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Auriculotemporal
The auriculotemporal nerve is a branch of the mandibular nerve (CN V3) that runs with the superficial temporal artery and vein, and provides sensory innervation to various regions on the side of the head. Structure Origin The auriculotemporal nerve arises from the mandibular nerve (CN V3). The mandibular nerve is a branch of the trigeminal nerve (CN V), and the mandibular nerve exits the skull through the foramen ovale.Gray's Anatomy for Students, 2nd edition (2010), Drake Vogel and Mitchell, Elseview These roots encircle the middle meningeal artery (a branch of the mandibular part of the maxillary artery, which is in turn a terminal branch of the external carotid artery). The roots encompass the middle meningeal artery then converge to form a single nerve. Course The auriculotemporal nerve passes between the neck of the mandible and the sphenomandibular ligament. It gives off parotid branches and then turns superiorly, posterior to its head and moving anteriorly, ...
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Frey's Syndrome
Frey's syndrome (also known as Baillarger's syndrome, Dupuy's syndrome, auriculotemporal syndrome, or Frey-Baillarger syndrome) is a rare neurological disorder resulting from damage to or near the parotid glands responsible for making saliva, and from damage to the auriculotemporal nerve often from surgery. The symptoms of Frey's syndrome are redness and sweating on the cheek area adjacent to the ear (see focal hyperhidrosis). They can appear when the affected person eats, sees, dreams, thinks about or talks about certain kinds of food which produce strong salivation. Observing sweating in the region after eating a lemon wedge may be diagnostic. Signs and symptoms Signs and symptoms include erythema (redness or flushing) and sweating in the cutaneous distribution of the auriculotemporal nerve, usually in response to gustatory stimuli. There is sometimes pain in the same area, often burning in nature. Between attacks of pain there may be numbness or other altered sensations ...
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Otic Ganglion
The otic ganglion is a small parasympathetic ganglion located immediately below the foramen ovale (skull), 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. It is one of four parasympathetic ganglia of the head and neck. The others are the ciliary ganglion, the submandibular ganglion and the pterygopalatine ganglion. Structure and relations The otic ganglion is a small (2–3 mm), oval shaped, flattened parasympathetic ganglion of a reddish-grey color, located immediately below the foramen ovale (skull), foramen ovale in the infratemporal fossa and on the medial surface of the mandibular nerve. It is in relation, laterally, with the trunk of the mandibular nerve at the point where the motor and sensory roots join; medially, with the cartilaginous part of the auditory tube, and the origin of the tensor veli palatini; posteri ...
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Parotid Gland
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. Etymology The word ''parotid'' literally means "beside the ear". From Greek παρωτίς (stem παρωτιδ-) : (gland) behind the ear < παρά - pará : in front, and οὖς - ous (stem ὠτ-, ōt-) : ear.


Structure

The parotid glands are a pair of mainly serous salivary gland ...
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Tympanic Nerve
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. Structure The tympanic nerve arises from the inferior ganglion of the glossopharyngeal nerve. It ascends to the tympanic cavity through a small canal, the inferior tympanic canaliculus, on the under surface of the petrous portion of the temporal bone on the ridge which separates the carotid canal from the jugular fossa. In the tympanic cavity, it divides into branches which form the tympanic plexus and are contained in grooves upon the surface of the promontory. The tympanic nerve contains sensory axons to the middle ear, including the internal surface of the tympanic membrane. Their cell bodies are found in the superior ganglion of the glossopharyngeal nerve. I ...
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Mandibular Nerve
In neuroanatomy, the mandibular nerve (V) is the largest of the three divisions of the trigeminal nerve, the fifth cranial nerve (CN V). Unlike the other divisions of the trigeminal nerve ( ophthalmic nerve, maxillary nerve) which contain only afferent fibers, the mandibular nerve contains both afferent and efferent fibers. These nerve fibers innervate structures of the lower jaw and face, such as the tongue, lower lip, and chin. The mandibular nerve also innervates the muscles of mastication. Structure The large sensory root emerges from the lateral part of the trigeminal ganglion and exits the cranial cavity through the foramen ovale. Portio minor, the small motor root of the trigeminal nerve, passes under the trigeminal ganglion and through the foramen ovale to unite with the sensory root just outside the skull. The mandibular nerve immediately passes between tensor veli palatini, which is medial, and lateral pterygoid, which is lateral, and gives off a meningeal br ...
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Middle Meningeal Artery
The middle meningeal artery ('' la, arteria meningea media'') is typically the third branch of the first portion of the maxillary artery. After branching off the maxillary artery in the infratemporal fossa, it runs through the foramen spinosum to supply the dura mater (the outer meningeal layer) and the calvaria. The middle meningeal artery is the largest of the three (paired) arteries that supply the meninges, the others being the anterior meningeal artery and the posterior meningeal artery. The anterior branch of the middle meningeal artery runs beneath the pterion. It is vulnerable to injury at this point, where the skull is thin. Rupture of the artery may give rise to an epidural hematoma. In the dry cranium, the middle meningeal, which runs within the dura mater surrounding the brain, makes a deep groove in the calvarium. The middle meningeal artery is intimately associated with the auriculotemporal nerve, which wraps around the artery making the two easily identifiabl ...
