Greater palatine nerve | |
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Details | |
From | Pterygopalatine ganglion |
Identifiers | |
Latin | nervus palatinus major, nervus palatinus anterior |
TA98 | A14.2.01.045 |
TA2 | 6224 |
FMA | 52802 |
Anatomical terms of neuroanatomy |
The greater palatine nerve is a branch of the pterygopalatine ganglion. This nerve is also referred to as the anterior palatine nerve, due to its location anterior to the lesser palatine nerve. It carries both general sensory fibres from the maxillary nerve, and parasympathetic fibers from the nerve of the pterygoid canal. It may be anaesthetised for procedures of the mouth and maxillary (upper) teeth.
The greater palatine nerve is a branch of the pterygopalatine ganglion. It descends through the greater palatine canal, moving anteriorly and inferiorly. [1] [2] Here, it is accompanied by the descending palatine artery. [1] It emerges upon the hard palate through the greater palatine foramen. It then passes forward in a groove in the hard palate, nearly as far as the incisor teeth.
While in the pterygopalatine canal, it gives off lateral posterior inferior nasal branches, which enter the nasal cavity through openings in the palatine bone, and ramify over the inferior nasal concha and middle and inferior meatuses. At its exit from the canal, a palatine branch is distributed to both surfaces of the soft palate.
The greater palatine nerve carries both general sensory fibres from the maxillary nerve, and parasympathetic fibers from the nerve of the pterygoid canal. It supplies the gums, the mucous membrane and glands of the hard palate, and communicates in front with the terminal filaments of the nasopalatine nerve.
The greater palatine nerve may be anaesthetised to perform dental procedures on the maxillary (upper) teeth, and sometimes for cleft lip and cleft palate surgery. [1]
The parasympathetic nervous system (PSNS) is one of the three divisions of the autonomic nervous system, the others being the sympathetic nervous system and the enteric nervous system. The enteric nervous system is sometimes considered part of the autonomic nervous system, and sometimes considered an independent system.
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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In neuroanatomy, the mandibular nerve (V3) is the largest of the three divisions of the trigeminal nerve, the fifth cranial nerve (CN V). Unlike the other divisions of the trigeminal nerve (ophthalmic nerve, maxillary nerve) which contain only afferent fibers, the mandibular nerve contains both afferent and efferent fibers. These nerve fibers innervate structures of the lower jaw and face, such as the tongue, lower lip, and chin. The mandibular nerve also innervates the muscles of mastication.
In anatomy, the palatine bones are two irregular bones of the facial skeleton in many animal species, located above the uvula in the throat. Together with the maxilla, they comprise the hard palate.
The otic ganglion is a small parasympathetic ganglion located immediately below the foramen ovale in the infratemporal fossa and on the medial surface of the mandibular nerve. It is functionally associated with the glossopharyngeal nerve and innervates the parotid gland for salivation.
The pterygopalatine ganglion is a parasympathetic ganglion in the pterygopalatine fossa. It is one of four parasympathetic ganglia of the head and neck,.
The greater petrosal nerve is a nerve of the head mainly containing pre-ganglionic parasympathetic fibres which ultimately synapse in the pterygopalatine ganglion. It branches from the facial nerve and is derived from the parasympathetic part of the nervus intermedius component of CN VII, with its cell bodies located in the superior salivary nucleus. In the connective tissue substance of the foramen lacerum, the greater petrosal nerve unites with the (sympathetic) deep petrosal nerve to form the nerve of the pterygoid canal which proceeds to the pterygopalatine ganglion.
In neuroanatomy, the maxillary nerve (V2) is one of the three branches or divisions of the trigeminal nerve, the fifth (CN V) cranial nerve. It comprises the principal functions of sensation from the maxilla, nasal cavity, sinuses, the palate and subsequently that of the mid-face, and is intermediate, both in position and size, between the ophthalmic nerve and the mandibular nerve.
In human anatomy, the pterygopalatine fossa is a fossa in the skull. A human skull contains two pterygopalatine fossae—one on the left side, and another on the right side. Each fossa is a cone-shaped paired depression deep to the infratemporal fossa and posterior to the maxilla on each side of the skull, located between the pterygoid process and the maxillary tuberosity close to the apex of the orbit. It is the indented area medial to the pterygomaxillary fissure leading into the sphenopalatine foramen. It communicates with the nasal and oral cavities, infratemporal fossa, orbit, pharynx, and middle cranial fossa through eight foramina.
The pterygoid processes of the sphenoid, one on either side, descend perpendicularly from the regions where the body and the greater wings of the sphenoid bone unite.
The zygomatic nerve is a branch of the maxillary nerve. It arises in the pterygopalatine fossa and enters the orbit through the inferior orbital fissure before dividing into its two terminal branches: the zygomaticotemporal nerve and zygomaticofacial nerve.
The nasopalatine nerve (also long sphenopalatine nerve) is a nerve of the head. It is a sensory branch of the maxillary nerve (CN V2) that passes through the pterygopalatine ganglion (without synapsing) and then through the sphenopalatine foramen to enter the nasal cavity, and finally out of the nasal cavity through the incisive canal and then the incisive fossa to enter the hard palate. It provides sensory innervation to the posteroinferior part of the nasal septum, and gingiva just posterior to the upper incisor teeth.
The maxillary artery supplies deep structures of the face. It branches from the external carotid artery just deep to the neck of the mandible.
The greater palatine artery is a branch of the descending palatine artery and contributes to the blood supply of the hard palate and nasal septum.
The posterior superior alveolar nerves (also posterior superior dental nerves or posterior superior alveolar branches) are sensory branches of the maxillary nerve (CN V2). They arise within the pterygopalatine fossa as a single trunk. They run on or in the maxilla. They provide sensory innervation to the upper molar teeth and adjacent gum, and the maxillary sinus.
The nerve of the pterygoid canal is formed by the union of the (parasympathetic) greater petrosal nerve and (sympathetic) deep petrosal nerve within the cartilaginous substance filling the foramen lacerum. From the foramen lacerum, the nerve of the pterygoid canal passes through the pterygoid canal to reach the pterygopalatine fossa, ending at the pterygopalatine ganglion.
The intermediate nerve, nervus intermedius, nerve of Wrisberg or Glossopalatine nerve is the part of the facial nerve located between the motor component of the facial nerve and the vestibulocochlear nerve. It contains the sensory and parasympathetic fibers of the facial nerve. Upon reaching the facial canal, it joins with the motor root of the facial nerve at the geniculate ganglion. Alex Alfieri postulates that the intermediate nerve should be considered as a separate cranial nerve and not a part of the facial nerve.
The salivatory nuclei are two parasympathetic general visceral efferent cranial nerve nuclei - the superior salivatory nucleus and the inferior salivatory nucleus - that innervate the salivary glands. Both are located in the pontine tegmentum of the brainstem.
The following outline is provided as an overview of and topical guide to human anatomy:
This article incorporates text in the public domain from page 893 of the 20th edition of Gray's Anatomy (1918)