Tympanic nerve

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Tympanic nerve
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Plan of upper portions of glossopharyngeal, vagus, and accessory nerves. (Tympanic nerve visible in upper right)
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Tympanic nerve (labelled right side)
Details
To tympanic plexus
Identifiers
Latin nervus tympanicus
TA98 A14.2.01.138
TA2 6323
FMA 53480
Anatomical terms of neuroanatomy

The tympanic nerve ( Jacobson's nerve) is a branch of the glossopharyngeal nerve found near the ear. It gives sensation to the middle ear, the Eustachian tube, the parotid gland, and mastoid air cells. It gives parasympathetic to supply to the parotid gland via the otic ganglion and the auriculotemporal nerve.

Contents

Structure

The tympanic nerve contains sensory axons to the middle ear (including the internal surface of the tympanic membrane) whose cell bodies are lodged in the superior ganglion of the glossopharyngeal nerve. [1] [ verification needed ]

It also contains parasympathetic axons which continue as the lesser petrosal nerve to the otic ganglion, which itself gives off postganglionic parasympathetic neurons. [1] [ verification needed ]

Origin

The tympanic nerve arises from the inferior ganglion of the glossopharyngeal nerve (CN IX) [1] in the jugular fossa. [2]

Course

It passes through the petrous part of the temporal bone within the tympanic canaliculus that is situated within the bony ridge separating the carotid canal and the jugular foramen to reach the middle ear. [2]

In the tympanic cavity of the middle ear, it ramifies upon the promontory of tympanic cavity to form the tympanic plexus. [2] [1] [ verification needed ]

Distribution

Sensory

The tympanic nerve provides sensation to the middle ear (tympanic cavity). [1] This includes the internal surface of the tympanic membrane. It also supplies the Eustachian tube, the parotid gland, and mastoid air cells. [1]

Parasympathetic autonomic

The tympanic nerve is also the parasympathetic root of the otic ganglion. [1] [3] These neurons then provide secretomotor innervation of the parotid gland via the auriculotemporal nerve. [1] It is involved in the salivatory reflex to increase salivation during chewing. [4]

Variation

The tympanic nerve usually arises from the inferior ganglion of the glossopharyngeal nerve. Rarely, it may arise from a higher part. [1] [ verification needed ] Rarely, it may provide no parasympathetic fibres to the otic ganglion. [3]

Clinical significance

The tympanic nerve is involved in a reflex, where stimulation of the ear canal increases salivation. [4]

Cancer

The tympanic nerve may be involved by paraganglioma, in this location referred to as a glomus tympanicum tumour. [5] This causes a soft mass in the middle ear (tympanic cavity). [5] There may also be pulsatile tinnitus, hearing loss or hearing problems, and some cardiac abnormalities. [5]

History

The tympanic nerve is also known as the nerve of Jacobson, or Jacobson's nerve. [1]

Additional images

Related Research Articles

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In the anatomy of humans and various other tetrapods, the eardrum, also called the tympanic membrane or myringa, is a thin, cone-shaped membrane that separates the external ear from the middle ear. Its function is to transmit sound from the air to the ossicles inside the middle ear, and thence to the oval window in the fluid-filled cochlea. The ear thereby converts and amplifies vibration in the air to vibration in cochlear fluid. The malleus bone bridges the gap between the eardrum and the other ossicles.

<span class="mw-page-title-main">Parasympathetic nervous system</span> Division of the autonomic nervous system

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<span class="mw-page-title-main">Facial nerve</span> Cranial nerve VII, for the face and tasting

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<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">Parotid gland</span> Major salivary gland in many animals

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.

<span class="mw-page-title-main">Otic ganglion</span> Parasympathetic ganglion of the head and neck

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.

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

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.

<span class="mw-page-title-main">Chorda tympani</span> Nerve carrying taste sensations

Chorda tympani is a branch of the facial nerve that carries gustatory (taste) sensory innervation from the front of the tongue and parasympathetic (secretomotor) innervation to the submandibular and sublingual salivary glands.

<span class="mw-page-title-main">Tympanic cavity</span> Small cavity surrounding the bones of the middle ear

The tympanic cavity is a small cavity surrounding the bones of the middle ear. Within it sit the ossicles, three small bones that transmit vibrations used in the detection of sound.

