面部深層解剖【人體解剖

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1、面部深層解剖一、咀嚼肌咬肌顳肌翼內(nèi)肌翼外肌—張口肌神經(jīng)支配：下頜神經(jīng)的咀嚼肌支。閉口肌一、咀嚼肌咬肌顳肌翼內(nèi)肌翼外肌—張口肌神經(jīng)支配：下頜神經(jīng)的咀嚼肌支。閉口肌一、咀嚼肌咬肌顳肌翼內(nèi)肌翼外肌—張口肌神經(jīng)支配：下頜神經(jīng)的咀嚼肌支。閉口肌一、咀嚼肌咬肌顳肌翼內(nèi)肌翼外肌—張口肌神經(jīng)支配：下頜神經(jīng)的咀嚼肌支。閉口肌二、面部深層的血管1.上頜動脈第一段：在下頜頸內(nèi)側腦膜中動脈下牙槽動脈第二段：位于翼外肌淺面或深面。主要供應咀嚼肌、頰肌。第三段：位于翼腭窩內(nèi)上牙槽后動脈腭降動脈蝶腭動脈眶下動脈2.翼靜脈叢和上頜靜脈三

2、、面部深層的神經(jīng)V三叉神經(jīng)（Trigeminalnerve)三叉神經(jīng)運動核三叉神經(jīng)腦橋核三叉神經(jīng)脊束核管理頭面部皮膚、粘膜、腦膜等的淺、深感覺和咀嚼肌的運動。三叉神經(jīng)節(jié)三叉神經(jīng)節(jié)眼神經(jīng)(感覺性神經(jīng))上頜神經(jīng)(感覺性神經(jīng))下頜神經(jīng)(混合性神經(jīng))三叉神經(jīng)下牙槽神經(jīng)耳顳神經(jīng)舌神經(jīng)頰神經(jīng)咀嚼肌神經(jīng)眶下神經(jīng)顴神經(jīng)上牙槽神經(jīng)翼腭神經(jīng)額神經(jīng)淚腺神經(jīng)鼻睫神經(jīng)眼神經(jīng)(ophthalmicnerve)(感覺性神經(jīng))額神經(jīng)：眶上神經(jīng)滑車上神經(jīng)淚腺神經(jīng)鼻睫神經(jīng)：滑車下神經(jīng)篩前、后神經(jīng)睫狀長神經(jīng)滑車上神經(jīng)淚腺神經(jīng)睫狀長神經(jīng)額神經(jīng)眶

3、上神經(jīng)鼻睫神經(jīng)滑車下神經(jīng)篩前神經(jīng)篩后神經(jīng)返回①眶下神經(jīng)②顴神經(jīng)③翼腭神經(jīng)④上牙槽神經(jīng)：上牙槽前、中、后支上頜神經(jīng)(maxillarynerve)(感覺性神經(jīng))返回下頜神經(jīng)(mandibularnerve)(混合性神經(jīng))①耳顳神經(jīng)②頰神經(jīng)③舌神經(jīng)④下牙槽神經(jīng)→頦神經(jīng)⑤咀嚼肌神經(jīng)下頜神經(jīng)(mandibularnerve)(混合性神經(jīng))①耳顳神經(jīng)②頰神經(jīng)③舌神經(jīng)④下牙槽神經(jīng)→頦神經(jīng)⑤咀嚼肌神經(jīng)分布范圍面肌淚腺舌下腺，下頜下腺舌前2/3味蕾VII面神經(jīng)（Facialnerve)面神經(jīng)核上泌涎核孤束核起始核：翼腭神

4、經(jīng)節(jié)下頜下神經(jīng)節(jié)膝神經(jīng)節(jié)①鼓索(含副交感節(jié)前纖維，內(nèi)臟感覺纖維)②巖大神經(jīng)③鐙骨肌神經(jīng)顱外分支(穿過腮腺)面神經(jīng)分支①顳支②顴支③頰支④下頜緣支⑤頸支面神經(jīng)管內(nèi)分支2.面神經(jīng)面神經(jīng)管分支：1）鼓索(含副交感節(jié)前纖維，味覺纖維)2）巖大神經(jīng)（含副交感節(jié)前纖維）3）鐙骨肌神經(jīng)1）鼓索(含副交感節(jié)前纖維，味覺纖維)巖大神經(jīng)膝神經(jīng)節(jié)翼腭神經(jīng)節(jié)上泌涎核返回①顳支②顴支③頰支④下頜緣支⑤頸支面神經(jīng)顱外分支①②③④⑤IX舌咽神經(jīng)(Glossopharyngealnerve)莖突咽肌腮腺舌后1/3粘膜、味蕾、頸動脈竇耳后

5、皮膚起始核：疑核下泌涎核孤束核三叉神經(jīng)脊束核分布于：耳神經(jīng)節(jié)下神經(jīng)節(jié)上神經(jīng)節(jié)頸靜脈孔上神經(jīng)節(jié)下神經(jīng)節(jié)耳神經(jīng)節(jié)舌咽神經(jīng)的分支舌支咽支鼓室神經(jīng)頸動脈竇支扁桃體支莖突咽肌支頸靜脈孔上神經(jīng)節(jié)下神經(jīng)節(jié)耳神經(jīng)節(jié)