Cranial Nerve Vii - The Facial Nerve and How to Test Its Function

Cranial Nerve Vii - The Facial Nerve and How to Test Its Function

Wrinkle In Time Quiz - Cranial Nerve Vii - The Facial Nerve and How to Test Its Function

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The seventh cranial nerve is predominantly a motor nerve supplying the muscles of facial expression. The sensory component is small, it carries taste sensations from the previous 2/3rds of the tongue and cutaneous sensations from the previous wall of the external auditory canal.

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Wrinkle In Time Quiz

The taste fibers are carried by the lingual nerve, which is a subject of the mandibular nerve and these fibers join the chorda tympani. The motor nucleus of the seventh nerve lies previous and lateral to the abducens nucleus in the lower pons. The intrapontine fibers hook nearby the sixth nerve nucleus to emerge at the cerebellopontine angle, lateral to the corticospinal tract. Along with the auditory canal through the internal auditory neatus. Anterioly it bends sharply forward and downward, and at this angle lies the geniculate ganglion. Distally, the nerve exits through the stylomastoid foramen. Immediately after its exit from the skull, the nerve passes through the parotid gland, and gives rise to five branches to provide the orbicularis oculi, orbicularis oris, frnatalis, zygomatic muscles, buccinator, platysma and other muscles of facial expression. Within the facial canal, just distal to the geniculate ganglion, through the greater superificial petrosal nerve it supplies the sphenopalantine ganglion which innervates the lacrimal glands and gives another subject to the stapedius muscle, before being joined by the chorda tympani.

Testing

The inpatient should be asked to frown, wrinkle his forehead, rise his eyebrows, close his eyes tightly against resistance, retract the angle of his mouth, show his teeth, blow his cheeks and whistle, If there is mystery in any of the above functions, it could be compared with the salutary side. Also note for any asymmetry of palpebral fissure and the nasolabial fold in the resting position.

The sensation of the previous aspect of the external auditory canal is test wit cotton. Taste from the previous 2/3rds of the tongue is tested using 4 base flavors, and quinine. The tongue should be protruding throughout the test and the inpatient be protruding throughout the test and the inpatient should not be allowed to speak. The words, sweet, salt, sour and bitter are written on a paper, and the subject is asked to point to the word that signifies the taste he perceives. For the posterior third of the tongue, the same materials can be used for testing. As an alternative stimulus, electric current can be used. Facial deadness (Palsy) may be of the lower motor neuron type or upper motor neuron type.

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