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Greater Palatine Artery
The greater palatine artery is a branch of the descending palatine artery (a terminal branch of the maxillary artery) and contributes to the blood supply of the hard palate and nasal septum. Course The descending palatine artery branches off of the maxillary artery in the pterygopalatine fossa and descends through the greater palatine canal along with the greater palatine nerve (from the pterygopalatine ganglion). Once emerging from the greater palatine foramen, it changes names to the greater palatine artery and begins to supply the hard palate. As it terminates it travels through the incisive canal to anastomose with the sphenopalatine artery to supply the nasal septum. See also * Greater palatine nerve The greater palatine nerve is a branch of the pterygopalatine ganglion. This nerve is also referred to as the anterior palatine nerve, due to its location anterior to the lesser palatine nerve. It carries both general sensory fibres from the maxi ... References External lin ...
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Descending Palatine Artery
The descending palatine artery is a branch of the third part of the maxillary artery supplying the hard and soft palate. Course It descends through the greater palatine canal with the greater and lesser palatine branches of the pterygopalatine ganglion, and, emerging from the greater palatine foramen, runs forward in a groove on the medial side of the alveolar border of the hard palate to the incisive canal; the terminal branch of the artery passes upward through this canal to anastomose with the sphenopalatine artery. Branches Branches are distributed to the gums, the palatine glands, and the mucous membrane of the roof of the mouth; while in the pterygopalatine canal it gives off twigs which descend in the lesser palatine canals to supply the soft palate and palatine tonsil, anastomosing with the ascending palatine artery. According to Terminologia Anatomica, the descending palatine artery branches into the greater palatine artery and lesser palatine arteries The lesser pal ...
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Maxillary Artery
The maxillary artery supplies deep structures of the face. It branches from the external carotid artery just deep to the neck of the mandible. Structure The maxillary artery, the larger of the two terminal branches of the external carotid artery, arises behind the neck of the mandible, and is at first imbedded in the substance of the parotid gland; it passes forward between the ramus of the mandible and the sphenomandibular ligament, and then runs, either superficial or deep to the lateral pterygoid muscle, to the pterygopalatine fossa. It supplies the deep structures of the face, and may be divided into mandibular, pterygoid, and pterygopalatine portions. First portion The ''first'' or ''mandibular '' or ''bony'' portion passes horizontally forward, between the neck of the mandible and the sphenomandibular ligament, where it lies parallel to and a little below the auriculotemporal nerve; it crosses the inferior alveolar nerve, and runs along the lower border of the lateral pte ...
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Hard Palate
The hard palate is a thin horizontal bony plate made up of two bones of the facial skeleton, located in the roof of the mouth. The bones are the palatine process of the maxilla and the horizontal plate of palatine bone. The hard palate spans the alveolar process, alveolar arch formed by the alveolar process that holds the upper teeth (when these are developed). Structure The hard palate is formed by the palatine process of the maxilla and horizontal plate of palatine bone. It forms a partition between the nasal passages and the mouth. On the anterior portion of the hard palate are the plicae, irregular ridges in the mucous membrane that help facilitate the movement of food backward towards the larynx. This partition is continued deeper into the mouth by a fleshy extension called the soft palate. On the ventral surface of hard palate, some projections or transverse ridges are present which are called as palatine rugae. Function The hard palate is important for feeding and sp ...
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Nasal Septum
The nasal septum () separates the left and right airways of the Human nose, nasal cavity, dividing the two nostrils. It is Depression (kinesiology), depressed by the depressor septi nasi muscle. Structure The fleshy external end of the nasal septum is called the Human nose#Cartilages, columella or columella nasi, and is made up of cartilage and soft tissue. The nasal septum contains bone and hyaline cartilage. It is normally about 2 mm thick. The nasal septum is composed of four structures: * Perpendicular plate of ethmoid bone * Vomer bone * Septal nasal cartilage * Maxillary bone (the crest) The lowest part of the septum is a narrow strip of bone that projects from the maxilla and the Palatine bone, palatine bones, and is the length of the septum. This strip of bone is called the maxillary crest; it articulates in front with the septal nasal cartilage, and at the back with the vomer. The maxillary crest is described in the anatomy of the nasal septum as having a maxill ...
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Pterygopalatine Fossa
In human anatomy, the pterygopalatine fossa (sphenopalatine fossa) is a fossa in the skull. A human skull contains two pterygopalatine fossae—one on the left side, and another on the right side. Each fossa is a cone-shaped paired depression deep to the infratemporal fossa and posterior to the maxilla on each side of the skull, located between the pterygoid process and the maxillary tuberosity close to the apex of the orbit. It is the indented area medial to the pterygomaxillary fissure leading into the sphenopalatine foramen. It communicates with the nasal and oral cavities, infratemporal fossa, orbit, pharynx, and middle cranial fossa through eight foramina. Structure Boundaries It has the following boundaries: * ''anterior'': superomedial part of the infratemporal surface of maxilla * ''posterior'': root of the pterygoid process and adjoining anterior surface of the greater wing of sphenoid bone * ''medial'': perpendicular plate of the palatine bone and its orbital and sph ...
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Greater Palatine Canal
The greater palatine canal (or pterygopalatine canal) is a passage in the skull that transmits the descending palatine artery, vein, and greater and lesser palatine nerves between the pterygopalatine fossa and the oral cavity. Structure The greater palatine canal starts on the inferior aspect of the pterygopalatine fossa. It goes through the maxilla and palatine bones to reach the palate, ending at the greater palatine foramen. From this canal, accessory canals branch off; these are known as the lesser palatine canals. The canal is formed by a vertical groove on the posterior part of the maxillary surface of the palatine bone; it is converted into a canal by articulation with the maxilla. The canal transmits the descending palatine vessels, the greater palatine nerve, and the lesser palatine nerve. See also * Greater palatine foramen * Pterygopalatine fossa In human anatomy, the pterygopalatine fossa (sphenopalatine fossa) is a fossa in the skull. A human skull contains two ...
