面神经 前庭蜗神经 中英文概要1.pptVIP

Examination of  Facial Nerve ＆ Vestibulocochlear Nerve Anatomy of Facial Nerve Examination two parts: Motor：observe facial symmetry and movement ask the patient to : raise their eyebrows,look for asymmetry of the forehead skin. (frontalis 额肌) keep their eyes closed tightly,while you try to prevent this.(orbicularis oculi眼轮匝肌) smile,bare their teeth ,while you observe the skin creases around the mouth,angle of mouth （orbicularis oris 口轮匝肌） Puff out both cheeks Sensory : test for taste/ask patient about taste vestibulocochlear nerve(前庭蜗神经) vestibulocochlear nerve(前庭蜗神经) Symptoms vestibulocochlear nerve thank you three parts： motor fibre sensory fibre parasympathetic nerve fiber(副交感纤维) motor fibre: muscles of face expression, apart from levator palpebrae(上睑提肌) sensory fibre:taste from anterior 2/3 of the tongue ＆skin of ear parasympathetic nerve fiber(副交感纤维): secretion of tear gland,sublingual gland(舌下腺), submaxillary gland(颌下腺) 茎乳孔 内听道 面神经管 运动根 面神经 内听道 混合根 面神经管 面部 乳孔 pathway It arises from facial nucleus in the brainstem between the pons and the medulla. Branches (股索神经) （镫骨肌神经） (岩浅大神经) tear gland taste of the tongue sublingual gland(舌下腺), submaxillary gland(颌下腺) stapedius（镫骨肌） Upper motor neuron lesions paralysis can be seen in the only the lower part of the face on the contralateral side , due to the bilateral control to the upper facial muscles (frontalis and orbicularis oculi). 中枢性 面瘫 Classification of lesion injured in Corticobulbar tract lower motor neuron lesions paralysis can be seen in both the upper and lower facial muscles 周围性 面瘫 Classification injured in facial nucleus or the fibre it gives out hyperacusis(听觉过敏) loss of taste decreased salivation vesicles