Frontal nerve

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Frontal nerve
Gray776.png
Nerves of the orbit. Seen from above.
Details
From Ophthalmic nerve
To Supratrochlear nerve and supraorbital nerve
InnervatesSkin of forehead, mucosa of frontal sinus, skin of upper eyelid
Identifiers
Latin nervus frontalis
TA98 A14.2.01.020
TA2 6199
FMA 52638
Anatomical terms of neuroanatomy

The frontal nerve is the largest branch of the ophthalmic nerve (V1), itself a branch of the trigeminal nerve (CN V). It supplies sensation to the skin of the forehead, the mucosa of the frontal sinus, and the skin of the upper eyelid. It may be affected by schwannoma.

Contents

Structure

The frontal nerve is a branch of the ophthalmic nerve (V1), itself a branch of the trigeminal nerve (CN V). [1] The frontal nerve branches immediately before entering the superior orbital fissure. In then travels superolateral to the annulus of Zinn between the lacrimal nerve and inferior ophthalmic vein. After entering the orbit it travels anteriorly between the roof periosteum and the levator palpebrae superioris. Midway between the apex and base of the orbit it divides into two branches, the supratrochlear nerve and supraorbital nerve.

Functions

The two branches of the frontal nerve provide sensory innervation to the skin of the forehead, mucosa of the frontal sinus (an air sinus), and the skin of the upper eyelid.

Clinical significance

The frontal nerve may rarely be affected by schwannoma, a benign nerve tumor affecting its myelin sheath. [2] [3] This may be between the superior orbital fissure and the supraorbital foramen or supraorbital notch. [2] It may cause damage to the adjacent orbital part of the frontal bone. [2] A CT scan or magnetic resonance imaging may be used to identify the extent of the cancer. [2] [3] A biopsy may be taken to confirm a diagnosis. [3] Surgery may be used to remove the schwannoma. [3]

Additional images

Related Research Articles

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<span class="mw-page-title-main">Supraorbital nerve</span> Branch of the frontal nerve

The supraorbital nerve is one of two branches of the frontal nerve, itself a branch of the ophthalmic nerve. The other branch of the frontal nerve is the supratrochlear nerve.

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<span class="mw-page-title-main">Orbit (anatomy)</span> Cavity or socket of the skull in which the eye and its appendages are situated

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<span class="mw-page-title-main">Superior orbital fissure</span> Foramen in the skull allowing for passage of cranial nerves

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<span class="mw-page-title-main">Supratrochlear nerve</span> Nerve of the forehead

The supratrochlear nerve is a branch of the frontal nerve, itself a branch of the ophthalmic nerve (CN V1) from the trigeminal nerve (CN V). It provides sensory innervation to the skin of the forehead and the upper eyelid.

<span class="mw-page-title-main">Superior tarsal muscle</span>

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<span class="mw-page-title-main">Supraorbital artery</span>

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<span class="mw-page-title-main">Canine space</span>

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<span class="mw-page-title-main">Herpes zoster ophthalmicus</span> Shingles in the human eye

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<span class="mw-page-title-main">Roots of the ciliary ganglion</span>

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References

  1. Gray's anatomy : the anatomical basis of clinical practice. Standring, Susan (41 ed.). [Philadelphia]. 2016. ISBN   978-0-7020-5230-9. OCLC   920806541.{{cite book}}: CS1 maint: location missing publisher (link) CS1 maint: others (link)
  2. 1 2 3 4 Young, Stephanie Ming; Kim, Yoon-Duck; Jeon, Gang Seok; Woo, Kyung In (2018-02-01). "Orbital Frontal Nerve Schwannoma—Distinctive Radiological Features". American Journal of Ophthalmology. 186: 41–46. doi:10.1016/j.ajo.2017.11.012. ISSN   0002-9394. PMID   29197538.
  3. 1 2 3 4 Hayashi, Yasuhiko; Watanabe, Takuya; Kita, Daisuke; Hayashi, Yutaka; Takahira, Masayuki; Hamada, Jun-ichiro (2012-12-23). "Orbital Cystic Schwannoma Originating from the Frontal Nerve". Case Reports in Ophthalmological Medicine. 2012: e604574. doi: 10.1155/2012/604574 . ISSN   2090-6722. PMC   3540697 . PMID   23320224.