Great auricular nerve | |
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![]() Plan of the cervical plexus. (Great auricular labeled at top center.) | |
Details | |
From | Cervical plexus (C2-C3) |
Innervates | Sensation of inferior part of auricle and parotid region of the face |
Identifiers | |
Latin | nervus auricularis magnus |
TA98 | A14.2.02.018 |
TA2 | 6385 |
FMA | 6872 |
Anatomical terms of neuroanatomy |
The great auricular nerve is a cutaneous (sensory) nerve of the head. It originates from the second and third cervical (spinal) nerves (C2-C3) of the cervical plexus. It provides sensory innervation to the skin over the parotid gland and the mastoid process, parts of the outer ear, and to the parotid gland and its fascia.
Pain resulting from parotitis is caused by an impingement on the great auricular nerve.
The great auricular nerve is the largest of the ascending branches of the cervical plexus. [1]
It arises from the second and third cervical (spinal) nerves (C2-C3), [1] with the predominant contribution coming from C2. [2]
The great auricular nerve is a large trunk that ascends almost vertically over the sternocleidomastoid. [2] It winds around the posterior border of the sternocleidomastoid muscle, then perforates the deep fascia before ascending alongside the external jugular vein upon that sternocleidomastoid muscle beneath the platysma muscle to the parotid gland. [1] Upon reaching the parotid gland, it divides into an anterior branch and a posterior branch. [1]
Anterior branch
The anterior branch (or facial branch[ citation needed ]) is distributed to the skin of the face over the parotid gland. [1]
It communicates with the facial nerve (CN VII) inside the parotid gland. [1]
Posterior branch
The posterior branch (or mastoid branch[ citation needed ]) innervates the skin over the mastoid process, on the back of the auricle (save for its upper part), of the lobule, and of the lower part of the concha. [1]
The posterior branch communicates with the lesser occipital nerve, the auricular branch of the vagus, and the posterior auricular branch of the facial. [1]
The great auricular nerve is distributed to the skin of the face over the angle of the mandible [2] and parotid gland (via anterior branch [1] ), [1] [2] skin over of the mastoid region [2] (i.e. skin over the mastoid process [1] ) (via posterior branch [1] ), parts of the auricle (posterior branch [1] ), [1] [2] and the parotid gland and parotid fascia. [2]
The great auricular nerve may be damaged during surgery on the parotid gland, reducing sensation to the face. [3]
Pain resulting from parotitis is caused by an impingement on the great auricular nerve.[ citation needed ]
The intermingling of the great auricular nerve and the facial nerve (CN VII) is thought to be responsible for the pathogenesis of Frey's syndrome following parotidectomy. [1]
The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of facial expression, and functions in the conveyance of taste sensations from the anterior two-thirds of the tongue. The nerve typically travels from the pons through the facial canal in the temporal bone and exits the skull at the stylomastoid foramen. It arises from the brainstem from an area posterior to the cranial nerve VI and anterior to cranial nerve VIII.
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A spinal nerve is a mixed nerve, which carries motor, sensory, and autonomic signals between the spinal cord and the body. In the human body there are 31 pairs of spinal nerves, one on each side of the vertebral column. These are grouped into the corresponding cervical, thoracic, lumbar, sacral and coccygeal regions of the spine. There are eight pairs of cervical nerves, twelve pairs of thoracic nerves, five pairs of lumbar nerves, five pairs of sacral nerves, and one pair of coccygeal nerves. The spinal nerves are part of the peripheral nervous system.
The lesser occipital nerve is a cutaneous spinal nerve of the cervical plexus. It arises from second cervical (spinal) nerve (C2). It innervates the skin of the back of the upper neck and of the scalp posterior to the ear.
The parotid gland is a major salivary gland in many animals. In humans, the two parotid glands are present on either side of the mouth and in front of both ears. They are the largest of the salivary glands. Each parotid is wrapped around the mandibular ramus, and secretes serous saliva through the parotid duct into the mouth, to facilitate mastication and swallowing and to begin the digestion of starches. There are also two other types of salivary glands; they are submandibular and sublingual glands. Sometimes accessory parotid glands are found close to the main parotid glands.
The external carotid artery is the major artery of the head and upper neck. It arises from the common carotid artery. It terminates by splitting into the superficial temporal and maxillary artery within the parotid gland.
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The cervical plexus is a nerve plexus of the anterior rami of the first four cervical spinal nerves C1-C4. The cervical plexus provides motor innervation to some muscles of the neck, and the diaphragm; it provides sensory innervation to parts of the head, neck, and chest.
The auriculotemporal nerve is a sensory branch of the mandibular nerve (CN V3) that runs with the superficial temporal artery and vein, and provides sensory innervation to parts of the external ear, scalp, and temporomandibular joint. The nerve also conveys post-ganglionic parasympathetic fibres from the otic ganglion to the parotid gland.
The occipital artery is a branch of the external carotid artery that provides arterial supply to the back of the scalp, sternocleidomastoid muscles, and deep muscles of the back and neck.
The posterior auricular artery is a small artery that arises from the external carotid artery. It ascends along the side of the head. It supplies several muscles of the neck and several structures of the head.
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The deep cervical fascia lies under cover of the platysma, and invests the muscles of the neck; it also forms sheaths for the carotid vessels, and for the structures situated in front of the vertebral column. Its attachment to the hyoid bone prevents the formation of a dewlap.
The posterior auricular nerve is a nerve of the head. It is a branch of the facial nerve. It communicates with branches from the vagus nerve, the great auricular nerve, and the lesser occipital nerve. Its auricular branch supplies the posterior auricular muscle, the intrinsic muscles of the auricle, and gives sensation to the auricle. Its occipital branch supplies the occipitalis muscle.
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The parotid fascia is a tough fascia enclosing the parotid gland. It has a superficial layer and a deep layer.
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