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In neuroanatomy, the mandibular nerve (V 3) is the largest of the three divisions of the trigeminal nerve, the fifth cranial nerve (CN V). Unlike the other divisions of the trigeminal nerve ( ophthalmic nerve , maxillary nerve ) which contain only afferent fibers , the mandibular nerve contains both afferent and efferent fibers .
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 ]
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 ...
The ophthalmic division is tested by touching the forehead, the maxillary division is tested by touching the cheeks, and the mandibular division is tested by touching the chin. Be careful not to test the mandibular division too laterally, as the mandible is innervated by the great auricular nerve (C2 and C3). A common mistake is to use a ...
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 temporal branch of the facial nerve is typically found between the temporoparietal fascia (i.e., superficial temporal fascia) and temporal fascia (i.e., deep temporal fascia). This layer is also known as the innominate fascia. There are several methods using anatomic landmarks that may be used to find the temporal branch of the facial nerve.
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
Cephalometric analysis depends on cephalometric radiography to study relationships between bony and soft tissue landmarks and can be used to diagnose facial growth abnormalities prior to treatment, in the middle of treatment to evaluate progress, or at the conclusion of treatment to ascertain that the goals of treatment have been met. [5]