Incisive foramen

Last updated
Incisive foramen
Gray160.png
The bony palate and alveolar arch.
Details
Part of Hard palate
Identifiers
Latin foramen incisivum
TA98 A02.1.00.060
TA2 464
FMA 57737 75305, 57737
Anatomical terms of bone

In the human mouth, the incisive foramen (also known as: "anterior palatine foramen", or "nasopalatine foramen") is the opening of the incisive canals on the hard palate immediately behind the incisor teeth. It gives passage to blood vessels and nerves. The incisive foramen is situated within the incisive fossa of the maxilla.

Contents

The incisive foramen is used as an anatomical landmark for defining the severity of cleft lip and cleft palate.

The incisive foramen exists in a variety of species.

Structure

The incisive foramen is a funnel-shaped opening in the bone of the oral hard palate representing the inferior termination of the incisive canal.[ citation needed ] An oral prominence - the incisive papilla - overlies the incisive fossa. [1]

The incisive foramen is situated immediately behind the incisor teeth, and in between the two premaxillae.[ citation needed ]

Contents

The incisive foramen allows for blood vessels and nerves to pass. These include:

Clinical significance

As many nerves exit the incisive canal at the incisive foramen, it may be used for injection of local anaesthetic. [3]

When plain radiographs are taken of the mouth, the incisive foramen may be mistaken for a periapical lesion. [5]

The incisive foramen can be used as a landmark when describing cleft lip and cleft palate, which can either extend in front of (primary) or behind (secondary) the foramen. [6] [7] It is also important as a surgical landmark to avoid damaging its nerves and vascular structures. [3]

History

The incisive foramen is also known as the anterior palatine foramen, [5] the nasopalatine foramen, and the incisive fossa.

Other animals

In many other species, the incisive foramina allow for passage of ducts to the vomeronasal organ. [2] It can be found in cats, [6] and alligators. [8]

Additional images

Related Research Articles

<span class="mw-page-title-main">Glossopharyngeal nerve</span> Cranial nerve IX, for the tongue and pharynx

The glossopharyngeal nerve, also known as the ninth cranial nerve, cranial nerve IX, or simply CN IX, is a cranial nerve that exits the brainstem from the sides of the upper medulla, just anterior to the vagus nerve. Being a mixed nerve (sensorimotor), it carries afferent sensory and efferent motor information. The motor division of the glossopharyngeal nerve is derived from the basal plate of the embryonic medulla oblongata, whereas the sensory division originates from the cranial neural crest.

<span class="mw-page-title-main">Palatine bone</span> Bone of the facial skeleton

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.

<span class="mw-page-title-main">Pterygopalatine ganglion</span> Parasympathetic ganglion in the pterygopalatine fossa

The pterygopalatine ganglion is a parasympathetic ganglion in the pterygopalatine fossa. It is one of four parasympathetic ganglia of the head and neck,.

<span class="mw-page-title-main">Obturator internus muscle</span> One of six small hip muscles in the lateral rotator group

The internal obturator muscle or obturator internus muscle originates on the medial surface of the obturator membrane, the ischium near the membrane, and the rim of the pubis.

<span class="mw-page-title-main">Tensor veli palatini muscle</span> Muscle of the soft palate

The tensor veli palatini muscle is a thin, triangular muscle of the head that tenses the soft palate and opens the Eustachian tube to equalise pressure in the middle ear.

<span class="mw-page-title-main">Foramen spinosum</span> Hole in the sphenoid bone of the skull

The foramen spinosum is a small open hole in the greater wing of the sphenoid bone that gives passage to the middle meningeal artery and vein, and the meningeal branch of the mandibular nerve.

<span class="mw-page-title-main">Maxillary nerve</span> Branch of the trigeminal nerve responsible for the mid-face

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.

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

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.

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

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.

<span class="mw-page-title-main">Zygomaticotemporal nerve</span> Small nerve of the face

The zygomaticotemporal nerve (zygomaticotemporal branch, temporal branch) is a cutaneous (sensory) nerve of the head. It is a branch of the zygomatic nerve (itself a branch of the maxillary nerve (CN V2)). It arises in the orbit and exits the orbit through the zygomaticotemporal foramen in the zygomatic bone to enter the temporal fossa. It is distributed to the skin of the side of the forehead. It also contains a parasympathetic secretomotor component for the lacrimal gland which it confers to the lacrimal nerve (which then delivers it to the gland).

<span class="mw-page-title-main">Incisive canals</span> Two lateral canals in the incisive foramen

The incisive canals are two bony canals of the anterior hard palate connecting the nasal cavity and the oral cavity. An incisive canal courses through each maxilla. Below, the two incisive canals typically converge medially.

<span class="mw-page-title-main">Sphenopalatine foramen</span>

The sphenopalatine foramen is a fissure of the skull that connects the nasal cavity and the pterygopalatine fossa. It gives passage to the sphenopalatine artery, nasopalatine nerve, and the superior nasal nerve.

