Facial A N PDF

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~

Partsoffacialni :

4 Intracranial :
From point of origin
to
entry of IAM

↳ Crandall : from
entry of IAM ,
exit
through Stydo
mastoid
foramen .

fy Intertemporal
Intracranial :

supply
muscles
of face

IntdaÉÉa
N .

e- in 2AM
Meatalslgeneut
:
.

a.

Internal Ear
ymKeut
Ein
.

: •

b. Lab
su
canal
/ IAM
→ enters a
bony

(
leaves
L
s oon as
facial • as

IV "

ahd
signed :
in
labyrinthine segment
↳ fauopiaueaual -

seg
.
Éd_\ mic
"
involved
"" "
Hatim
Labyrinthine 1AM If edema
happens
in this part

:L edema e- out
expansion
-

we
.

"ÉÉ¥¥¥¥:Eon
-

ischaemia

⑨ →
cog
→ vertical born hanging @aeiamnay#
from throw of
of the tympanic

. www.s.am-m Over 1st

② gun
.

Middle Ear

1
medial wait
qynypam.ae/ltoiiaoutalSegmeut-
:

c.

⑤F- Landmarks . ↳
significance
: s portion
just above


oval window

a re a of
dehiscence

|
Mle

went part of Fallopian canal .

d.
verti É
:

Longest 1

③g④¥

Landmarks
injury to facial
4
N
of
.

: mic area
① Pyramidal process
si ,

Addicts
② my injured part in Mastoid
surgeries .

incudu
③ Fossa
I
.

vertical / mastoid
segment
⑨ chord a
tympani cutey
.

Mic injured part


here →
in vertical
Segway
.⇐9euuAo#
① Schirmer 's
Lpodiagwostictests-I.es
test
of lesion Diagnostic
tests
burp
cly¥f
in
Baan identify
site
Symptoms
to ⇐

: •
e.gg
.

finding the location often ② Stapedual Reflex


injury ③ Taste cant 2150 )
visceral Efferent

¥¥.¥a!%→••→-
general ⑨ saiivatwn
Ceelectiogcestomutirp
.

I
① 5@inmeistst\
para @ iaoaae
L canthus
sptuuo palatine Ganglion d

clucking

÷÷↳i÷÷
.

of
most face
supply of Lacuicnat ?
y

' f-
C.
-

Efferent facials .

Lacrimation :

I →
Nasal
* Electrophysiological


General Somatic Afferent in damage the
Loss
to facial → Palatine 4 pests done to determine prognosis of

.

injury
-
i> noise trauma the .

↳ > Normal memos


ii
appearing aloud →
HRAc→
4 p.m. .

sup .
pay
e) Eleetiouuuouogiaphy
Loud sounds
of EAM Adi Part Recruitment > Stimulation of Nerves on
affected side
-

or
.


honda
becoming activity compared e- ⑥ side .

}
I
GN0g-
←①Éongue
BRANCHES CORNEAL RE
Taste feed
Special
=

of facial .

> conducted after 3


Visceral ② days
Sublingual
|
saiiration &

Afferent submandibular
gee ↳
degeneration
.

Before Wallenius

special
visceral Efferent
functioning
N

↳ of be
degenerated
to
caunÉ
'

mic :

cells → also

4QÉsy After 3
days →
wauesiandigeuu?
↳ ¥ Idiopathic
Electromyography muscles
directly & stimulated
:
-

"
Electrodes
2) into

I
-

Got cases
-3 As v2 spat
clucked
.

µ
&
dud - 3 c. most Action Potential ⑨ discharge flour
injury Labyrinthine part of N
untenable Nerves
-
.

|
| fibrillated n t Ab ① n
n
n

Acute
onset = .

symptoms 4 be
AP cannot
generated completely
:

1mn patsy
-

a. Lacrimation ✗
3 weeks for sign of
After recovery
b.
Hypaacusisv
-

forehead sparing 2150


µ
* salivation Good
-
UMN
patsy -1 - e. Taste from auo .

✗ ✗ AD :
prognosis .

d. do Fibdilleetco Bad
prognosis
Facial side damn
palsy of
-

one .
:

half of face
'd 3
My 1) Antiviral - 7 Pinsent c- in
days -
After 3
days
no med
.

i. .

