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Knowledge of the functional components and the deficits that follow damage to
each provides the basis of the thorough neurological exam.
Stapedial Nerve
SVE
The facial nerve exits the posterior cranial fossa (PCF) at the internal
acoustic meatus.
Within the internal acoustic meatus the facial nerve enters the facial
canal.
The first branch of the facial nerve, the greater superficial petrosal nerve
(GSPN) branches from the geniculate ganglion within the genu of the
facial canal and enters the middle cranial fossa by way of the hiatus of
the canal for the GSPN.
The second branch of the facial nerve, the stapedial nerve, branches
from the descending portion of the facial nerve and enters the middle
ear.
The third branch of the facial nerve, the chorda tympani nerve, branches
from the descending portion of the facial nerve and enters the middle
ear. Within the middle ear the chorda tympani nerve crosses the medial
surface of the tympanic membrane. It then passes through the
petrotympanic fissure to enter the infratemporal fossa.
The descending portion of the facial nerve continues into the parotid
region by way of the stylomastoid foramen.
Overview of Facial
Nerve anatomy in
the skull
Posterior
Cranial
Fossa (PCF)
Internal
Acoustic
Meatus
Greater
superficial
Petrosal
nerve
(GSPN)
Facial
canal
Pterygoid
canal
Greater and
lesser palatine
canals
Petrotympanic
fissure
Facial nerve
Stylomastoid
Foramen
Facial nerve
Posterior
auricular N.
The facial nerve exits the posterior cranial fossa (PCF) at the internal acoustic
meatus.
Overview of Facial
Nerve anatomy in
the skull
Posterior
Cranial
Fossa
Internal
Acoustic
Meatus
Pterygoid
canal
Greater
superficial
Petrosal
nerve
(GSPN)
Facial
canal
Petrotympanic
fissure
Facial nerve
Stylomastoid
Foramen
Chorda tympani
Facial nerve
Posterior
auricular N.
Within the internal acoustic meatus the facial nerve enters the facial canal.
Greater and
lesser palatine
canals
Overview of Facial
Nerve anatomy in
the skull
Lacerate foramen
Geniculate ganglion
MCF
Posterior
Cranial
Fossa
Internal
Acoustic
Meatus
Pterygoid
canal
Greater
superficial
Petrosal
nerve
(GSPN)
Facial
canal
Greater and
lesser palatine
canals
Petrotympanic
fissure
Facial nerve
Stylomastoid
Foramen
Chorda tympani
Facial nerve
The first branch of the facial nerve, the greater superficial petrosal nerve (GSPN) branches
from the geniculate ganglion within the genu of the facial canal and enters
the middle cranial fossa (MCF) by way of the hiatus of the canal for the GSPN.
Overview of Facial
Nerve anatomy in
the skull
Posterior
Cranial
Fossa
Internal
Acoustic
Meatus
Pterygoid
canal
Greater
superficial
Petrosal
nerve
(GSPN)
Facial
canal
Stapedial N.
Greater and
lesser palatine
canals
Petrotympanic
fissure
Facial nerve
Stylomastoid
Foramen
Chorda tympani
Facial nerve
Posterior
auricular N.
The second branch of the facial nerve, the stapedial nerve, branches from the
descending portion of the facial nerve and enters the middle ear.
Overview of Facial
Nerve anatomy in
the skull
Posterior
Cranial
Fossa
Internal
Acoustic
Meatus
Greater
superficial
Petrosal
nerve
(GSPN)
Facial
canal
Pterygoid
canal
Greater and
lesser palatine
canals
Petrotympanic
fissure
Facial nerve
Chorda tympani N.
Stylomastoid
Foramen
Infratemporal
fossa
Facial nerve
The third branch of the facial nerve, the chorda tympani nerve, branches from the
descending portion of the facial nerve and enters the middle ear. Within the middle ear
the chorda tympani nerve crosses the medial surface of the tympanic membrane. It then
passes through the petrotympanic fissure to enter the infratemporal fossa.
Overview of Facial
Nerve anatomy in
the skull
Posterior
Cranial
Fossa
Internal
Acoustic
Meatus
Pterygoid
canal
Greater
superficial
Petrosal
nerve
(GSPN)
Facial
canal
Petrotympanic
fissure
Facial nerve
Stylomastoid
Foramen
Facial nerve
Posterior
auricular N.
