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Procerus
The procerus muscle (or pyramidalis nasi) is a small pyramidal muscle in the glabella. It is involved in facial expressions such as frowning and those associated with attentional control, and it indirectly helps shield the eyes from bright light. Because it contributes to wrinkle formation on the nasal bridge, it is often targeted in non-surgical facial rejuvenation treatments, such as botulinum toxin injections. ''Procerus'' is Latin, meaning tall or extended. Structure The procerus muscle arises by tendinous fibers from the fascia covering the lower part of the nasal bone and upper part of the lateral nasal cartilage. It is inserted into the skin over the lower part of the forehead between the two eyebrows on either side of the midline, its fibers merging with those of the frontalis muscle. Nerve supply The procerus muscle is supplied by the temporal branch of the facial nerve (VII). It may also be supplied by other branches of the facial nerve, which can be varied, incl ...
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Procerus Sign
The procerus sign (vertical wrinkling of the forehead) is a medical sign consisting of vertical forehead wrinkling around the bridge of the nose and the glabella. This can be seen in neurodegenerative diseases such as progressive supranuclear palsy. Definition The procerus sign is defined as wrinkling around the bridge of the nose and the glabella. Differential The procerus sign can be seen in neurodegenerative diseases such as progressive supranuclear palsy (PSP). It is highly specific to PSP compared to other disorders involving Parkinsonism. Mechanism Dystonia of the procerus muscle or the corrugator supercilii muscle leads to abnormal muscle contraction. It is present both when the eyes are open and when they are closed, including during blinking. History The procerus sign may also be known as "vertical wrinkling of the forehead" because it often does not just involve the procerus muscle The procerus muscle (or pyramidalis nasi) is a small pyramidal muscle in th ...
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Forehead
In human anatomy, the forehead is an area of the head bounded by three features, two of the skull and one of the scalp. The top of the forehead is marked by the hairline, the edge of the area where hair on the scalp grows. The bottom of the forehead is marked by the supraorbital ridge, the bone feature of the skull above the eyes. The two sides of the forehead are marked by the temporal ridge, a bone feature that links the supraorbital ridge to the coronal suture line and beyond. However, the eyebrows do not form part of the forehead. In '' Terminologia Anatomica'', ''sinciput'' is given as the Latin equivalent to "forehead" (etymology of ''sinciput'': from ''semi-'' "half" and ''caput'' "head".). Structure The bone of the forehead is the squamous part of the frontal bone. The overlying muscles are the occipitofrontalis, procerus, and corrugator supercilii muscles, all of which are controlled by the temporal branch of the facial nerve. The sensory nerves of the forehea ...
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Human Nose
The human nose is the first organ of the respiratory system. It is also the principal organ in the olfactory system. The shape of the nose is determined by the nasal bones and the nasal cartilages, including the nasal septum, which separates the nostrils and divides the nasal cavity into two. The nose has an important function in breathing. The nasal mucosa lining the nasal cavity and the paranasal sinuses carries out the necessary conditioning of inhaled air by warming and moistening it. Nasal conchae, shell-like bones in the walls of the cavities, play a major part in this process. Filtering of the air by nasal hair in the nostrils prevents large particles from entering the lungs. Sneezing is a reflex to expel unwanted particles from the nose that irritate the mucosal lining. Sneezing can Transmission (medicine), transmit infections, because aerosols are created in which the Respiratory droplets, droplets can harbour pathogens. Another major function of the nose is olfactio ...
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Nasal Bone
The nasal bones are two small oblong bones, varying in size and form in different individuals; they are placed side by side at the middle and upper part of the face and by their junction, form the bridge of the upper one third of the nose. Each has two surfaces and four borders. Structure There is heavy variation in the structure of the nasal bones, accounting for the differences in sizes and shapes of the nose seen across different people. Angles, shapes, and configurations of both the bone and cartilage are heavily varied between individuals. Broadly, most nasal bones can be categorized as "V-shaped" or "S-shaped" but these are not scientific or medical categorizations. When viewing anatomical drawings of these bones, consider that they are unlikely to be accurate for a majority of people. The two nasal bones are joined at the midline internasal suture and make up the bridge of the nose. Surfaces The ''outer surface'' is concavo-convex from above downward, convex from ...
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Facial Artery
The facial artery, formerly called the external maxillary artery, is a branch of the external carotid artery that supplies blood to superficial structures of the medial regions of the face. Structure The facial artery arises in the carotid triangle from the external carotid artery, a little above the lingual artery, and sheltered by the ramus of the mandible. It passes obliquely up beneath the digastric and stylohyoid muscles, over which it arches to enter a groove on the posterior surface of the submandibular gland. It then curves upward over the body of the mandible at the antero-inferior angle of the masseter ( the antegonial notch); passes forward and upward across the cheek to the angle of the mouth, then ascends along the side of the nose, and ends at the medial commissure of the eye, under the name of the angular artery. The facial artery is remarkably tortuous. This is to accommodate itself to neck movements such as those of the pharynx in swallowing; and facia ...