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Greater Palatine Nerve
The greater palatine nerve is a branch of the pterygopalatine ganglion. This nerve is also referred to as the anterior palatine nerve, due to its location anterior to the lesser palatine nerve. It carries both general sensory fibres from the maxillary nerve, and parasympathetic fibers from the nerve of the pterygoid canal. It may be anaesthetised for procedures of the mouth and maxillary (upper) teeth. Structure The greater palatine nerve is a branch of the pterygopalatine ganglion. It descends through the greater palatine canal, moving anteriorly and inferiorly. Here, it is accompanied by the descending palatine artery. It emerges upon the hard palate through the greater palatine foramen. It then passes forward in a groove in the hard palate, nearly as far as the incisor teeth. While in the pterygopalatine canal, it gives off lateral posterior inferior nasal branches, which enter the nasal cavity through openings in the palatine bone, and ramify over the inferior nasal conch ...
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Pterygopalatine Ganglion
The pterygopalatine ganglion (aka Meckel's ganglion, nasal ganglion, or sphenopalatine ganglion) is a parasympathetic ganglion found in the pterygopalatine fossa. It is largely innervated by the greater petrosal nerve (a branch of the facial nerve); and its postsinaptic axons project to the lacrimal glands and nasal mucosa. The flow of blood to the nasal mucosa, in particular the venous plexus of the conchae, is regulated by the pterygopalatine ganglion and heats or cools the air in the nose. It is one of four parasympathetic ganglia of the head and neck, the others being the submandibular ganglion, otic ganglion, and ciliary ganglion. Structure The pterygopalatine ganglion (of Meckel), the largest of the parasympathetic ganglia associated with the branches of the maxillary nerve, is deeply placed in the pterygopalatine fossa, close to the sphenopalatine foramen. It is triangular or heart-shaped, of a reddish-gray color, and is situated just below the maxillary nerve as it cr ...
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Greater Palatine Foramen
At either posterior angle of the hard palate is the greater palatine foramen, for the transmission of the descending palatine vessels and greater palatine nerve; and running anteriorly (forward) and medially (towards the center-line) from it is a groove, for the same vessels and nerve. Variations The greater palatine foramen (GPF) is related to the upper 3rd molar tooth in most of the skulls (55%), 2nd molar in (12%), between the 2nd and 3rd molar in (19%) and retromolar in (14%). The shape of the foramen is elongated antero-posteriorly; however, an unusually crescent shaped foramen is rare. See also * Greater palatine canal * Lesser palatine foramina Behind the greater palatine foramen is the pyramidal process of the palatine bone, perforated by one or more lesser palatine foramina which carry the lesser palatine nerve, and marked by the commencement of a transverse ridge, for the attachment of ... References External links * * * Bones of the head and neck { ...
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Incisive Canal
The incisive canals (also: "''nasopalatine canals''") are two bony canals of the anterior hard palate connecting the nasal cavity and the oral cavity. An incisive canal courses through each maxilla. Below, the two incisive canals typically converge medially. Each incisive canal transmits a nasopalatine nerve, and an anastomosis of the greater palatine artery and a posterior septal branch of the sphenopalatine artery. Anatomy An incisive canal has an average length of 10 mm, and an average width of up to 6 mm at the incisive fossa (the dimensions of the canal change with age, trauma, and loss of teeth). Course and openings The two incisive canals usually (in 60% of individuals) have a characteristic "Y"-shaped or "V"-shaped morphology: above, each incisive canal opens into the nasal cavity on either side of the nasal septum as the nasal foramina; below, the two incisive canals converge medially to open into the oral cavity at midline at the incisive fossa as several incisive ...
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Anastomose
An anastomosis (, plural anastomoses) is a connection or opening between two things (especially cavities or passages) that are normally diverging or branching, such as between blood vessels, leaf veins, or streams. Such a connection may be normal (such as the foramen ovale in a fetus's heart) or abnormal (such as the patent foramen ovale in an adult's heart); it may be acquired (such as an arteriovenous fistula) or innate (such as the arteriovenous shunt of a metarteriole); and it may be natural (such as the aforementioned examples) or artificial (such as a surgical anastomosis). The reestablishment of an anastomosis that had become blocked is called a reanastomosis. Anastomoses that are abnormal, whether congenital or acquired, are often called fistulas. The term is used in medicine, biology, mycology, geology, and geography. Etymology Anastomosis: medical or Modern Latin, from Greek ἀναστόμωσις, anastomosis, "outlet, opening", Gr ana- "up, on, upon", stoma "mouth", ...
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Sphenopalatine Artery
The sphenopalatine artery (nasopalatine artery) is an artery of the head, commonly known as the artery of epistaxis. Course The sphenopalatine artery is a branch of the maxillary artery which passes through the sphenopalatine foramen into the cavity of the nose, at the back part of the superior meatus. Here it gives off its posterior lateral nasal branches. Crossing the under surface of the sphenoid, the sphenopalatine artery ends on the nasal septum as the posterior septal branches. Here it will anastomose with the branches of the greater palatine artery. Clinical significance The sphenopalatine artery is the artery responsible for the most serious, posterior nosebleeds (also known as epistaxis). It can be ligated surgically or blocked under image guidance with minimally invasive techniques by interventional radiologist using tiny microparticles to control such nosebleeds. See also *Kiesselbach's plexus Kiesselbach's plexus is an anastomotic arterial network (plexus) of four ...
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