周圍性面神經(jīng)麻痹課件

面神經(jīng)麻痹面神經(jīng)麻痹1面神經(jīng)的解剖面神經(jīng)為第7對腦神經(jīng),由感覺、運(yùn)動和副交感神經(jīng)纖維組成,分別管理舌的味覺,面部表情肌運(yùn)動及支配舌下腺、下頜下腺和淚腺的分泌。面神經(jīng)的解剖21、運(yùn)動纖維-運(yùn)動核占大部分,支配面部表情肌2、感覺神經(jīng)纖維(1)一般感覺神經(jīng)纖維:支配面部、耳后皮膚(2)鼓索神經(jīng):支配味覺(3)鐙骨神經(jīng):支配聽覺3、副交感神經(jīng)纖維(1)支配淚腺(2)支配唾液腺1、運(yùn)動纖維-運(yùn)動核占大部分,支配面部表情肌3展神經(jīng)TrigeminalgangL面神經(jīng)運(yùn)動核FacialmotornucleusLacrimalglan涏核psalivatorynucleu巖大神經(jīng)翼鍔神經(jīng)節(jié)弧束核膝狀神經(jīng)節(jié)成索面神經(jīng)運(yùn)動纖維一ChordatampaorfibersoffacialnLingualn下頜下腺、下頜下神經(jīng)節(jié)圖3-69面神經(jīng)纖維組成示意圖展神經(jīng)4面神經(jīng)管段膝狀節(jié)今巖大神經(jīng)Geniculategangl鐙骨肌神經(jīng)巖大神經(jīng)令鼓索侵骨肌神經(jīng)面神經(jīng)面神經(jīng)管段5頜神經(jīng)axillaryn.三又神經(jīng)節(jié)神經(jīng)感覺根和運(yùn)動根nsoryrootandmotorrootoftrigeminalnTrigeminalpaneL.下頜神經(jīng)前神經(jīng)Greaterpetrosaln.面神經(jīng)膝耳顳神經(jīng)Viddleangela.下牙槽神經(jīng)、下舌骨肌神經(jīng)后神下牙槽神經(jīng)、動脈Inf,alveolar.a頜神經(jīng)6顱外段面神經(jīng)主干莖乳孔--面神經(jīng)分叉長約2cm令乳突前緣中點(diǎn)深側(cè)約2cm-.腮腺入腮腺前分支耳后神經(jīng)二腹肌支莖突舌骨肌支腮腺內(nèi)分支顱外段7面神經(jīng)題支面神經(jīng)支Zygomaticbroffa面神經(jīng)上/Supbuccalbr.of、面神經(jīng)下朝攴nf,buccalbr,ofr面神經(jīng)下領(lǐng)緣支面神經(jīng)題支8耳顳神經(jīng)上頜神經(jīng)下頜神經(jīng)翼腭N節(jié)三叉N節(jié)膝N節(jié)眶下神經(jīng)標(biāo)本觀察上牙槽神經(jīng)后支面神經(jīng)管莖乳孔頰神經(jīng)舌神經(jīng)下頜下N節(jié)和頦神經(jīng)耳顳神經(jīng)上頜神經(jīng)9面神經(jīng)功能的定量評價I級:功能正常;令Ⅱ級:靜態(tài)無明顯異常,面部運(yùn)動時不能維持面肌對稱;Ⅲ級:靜態(tài)無異常,運(yùn)動時面肌不對稱,閉目不完全ⅣV級:靜態(tài)無異常,運(yùn)動時面肌不對稱,閉目不完全V級:靜態(tài)時有兩側(cè)面肌不對稱,動態(tài)時部分面肌有微弱運(yùn)動Ⅵ級:面肌完全癱瘓無任何運(yùn)動。面神經(jīng)功能的定量評價10周圍性面神經(jīng)麻痹課件11周圍性面神經(jīng)麻痹課件12周圍性面神經(jīng)麻痹課件13周圍性面神經(jīng)麻痹課件14周圍性面神經(jīng)麻痹課件15周圍性面神經(jīng)麻痹課件16周圍性面神經(jīng)麻痹課件17周圍性面神經(jīng)麻痹課件18周圍性面神經(jīng)麻痹課件19周圍性面神經(jīng)麻痹課件20周圍性面神經(jīng)麻痹課件21周圍性面神經(jīng)麻痹課件22周圍性面神經(jīng)麻痹課件23周圍性面神經(jīng)麻痹課件24周圍性面神經(jīng)麻痹課件25周圍性面神經(jīng)麻痹課件26周圍性面神經(jīng)麻痹課件27周圍性面神經(jīng)麻痹課件28周圍性面神經(jīng)麻痹課件29周圍性面神經(jīng)麻痹課件30周圍性面神經(jīng)麻痹課件31周圍性面神經(jīng)麻痹課件32周圍性面神經(jīng)麻痹課件33周圍性面神經(jīng)麻痹課件34周圍性面神經(jīng)麻痹課件35周圍性面神經(jīng)麻痹課件36周圍性面神經(jīng)麻痹課件37周圍性面神經(jīng)麻痹課件38周圍性面神經(jīng)麻痹課件39周圍性面神經(jīng)麻痹課件40周圍性面神經(jīng)麻痹課件41周圍性面神經(jīng)麻痹課件42周圍性面神經(jīng)麻痹課件43周圍性面神經(jīng)麻痹課件44周圍性面神經(jīng)麻痹課件45周圍性面神經(jīng)麻痹課件46周圍性面神經(jīng)麻痹課件47周圍性面神經(jīng)麻痹課件48周圍性面神經(jīng)麻痹課件49周圍性面神經(jīng)麻痹課件50周圍性面神經(jīng)麻痹課件51周圍性面神經(jīng)麻痹課件52周圍性面神經(jīng)麻痹課件53周圍性面神經(jīng)麻痹課件54周圍性面神經(jīng)麻痹課件55面神經(jīng)麻痹面神經(jīng)麻痹56面神經(jīng)的解剖面神經(jīng)為第7對腦神經(jīng),由感覺、運(yùn)動和副交感神經(jīng)纖維組成,分別管理舌的味覺,面部表情肌運(yùn)動及支配舌下腺、下頜下腺和淚腺的分泌。