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Progressive Supranuclear Palsy
Progressive supranuclear palsy (PSP) is a late-onset neurodegenerative disease involving the gradual deterioration and death of specific volumes of the brain, linked to 4-repeat tau pathology. The condition leads to symptoms including Balance disorder, loss of balance, Hypokinesia, slowing of movement, Ophthalmoparesis, difficulty moving the eyes, and cognitive impairment. PSP may be mistaken for other types of neurodegeneration such as Parkinson's disease, frontotemporal dementia and Alzheimer's disease. It is the second most common tauopathy behind Alzheimer's disease. The cause of the condition is uncertain, but involves the accumulation of tau protein within the brain. Medications such as L-DOPA, levodopa and amantadine may be useful in some cases. PSP was first officially described by Richardson, Steele, and Olszewski in 1963 as a form of progressive parkinsonism. However, the earliest known case presenting clinical features consistent with PSP, along with pathological co ...
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Nasal Bridge
The nasal bridge is the upper part of the nose, where the nasal bones and surrounding soft tissues provide structural support. While commonly discussed in human anatomy, nasal bridges exist in various forms across many vertebrates, particularly mammals. The shape, size, and function of the nasal bridge are influenced by evolutionary adaptations, playing a key role in Respiration (physiology), respiration, sense of smell, and thermoregulation. Anatomy Humans In humans, the nasal bridge is the elevated region of the human nose, nose between the eyes. It is primarily formed by the two small, oblong nasal bones, which meet at the midline to form the internasal suture. The nasal bridge extends from the nasal root, where the nose meets the forehead, to the lower edge of the nasal bones. Laterally, it reaches the inner canthi, the medial corners of the eyes, creating a saddle-shaped contour across the upper nose. The height and shape of the nasal bridge vary among individuals and ...
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Frontalis Muscle
The frontalis muscle () is a muscle which covers parts of the forehead of the skull. Some sources consider the frontalis muscle to be a distinct muscle. However, Terminologia Anatomica currently classifies it as part of the occipitofrontalis muscle along with the occipitalis muscle. In humans, the frontalis muscle only serves for facial expressions. The frontalis muscle is supplied by the facial nerve and receives blood from the supraorbital and supratrochlear arteries. Structure The frontalis muscle is thin, of a quadrilateral form, and intimately adherent to the superficial fascia. It is broader than the occipitalis and its fibers are longer and paler in color. It is located on the front of the head. The muscle has no bony attachments. Its medial fibers are continuous with those of the procerus; its intermediate fibers blend with the corrugator and orbicularis oculi muscles, thus attached to the skin of the eyebrows; and its lateral fibers are also blended with the latte ...
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Frown
A frown (also known as a scowl) is a facial expression in which the eyebrows are brought together, and the forehead is wrinkled, usually indicating displeasure, sadness or worry, or less often confusion or concentration. The appearance of a frown varies by culture. An alternative usage in North America is thought of as an expression of the mouth. In those cases when used iconically, as with an emoticon, it is entirely presented by the curve of the lips forming a down-open curve. The mouth expression is also commonly referred to in the colloquial English phrase, especially in the United States, to "turn that frown upside down" which indicates changing from sad to happy. Description Charles Darwin described the primary act of frowning as the furrowing of the brow which leads to a rise in the upper lip and a down-turning of the corners of the mouth. While the appearance of a frown varies from culture to culture, there appears to be some degree of universality to the recognition of ...
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Denervation
Denervation is any loss of nerve supply regardless of the cause. If the nerves lost to denervation are part of neural communication to an organ system or for a specific tissue function, alterations to or compromise of physiological functioning can occur. Denervation can result from an injury or be a symptom of a disorder like amyotrophic lateral sclerosis (ALS), post-polio syndrome, or neuropathic postural orthostatic tachycardia syndrome (POTS). Intentional denervation is a valuable surgical technique for managing some medical conditions, such as renal denervation in the setting of uncontrolled hypertension. Pathological denervation, by contrast, is associated with serious health sequelae, including increased infection susceptibility and tissue dysfunction. Causes The loss of nerve supply can be caused by injury, disorders, or result from a surgical procedure. Injuries Denervation can occur as a consequence of nerve injury. The three primary categories of nerve injury are ...
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Eyebrows
An eyebrow is an area of short hairs above each eye that follows the shape of the lower margin of the brow ridges of some mammals. In humans, eyebrows serve two main functions: first, communication through facial expression, and second, prevention of sweat, water, and other debris from falling down into the eye socket. It is common for people to modify their eyebrows by means of hair removal and makeup. Functions A number of theories have been proposed to explain the function of the eyebrow in humans. One approach suggests its main function is to prevent moisture (mostly sweat and rain) from flowing into the eye. Another theory holds that clearly visible eyebrows provided safety from predators when early hominid groups started sleeping on the ground. Recent research, however, suggests eyebrows in humans developed as a means of communication and that this is their primary function. Humans developed a smooth forehead with visible, hairy eyebrows capable of a wide range of movem ...
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Dystonia
Dystonia is a neurology, neurological Hyperkinesia, hyperkinetic Movement disorders, movement disorder in which sustained or repetitive muscle contractions occur involuntarily, resulting in twisting and repetitive movements or abnormal fixed postures. The movements may resemble a tremor. Dystonia is often intensified or exacerbated by physical activity, and symptoms may progress into adjacent muscles. The disorder may be Heredity, hereditary or caused by other factors such as birth trauma (physical), birth-related or other Injury, physical trauma, infection, poisoning (e.g., lead poisoning) or reaction to Medication, pharmaceutical drugs, particularly Antipsychotic, neuroleptics, or stress. Treatment must be highly customized to the needs of the individual and may include oral medications, chemodenervation Botulinum toxin, botulinum neurotoxin injections, physical therapy, or other supportive therapies, and surgical procedures such as deep brain stimulation. Classification The ...
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