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Head and Neck
Temporal and Infratemporal regions
part II
(Mandibular Nerve and Otic Ganglion)
Dr. Mohamed El fiky
Professor of anatomy and embryology
Trigeminal Nerve
Mandibular Division
The Mandibular Nerve
Origin :It is a branch of trigeminal nerve
Exit from the Skull: It comes out from the skull through foramen ovale
Tensor Palati
Large Sensory RootSmall Motor Root
Lateral Pterygoid
Middle Meningeal A
Anterior Division
Posterior Division
Roots: The mandibular nerve has 2 roots motor root and sensory root
Course and Relations :
• The mandibular nerve run for a short course in the cranial cavity then it comes out
from the the skull through foramen ovale .
• In the infratemporal fossa the nerve trunk is deep to the lateral ptregoid muscle and it
divided into 2 division , anterior division and posterior division
The Mandibular Nerve
Anterior DivisionPosterior Division
V1
V2
1- Nerve to
Medial pterygoid
Nerve to
Tensor palati
Motor root Mandibular nerve (V3 (Medial Veiw)
Nerve to
Tensor tympani
2- Nervous spinosus
Medial Pterygoid Muscle
Lateral Pterygoid Muscle
Otic
Ganglion
Branches of The Mandibular Nerve
A- Branches from the Trunk
1-Nerve to Lateral Pterygoid
2- Deep temporal nerves
3- Masseteric nerve
4- Buccal nerve
B- Branches from the Anterior Division
1- Auriculotemporal nerve
2- Inferior Alveolar nerve
3- Lingual nerve
C- Branches from the Posterior Division
1- Auriclotemporal
2- inferior alveolar
3- Lingual nerve .
Auriculotemporal Nerve
Middle meningeal Artery
Sphenomandibular Ligament
Capsule of TMJ
1- Auriculotemporal NerveOrigin, Course and
Relations
Auriculotemporal nerve
Parotid
Gland
1- Auriculotemporal NerveOrigin, Course and
Relations
Upper 2/3rd of
Outer Surface of
External Ear
External auditory meatus
Outer layer of
Tympanic membrane
Fibers inside Auriculotemporal Nerve
1- Sensory Fibers
Auriculotemporal nerve
Inferior Salivatory Nucleus
Inferior Ganglion
of
Glossopharyngeal Nerve
Glossopharyngeal
Nerve
Nerve
of
Jacopson
Tympanic PlexusLesser Superficial Petrosal
Otic Ganglion
Fibers inside Auriculotemporal Nerve
2- Autonomic Fibers
Inferior alveolar nerve
Sphenomandibular
ligament
Lingual nerve
Medial Pterygoid
Muscle
Lateral Pterygoid
Muscle
Nerve to Myelohyoid
Inferior alveolar Vessels
2- Inferior Alveolar Nerve :Origin, Course and
Relations
Inferior alveolar nerve
Nerve to Myelohyoid
Incisive branch
Mental nerve
Branch to molar and
Premolar teeth
Inferior alveolar nerve
Inside the mandibular canal
Distribution of Inferior Alveolar Nerve
Mylohyoid nerve
The Mylohyoid Nerve
Nerve to Mylohyoid
Nerve to anterior belly of digastric muscled
The Mylohyoid Nerve
Chorda Tympani
Inferior Alveolar nerve
Lingual nerve
3- Lingual Nerve
Course : The lingual nerve arise from the posterior division it is deep to
lateral pterygoid and it joined with the chorda tympani nerve . The lingual nerve
pass between the styloglosus muscle and root of the last molar . The lingual
nerve pass on the hyoglosus muscle . The lingual nerve hook around the
submandibular salivary duct then it inter the tongue to supply the anterior 2/3 of
the tongue
Medial Pterygoid
Muscle
Lingual nerve
Lateral Pterygoid
Muscle
Styloglossus
Muscle
Last molar tooth
Superior Constrictor of Pharynx
Anterior 2/3rd of tongue
Floor of mouth
Inside of gums
Parynchma of
Sublingual and
Submandibular glands
Distribution of Lingual Nerve
1- Sensory Fibers of Lingual Nerve
Autonomic fibers to
Sublingual and
Submandibular glands
2- Autonomic fibers
Distribution of Lingual Nerve
Tensor
Veli
Palati
1- Sensory Root
from
Auriculo-temporal Ner
2- Sympathetic Ro
from
Sympathetic Plexu
around
Middle Meningeal
3- Parasympathetic Root
from
Lesser Petrosal Nerve
Otic Ganglion
Site :Infra temporal fossa deep to lateral ptregoid muscle below foramen ovale
Roots :
1- sympathetic root : sympathetic plexus around middle meningeal artery
2- sensory root : from aurcilo-temporal nerve .
3- parasympathetic root : lesser petrosal nerve .
