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Distal Branches of the Facial Nerve

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I'm back with some more distal branches

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of the 7th or facial nerve.

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I've got a sagittal T1 and an axial T1.

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Now, my sagittal T1 is taken all the way out here,

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and these two dots right here represent

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the 7th nerve, up.

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Cochlear nerve, down.

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I'm going to ignore the cochlear nerve right now,

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and we're right at the locus of the geniculate ganglion.

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So, we're right over here in the axial projection.

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Now, I'm going to follow the 7th nerve.

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And right around the geniculate ganglion,

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we have the genu or the knee,

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or one of the curves of the 7th nerve.

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I can follow it forward, and now I can follow it back.

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It travels with the petrosal plexus of veins,

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so it's a little bit brighter, normally.

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You don't want to confuse that with enhancement.

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It's just flow phenomenon.

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And now as we follow it back,

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we see our second curve right here.

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And it curves down into the vertical

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segment of the 7th nerve,

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which corresponds axially to

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this structure right here.

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So, what branches come out at this locus?

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The posterior auricular branch in the descending

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portion before it exits the cranial vault or cavity,

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and then passes through the parotid gland.

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Now, it doesn't innervate the parotid gland,

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but it does form a parotid plexus,

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which splits into five branches,

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innervating the muscles of facial expression.

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And these can be remembered with the cute mnemonic,

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'"Two Zebras Bit My Cow."

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T for temporal,

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Z for zygomatic,

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B for buccal,

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M for mandibular,

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and C for cervical.

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Let's move on, shall we?

Report

Description

Faculty

Stephen J Pomeranz, MD

Chief Medical Officer, ProScan Imaging. Founder, MRI Online

ProScan Imaging

Tags

Temporal bone

Salivary Glands

Neuroradiology

MRI

Head and Neck

Brain

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