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Superficial Temporal Artery
In human anatomy, the superficial temporal artery is a major artery of the head. It arises from the external carotid artery when it splits into the superficial temporal artery and maxillary artery. Its pulse can be felt above the zygomatic arch, above and in front of the tragus of the ear. Structure The superficial temporal artery is the smaller of two end branches that split superiorly from the external carotid. Based on its direction, the superficial temporal artery appears to be a continuation of the external carotid. It begins within the parotid gland, behind the neck of the mandible, and passes superficially over the posterior root of the zygomatic process of the temporal bone; about 5 cm above this process it divides into two branches: ''a. frontal'', and ''a. parietal''. Branches The parietal branch of the superficial temporal artery (posterior temporal) is a small artery in the head. It is larger than the frontal branch and curves upward and backward on the s ...
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Superficial Temporal Artery
In human anatomy, the superficial temporal artery is a major artery of the head. It arises from the external carotid artery when it splits into the superficial temporal artery and maxillary artery. Its pulse can be felt above the zygomatic arch, above and in front of the tragus of the ear. Structure The superficial temporal artery is the smaller of two end branches that split superiorly from the external carotid. Based on its direction, the superficial temporal artery appears to be a continuation of the external carotid. It begins within the parotid gland, behind the neck of the mandible, and passes superficially over the posterior root of the zygomatic process of the temporal bone; about 5 cm above this process it divides into two branches: ''a. frontal'', and ''a. parietal''. Branches The parietal branch of the superficial temporal artery (posterior temporal) is a small artery in the head. It is larger than the frontal branch and curves upward and backward on the s ...
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Glossopharyngeal Nerve
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 (closer to the nose) 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. Structure From the anterior portion of the medulla oblongata, the glossopharyngeal nerve passes laterally across or below the flocculus, and leaves the skull through the central part of the jugular foramen. From the superior and inferior ganglia in jugular foramen, it has its own sheath of dura mater. The inferior ganglion on the inferior surface of petrous part of temporal is related with a triangular depression into which the aqueduct of cochlea opens. On the ...
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Sphenomandibular Ligament
The sphenomandibular ligament (internal lateral ligament) is one of the three ligaments of the temporomandibular joint. It is situated medially to - and generally separate from - the articular capsule of the joint. Superiorly, it is attached to the spine of the sphenoid bone; inferiorly, it is attached to the lingula of mandible. The SML acts to limit inferior-ward movement of the mandible. The SML is derived from Meckel's cartilage. Anatomy The SML is a flat, thin band. It widens/broadens inferiorlybefore as it reaches its inferior attachment, measuring about 12 mm in width on average at the point of its inferior attachment. Attachments Superiorly, the SML is attached to the spine of the sphenoid bone (spina angularis. Inferiorly, it is attached at to lingula of mandible (which occurs just proximally to the mandibular foramen). Anatomical relations The lateral pterygoid muscle, auriculotemporal nerve, and the maxillary artery and maxillary vein are situated lat ...
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Lesser Petrosal Nerve
The lesser petrosal nerve (also known as the small superficial petrosal nerve) is the general visceral efferent (GVE) component of the glossopharyngeal nerve (CN IX), carrying parasympathetic preganglionic fibers from the tympanic plexus to the parotid gland. It synapses in the otic ganglion, from where the postganglionic fibers emerge. Structure After arising in the tympanic plexus, the lesser petrosal nerve passes forward and then through the hiatus for lesser petrosal nerve on the anterior surface of the petrous part of the temporal bone into the middle cranial fossa. It travels across the floor of the middle cranial fossa, then exits the skull via canaliculus innominatus to reach the infratemporal fossa. The fibres synapse in the otic ganglion, and post-ganglionic fibres then travel briefly with the auriculotemporal nerve (a branch of V3) before entering the body of the parotid gland. The lesser petrosal nerve will distribute its parasympathetic post-ganglionic (GVE) fibe ...
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External Acoustic Meatus
The ear canal (external acoustic meatus, external auditory meatus, EAM) is a pathway running from the outer ear to the middle ear. The adult human ear canal extends from the pinna to the eardrum and is about in length and in diameter. Structure The human ear canal is divided into two parts. The elastic cartilage part forms the outer third of the canal; its anterior and lower wall are cartilaginous, whereas its superior and back wall are fibrous. The cartilage is the continuation of the cartilage framework of pinna. The cartilaginous portion of the ear canal contains small hairs and specialized sweat glands, called apocrine glands, which produce cerumen (ear wax). The bony part forms the inner two thirds. The bony part is much shorter in children and is only a ring (''annulus tympanicus'') in the newborn. The layer of epithelium encompassing the bony portion of the ear canal is much thinner and therefore, more sensitive in comparison to the cartilaginous portion. Size and sha ...
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