Inferior Salivatory Nucle
Inferior Ganglion
of
Glossopharyngeal Nerv
Glossopharyngea
Nerve
Nerve
of
Jacopson
Tympanic PlexusLesser Superficial Petrosal
Otic Ganglion

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Temporal and infratemporal region part 2

  • 1. Head and Neck Temporal and Infratemporal regions part II (Mandibular Nerve and Otic Ganglion) Dr. Mohamed El fiky Professor of anatomy and embryology
  • 2. Trigeminal Nerve Mandibular Division The Mandibular Nerve Origin :It is a branch of trigeminal nerve Exit from the Skull: It comes out from the skull through foramen ovale
  • 3. Tensor Palati Large Sensory RootSmall Motor Root Lateral Pterygoid Middle Meningeal A Anterior Division Posterior Division Roots: The mandibular nerve has 2 roots motor root and sensory root Course and Relations : • The mandibular nerve run for a short course in the cranial cavity then it comes out from the the skull through foramen ovale . • In the infratemporal fossa the nerve trunk is deep to the lateral ptregoid muscle and it divided into 2 division , anterior division and posterior division The Mandibular Nerve
  • 5. V1 V2 1- Nerve to Medial pterygoid Nerve to Tensor palati Motor root Mandibular nerve (V3 (Medial Veiw) Nerve to Tensor tympani 2- Nervous spinosus Medial Pterygoid Muscle Lateral Pterygoid Muscle Otic Ganglion Branches of The Mandibular Nerve A- Branches from the Trunk
  • 6. 1-Nerve to Lateral Pterygoid 2- Deep temporal nerves 3- Masseteric nerve 4- Buccal nerve B- Branches from the Anterior Division
  • 7. 1- Auriculotemporal nerve 2- Inferior Alveolar nerve 3- Lingual nerve C- Branches from the Posterior Division 1- Auriclotemporal 2- inferior alveolar 3- Lingual nerve .
  • 8. Auriculotemporal Nerve Middle meningeal Artery Sphenomandibular Ligament Capsule of TMJ 1- Auriculotemporal NerveOrigin, Course and Relations
  • 10. Upper 2/3rd of Outer Surface of External Ear External auditory meatus Outer layer of Tympanic membrane Fibers inside Auriculotemporal Nerve 1- Sensory Fibers
  • 12. Inferior Salivatory Nucleus Inferior Ganglion of Glossopharyngeal Nerve Glossopharyngeal Nerve Nerve of Jacopson Tympanic PlexusLesser Superficial Petrosal Otic Ganglion Fibers inside Auriculotemporal Nerve 2- Autonomic Fibers
  • 13. Inferior alveolar nerve Sphenomandibular ligament Lingual nerve Medial Pterygoid Muscle Lateral Pterygoid Muscle Nerve to Myelohyoid Inferior alveolar Vessels 2- Inferior Alveolar Nerve :Origin, Course and Relations
  • 14. Inferior alveolar nerve Nerve to Myelohyoid Incisive branch Mental nerve Branch to molar and Premolar teeth Inferior alveolar nerve Inside the mandibular canal Distribution of Inferior Alveolar Nerve
  • 16. Nerve to Mylohyoid Nerve to anterior belly of digastric muscled The Mylohyoid Nerve
  • 17. Chorda Tympani Inferior Alveolar nerve Lingual nerve 3- Lingual Nerve Course : The lingual nerve arise from the posterior division it is deep to lateral pterygoid and it joined with the chorda tympani nerve . The lingual nerve pass between the styloglosus muscle and root of the last molar . The lingual nerve pass on the hyoglosus muscle . The lingual nerve hook around the submandibular salivary duct then it inter the tongue to supply the anterior 2/3 of the tongue
  • 18. Medial Pterygoid Muscle Lingual nerve Lateral Pterygoid Muscle Styloglossus Muscle Last molar tooth Superior Constrictor of Pharynx
  • 19. Anterior 2/3rd of tongue Floor of mouth Inside of gums Parynchma of Sublingual and Submandibular glands Distribution of Lingual Nerve 1- Sensory Fibers of Lingual Nerve
  • 20. Autonomic fibers to Sublingual and Submandibular glands 2- Autonomic fibers Distribution of Lingual Nerve
  • 21. Tensor Veli Palati 1- Sensory Root from Auriculo-temporal Ner 2- Sympathetic Ro from Sympathetic Plexu around Middle Meningeal 3- Parasympathetic Root from Lesser Petrosal Nerve Otic Ganglion Site :Infra temporal fossa deep to lateral ptregoid muscle below foramen ovale Roots : 1- sympathetic root : sympathetic plexus around middle meningeal artery 2- sensory root : from aurcilo-temporal nerve . 3- parasympathetic root : lesser petrosal nerve .
  • 22. Inferior Salivatory Nucle Inferior Ganglion of Glossopharyngeal Nerv Glossopharyngea Nerve Nerve of Jacopson Tympanic PlexusLesser Superficial Petrosal Otic Ganglion