7) Facial nerve The facial nerve emerges from the anterior surface of the brain, between the pons & the MO It has 3 nuclei ...
7) Facial nerve
- The facial nerve emerges from the anterior surface of the brain, between the pons & the MO
- It has 3 nuclei
- The main motor nucleus
- The parasympathetic nuclei (Superior salivatory nucleus & Lacrimal nucleus)
- The sensory nuclei
- Functions
- Motor nucleus supplies:
- Muscles of facial expression
- Auricular muscles
- Stapedius muscle
- Posterior belly of the Digastric muscle
- Stylohyoid muscle
- Superior salivatory nucleus
- Sub mandibular & sub lingual glands
- Nasal & palatine glands
- Lacrimal nucleus : Lacrimal gland
- Sensory nucleus : Taste fibers from,
- Anterior 2/3 of the tongue
- Floor of the mouth
- Palate
- Motor nucleus supplies:
Facial nerve nuclei & their connections
Main motor nuclei |
| |
Parasympathetic nucleus | Superior salivatory nucleus |
|
Lacrimal nucleus |
| |
Sensory nucleus | This is the upper part of the nucleus of the tractus solitarius | Carry the sensation of taste to the taste area of the cortex – Lower part of the post central gyrus (Through VPM nucleus of the opposite thalamus, internal capsule & corona radiata) |
Examination of the facial nerve
- Observe the patient as he talks & smiles; watch for:
- Eye closure
- Asymmetrical elevation of the one corner of the mouth
- Flattening of nasalabial folds
- Then the patient is instructed to:
- Wrinkle the forehead (By looking upwards with still head) : Frontalis
- Close eyes while examiner tries to open them : Orbicularis oculi
- Purse lips while the examiner presses cheeks : Buccinator
- Show teeth : Orbicularis oris
- Taste : Place sugar & salt in the anterior 2/3 of the protruding tongue