Chorda tympani
Parotid
region
The descending portion of the facial nerve exits the facial canal at the
stylomastoid foramen and continues into the parotid region
Greater and
lesser palatine
canals
2.
3.
4.
5.
SVE
\
Stapedius muscle dampens movement of the
ossicles protecting the inner ear from
damage from loud noises
SVE
Posterior auricular
muscle pulls the
pinna posteriorly
SVE
component of
posterior
auricular nerve
Stylohyoid
muscle elevates
the hyoid bone.
Through the
stylomastoid
foramen
Stylohyoid branch of
facial nerve
innervates stylohyoid
muscle
SVE
Through the internal
acoustic meatus
Posterior belly of
digastric muscle
elevates the
hyoid bone
Through the
stylomastoid
foramen
Posterior belly of
digastric branch of
facial nerve
innervates posterior
belly of digastric
muscle.
SVE
A.
B.
C.
D.
E.
SVE
Temporal branch
Zygomatic branch
Zygomatic branch
Contraction of the zygomaticus major muscle
causes smiling
SVE
Buccal branch of
facial nerve innervates
Buccinator muscle.
SVE
Mandibular
branch
Depressor
angularis oris
Contraction of the
depressor angularis oris
muscle causes frowning
SVE
Contraction of platysma
Muscle results in
depression
of mandible.
Platysma muscle
Cervical branch of
facial nerve innervates
Platysma muscle.
SVE
Contraction of platysma
muscle causes the skin of the
anterior neck to tighten.
Platysma muscle
Cervical branch of
facial nerve innervates
Platysma muscle.
Summary of
SVE
Internal Acoustic
Meatus
Facial
nucleus
Stapedius muscle
dampens
movement of
ossicles.
Facial
canal
Facial nerve
Stylomastoid
Foramen
Facial nerve
Posterior
auricular N.
Posterior auricular
muscle responsible for
posterior displacement
of pinna.
Stylohyoid muscle
elevates hyoid bone.
Posterior belly
of digastric
elevates hyoid
bone.
Temporal-orbicularis oculi
closes eyelids.
Zygomatic-zygomaticus major
partly responsible for smiling.
Buccal-buccinator tenses cheek
Mandibular-depressor angularis
oris responsible for frowning.
Cervical- platysma helps lower
mandible and tightens skin of
neck.
Temperature sensation
GSPN
soft
palate
Through the
Pterygoid canal
Summary
of GVA
Through the
hiatus of canal of
GSPN
GSPN
Through the
internal acoustic
meatus
Facial
canal
Facial nerve
Light touch,
temperature,
and pain from
the soft palate
Pterygoid
canal
Through the
lesser palatine
canal
Hard palate
Soft
palate
GSPN branches from
the facial nerve at the
geniculate ganglion
within the genu of the
facial canal. It is made up
of fibers from SVA,
GVE, and GVA.
Co
Sweetened
coffee
Chorda
tympani
Summary
of SVA
Internal
Acoustic
Meatus
Lacerate foramen
GSPN
Pterygoid
canal
Facial
canal
Petrotympanic
fissure
Chorda tympani
Taste from hard
and soft palate.
Stylomastoid
Foramen
Taste from
anterior 2/3
tongue.
Greater and
lesser palatine
canals
GVE
GSPN
Lacrimal gland
Pterygopalatine
ganglion
A. Tearing of eye
Lacrimal nucleus
B. Mucus secretion of
nasal cavities
C. Mucus secretion
of hard and soft
palate.
GVE
Sublingulal
gland
Submandibular
gland
Superior salivary
nucleus
Chorda
tympani
Submandibular
ganglion
Summary
of GVE
Greater and
lesser palatine
canals
Pterygoid
canal
Internal
Acoustic
Meatus
Facial
canal
Petrotympanic fissure
Superior salivary
and lacrimal nucleus
Chorda tympani
GSA
Touch, temperature,
and pain sensation
from part of the
external acoustic
meatus.
Posterior
auricular
nerve
Foramen Rotundem
Summary of
GSA
Internal Acoustic
Meatus
Facial
canal
Facial nerve
Stylomastoid
Foramen
Facial nerve
Touch, temperature,
and pain sensation
from the external
acoustic meatus.
