to occur due to a viral reactivation which can lead (through unknown mechanisms) to diffuse axon demyelination and degeneration of the seventh cranial nerve, results in a hemifacial paralysis due to non-functionality of the nerve.
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