Anatomy & Histology · single question

In the Bell's palsy case with facial drooping and inability to close the eye, which muscle's paralysis most likely causes the MOUTH DROOPING?

  1. Temporalis
  2. Lateral pterygoid
  3. Buccinator
  4. Masseter
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Correct answer: C. Buccinator

The buccinator is innervated by the BUCCAL branch of the facial nerve (CN VII). In Bell's palsy, buccinator paralysis causes cheek drooping and mouth corner drooping/inability to keep food in mouth. Source confirms: 'c-buccinator.'
  • A. Temporalis = muscle of mastication, V3 innervation — not CN VII, not affected.
  • B. Lateral pterygoid = V3 innervation — not CN VII, not affected in facial nerve palsy.
  • C. CORRECT. Buccinator = buccal branch of CN VII. Paralysis causes cheek/mouth drooping in facial nerve palsy.
  • D. Masseter = muscle of mastication innervated by V3 (trigeminal) — NOT CN VII; not affected in Bell's palsy.

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