Sphenopalatine artery

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Sphenopalatine artery
Gray511.png
Plan of branches of internal maxillary artery. (Sphenopalatine visible in upper right.)
Details
Source Maxillary artery
BranchesPosterior lateral nasal branches
posterior septal branches
Supplies Frontal, maxillary, ethmoidal, and sphenoidal sinuses
Identifiers
Latin arteria sphenopalatina
TA98 A12.2.05.088
TA2 4460
FMA 49804
Anatomical terminology

The sphenopalatine artery (nasopalatine artery) is an artery of the head, commonly known as the artery of epistaxis . [1] It passes through the sphenopalatine foramen to reach the nasal cavity. It is the main artery of the nasal cavity. [2]

Contents

Course

The sphenopalatine artery is a branch of the maxillary artery which passes through the sphenopalatine foramen into the cavity of the nose, at the back part of the superior meatus. Here it gives off its posterior lateral nasal branches.

Crossing the under surface of the sphenoid, the sphenopalatine artery ends on the nasal septum as the posterior septal branches. Here it will anastomose with the branches of the greater palatine artery.

Clinical significance

The sphenopalatine artery is the artery commonly responsible for epistaxis (difficult to control bleeding of the nasal cavity, especially the posterior nasal cavity). [3] In severe nose bleed cases which do not stop after intense packing of anti-clotting agents, the sphenopalatine artery can be ligated (clipped and then cut) during open surgery or embolized (blocked with surgical glue or tiny microparticles). [4] Embolization is typically done under fluoroscopic guidance with minimally invasive techniques (e.g. via small microcatheters inserted into arteries in the wrist or groin) by interventional radiologists.

See also

Related Research Articles

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The nasal cavity is a large, air-filled space above and behind the nose in the middle of the face. The nasal septum divides the cavity into two cavities, also known as fossae. Each cavity is the continuation of one of the two nostrils. The nasal cavity is the uppermost part of the respiratory system and provides the nasal passage for inhaled air from the nostrils to the nasopharynx and rest of the respiratory tract.

<span class="mw-page-title-main">Nosebleed</span> Bleeding from the nose

A nosebleed, also known as epistaxis, is an instance of bleeding from the nose. Blood can flow down into the stomach, and cause nausea and vomiting. In more severe cases, blood may come out of both nostrils. Rarely, bleeding may be so significant that low blood pressure occurs. Blood may also be forced to flow up and through the nasolacrimal duct and out of the eye, producing bloody tears.

<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">Greater petrosal nerve</span> Nerve in the skull

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.

<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">Kiesselbach's plexus</span> Vascular network in the nose

Kiesselbach's plexus is an anastomotic arterial network (plexus) of four or five arteries in the nose supplying the nasal septum. It lies in the anterior inferior part of the septum known as Little's area, Kiesselbach's area, or Kiesselbach's triangle. It is a common site for anterior nosebleeds.

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

The obturator artery is a branch of the internal iliac artery that passes antero-inferiorly on the lateral wall of the pelvis, to the upper part of the obturator foramen, and, escaping from the pelvic cavity through the obturator canal, it divides into an anterior branch and a posterior branch.

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

The anterior ethmoidal artery is a branch of the ophthalmic artery in the orbit. It exits the orbit through the anterior ethmoidal foramen alongside the anterior ethmoidal nerve. It contributes blood supply to the ethmoid sinuses, frontal sinuses, the dura mater, lateral nasal wall, and nasal septum. It issues a meningeal branch, and nasal branches.

<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">Descending palatine artery</span>

The descending palatine artery is a branch of the third part of the maxillary artery supplying the hard and soft palate.

<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 foramen 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">Greater omentum</span> Fat sheath under abdominal wall

The greater omentum is a large apron-like fold of visceral peritoneum that hangs down from the stomach. It extends from the greater curvature of the stomach, passing in front of the small intestines and doubles back to ascend to the transverse colon before reaching to the posterior abdominal wall. The greater omentum is larger than the lesser omentum, which hangs down from the liver to the lesser curvature. The common anatomical term "epiploic" derives from "epiploon", from the Greek epipleein, meaning to float or sail on, since the greater omentum appears to float on the surface of the intestines. It is the first structure observed when the abdominal cavity is opened anteriorly.

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

The posterior ethmoidal artery is an artery of the head which arises from the ophthalmic artery to supply the posterior ethmoidal air cells, and the meninges. It is smaller than the anterior ethmoidal artery.

<span class="mw-page-title-main">Anterior superior alveolar nerve</span>

The anterior superior alveolar nerve (or anterior superior dental nerve) is a branch of the infraorbital nerve (itself a branch of the maxillary nerve (CN V2)). It passes through the canalis sinuosus to reach and innervate upper front teeth. Through its nasal branch, it also innervates parts of the nasal cavity.

<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.

<span class="mw-page-title-main">Human nose</span> Feature of the human face

The human nose is the first organ of the respiratory system. It is also the principal organ in the olfactory system. The shape of the nose is determined by the nasal bones and the nasal cartilages, including the nasal septum, which separates the nostrils and divides the nasal cavity into two.

<span class="mw-page-title-main">Nasopharyngeal angiofibroma</span> Medical condition

Nasopharyngeal angiofibroma is an angiofibroma also known as juvenile nasal angiofibroma, fibromatous hamartoma, and angiofibromatous hamartoma of the nasal cavity. It is a histologically benign but locally aggressive vascular tumor of the nasopharynx that arises from the superior margin of the sphenopalatine foramen and grows in the back of the nasal cavity. It most commonly affects adolescent males . Though it is a benign tumor, it is locally invasive and can invade the nose, cheek, orbit, or brain. Patients with nasopharyngeal angiofibroma usually present with one-sided nasal obstruction with profuse epistaxis.

The sphenopalatine artery passes through the sphenopalatine foramen into the cavity of the nose, at the back part of the superior meatus. Here it gives off its posterior lateral nasal branches which spread forward over the conchæ and meatuses, anastomose with the ethmoidal arteries and the nasal branches of the descending palatine, and assist in supplying the frontal, maxillary, ethmoidal, and sphenoidal sinuses.

References

PD-icon.svgThis article incorporates text in the public domain from page 562 of the 20th edition of Gray's Anatomy (1918)

Notes

  1. Dr.Padampreet Singh Batra’s ENT, Head and Neck » Blog Archive » Epistaxis (NASAL BLEEDING)
  2. Sinnatamby, Chummy S. (2011). Last's Anatomy (12th ed.). Elsevier Australia. p. 364. ISBN   978-0-7295-3752-0.
  3. Gras-Cabrerizo, JR; Ademá-Alcover, JM; Gras-Albert, JR; Kolanczak, K; Montserrat-Gili, JR; Mirapeix-Lucas, R; Del Campo, FS; Massegur-Solench, H (July 2014). "Anatomical and surgical study of the sphenopalatine artery branches". European Archives of Oto-rhino-laryngology. 271 (7): 1947–51. doi:10.1007/s00405-013-2825-1. PMID   24253386.
  4. Robinson, Anthony E; McAuliffe, William; Phillips, Timothy J; Phatouros, Constantine C; Singh, Tejinder P (December 2017). "Embolization for the treatment of intractable epistaxis: 12 month outcomes in a two centre case series". The British Journal of Radiology. 90 (1080): 20170472. doi:10.1259/bjr.20170472. PMC   6047638 . PMID   28972795.