In facial palsy the muscle which is paralysed is:
**Core Concept:** Facial palsy is a condition where the facial nerve (cranial nerve VII) is damaged, leading to paralysis of the muscles it supplies. The seventh cranial nerve is responsible for controlling the muscles involved in facial expressions, such as smiling, frowning, and closing the eyes.
**Why the Correct Answer is Right:** In facial palsy, the most commonly affected muscle is the **medial and lateral rectus muscles**, which are responsible for the movement of the eyes, particularly for the side-to-side movement (abduction and adduction). These muscles are located on either side of the eye and are under the control of the facial nerve. When the facial nerve is damaged, these muscles become paralyzed, leading to the characteristic drooping of the affected side of the face.
**Why Each Wrong Option is Incorrect:**
A. **Medial oblique muscle**: This muscle is not involved in the eye movement but rather helps in the rotation of the eye towards the nose (intrusions). It is not responsible for the side-to-side movement of the eye and is thus not the correct answer.
B. **Lower eyelid retractors**: These muscles help in maintaining the position of the lower eyelid, and are not responsible for the side-to-side movement of the eye.
C. **Occipitalis**: This muscle is involved in the rotation of the head towards the affected side and is not related to the eye movement.
D. **Orbicularis oculi**: This muscle is responsible for the closing of the eye, not the side-to-side movement of the eye.
**Clinical Pearl:** In cases of facial palsy, the affected individual may experience eye dryness, foreign body sensation, and difficulty in closing the eye properly, which can lead to corneal exposure and ulceration if not addressed promptly.
**Correct Answer:** D. Orbicularis oculi
**Why Each Wrong Option is Incorrect:**
A. **Levator palpebrae superioris**: This muscle is involved in raising the upper eyelid and is not related to the side-to-side movement of the eye.
B. **Levator palpebrae inferioris**: This muscle is involved in the elevation of the lower eyelid and is not responsible for the side-to-side movement of the eye.
C. **Muller's muscle**: This muscle is involved in the rotation of the eye and is not related to the side-to-side movement of the eye.
D. **Orbicularis oculi**: The orbicularis oculi is the correct answer as it is responsible for the side-to-side movement of the eye. Its paralysis can lead to difficulties in closing the eye, increased tear production, and eyelid retraction, which may result in corneal exposure and ulceration if left untreated.