周?chē)悦嫔窠?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(duì)腦神經(jīng),由感覺(jué)、運(yùn)動(dòng)和副交感神經(jīng)纖維組成,分別管理舌的味覺(jué),面部表情肌運(yùn)動(dòng)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(dòng)纖維-運(yùn)動(dòng)核占大部分,支配面部表情肌2、感覺(jué)神經(jīng)纖維(1)一般感覺(jué)神經(jīng)纖維:支配面部、耳后皮膚(2)鼓索神經(jīng):支配味覺(jué)(3)鐙骨神經(jīng):支配聽(tīng)覺(jué)3、副交感神經(jīng)纖維(1)支配淚腺(2)支配唾液腺1、運(yùn)動(dòng)纖維-運(yùn)動(dòng)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(dòng)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(dòng)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(jué)根和運(yùn)動(dòng)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(dòng)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(zhǎng)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(guān)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(píng)價(jià)I級(jí):功能正常;令Ⅱ級(jí):靜態(tài)無(wú)明顯異常,面部運(yùn)動(dòng)時(shí)不能維持面肌對(duì)稱(chēng);Ⅲ級(jí):靜態(tài)無(wú)異常,運(yùn)動(dòng)時(shí)面肌不對(duì)稱(chēng),閉目不完全ⅣV級(jí):靜態(tài)無(wú)異常,運(yùn)動(dòng)時(shí)面肌不對(duì)稱(chēng),閉目不完全V級(jí):靜態(tài)時(shí)有兩側(cè)面肌不對(duì)稱(chēng),動(dòng)態(tài)時(shí)部分面肌有微弱運(yùn)動(dòng)Ⅵ級(jí):面肌完全癱瘓無(wú)任何運(yùn)動(dòng)。面神經(jīng)功能的定量評(píng)價(jià)10周?chē)悦嫔窠?jīng)麻痹課件11周?chē)悦嫔窠?jīng)麻痹課件12周?chē)悦嫔窠?jīng)麻痹課件13周?chē)悦嫔窠?jīng)麻痹課件14周?chē)悦嫔窠?jīng)麻痹課件15周?chē)悦嫔窠?jīng)麻痹課件16周?chē)悦嫔窠?jīng)麻痹課件17周?chē)悦嫔窠?jīng)麻痹課件18周?chē)悦嫔窠?jīng)麻痹課件19周?chē)悦嫔窠?jīng)麻痹課件20周?chē)悦嫔窠?jīng)麻痹課件21周?chē)悦嫔窠?jīng)麻痹課件22周?chē)悦嫔窠?jīng)麻痹課件23周?chē)悦嫔窠?jīng)麻痹課件24周?chē)悦嫔窠?jīng)麻痹課件25周?chē)悦嫔窠?jīng)麻痹課件26周?chē)悦嫔窠?jīng)麻痹課件27周?chē)悦嫔窠?jīng)麻痹課件28周?chē)悦嫔窠?jīng)麻痹課件29周?chē)悦嫔窠?jīng)麻痹課件30周?chē)悦嫔窠?jīng)麻痹課件31周?chē)悦嫔窠?jīng)麻痹課件32周?chē)悦嫔窠?jīng)麻痹課件33周?chē)悦嫔窠?jīng)麻痹課件34周?chē)悦嫔窠?jīng)麻痹課件35周?chē)悦嫔窠?jīng)麻痹課件36周?chē)悦嫔窠?jīng)麻痹課件37周?chē)悦嫔窠?jīng)麻痹課件38周?chē)悦嫔窠?jīng)麻痹課件39周?chē)悦嫔窠?jīng)麻痹課件40周?chē)悦嫔窠?jīng)麻痹課件41周?chē)悦嫔窠?jīng)麻痹課件42周?chē)悦嫔窠?jīng)麻痹課件43周?chē)悦嫔窠?jīng)麻痹課件44周?chē)悦嫔窠?jīng)麻痹課件45周?chē)悦嫔窠?jīng)麻痹課件46周?chē)悦嫔窠?jīng)麻痹課件47周?chē)悦嫔窠?jīng)麻痹課件48周?chē)悦嫔窠?jīng)麻痹課件49周?chē)悦嫔窠?jīng)麻痹課件50周?chē)悦嫔窠?jīng)麻痹課件51周?chē)悦嫔窠?jīng)麻痹課件52周?chē)悦嫔窠?jīng)麻痹課件53周?chē)悦嫔窠?jīng)麻痹課件54周?chē)悦嫔窠?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(duì)腦神經(jīng),由感覺(jué)、運(yùn)動(dòng)和副交感神經(jīng)纖維組成,分別管理舌的味覺(jué),面部表情肌運(yùn)動(dòng)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(dòng)纖維-運(yùn)動(dòng)核占大部分,支配面部表情肌2、感覺(jué)神經(jīng)纖維(1)一般感覺(jué)神經(jīng)纖維:支配面部、耳后皮膚(2)鼓索神經(jīng):支配味覺(jué)(3)鐙骨神經(jīng):支配聽(tīng)覺(jué)3、副交感神經(jīng)纖維(1)支配淚腺(2)支配唾液腺1、運(yùn)動(dòng)纖維-運(yùn)動(dòng)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(dòng)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(dòng)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(jué)根和運(yùn)動(dòng)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(dòng)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(zhǎng)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(guān)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(píng)價(jià)I級(jí):功能正常;令Ⅱ級(jí):靜態(tài)無(wú)明顯異常,面部運(yùn)動(dòng)時(shí)不能維持面肌對(duì)稱(chēng);Ⅲ級(jí):靜態(tài)無(wú)異常,運(yùn)動(dòng)時(shí)面肌不對(duì)稱(chēng),閉目不完全ⅣV級(jí):靜態(tài)無(wú)異常,運(yùn)動(dòng)時(shí)面肌不對(duì)稱(chēng),閉目不完全V級(jí):靜態(tài)時(shí)有兩側(cè)面肌不對(duì)稱(chēng),動(dòng)態(tài)時(shí)部分面肌有微弱運(yùn)動(dòng)Ⅵ級(jí):面肌完全癱瘓無(wú)任何運(yùn)動(dòng)。面神經(jīng)功能的定量評(píng)價(jià)65周?chē)悦嫔窠?jīng)麻痹課件66周?chē)悦嫔窠?jīng)麻痹課件67周?chē)悦嫔窠?jīng)麻痹課件68周?chē)悦嫔窠?jīng)麻痹課件69周?chē)悦嫔窠?jīng)麻痹課件70周?chē)悦嫔窠?jīng)麻痹課件71周?chē)悦嫔窠?jīng)麻痹課件72周?chē)悦嫔窠?jīng)麻痹課件73周?chē)悦嫔窠?jīng)麻痹課件74周?chē)悦嫔窠?jīng)麻痹課件75周?chē)悦嫔窠?jīng)麻痹課件76周?chē)悦嫔窠?jīng)麻痹課件77周?chē)悦嫔窠?jīng)麻痹課件78周?chē)悦嫔窠?jīng)麻痹課件79周?chē)悦嫔窠?jīng)麻痹課件80周?chē)悦嫔窠?jīng)麻痹課件81周?chē)悦嫔窠?jīng)麻痹課件82周?chē)悦嫔窠?jīng)麻痹課件83周?chē)悦嫔窠?jīng)麻痹課件84周?chē)悦嫔窠?jīng)麻痹課件85周?chē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