Page 59 - Edited - Webster HEAD AND NECK - part 2-Merge PDF
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HN253 FACIAL PALSY - PARALYSIS OF THE FACIAL NERVE HN 253




            A   ADDITIONAL FEATURES                                          B   BELL'S PALSY-nerve Paralyzed at
                IF LESION IS                                                     or beyond stylomastoid foramen.
                CENTRAL TO                                                       MUSCLES OF FACIAL
                STYLOMASTOID                                                     EXPRESSION + BUCCINATORM. (   )
                FORAMEN (     )
                                                                              EYEBROW may be lover ⸪
                                                                              occipitofrontalism (         )
                                                                              paralyzed.
            (1) Absence
               of tears on                                                    ORBICULARIS OCULI PARALYZED
               affected side                                                  for details
                (                   )

           (2) HYPERACUSIS *                                                NASOLABIAL FURROW OBLITERATED
            (3) Taste impaired                                            BUCCINATOR PARALYZED: food
               from oral tongue                                           collects in vestibule during
               & entire palate.                                           mastication.
               food tastes
               “mouldy”                                               ORBICULARIS ORIS PARALYZED:
                                                                      impaired articulation of speech;
         (4) Salivation from                                          saliva dribbles.
            homs-lateral
            suls - moulid.B    REDSHIELD   SHEEP   YUK!
            - lingsaliv               CHEZ                * "Hyperacusis" is hypersensitivity to loud, high pitched
                                      ALPHONSE
            gladsimpived                                  noises, which are painful. It is due to paralysis of the
                                                          stapedius muscle of the middle ear (see later handant).
               C
























                                         SHAY LEASE YOU
                                         OOD ASTARD.
                                                                                                  ITH THIS I
                                                                                                   NEED A
                 K.E.W.                                                                            ICTURE?

                “SCREW UP YOUR FACE”                               K.E.W.

                                                                          “SMILE PLEASE”
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