<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">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">Petrous part of the temporal bone</span> Feature at the base of the human skull

The petrous part of the temporal bone is pyramid-shaped and is wedged in at the base of the skull between the sphenoid and occipital bones. Directed medially, forward, and a little upward, it presents a base, an apex, three surfaces, and three angles, and houses in its interior, the components of the inner ear. The petrous portion is among the most basal elements of the skull and forms part of the endocranium. Petrous comes from the Latin word petrosus, meaning "stone-like, hard". It is one of the densest bones in the body. In other mammals, it is a separate bone, the petrosal bone.

<span class="mw-page-title-main">Lesser petrosal nerve</span>

The lesser petrosal nerve is the general visceral efferent (GVE) nerve conveying pre-ganglionic parasympathetic secretomotor fibers for the parotid gland from the tympanic plexus to the otic ganglion. It passes out of the tympanic cavity through the petrous part of the temporal bone into the middle cranial fossa of the cranial cavity, then exits the cranial cavity through its own canaliculus to reach the infratemporal fossa.

<span class="mw-page-title-main">Superior ganglion of glossopharyngeal nerve</span>

The superior ganglion of the glossopharyngeal nerve is a sensory ganglion of the peripheral nervous system. It is located within the jugular foramen where the glossopharyngeal nerve exits the skull. It is smaller than and superior to the inferior ganglion of the glossopharyngeal nerve.

<span class="mw-page-title-main">Parasympathetic ganglia</span> Autonomic ganglia of the parasympathetic nervous system

Parasympathetic ganglia are the autonomic ganglia of the parasympathetic nervous system. Most are small terminal ganglia or intramural ganglia, so named because they lie near or within (respectively) the organs they innervate. The exceptions are the four paired parasympathetic ganglia of the head and neck.

<span class="mw-page-title-main">Tympanic plexus</span>

The tympanic plexus is a nerve plexus within the tympanic cavity formed upon the promontory of tympanic cavity by the tympanic nerve, and the superior and inferior caroticotympanic nerves.

<span class="mw-page-title-main">Labial glands</span>

The labial glands are minor salivary glands situated between the mucous membrane and the orbicularis oris around the orifice of the mouth.

<span class="mw-page-title-main">Salivatory nuclei</span>

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.

<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:

References

PD-icon.svgThis article incorporates text in the public domain from page 910 of the 20th edition of Gray's Anatomy (1918)

  1. 1 2 3 4 5 6 7 8 9 10 Tubbs, R. Shane; Shoja, Mohammadali; Loukas, Marios (2015). "26 - Anatomy of the Glossopharyngeal Nerve". Nerves and Nerve Injuries. Vol. 1: History, Embryology, Anatomy, Imaging, and Diagnostics. Academic Press. pp. 371–383. doi:10.1016/B978-0-12-410390-0.00027-5. ISBN   978-0-12-410390-0.
  2. 1 2 3 Sinnatamby, Chummy S. (2011). Last's Anatomy (12th ed.). p. 366. ISBN   978-0-7295-3752-0.
  3. 1 2 Thomas, P. K.; Mathias, Christopher J. (2005). "52 - Diseases of the Ninth, Tenth, Eleventh, and Twelfth Cranial Nerves". Peripheral Neuropathy. Vol. 2 (4th ed.). Saunders. pp. 1273–1293. doi:10.1016/B978-0-7216-9491-7.50055-7. ISBN   978-0-7216-9491-7.
  4. 1 2 Barral, Jean-Pierre; Croibier, Alain (2009). "21 - Glossopharyngeal nerve". Manual Therapy for the Cranial Nerves. Churchill Livingstone. pp. 181–189. doi:10.1016/B978-0-7020-3100-7.50024-0. ISBN   978-0-7020-3100-7.
  5. 1 2 3 Weissleder, Ralph; Wittenberg, Jack; Harisinghani, Mukesh G.; Chen, John W. (2011). "7 - Head and Neck Imaging". Primer of Diagnostic Imaging (5th ed.). Mosby. pp. 427–461. doi:10.1016/B978-0-323-06538-2.00007-X. ISBN   978-0-323-06538-2.