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The zygomatic nerve is a branch of the maxillary nerve (itself a branch of the trigeminal nerve (CN V)). It arises in the pterygopalatine fossa and enters the orbit through the inferior orbital fissure before dividing into its two terminal branches: the zygomaticotemporal nerve and zygomaticofacial nerve .
Through its branches, the zygomatic nerve provides sensory invervation to skin over the zygomatic bone and the temporal bone . It also carries post-ganglionic parasympathetic axons to the lacrimal gland .
It may be blocked by anaesthetising the maxillary nerve .
Structure [ edit ]
The zygomatic nerve is a branch of the maxillary nerve (CN V2 ).[1] [2] It arises at the pterygopalatine ganglion .[1]
It exits from the pterygopalatine fossa through the inferior orbital fissure to enter the orbit .[1] [3] In the orbit, it travels anteriorly along its lateral wall.[3]
Branches [ edit ]
Soon after the zygomatic nerve enters the orbit, it divides into its branches. These include:
Variation [ edit ]
Sometimes, the zygomatic nerve does not branch within the orbit. Instead, it enters a single foramen in the zygomatic bone called the zygomatico-orbital foramen . In this case, it divides within the bone into the zygomaticotemporal nerve and the zygomaticofacial nerve .[4]
Function [ edit ]
The terminal branches of the zygomatic nerve contain sensory axons.[1] These provide sensation to the skin over the temporal bone and the zygomatic bone .[4]
The zygomatic nerve also carries postganglionic parasympathetic axons .[1] These axons have their cell bodies in the pterygopalatine ganglion . They travel from the ganglion to the zygomatic nerve, and then to the lacrimal nerve through a communicating branch. From the lacrimal nerve, they enter the lacrimal gland and provide secretomotor supply.[5]
Clinical significance [ edit ]
The zygomatic nerve can be blocked indirectly by anaesthetising the maxillary nerve (CN V2 ).[2] The zygomatic nerve and its branches may be damaged by a fracture to the zygomatic bone .[6]
Additional images [ edit ]
The nerves of the scalp, face, and side of neck.
Branches of the trigeminal nerve. The zygomatic nerve is visible branching from the maxillary nerve and entering the orbit.
References [ edit ]
^ a b Pai, Umeshraya T.; Nayak, Rajeshri; Molloy, Robert E. (2005). "72 - Head and Neck Blocks" . Essentials of Pain Medicine and Regional Anesthesia (2nd ed.). Churchill Livingstone . pp. 598–606. doi :10.1016/B978-0-443-06651-1.50076-9 . ISBN 978-0-443-06651-1 .
^ a b Forrester, John V.; Dick, Andrew D.; McMenamin, Paul G.; Roberts, Fiona; Pearlman, Eric (2016). "1 - Anatomy of the eye and orbit" . The Eye - Basic Sciences in Practice (4th ed.). Saunders . pp. 1–102. doi :10.1016/B978-0-7020-5554-6.00001-0 . ISBN 978-0-7020-5554-6 .
^ a b Standring, Susan, ed. (2016). Gray's anatomy : the anatomical basis of clinical practice (41 ed.). Philadelphia: Elsevier. ISBN 978-0-7020-5230-9 . OCLC 920806541 .
^ Anderson, B. C.; McLoon, L. K. (2010). "Cranial Nerves and Autonomic Innervation in the Orbit" . Encyclopedia of the Eye . Academic Press . pp. 537–548. doi :10.1016/B978-0-12-374203-2.00285-2 . ISBN 978-0-12-374203-2 .
^ Gellrich, Nils-Claudius Bernhard; Zimmerer, Rüdiger M. (2017). "7 - Surgical Management of Maxillary and Zygomatic Fractures" . Maxillofacial Surgery . Vol. 1 (3rd ed.). Churchill Livingstone . pp. 93–132. doi :10.1016/B978-0-7020-6056-4.00007-1 . ISBN 978-0-7020-6056-4 .
R e t r i e v e d f r o m " https://en.wikipedia.org/w/index.php?title=Zygomatic_nerve&oldid=1222900791 "
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