Maxillary Nerve

Download as pdf or txt
Download as pdf or txt
You are on page 1of 17

MAXILLARY NERVE & PTERYGOPALATINE GANGLION

D.R VINAITHA M.sc Tutor -Dept Anatomy

Distribution of 5th Cranial Nerve

v 2nd division of Trigeminal nerve v Purely sensory v Sensations from the maxillary teeth, the skin between the palpebral fissure and the mouth, and from the nasal cavity and sinuses v Intermediate between Opthalmic and Mandibular

COURSE OF MAXILLARY NERVE

COURSE
Middle of trigeminal ganglion as plexiform band

Lateral aspect of Cavernous sinus

Foramen Rotundum

Cross Pterygopalatine fossa

Enters orbit thru Inferior orbital fissure

BRANCHES
In the middle cranial Fossa: meningeal br. In pterygopalatine Fossa: Ganglionic Zygomatic br Posterior superior alveolar br In infra-orbital canal: Middle superior alveolar br Anterior superior alveolar br On the face: palpebral br Nasal br Superior labial br

A. Zygoticaticotemporal B. Zygomaticofacial C. Post. Sup. Alveolar Brs D. Nasopalatine E. Greater Palatine F. Lesser Palatine G. Mid. & Ant. Alveolar Brs H. Infraorbital

Trigeminal nerve distribution in face

Maxillary nerve

PTERYGOPALATINE GANGLION (Sphenopalatine Ganglion, Ganglion of Meckel)


v v v v v v v Triangular Reddish grey Below maxillary nerve Pterygopalatine fossa Largest peripheral parasympathetic ganglion Receives a sensory, a motor, and a sympathetic root sensory root - derived from two sphenopalatine branches of the maxillary nerve v motor root - derived from the nervus intermedius through the greater superficial petrosal nerve v sympathetic root - derived from the carotid plexus through the deep petrosal nerve - join to form the nerve of the pterygoid canal before their entrance into the ganglion

Connections
Preganglionic fibers: Lacrimatory nucleus in the lower pons

Facial nerve

Nervous intermedius

Greater petrosal nerve

Nerve of pterygoid canal

Pterygopalatine ganglion

Postganglionic fibers

Pterygopalatine ganglion

Maxillary nerve

Zygomatic nerve

Greater palatine nerve

Lacrimal nerve

Nasal, palatine gland

Lacrimal gland

Pharyngeal glands

Sympathetic: deep petrosal nerve + greater petrosal nerve nerve of pterygoid canal sensory to mucous membrane of nose, palate, nasopharynx

Sensory: through maxillary nerve orbital, nasal, palatal and pharyngeal branches

APPLIED ANATOMY
Pterygopalatine ganglion ganglion of hay fever The parasympathetic supply to the nose is from the lacrimal nucleus with the fibers leaving the brain stem in the nervus intermedius. They relay in the pterygopalatine ganglion before entering the nasal cavity. An increase in parasympathetic tone causes swelling and increased secretion from the nasal mucosa. The pterygopalatine ganglion is sometimes called the hay fever ganglion

THANK Q

You might also like