The greater palatine nerve is a branch of the

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 ne ...

. This nerve is also referred to as the anterior palatine nerve, due to its location anterior to the

lesser palatine nerve The lesser palatine nerves (posterior palatine nerve) are branches of the maxillary nerve (CN V2). They descends through the greater palatine canal alongside the greater palatine nerve, and emerge (separately) through the lesser palatine foramen to ...

. It carries both general sensory fibres from the

maxillary nerve In neuroanatomy, the maxillary nerve (V) is one of the three branches or divisions of the trigeminal nerve, the fifth (CN V) cranial nerve. It comprises the principal functions of sensation from the maxilla, nasal cavity, sinuses, the palate a ...

, and parasympathetic fibers from the

nerve of the pterygoid canal The nerve of the pterygoid canal (Vidian nerve) is formed by the junction of the greater petrosal nerve and deep petrosal nerve, which passes from the foramen lacerum to the pterygopalatine fossa through the pterygoid canal. Structure The nerve ...

. It may be anaesthetised for

procedures Procedure may refer to: * Medical procedure * Instructions or recipes, a set of commands that show how to achieve some result, such as to prepare or make something * Procedure (business), specifying parts of a business process * Standard opera ...

of the

mouth In animal anatomy, the mouth, also known as the oral cavity, or in Latin cavum oris, is the opening through which many animals take in food and issue vocal sounds. It is also the cavity lying at the upper end of the alimentary canal, bounded on ...

and maxillary (upper)

teeth A tooth ( : teeth) is a hard, calcified structure found in the jaws (or mouths) of many vertebrates and used to break down food. Some animals, particularly carnivores and omnivores, also use teeth to help with capturing or wounding prey, tear ...

Structure

The greater palatine nerve is a branch of the

. It descends through the

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 grea ...

, moving anteriorly and inferiorly. Here, it is accompanied by the

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 gan ...

. It emerges upon the

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 ...

through the

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 g ...

. It then passes forward in a groove in the hard palate, nearly as far as the

incisor Incisors (from Latin ''incidere'', "to cut") are the front teeth present in most mammals. They are located in the premaxilla above and on the mandible below. Humans have a total of eight (two on each side, top and bottom). Opossums have 18, whe ...

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 In anatomy, the palatine bones () are two irregular bones of the facial skeleton in many animal species, located above the uvula in the throat. Together with the maxillae, they comprise the hard palate. (''Palate'' is derived from the Latin ''pa ...

, and ramify over the

inferior nasal concha The inferior nasal concha (inferior turbinated bone or inferior turbinal/turbinate) is one of the three paired nasal conchae in the nose. It extends horizontally along the lateral wall of the nasal cavity and consists of a lamina of spongy bone, c ...

and middle and inferior meatuses. At its exit from the canal, a palatine branch is distributed to both surfaces of the

soft palate The soft palate (also known as the velum, palatal velum, or muscular palate) is, in mammals, the soft tissue constituting the back of the roof of the mouth. The soft palate is part of the palate of the mouth; the other part is the hard palate. ...

Function

The greater palatine nerve carries both general sensory fibres from the

, and parasympathetic fibers from the

. It supplies the gums, the

mucous membrane A mucous membrane or mucosa is a membrane that lines various cavities in the body of an organism and covers the surface of internal organs. It consists of one or more layers of epithelial cells overlying a layer of loose connective tissue. It is ...

and glands of the hard palate, and communicates in front with the terminal filaments of the

nasopalatine nerve The nasopalatine nerve (long sphenopalatine nerve) is a nerve of the head. It is a branch of the pterygopalatine ganglion, a continuation from the maxillary nerve (V2). It supplies parts of the palate and nasal septum. Structure The nasopalati ...

Clinical significance

The greater palatine nerve may be anaesthetised to perform dental procedures on the maxillary (upper)

, and sometimes for

cleft lip and cleft palate A cleft lip contains an opening in the upper lip that may extend into the nose. The opening may be on one side, both sides, or in the middle. A cleft palate occurs when the palate (the roof of the mouth) contains an opening into the nose. The te ...

surgery Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pat ...

References

External links

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Diagram at adi-visuals.com
{{Authority control Trigeminal nerve