Mx → edema in
2) STEROIDS - 7 Main
part I
labyrinthine
.

3) Physiotherapy ,
facial
massage .

↳ N .
stimulation done asidewise .

A) Eye care →
dryness of eyes .

↳ overflow of tears - 3 due to ectropion

\ µ, → Lacrimation
↳ collection a
overflow of
tears .

[ 5 pervert Exposure keratitis



Eye
.→ whenever
ships put eye gauge
.

closure
5) Nerve Nourishment - wit .

Biz .
0
Recurrence- s 10%

info ✗ Maumee
A risk
of BM's
↳ DM Idiopathic {
↳ AIDS Michelson Rosenthal

4 Pregnancy .

*
Pwguosisafoltowup-r.bg
steroid tit


Electrophysiological testing .

I
N not
recovery
.

or

1
if not -
[NeweDecowpussiou→
owÑut
② Melkeisonposeutnalsyndrouu :

↳ Alternating facial
A-
palsy
t
[suddeuounopaby_→ unction 3 Reenptodatti * Rot
issuing of tongue
"
f-
N
→ facial
-

|
immediately post op .

&
Swollen lips .

According
to onset
{ § steroids
Ma

surgery →
Edema
.

^
Sometime after
N.Pabyfouowe.mg#einfetious
| LateomtpawyT-
:

Facial
2 conditions
Ent
Ramsay Huutsyndiowu
- resides
① een
/→
-
-

mgye-j.ee mPaby_
, "

+ facial N
missing
.

Facial
Patsy both superficial *
deep part) facial
parotid G. respond
I
to
↳ me :
n

4
.

H Foster
-

ilseehoil
-

go mastoidectomy
.

Graft
② Elderly diabetic, Immunocompromised .

↳ vertical
segment I
Maeiguautotitisenteura g-
-

me sites .


.

,
.

2nd

( cautiously mwEuug→
'

severe
pain, granulation gene
ghost Long
:

determine if fallopian 1 I
a. pw-opARCT-i.TOcanal eroded or not
.

Swain
③ ohiddlcar : Acute Otitis Media
y
.

cause
Gleaton
.

°
+
b. burn sire pimentos slipping off structures
hoiiaocctal Largest Auricular
-

fallopian Canal dehiscence wienie


-3 MIC in
and
injuring
,

whitening
.

N
segment
.

Almaty dust >

crying superficially
'
:
collection of bone
pimentos
anomaly
Jay
Canal dehiscence
emigration
-

Very
- common
mandible
.

e. ,

* Favwpiau ^
- -

pdweuts temperature development over

↳ then it → severe transmission to


peweution
dialling
in
AOM immediate t.it damage
-

over →
middle Ear .

I
moguificatwnofsmauucueas-ioc.com
d.

fallopian Canal dehiscence Relieve Middle Ear



if y pressure e. Land
mgÉGatois
injury by pewentilhg
A-so when Neue
MRM Wiene near

_tt Myung otoiuy


.

pressure
:

-

minimum
pouauutoetuuewes
'

f.
Drilling
,

→ 1 transecting
the ner ve .

helps
in
identification
ASOM tht .

Diamonds : Blunt bun removes bone


very slowly
g.
y
used
Cattiugbcun : ✗

in where the nerve


is
emporio ( g e. Parotid / Acoustic
surgeries
.

Done
paativenewemou-itou.iq
: 0

h )
neuroma
-

intro
fallopian
.

0
Here ✗ done → : Ein canal .
regeuuationofni-ofterupair-i.io
iatiogeuictaanma
# Non -

:
#

#
degeneration
of temporal
bone .

↳ due to aberrant

1- petrous part of
low mt louganis of temporal
bond ruuoueureut of one
group of
muscle e- movement
of another
group of
④ gynkyneyy-eab.no
-

Transverse .
muscle

of
Longitudinal
Directioooo
on
*
⑥ ceoeodiletedis '

=
hongitudinal-I.im# TLYbremH-_
Greater
Cfo ?
°
"
.qzmjury_
Above
Superficial Petrosal

|ÉI¥É÷÷:÷÷
.

:
Leo :
.

