面部深層解剖【人體解剖】課件

面部深層解剖面部深層解剖1一、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、咀嚼肌閉口肌2一、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、咀嚼肌閉口肌3一、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、咀嚼肌閉口肌4一、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、咀嚼肌閉口肌5二、面部深層的血管1.上頜動(dòng)脈第一段：在下頜頸內(nèi)側(cè)腦膜中動(dòng)脈下牙槽動(dòng)脈第二段：位于翼外肌淺面或深面。主要供應(yīng)咀嚼肌、頰肌。第三段：位于翼腭窩內(nèi)上牙槽后動(dòng)脈腭降動(dòng)脈蝶腭動(dòng)脈眶下動(dòng)脈二、面部深層的血管腦膜中動(dòng)脈第二段：位于翼外肌淺面或深面。主62.翼靜脈叢和上頜靜脈2.翼靜脈叢和上頜靜脈7三、面部深層的神經(jīng)三、面部深層的神經(jīng)8V

三叉神經(jīng)（Trigeminalnerve)三叉神經(jīng)運(yùn)動(dòng)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(jué)和咀嚼肌的運(yùn)動(dòng)。三叉神經(jīng)節(jié)三叉神經(jīng)節(jié)V三叉神經(jīng)（Trigeminalnerve)三叉神經(jīng)運(yùn)動(dòng)9眼神經(jīng)

(感覺(jué)性神經(jīng))

上頜神經(jīng)

(感覺(jué)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)三叉神經(jīng)下牙槽神經(jīng)眶下神經(jīng)額神經(jīng)10眼神經(jīng)(ophthalmicnerve)

(感覺(jué)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(zhǎng)神經(jīng)眼神經(jīng)(ophthalmicnerve)額神經(jīng)11滑車上神經(jīng)淚腺神經(jīng)睫狀長(zhǎng)神經(jīng)額神經(jīng)眶上神經(jīng)鼻睫神經(jīng)滑車下神經(jīng)篩前神經(jīng)篩后神經(jīng)返回滑車上神經(jīng)淚腺神經(jīng)睫狀長(zhǎng)神經(jīng)額神經(jīng)眶上神經(jīng)鼻睫神經(jīng)滑車下神經(jīng)12①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(jué)性神經(jīng))返回①眶下神經(jīng)上頜神經(jīng)(maxillarynerve)返回13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)①耳顳神經(jīng)14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)①耳顳神經(jīng)15面部深層解剖【人體解剖】課件16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：翼腭神經(jīng)節(jié)下頜下神經(jīng)節(jié)膝神經(jīng)節(jié)分布范圍面肌VII面神經(jīng)（Facialnerve)17①鼓索

(含副交感節(jié)前纖維，內(nèi)臟感覺(jué)纖維)

②巖大神經(jīng)③鐙骨肌神經(jīng)

顱外分支(穿過(guò)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)①鼓索(含副交感節(jié)前纖維，內(nèi)臟感覺(jué)纖維)顱外分支面18面神經(jīng)管分支：1）鼓索(含副交感節(jié)前纖維，味覺(jué)纖維)2）巖大神經(jīng)（含副交感節(jié)前纖維）3）鐙骨肌神經(jīng)面神經(jīng)管分支：1）鼓索(含副交感節(jié)前纖維，味覺(jué)纖維)191）鼓索(含副交感節(jié)前纖維，味覺(jué)纖維)1）鼓索(含副交感節(jié)前纖維，味覺(jué)纖維)20巖大神經(jīng)膝神經(jīng)節(jié)翼腭神經(jīng)節(jié)上泌涎核返回巖大神經(jīng)膝神經(jīng)節(jié)翼腭神經(jīng)節(jié)上泌涎核返回21①顳支②顴支③頰支④下頜緣支⑤頸支面神經(jīng)顱外分支①②③④⑤①顳支面神經(jīng)顱外分支①②③④⑤22IX

