Part 1 - Features of the Nose
Examine the external features of the nose, and appreciate the relationship between the nose and the upper lip.
Part 2 - Skinning
Remove the remainder of the skin from the face
Do not skin the nose or ears
Skin near the eyes, but do not skin the (palpebral parts of the orbicularis oculi m.) eyelids
Locate facial n. brs. and the parotid duct
Determine a dissection plan for each side of the face:
superficial dissection (which will retain the facial n. branches, and include facial mm.)
deep dissection (which will include facial mm. and cutaneous nn.)
Part 3 - Facial Nerve
Trace and clean the facial n. branches to their distal connections
Try to preserve any connections among these branches, especially in the vicinity of the buccal brs.
As you work medially from the parotid, locate the parotid (Stensen’s) duct, and clean the duct to its course through the buccinator m.
Part 4 - Facial Muscles
Clean any remaining fibro-adipose tissue from the SMAS to reveal the craniofacial and epicranial muscles
Skin the entirety of the nose, and locate the nasal muscles
Part 5 - Associated Foramina and Content
Using blunt dissection with minimal disruption of the surrounding tissue, locate the:
infra-orbital foramen
mental foramen
Find and identify the nerves they transmit
Locate the cutaneous portion of the auriculotemporal n.
Part 6 - Facial Artery and Vein
On the side of face with the parotid gland removed, locate the retromandibular v. and its superior tributary, the superficial temporal v.
Follow the retromandibular v. to its potential junctions with the facial v. (into the internal jugular v.) and the posterior auricular v. (to form the external jugular v.).
Locate the facial a. and v.
Locate the major branches of the facial a.
Locate major branches of the facial v.