Inner
TT Direction of

Eon
trauma
sparing .

¥ ¥
µ¥
" .

of fibres destino to Chanda


going tympani
on

Vestibule cochlear GÑ_ th


) into Greater
Middle ↳ An N .


] ✓
Superficial petrosal
cuoudatyuypaui
-

① Roof of f- Ac,
Sparing
.

Roof of Ear
, =
Facial N .
CUI th ND
of I
cavity Innu
↳ MGt_ Bolton lacrimal

gland
in
facial Paralysis
:

Ear i.
-


.

Rupture of
°
SNHL ✓
-

7AM C : post .

in Artificial tears
given to
replace tears .

↳ enxedalis
location
) •

Vertigo

from

o

Middle Ear enter external No 7AM duptuu 00


FuyÉsy@ :

,nÉÑ
ear

Acuiculaltiupoiad false degeneration


.

I ↳ csf
manage from
Middle

✗causO due to
0

Ear cavity
following -3 Parotid Sx
→É *
Csf secretion
Csf
Manage
.

In →
I sweating
over parotid a re a
during chewing
.

from EAM
③ Extend
bofFMf
.

"

Facial N
paralysis only Gustatory sweating parotid
'

over
.

if fracture passes
NCBI
.

Ear
.
.

through ↳ cavity ✗ FACIAL ↳ Starch Test

pawti-ydpa-g-uticsuppeyl-7gic.eu
÷•&_T ←
↳① by
Iodine
-

[[

Leakage
÷
from Eustachian tube Rub Iodine
superficial Petrosal

enough estuary ¥7m> ↳ starch
.

nose
f- spray
'

Tympanic
cuiloteiuporalnf
peonies
Laine something to

L-asr-E.FI
.

\
* eat

¥ ¥mi•mT^☒
Due to sweat dead
of .IT Starch
Difference ② ⑦ ¥
4zmeoiom.IT
Mandibular
Foramen Ovale
- Accessory Meningeal
though
#
-

-
Lesser Petrosal .

superficial opening Aniceto temporal


Emissary veins indicates a re a for
* Besting :
.

y.am?g?y?a?.u..7Heaiiugloss-
>
Incidence : A swell
a common ↳ bone en
Petrosal .

area of temporal
=

quon

{ ÉÉÉImY;¥g;:hig
ndrorue
m9tot•misI

#
-

{ Blow direction : Lateral


Auten posteriorly '

FIT
sweat ! I a.
Tympanic Neunedoiuy
gland

¢
paro , Removal
-

supply of ↳ Plexus

ÉY
Tympanic
' .

pouasyuyp
.

"

> 112yd
eampafoeatuin b. (
Bolton Mx 1-
: v →
Temporary
ai .

SN * < c.

:
CHL Implant

Longitudinal Tangney ↳ sem

>
rettig ↳
:
:
Parotid
oye
ofenteenaear silicone
.

✓ internal ear
↳ Accumulation of blood / HEM0TUMP-ANUM I
X 4
Bleeding of
.

> facial N .
:

peweut regain ?

-

↳ Battle 's / behind


Ecchymosis
ear
sign
.

7 CSF otorshea : ✓
✗ 4 Basilar skull fracture of
esr.ME#eihea: Temporal bone .
?⃝
LandmÉfÉs✗ :
Incision → Modified Blair Incision
medial → Just skin
↳ pointer : facial N .
is 1cm
iufero deep to .

Tnagae
↳ Posterior Facial N
nip
an
parallel
belly of digastric
.

. .

the
sigmoid process : Facial N lateral
-

↳ 6mm
Tympani mastoid suture facial
deep
: N .

\ Bisects 2 btw mastoid ✗


bony EAC .

h of the
peripheral dream Ches
Retrograde tracking of any
.

from

After raising skin

over
parotid

¥- Tip of ☐

Royal pointer
=
.

Facial N .

/-8¥/ .
I
p

Sty to mastoid
Suture

foramen
T.io#--:EpJfJqagaeroim-a
#←d- .

Tympanic

j¥i÷ii•%
bone .

gastric


1cm infcio medial
to
tdagal pointer
.

☐" ° "
& " "°
EAC a mastoid

d
parallel
y
d
facial N .

run .

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