Marginal mandibular branch of the facial nerve

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Marginal mandibular branch of the facial nerve
Gray788.png
Plan of the facial and intermediate nerves and their communication with other nerves. (Labeled at center bottom, second from bottom, as "Mandibular".)
Ramusmarginalismandibularisnervifacialis.png
The nerves of the scalp, face, and side of neck.
Details
From Facial nerve
Identifiers
Latin ramus marginalis mandibularis nervi facialis
TA98 A14.2.01.113
TA2 6305
FMA 53365
Anatomical terms of neuroanatomy

The marginal mandibular branch of the facial nerve arises from the facial nerve (CN VII) in the parotid gland at the parotid plexus. It passes anterior-ward deep to the platysma and depressor anguli oris muscles. It provides motor innervation to muscles of the lower lip and chin:[ citation needed ] the depressor labii inferioris muscle, depressor anguli oris muscle, and mentalis muscle. [1] It communicates with the mental branch of the inferior alveolar nerve.[ citation needed ]

Contents

Clinical significance

Iatrogenic damage

The marginal mandibular nerve may be injured during surgery in the neck region, especially during excision of the submandibular salivary gland or during neck dissections due to lack of accurate knowledge of variations in the course, branches and relations. An injury to this nerve during a surgical procedure can distort the expression of the smile as well as other facial expressions. The marginal mandibular branch of the facial nerve is found superficial to the facial artery and (anterior) facial vein. 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 may be corrected with resection of the muscle, which tends to be successful. [3]

Additional images

Related Research Articles

<span class="mw-page-title-main">Facial nerve</span> Cranial nerve VII, for the face and tasting

The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of facial expression, and functions in the conveyance of taste sensations from the anterior two-thirds of the tongue. The nerve typically travels from the pons through the facial canal in the temporal bone and exits the skull at the stylomastoid foramen. It arises from the brainstem from an area posterior to the cranial nerve VI and anterior to cranial nerve VIII.

<span class="mw-page-title-main">Parotid gland</span> Major salivary gland in many animals

The parotid gland is a major salivary gland in many animals. In humans, the two parotid glands are present on either side of the mouth and in front of both ears. They are the largest of the salivary glands. Each parotid is wrapped around the mandibular ramus, and secretes serous saliva through the parotid duct into the mouth, to facilitate mastication and swallowing and to begin the digestion of starches. There are also two other types of salivary glands; they are submandibular and sublingual glands. Sometimes accessory parotid glands are found close to the main parotid glands.

<span class="mw-page-title-main">Digastric muscle</span> Small muscle located under the jaw in mammals

The digastric muscle is a bilaterally paired suprahyoid muscle located under the jaw. Its posterior belly is attached to the mastoid notch of temporal bone, and its anterior belly is attached to the digastric fossa of mandible; the two bellies are united by an intermediate tendon which is held in a loop that attaches to the hyoid bone. The anterior belly is innervated via the mandibular nerve, and the posterior belly is innervated via the facial nerve. It may act to depress the mandible or elevate the hyoid bone.

<span class="mw-page-title-main">Lip</span> Visible body parts at the mouth

The lips are a horizontal pair of soft appendages attached to the jaws and are the most visible part of the mouth of many animals, including humans. Vertebrate lips are soft, movable and serve to facilitate the ingestion of food and the articulation of sound and speech. Human lips are also a somatosensory organ, and can be an erogenous zone when used in kissing and other acts of intimacy.

<span class="mw-page-title-main">Auriculotemporal nerve</span> Branch of the mandibular nerve

The auriculotemporal nerve is a sensory branch of the mandibular nerve (CN V3) that runs with the superficial temporal artery and vein, and provides sensory innervation to parts of the external ear, scalp, and temporomandibular joint. The nerve also conveys post-ganglionic parasympathetic fibres from the otic ganglion to the parotid gland.

<span class="mw-page-title-main">Platysma muscle</span> Human neck muscle

The platysma muscle is a superficial muscle of the human neck that overlaps the sternocleidomastoid. It covers the anterior surface of the neck superficially. When it contracts, it produces a slight wrinkling of the neck, and a "bowstring" effect on either side of the neck.

<span class="mw-page-title-main">Depressor labii inferioris muscle</span> Facial muscle that helps to lower the bottom lip

The depressor labii inferioris is a facial muscle. It helps to lower the bottom lip.

<span class="mw-page-title-main">Mentalis</span> Muscle that raises the central portion of the lower lip

The mentalis muscle is a paired central muscle of the lower lip, situated at the tip of the chin. It originates from the mentum of the mandible, and inserts into the soft tissue of the chin. It is sometimes referred to as the "pouting muscle" due to it raising the lower lip and causing chin wrinkles.