面神經(jīng)的解剖571、運(yùn)動纖維-運(yùn)動核占大部分,支配面部表情肌2、感覺神經(jīng)纖維(1)一般感覺神經(jīng)纖維:支配面部、耳后皮膚(2)鼓索神經(jīng):支配味覺(3)鐙骨神經(jīng):支配聽覺3、副交感神經(jīng)纖維(1)支配淚腺(2)支配唾液腺1、運(yùn)動纖維-運(yùn)動核占大部分,支配面部表情肌58展神經(jīng)TrigeminalgangL面神經(jīng)運(yùn)動核FacialmotornucleusLacrimalglan涏核psalivatorynucleu巖大神經(jīng)翼鍔神經(jīng)節(jié)弧束核膝狀神經(jīng)節(jié)成索面神經(jīng)運(yùn)動纖維一ChordatampaorfibersoffacialnLingualn下頜下腺、下頜下神經(jīng)節(jié)圖3-69面神經(jīng)纖維組成示意圖展神經(jīng)59面神經(jīng)管段膝狀節(jié)今巖大神經(jīng)Geniculategangl鐙骨肌神經(jīng)巖大神經(jīng)令鼓索侵骨肌神經(jīng)面神經(jīng)面神經(jīng)管段60頜神經(jīng)axillaryn.三又神經(jīng)節(jié)神經(jīng)感覺根和運(yùn)動根nsoryrootandmotorrootoftrigeminalnTrigeminalpaneL.下頜神經(jīng)前神經(jīng)Greaterpetrosaln.面神經(jīng)膝耳顳神經(jīng)Viddleangela.下牙槽神經(jīng)、下舌骨肌神經(jīng)后神下牙槽神經(jīng)、動脈Inf,alveolar.a頜神經(jīng)61顱外段面神經(jīng)主干莖乳孔--面神經(jīng)分叉長約2cm令乳突前緣中點(diǎn)深側(cè)約2cm-.腮腺入腮腺前分支耳后神經(jīng)二腹肌支莖突舌骨肌支腮腺內(nèi)分支顱外段62面神經(jīng)題支面神經(jīng)支Zygomaticbroffa面神經(jīng)上/Supbuccalbr.of、面神經(jīng)下朝攴nf,buccalbr,ofr面神經(jīng)下領(lǐng)緣支面神經(jīng)題支63耳顳神經(jīng)上頜神經(jīng)下頜神經(jīng)翼腭N節(jié)三叉N節(jié)膝N節(jié)眶下神經(jīng)標(biāo)本觀察上牙槽神經(jīng)后支面神經(jīng)管莖乳孔頰神經(jīng)舌神經(jīng)下頜下N節(jié)和頦神經(jīng)耳顳神經(jīng)上頜神經(jīng)64面神經(jīng)功能的定量評價I級:功能正常;令Ⅱ級:靜態(tài)無明顯異常,面部運(yùn)動時不能維持面肌對稱;Ⅲ級:靜態(tài)無異常,運(yùn)動時面肌不對稱,閉目不完全ⅣV級:靜態(tài)無異常,運(yùn)動時面肌不對稱,閉目不完全V級:靜態(tài)時有兩側(cè)面肌不對稱,動態(tài)時部分面肌有微弱運(yùn)動Ⅵ級:面肌完全癱瘓無任何運(yùn)動。面神經(jīng)功能的定量評價65周圍性面神經(jīng)麻痹課件66周圍性面神經(jīng)麻痹課件67周圍性面神經(jīng)麻痹課件68周圍性面神經(jīng)麻痹課件69周圍性面神經(jīng)麻痹課件70周圍性面神經(jīng)麻痹課件71周圍性面神經(jīng)麻痹課件72周圍性面神經(jīng)麻痹課件73周圍性面神經(jīng)麻痹課件74周圍性面神經(jīng)麻痹課件75周圍性面神經(jīng)麻痹課件76周圍性面神經(jīng)麻痹課件77周圍性面神經(jīng)麻痹課件78周圍性面神經(jīng)麻痹課件79周圍性面神經(jīng)麻痹課件80周圍性面神經(jīng)麻痹課件81周圍性面神經(jīng)麻痹課件82周圍性面神經(jīng)麻痹課件83周圍性面神經(jīng)麻痹課件84周圍性面神經(jīng)麻痹課件85周圍性面神經(jīng)麻痹課件86周圍性面神經(jīng)麻痹課件87周圍性面神經(jīng)麻痹課件88周圍性面神經(jīng)麻痹課件89周圍性面神經(jīng)麻痹課件90周圍性面神經(jīng)麻痹課件91周圍性面神經(jīng)麻痹課件92周圍性面神經(jīng)麻痹課件93周圍性面神經(jīng)麻痹課件94周圍性面神經(jīng)麻痹課件95周圍性面神經(jīng)麻痹課件96周圍性面神經(jīng)麻痹課件97周圍性面神經(jīng)麻痹課件98周圍性面神