Facial nerve

• SUPPLIES MUSCLES OF FACE (Sp V E)

• SECRETOMOTOR FIBRES TO SUBLINGUAL, SUBMANDIBULAR ,

LACRIMAL & PALATINE GLANDS ETC. (G V E)

• TASTE SENSATIONS FROM ANTERIOR 2/3RD OF TONGUE

THROUGH CHORDATYMPANI NERVE (Sp V A)

• GENERAL SENSATIONS FROM CONCHA OF PINNA (G S A)

Functional components

1. Sp V E (Branchial efferent)

2. GVE

3. SpVA

4. GSA
Pterygopalatine
ganglion Motor Superior
salivatory

Tractus
solitarius

Lacrimatory

Chordatympani
Lingual
Submandibular
ganglion
 NUCLEI

1. Motor nucleus

2. Superior salivatory nucleus

3. Lacrimatory nucleus

4. Nucleus of tractus solitarius

 CEREBELLO-PONTINE ANGLE

INTERNAL ACOUSTIC
MEATUS

Nervus intermedius

Facial nerve

Vestibulocochlear
 POSTERIOR ANTERIOR

second bend
GENU (first bend)

Aditus to mastoid
antrum

PROMONTORY
Nerve to stapedius Facial canal
Greater petrosal
nerve
 Chorda
tympani

Facial nerve in facial canal

Facial nerye emerging through
stylomastoid foramen
 Facial nerve through
stylomastoid foramen

Posterior
auricular

Posterior
belly of
digastric

stylohyoid
 Temporal
Posterior Zygomatic
auricular
Buccal

Marginal Mandibular
Cervical
APPLIED ANATOMY
SUPRA NUCLEAR LESION:
• Usually a part of hemiplegia.

• Only the lower part of the face on the contralateral side

is paralysed.

INFRANUCLEAR LESION:
• Known as Bell’s palsy.

• Whole of the ipsilateral face is paralysed

 Right cerebral hemisphere Left cerebral hemisphere

At the level
of pons

FACIAL NERVE
 Right cerebral hemisphere Left cerebral hemisphere

SUPRANUCLEAR LESION

At the level
of pons INFRANUCLEAR
LESION

FACIAL NERVE INJURY

R L R L

Left supra nuclear lesion Left Infra nuclear lesion

Vestibulocochlear nerve
SENSORY TO INTERNAL EAR

Sp S A
NUCLEI:
1.COCHLEAR NERVE: dorsal cochlear
ventral cochlear

2. VESTIBULAR NERVE: superior vestibular

inferior vestibular

medial vestibular

lateral vestibular
 Utricle
Anterior semicircular duct

Spiral
ganglion Lateral
semicircular
BASE OF c duct
SPIRAL v
c
LAMINA s
v Posterior
l
m semicircular
Vestibulochoclear d
i duct
nerve
INFERIOR
Saccule
CEREBELLAR
PEDUNCLE Vestibular ganglion
Applied Anatomy
- Deafness

DIFFERENTIATE BETWEEN
CONDUCTIVE DEAFNESS
&
NERVE DEAFNESS

Rinne’s test or Weber’s test

Normally aerial conduction better than bone conduction

A.C. > B.C

Rinne’s test: Patient finds vibrating tuning fork louder when placed on

mastoid process than when placed in front of affected ear

B.C>A.C
Weber’s test: Bone conduction is better on the side of diseased middle

ear when the vibrating tuning fork is placed on the centre

of forehead

B.C>A.C