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The corrugator supercilii muscle acts upon the skin of the forehead superior to the middle of the supraorbital margin, [1] drawing the eyebrow inferomedially to produce vertical wrinkles of the forehead [3] just superior to the nose. [1] It is the "frowning" muscle, and may be regarded as the principal muscle in the expression of suffering. [4]
In most cases of sinus barotrauma, localized pain to the frontal area is the predominant symptom. This is due to pain originating from the frontal sinus, it being above the brow bones. Less common is pain referred to the temporal, occipital, or retrobulbar region. Epistaxis or serosanguineous secretion from the nose may occur.
The supraorbital vein is a vein of the forehead. It communicates with the frontal branch of the superficial temporal vein. It passes through the supraorbital notch, and merges with the angular vein to form the superior ophthalmic vein. The supraorbital vein helps to drain blood from the forehead, eyebrow, and upper eyelid.
One method is using Pitanguy's line, which is defined as running from 0.5 cm below the tragus to 1.5 cm above the lateral eyebrow. [1] Another method is to recognize that the temporal branch runs between the lines from the earlobe to the hairline and from the earlobe to the lateral eyebrow.
ATN pain can be described as heavy, aching, stabbing, and burning. Some patients have a constant migraine-like headache. Others may experience intense pain in one or in all three trigeminal nerve branches, affecting teeth, ears, sinuses, cheeks, forehead, upper and lower jaws, behind the eyes, and scalp.
The muscle has no bony attachments. Its medial fibers are continuous with those of the procerus; its intermediate fibers blend with the corrugator and orbicularis oculi muscles, thus attached to the skin of the eyebrows; and its lateral fibers are also blended with the latter muscle over the zygomatic process of the frontal bone.
It inserts in the fascia of the facial muscles and in the skin above the eyes and nose. [2] Some sources consider the occipital and frontal bellies to be two distinct muscles. However, Terminologia Anatomica currently classifies it as a single muscle, and also includes the temporoparietalis muscle as part of the epicranius.
Trochleitis is inflammation of the superior oblique tendon trochlea apparatus characterized by localized swelling, tenderness, and severe pain. This condition is an uncommon but treatable cause of periorbital pain. The trochlea is a ring-like apparatus of cartilage through which passes the tendon of the superior oblique muscle.
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