The Trigeminal Nerve

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THE TRIGEMINAL NERVE

Mixed nerve=Sensory and motor Sensory: sensory to skin of face, nose and nasal cavity, forehead, temple, teeth, tongue, palate Motor: Mandibular branch gives off motor nerves to muscles of mastication

V1- Ophthalmic Branch

smallest of the three divisions of the trigeminal, Exits through superior orbital fissure Branches: Lacrimal-upper eyelid and eyebrow-lateral part Supratrochlear-upper eyelid- medial part forehead,-medial part, upper eyelid conjuctiva Supraorbital-upper eyelid, forehead up to top of skull Nasociliary long ciliary-eyeball, ciliary ganglion Infratrochlear-lower eyelid, side of nose ethmoidal nerves Ant. Ethmoid-frontal sinus, anterior ethmoid air cells Post. Ethmoid-posterior ethmoid air cells, sphenoid sinus internal nasal branch anterior spetum, lateral walls of nasal cavity external nasal branch tip of nose

V2- Maxillary Branch

In the Cranium Middle meningeal n.- dura mater In the Pterygopalatine Fossa Zygomatic br: zygomaticotemporal zygomatic arch Zygomaticofacial-side of forehead, ant. temporal part Sphenopalatine(6) Orbital-periosteum of orbit, sphenoid sinus, post. ethmoid cells Greater palatine(anterior palatine)-mucous membrane of posterior hard palate Lesser palatine-soft palate and tonsil Posterior lateral nasal br.-over nasal turbinates Nasopalatine-lower posterior nasal septum, mucous membrane of anterior hard palate Pharyngeal-nasopharynx

Posterior superior alveolar nerve Gingival-buccal gingiva of upper molars Alveolar-distobuccal and palatal roots of upper 1st molar, 2nd molar, 3rd molar, maxillary sinus Infraorbital canal: Middle Superior alveolar nerve: premolars, mesiobuccal root of 1st molar, maxillary sinus Anterior superior alveolar nerve:maxillary incisors, maxilary sinus On the face: Inferior palpebral-lower eyelid Lateral nasal-side of the nose Superior labial-upper lip

V3-Mandibular branch

Sensory branches: Nervus tentorii-dura mater Buccal nerve (long buccal)-mucous membrane of cheek, buccal gingiva of lower molars Auriculotemporal nerve- skin of zygoma, cheek, mandible, parotid gland, TMJ, skin inside ear canal, upper part of external ear, skin from zygoma up to side of the head Lingual nerve-mucous membrane of ant. 2/3 of tongue, lingual gingiva, submandibular and sublingual glands Inferior alveolar nerve
Dental branches-all lower molars and premolars Mental nerve-skin of lower lip and chin Incisive nerve-incisors and canines

Motor Branches: Internal pterygoid nerve Masseter nerve Deep temporal branches External pterygoid nerve Mylohyoid nerve

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