Posterior
auricular
nerve
Question #1
One effect of a lesion here, between
the branching of the stapedial nerve
and the branching of the chorda
tympani nerve, would be:
A. Paralysis
of facial
muscles
A. Paralysis
of facial
muscles
B. Decreased
sensation of
softsoft
palate
B. Decreased
sensation
palate
C. Decreased
hearingto
sensivity
C. Increased
sensitivity
loud noise
D. LossD.ofLoss
taste
of hard
of taste
to thepalate
soft palate
Question #2
A lesion here, between the
branching of the stapedial nerve
and the branching of the chorda
tympani nerve, will also cause?
A. Loss of light touch from the soft palate
B. Loss of taste from the soft palate
C. Loss of taste of anterior 2/3 of tongue
D. Loss of temperature from the soft palate.
Question #3
One effect of a lesion here, at the
stylomastoid foramen will be:
Question #4
A lesion here, between the branching of
the GSPN and the branching of the
stapedial nerve, will spare:
Question #5
A lesion here, between the
branching of the GSPN and the
branching of the stapedial nerve,
will also spare:
A. Light touch from the soft palate
B. Ability to smile
C. Taste from the anterior 2/3 of tongue
D. Protection of the inner ear from loud noises
Thank You
Return to SVE
Return to GVA
Return to GVE
Return to SVA
Return to GSA
Incorrect
The GVA component of the GSPN, which is spared by this lesion,
is responsible for providing sensation from the soft palate.
Incorrect
The stapedial nerve (SVE), which is spared by this lesion, is
responsible for protecting the ear from increased sensitivity to loud
noises.
Incorrect
The SVA component of the GSPN, which is spared by this lesion,
is responsible for providing taste from the hard palate.
Incorrect
The GVA component of the GSPN, which is spared by this lesion,
is responsible for providing light touch from the soft palate.
Incorrect
The SVA component of the GSPN, which is spared by this lesion,
is responsible for providing taste from the soft palate.
Incorrect
The GVA component of the GSPN, which is spared by this lesion,
is responsible for providing temperature sensation from
the soft palate.
Incorrect
The GVA component of the GSPN, which is spared by this lesion,
is responsible for providing light touch from the soft palate.
Incorrect
The GVE component of the chorda tympani nerve, which is spared
by this lesion, is responsible for providing salivation
of the oral cavity.
Incorrect
The stapedial nerve (SVE), which is spared by this lesion, is
responsible for protecting the ear from increased sensitivity to loud
noises.
Incorrect
This lesion will not spare taste to the anterior 2/3 of the tongue,
which is supplied via the SVA component of the chorda tympani
nerve.
Incorrect
This lesion will not spare salivation of the oral cavity, which is
supplied by the GVE component of the chorda tympani nerve.
Incorrect
This lesion will not spare ipsilateral facial expression, which is
supplied by the temporal, zygomatic, buccal, mandibular, and
cervical branches of the facial nerve (SVE).
Incorrect
This lesion will not spare the ability to smile, which is supplied by
the zygomatic branch of the facial nerve (SVE).
Incorrect
This lesion will not spare the ability to taste from the anterior 2/3 of
the tongue, which is supplied by the SVA component of the chorda
tympani nerve.
Incorrect
This lesion will not spare the ability to smile, which is supplied by
the zygomatic branch of the facial nerve (SVE).
Incorrect
This lesion will not spare the ability to protect the ear from loud
noises, which is supplied by the stapedial nerve (SVE).
Correct!
A lesion here will cause paralysis of facial muscles due
to its disruption of the SVE component.
Go back to question 1
Next question
Correct!
A lesion here will cause a loss of taste to the anterior 2/3 of the
tongue due to the disruption of the SVA component of
the chorda tympani nerve.
Go back to question 2
Next question
Correct!
A lesion here will cause partial loss of sensation (light touch,
temperature, and pain) of the external acoustic meatus due to
disruption of the GSA component of the posterior auricular nerve.
Go back to question 3
Next question
Correct!
A lesion here will spare a persons ability to taste on the hard and soft
palate because the SVA component of the Greater Superficial Petrosal
Nerve (GSPN) remains intact.
Go back to question 4
Next question
Correct!
A lesion here will spare the sensation of light touch of the soft palate
because the GVA component of the GSPN remains intact.
Go back to question 5
Continue