舌咽神經(jīng)(Glossopharyngealnerve)莖突咽肌

腮腺舌后1/3粘膜、味蕾、頸動(dòng)脈竇耳后皮膚起始核：

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)IX舌咽神經(jīng)(Glossopharyngealnerv23舌咽神經(jīng)的分支舌支咽支鼓室神經(jīng)頸動(dòng)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)舌咽神經(jīng)舌支頸靜脈孔上神經(jīng)節(jié)下神經(jīng)節(jié)耳神經(jīng)節(jié)24面部深層解剖面部深層解剖25一、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、咀嚼肌閉口肌26一、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、咀嚼肌閉口肌27一、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、咀嚼肌閉口肌28一、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、咀嚼肌閉口肌29二、面部深層的血管1.上頜動(dòng)脈第一段：在下頜頸內(nèi)側(cè)腦膜中動(dòng)脈下牙槽動(dòng)脈第二段：位于翼外肌淺面或深面。主要供應(yīng)咀嚼肌、頰肌。第三段：位于翼腭窩內(nèi)上牙槽后動(dòng)脈腭降動(dòng)脈蝶腭動(dòng)脈眶下動(dòng)脈二、面部深層的血管腦膜中動(dòng)脈第二段：位于翼外肌淺面或深面。主302.翼靜脈叢和上頜靜脈2.翼靜脈叢和上頜靜脈31三、面部深層的神經(jīng)三、面部深層的神經(jīng)32V

三叉神經(jīng)（Trigeminalnerve)三叉神經(jīng)運(yùn)動(dòng)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(jué)和咀嚼肌的運(yùn)動(dòng)。三叉神經(jīng)節(jié)三叉神經(jīng)節(jié)V三叉神經(jīng)（Trigeminalnerve)三叉神經(jīng)運(yùn)動(dòng)33眼神經(jīng)

(感覺(jué)性神經(jīng))

上頜神經(jīng)

(感覺(jué)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)三叉神經(jīng)下牙槽神經(jīng)眶下神經(jīng)額神經(jīng)34眼神經(jīng)(ophthalmicnerve)

(感覺(jué)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(zhǎng)神經(jīng)眼神經(jīng)(ophthalmicnerve)額神經(jīng)35滑車上神經(jīng)淚腺神經(jīng)睫狀長(zhǎng)神經(jīng)額神經(jīng)眶上神經(jīng)鼻睫神經(jīng)滑車下神經(jīng)篩前神經(jīng)篩后神經(jīng)返回滑車上神經(jīng)淚腺神經(jīng)睫狀長(zhǎng)神經(jīng)額神經(jīng)眶上神經(jīng)鼻睫神經(jīng)滑車下神經(jīng)36①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(jué)性神經(jīng))返回①眶下神經(jīng)上頜神經(jīng)(maxillarynerve)返回37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)①耳顳神經(jīng)38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)①耳顳神經(jīng)39面部深層解剖【人體解剖】課件40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：翼腭神經(jīng)節(jié)下頜下神經(jīng)節(jié)膝神經(jīng)節(jié)分布范圍面肌VII面神經(jīng)（Facialnerve)41①鼓索

(含副交感節(jié)前纖維，內(nèi)臟感覺(jué)纖維)

②巖大神經(jīng)③鐙骨肌神經(jīng)

顱外分支(穿過(guò)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)①鼓索(含副交感節(jié)前纖維，內(nèi)臟感覺(jué)纖維)顱外分支面42面神經(jīng)管分支：1）鼓索(含副交感節(jié)前纖維，味覺(jué)纖維)2）巖大神經(jīng)（含副交感節(jié)前纖維）3）鐙骨肌神經(jīng)面神經(jīng)管分支：1）鼓索(含副交感節(jié)前纖維，味覺(jué)纖維)431）鼓索(含副交感節(jié)前纖維，味覺(jué)纖維)1）鼓索(含副交感節(jié)前纖維，味覺(jué)纖維)44巖大神經(jīng)膝神經(jīng)節(jié)翼腭神經(jīng)節(jié)上泌涎核返回巖大神經(jīng)膝神經(jīng)節(jié)翼腭神經(jīng)節(jié)上泌涎核返回45①顳支②顴支③頰支④下頜緣支⑤頸支面神經(jīng)顱外分支①②③④⑤①顳支面神經(jīng)顱外分支①②③④⑤46IX

舌咽神經(jīng)(Glossopharyngealnerve)莖突咽肌

腮腺舌后1/3粘膜、味蕾、頸動(dòng)脈竇耳后皮膚起始核：