<span class="mw-page-title-main">Depressor anguli oris muscle</span> Facial muscle that depresses the corner of the mouth during frowning

The depressor anguli oris muscle is a facial muscle. It originates from the mandible and inserts into the angle of the mouth. It is associated with frowning, as it depresses the corner of the mouth.

<span class="mw-page-title-main">Facial artery</span> Blood vessel supplying blood to the superficial face

The facial artery is a branch of the external carotid artery that supplies structures of the superficial face.

<span class="mw-page-title-main">Modiolus (face)</span> Chiasma of facial muscles

In facial anatomy, the modiolus is a dense, compact, mobile, fibromuscular tissue mass of facial muscles formed by the interlacing of a number of muscles just lateral to the angle of the mouth opposite the second upper premolar tooth.

<span class="mw-page-title-main">Mental nerve</span> Sensory nerve of the face

The mental nerve is a sensory nerve of the face. It is a branch of the posterior trunk of the inferior alveolar nerve, itself a branch of the mandibular nerve (CN V3), itself a branch of the trigeminal nerve (CN V). It provides sensation to the front of the chin and the lower lip, as well as the gums of the anterior mandibular (lower) teeth. It can be blocked with local anaesthesia for procedures on the chin, lower lip, and mucous membrane of the inner cheek. Problems with the nerve cause chin numbness.

<span class="mw-page-title-main">Maxillary artery</span> Artery supplying face structures in humans

The maxillary artery supplies deep structures of the face. It branches from the external carotid artery just deep to the neck of the mandible.

<span class="mw-page-title-main">Infraorbital artery</span>

The infraorbital artery is a small artery in the head that arises from the maxillary artery and passes through the inferior orbital fissure to enter the orbit, then passes forward along the floor of the orbit, finally exiting the orbit through the infraorbital foramen to reach the face.

<span class="mw-page-title-main">Masseteric nerve</span> Nerve of the face

The masseteric nerve is a nerve of the face. It is a branch of the mandibular nerve (CN V3). It passes through the mandibular notch to reach masseter muscle. It provides motor innervation the masseter muscle, and sensory innervation to the temporomandibular joint.

<span class="mw-page-title-main">Buccal branches of the facial nerve</span>

The buccal branches of the facial nerve, are of larger size than the rest of the branches, pass horizontally forward to be distributed below the orbit and around the mouth.

<span class="mw-page-title-main">Submental artery</span> Branch of the facial artery

The submental artery is the largest branch of the facial artery in the neck. It first runs forward under the mouth, then turns upward upon reaching the chin.

<span class="mw-page-title-main">Facial muscles</span> Muscles of the face

The facial muscles are a group of striated skeletal muscles supplied by the facial nerve that, among other things, control facial expression. These muscles are also called mimetic muscles. They are only found in mammals, although they derive from neural crest cells found in all vertebrates. They are the only muscles that attach to the dermis.

Lip reconstruction may be required after trauma or surgical excision. The lips are considered the beginning of the oral cavity and are the most common site of oral cancer. Any reconstruction of the lips must include both functional and cosmetic considerations. The lips are necessary for speech, facial expression, and eating. Because of their prominent location on the face, even small abnormalities can be apparent.

<span class="mw-page-title-main">Buccal fat pad</span> Organ of the face

The buccal fat pad is one of several encapsulated fat masses in the cheek. It is a deep fat pad located on either side of the face between the buccinator muscle and several more superficial muscles. The inferior portion of the buccal fat pad is contained within the buccal space. It should not be confused with the malar fat pad, which is directly below the skin of the cheek. It should also not be confused with jowl fat pads. It is implicated in the formation of hollow cheeks and the nasolabial fold, but not in the formation of jowls.

References

PD-icon.svgThis article incorporates text in the public domain from page 905 of the 20th edition of Gray's Anatomy (1918)

  1. Drake, Richard (2010). Gray's Anatomy of students. Philadelphia: Churchill Livingstone elseveier. pp. 855–866. ISBN   978-0-443-06952-9.
  2. Batra APS, Mahajan A, Gupta K. Marginal mandibular branch of the facial nerve: An anatomical study. Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India. 2010;43(1):60-64. doi:10.4103/0970-0358.63968.
  3. 1 2 Hussain, G; Manktelow, R.T; Tomat, L.R (September 2004). "Depressor labii inferioris resection: an effective treatment for marginal mandibular nerve paralysis". British Journal of Plastic Surgery . 57 (6): 502–510. doi:10.1016/j.bjps.2004.04.003. ISSN   0007-1226. PMID   15308395.