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BRANCHES OF THE TRIGEMINAL NERVE ALL BRANCHES OF TRIGEMINAL NERVE ARE LISTED IN HANDOOUT 'REFERENCE HANDOUT: TRIGEMINAL NERVE BRANCHES' TRIGEMINAL NERVE – SENSORY INNERVATION TO SKIN OF HEAD – 3 DIVISIONS V1 – OPHTHALMIC DIVISION BoundaryLateral edge of eye V2 – MAXILLARY Boundary DIVISON Lateral edge of mouth V3 – MANDIBULAR DIVISION TRIGEMINAL NERVE - V - GSA + SVE V1 V2 V3 V1 - OPHTHALMIC Sup. Orbital fissure – GSA V2 - MAXILLARY Foramen rotundum – GSA V3 - MANDIBULAR - Foramen ovale – GSA & SVE TRIGEMINAL NERVE - V V1 V2 V3 V1 – OPHTHALMIC Sup. Orbital fissure – GSA V2 - MAXILLARY Foramen rotundum – GSA V3 – MANDIBULAR - Foramen ovale – GSA & SVE V1 - OPHTHALMIC - GSA Supraorbital Notch (Foramen) to face Superior Orbital Fissure Ant & Post Ethmoidal Foramina to Nasal Cavity Nose Recall : Orbit is used as way to reach face, nasal cavity Supraorbital N. Supratrochlear N. Infratrochlear N. V1 - OPHTHALMIC ALL GSA 1. Frontal N. a) Supraorbital N. b) Supratrochlear N. Forehead, Upper Eyelid 3. Lacrimal Ant. and Post. Ethmoidal N. 2. Lacrimal N. Upper eyelid 1. Frontal Long Ciliary Nn. V1 2. Nasociliary 3. Nasociliary N. a) Ant. and Post. Ethmoidal N. Nasal Cavity Ethmoid Sinus , Tip of Nose b) Long Ciliary N. Sensory to Cornea c) Infratrochlear N. Upper eyelid, Nose TRIGEMINAL – SENSORY BRANCHES TO FACE LACRIMAL N. V2 – MAXILLARY to skin of cheek below orbit Zygomaticotemporal Zygomaticofacial Infraorbital V3- MANDIBULAR to skin of jaw and face below angle of mouth Auriculotemporal Buccal Mental SUPRAORBITAL N. SUPRATROCHLEAR N. INFRATROCHLEAR N. EXTERNAL NASAL N. V1 – OPHTHALMIC to skin above orbit a. Lacrimal b. Supraorbital c. Supratrochlear d. Infratrochlear e. External Nasal Nerve (branch of Ant. Ethmoidal N.) TRIGEMINAL NERVE - V V1 V2 V3 V1 – OPHTHALMIC Sup. Orbital fissure – GSA V2 - MAXILLARY Foramen rotundum – GSA V3 – MANDIBULAR - Foramen ovale – GSA & SVE V2 - MAXILLARY - GSA V2 - Maxillary enters Pterygopalatine Fossa NOSE LATERAL PTERYGOID PLATE Pterygomaxillary Fissure note: Pterygomaxillary fissure is slit between lateral pterygoid plate and maxillary bone; Pterygopalatine fossa is space medial to slit MAXILLARY BONE V2 - MAXILLARY - GSA 1. Meningeal Branch Dura of Middle Cranial Fossa (not shown) Nasal Branches NasoPalatine Greater Palatine 2. Ganglionic branches V2 a) Greater Palatine N. Hard Palate b) Lesser Palatine N. Soft Palate c) Nasopalatine Nasal Cavity Ant. part of hard Palate d) Nasal Branches Lesser Nasal Cavity Palatine Note: V2 branches from Pterygopalatine Fossa to Nasal Cavity are deep and can only be seen on bisected head V2 - MAXILLARY - GSA Inferior Orbital Fissure Pterygomaxillary Fissure Post. Sup Alveolar For. V2 - MAXILLARY - GSA Nose Infraorbital Zygomatic V2 3. Posterior Superior Alveolar Maxillary molar teeth 4. Infraorbital Lower eyelid, nose, upper lip a) Ant. & Mid Sup Alveolar Other Maxillary teeth Post Sup. Alveolar 5. Zygomatic - br. a) Zygomaticofacial b) Zygomaticotemporal Skin of check, temporal region TRIGEMINAL – SENSORY BRANCHES TO FACE V2 – MAXILLARY to skin of cheek below orbit a. Zygomaticotemporal b. Zygomaticofacial c. Infraorbital ZYGOMATICOTEMPORAL N. V1 – OPHTHALMIC to skin above orbit Lacrimal Supraorbital Supratrochlear Infratrochlear External Nasal Nerve ZYGOMATICOFACIAL N. INFRAORBITAL N. V3- MANDIBULAR to skin of jaw and face below angle of mouth Auriculotemporal Buccal Mental NOTE: These are branches of V to face - Full list of all branches of V is on CD: Reference_handout_list_of _Trigeminal_nerve_branch es_2010.doc TRIGEMINAL NERVE - V V1 V2 V3 V1 – OPHTHALMIC Sup. Orbital fissure – GSA V2 - MAXILLARY Foramen rotundum – GSA V3 – MANDIBULAR Foramen ovale – GSA & SVE TRIGEMINAL NERVE SVE - FIRST BRANCHIAL ARCH MUSCLES V3 - MANDIBULAR - GSA + SVE Deep Temporal Buccal Branch Of Trigeminal 1. Nervus Spinosus Dura of Middle Cranial Fossa (not shown) 2. Motor to Medial Pterygoid Tensor Tympani Tensor Palati (not shown) 3. Ant Division N. To Lat Pterygoid a. Nerve to Lat. Pterygoids b. Masseteric N. c. Deep Temporal To Temporalis d. Buccal Branch Of Trigeminal Sensory to Cheek V3 - MANDIBULAR - GSA + SVE Post Division AuriculoTemporal Lingual Inferior Alveolar N. TO MYLOHYOID a. Auriculotemporal Skin of Temple, Scalp External ear, TMJ b. Lingual Touch to Ant 2/3 Tongue c. Inf. Alveolar N. Sens to Lower Teeth i) Mental N. Skin Lower Jaw ii) Nerve to Mylohyoid Motor to Mylohyoid & Ant. Belly of Digastric MENTAL N. TRIGEMINAL – SENSORY BRANCHES TO FACE V2 – MAXILLARY to skin of cheek below orbit Zygomaticotemporal Zygomaticofacial Infraorbital V1 – OPHTHALMIC to skin above orbit Lacrimal Supraorbital Supratrochlear Infratrochlear External Nasal Nerve AURICULOTEMPORAL N. BUCCAL N. V3- MANDIBULAR to skin of jaw and face below angle of mouth a. Auriculotemporal b. Buccal c. Mental MENTAL N.