Interactive Transcript
0:00
Dr. P here with the 7th, or facial nerve,
0:03
I want to make three points.
0:06
First, The 7th nerve has two bends.
0:10
One bend is known as the genu.
0:13
It occurs in front,
0:14
and this is also known as the geniculum
0:16
of the facial nerve. Genu means knee,
0:19
and it contains the geniculate ganglion.
0:21
You can actually see the ganglion right here.
0:23
It's this gray little blob that is covered by this whitish area,
0:28
which represents the petrosal plexus of veins right next to it,
0:32
coursing alongside portions of the
0:35
horizontal tympanic facial nerve.
0:38
And those will come back to the second curve in the nerve.
0:42
So, we come back to the second curve.
0:43
Now, we can't see that curve because that curve goes down
0:47
into the screen as the vertical segment,
0:50
and then exits from the stylomastoid foramen.
0:52
So, we've established that there's two curves.
0:54
One curve here at the genu with the geniculate ganglion
0:58
and the other curve in the back.
1:00
Now, if we try and cross-reference the geniculate ganglion,
1:03
which is our second point of interest,
1:06
the geniculate ganglion is right here in the sagittal projection.
1:10
This is a magnified sagittal view.
1:12
So, this would be anterior.
1:13
This would be posterior.
1:14
I'll minify it a little bit so you can see where you are.
1:17
So, here's the cerebellum back here.
1:19
Now, it's really hard to see the ganglion,
1:21
but you can see what a challenging structure it is to see.
1:26
And then, the next point I'd like to make is the first
1:30
branches that come off from the facial nerve.
1:33
Now, the reason I chose to show you the geniculate ganglion
1:36
is that's a marker for where these branches come off,
1:40
because you can't really see them.
1:42
And these include the greater superficial petrosal nerve,
1:45
which arises right there,
1:47
and the greater petrosal nerve runs through
1:50
the pterygoid canal,
1:51
its synapses in the pterygopalatine ganglion
1:54
and postsynaptic fibers of the greater petrosal
1:57
nerve innervate the lacrimal
1:59
and the tympanic segment.
2:01
The facial nerve runs through the tympanic cavity,
2:04
medial to the incus.
2:05
We can't really see that here,
2:07
but it's more of a horizontal component to it.
2:09
And then, it reaches its second bend where
2:12
it runs in a vertical orientation.
2:14
So in the temporal part of the facial canal,
2:17
the nerve gives rise to a few more branches
2:19
to the stapedius and to the chorda tympani.
2:22
And the chorda tympani
2:23
supplies taste of fibers to the anterior
2:26
two thirds of the tongue and also synapses
2:29
with the submandibular ganglion.
2:31
Now postsynaptic fibers from the submandibular ganglion supply,
2:34
the sublingual and the submandibular glands.
2:38
Let's move on.
© 2024 Medality. All Rights Reserved.