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.

<span class="mw-page-title-main">Mastoid part of the temporal bone</span> Back part of the sides of the skull base

The mastoid part of the temporal bone is the posterior (back) part of the temporal bone, one of the bones of the skull. Its rough surface gives attachment to various muscles and it has openings for blood vessels. From its borders, the mastoid part articulates with two other bones.

<span class="mw-page-title-main">Infratemporal fossa</span> Cavity that is part of the skull

The infratemporal fossa is an irregularly shaped cavity that is a part of the skull. It is situated below and medial to the zygomatic arch. It is not fully enclosed by bone in all directions. It contains superficial muscles, including the lower part of the temporalis muscle, the lateral pterygoid muscle, and the medial pterygoid muscle. It also contains important blood vessels such as the middle meningeal artery, the pterygoid plexus, and the retromandibular vein, and nerves such as the mandibular nerve (CN V3) and its branches.

<span class="mw-page-title-main">Greater palatine nerve</span> Branch of the pterygopalatine ganglion

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 incisive papilla is an oval midline mucosal prominence of the anterior hard palate overlying the incisive fossa. It is situated posteriorly to the central incisors, and represents the anterior extremity of the palatine raphe.

<span class="mw-page-title-main">Outline of human anatomy</span> Overview of and topical guide to human anatomy

The following outline is provided as an overview of and topical guide to human anatomy:

<span class="mw-page-title-main">Human mouth</span> Part of human anatomy

In human anatomy, the mouth is the first portion of the alimentary canal that receives food and produces saliva. The oral mucosa is the mucous membrane epithelium lining the inside of the mouth.

<span class="mw-page-title-main">Posterior superior nasal nerves</span>

The posterior superior nasal nerves are branches of the maxillary nerve that arise in the pterygopalatine fossa from pterygopalatine ganglion and pass through the sphenopalatine foramen into the nasal cavity to innervate the nasal septum, and the posterosuperior portion of the lateral wall of the nasal cavity.

References

PD-icon.svgThis article incorporates text in the public domain from page 162 of the 20th edition of Gray's Anatomy (1918)

  1. Standring, Susan, ed. (2016). Gray's Anatomy: The Anatomical Basis of Clinical Practice (41st ed.). Philadelphia: Elsevier Limited. p. 510. ISBN   978-0-7020-5230-9. OCLC   920806541.
  2. 1 2 Maynard, Robert Lewis; Downes, Noel (2019-01-01). "10 - Nasal Cavity". Anatomy and Histology of the Laboratory Rat in Toxicology and Biomedical Research. Academic Press. pp. 109–121. ISBN   978-0-12-811837-5.
  3. 1 2 3 4 Tomaszewska, Iwona M.; Popieluszko, Patrick; Tomaszewski, Krzysztof A.; Walocha, Jerzy A. (2019), Iwanaga, Joe; Tubbs, R. Shane (eds.), "Anatomy and Variations of the Incisive Foramen", Anatomical Variations in Clinical Dentistry, Cham: Springer International Publishing, pp. 117–123, doi:10.1007/978-3-319-97961-8_11, ISBN   978-3-319-97961-8, S2CID   86526891 , retrieved 2021-09-16
  4. Moskovitz, Joshua B.; Choi, Andrew (2015). "11 - Regional Nerve Blocks of the Head and Neck". Nerves and nerve injuries. Vol. 1 - History, embryology, anatomy, imaging, and diagnostics. Amsterdam: Academic Press. pp. 147–151. doi:10.1016/B978-0-12-410390-0.00011-1. ISBN   978-0-12-410447-1. OCLC   908128669.
  5. 1 2 Gorrel, Cecilia; Andersson, Susanne; Verhaert, Leen (2013-01-01). "7 - Dental radiography". Veterinary Dentistry for the General Practitioner (2nd ed.). Saunders. pp. 67–80. doi:10.1016/B978-0-7020-4943-9.00012-0. ISBN   978-0-7020-4943-9.
  6. 1 2 Rochette, Judy (2016). "103 - Disorders and Normal Variations of the Oral Cavity of Kittens and Senior Cats". August's Consultations in Feline Internal Medicine. Vol. 7. Saunders. pp. 1024–1033. doi:10.1016/B978-0-323-22652-3.00103-1. ISBN   978-0-323-22652-3.
  7. Mitchell, Barry S.; Sharma, Ram (2009). "11 - Development of the head and neck, the eye and ear". Embryology (2nd ed.). Edinburgh: Churchill Livingstone. pp. 63–72. doi:10.1016/B978-0-7020-3225-7.50014-2. ISBN   978-0-7020-3225-7. OCLC   245507391.
  8. De Iuliis, Gerardo; Pulerà, Dino (2011-01-01). "8 - Reptile Skulls and Mandibles". The Dissection of Vertebrates (2nd ed.). Academic Press. pp. 253–285. doi:10.1016/B978-0-12-375060-0.00008-5. ISBN   978-0-12-375060-0.