Documente Academic
Documente Profesional
Documente Cultură
READINGS
eg. Grant's Method:- Great vessels and nerves of the head
Last's:- The cranial nerves
Moores:- The cranial nerves
Stern:- The Pharynx
Or any other regional textbook, similar sections
IN THIS LECTURE
Composition of cranial nerves
Innervated structures in the head
Ganglia in the head
Components in cranial nerves
Parasympathetic nerves of the head
Oculomotor
Facial
Glossopharyngeal
Vagus
Sympathetic nerves of the head
Nerve supply of the ear
SENSORY GANGLIA
All sensory nerves have a cell body in the peripheral nervous system
In the rest of the body these are dorsal root ganglia (GSA and GVA)
They are pseudounipolar neurones (no synapses in the ganglion):
In the head:
1. GSA
Skin and mucus membranes
Trigeminal nerve and ganglion
Facial, glossopharyngeal and vagus nerves (ear)
2. GVA
Sensory from visceral structures in the mouth & pharynx
Facial, glossopharyngeal and vagus
All these nerves (V, VII, IX, X) have ganglia along their path:
V
Trigeminal ganglion
VII
Geniculate ganglion
IX
Glossopharyngeal ganglion
X
Vagal ganglion
3. Special senses:
I - Olfactory nerve. Bipolar cells are also the receptor cells for
smell. They pass through the cribriform plate to connect the nasal
mucosa to the olfactory bulb (which is actually part of the brain)
II Optic nerve. Bipolar cells in the retina connect the photo
receptors to other nerve cells of the retina (which are actually part of the
brain)
VIII Vestibulocochlea nerve. Bipolar cells bodies lie in the
vestibulocochlea nerve and connect the receptors to the brain.
VII, IX, X all contain taste fibres. The cell bodies lie in the
sensory ganglia of each of those nerves.
MOTOR GANGLIA
Autonomic nerves have a cell body in the peripheral nervous system
1. Parasympathetic ganglia:
Ciliary Ganglion
Preganglionic input: Oculomotor nerve
Output: Short ciliary nerves
To intraocular smooth muscle
Pterygopalatine Ganglion
Preganglionic input: Facial nerve (greater petrosal nerve)
Output: With branches of the maxillary nerve
To lacrimal, nasal and palatine glands
Submandibular Ganglion
Preganglionic input: Facial nerve (chorda tympani)
Output: With lingual nerve
To Submandibular and sublingual glands
Otic Ganglion
Preganglionic input: Glossopharyngeal nerve (lesser petrosal nerve)
Output: With auriculotemporal nerve
To Parotid gland
2. Sympathetic ganglia: Superior cervical ganglion
Input from T1, 2 & 3 via sympathetic trunk
Output is distributed with arteries of the head
GVA
SSA/SVA GSE
GVE
FACIAL NERVE
Comprises:
SVE
II
III
IV
VI
VII
VIII
IX
XI
XII
GLOSSOPHARYNGEAL NERVE
Comprises:
VAGUS NERVE
Comprises:
10
Inner parts of the auricle (concha and external acoustic meatus) are
supplied by visceral nerves:
1. Vagus (auricular branch) to external acoustic meatus and cranial surface
of concha (Aldermans nerve).
2. Glossopharyngeal nerve (tympanic branch) to middle ear, external
acoustic meatus and concha.
3. Facial nerve (tympanic twigs) to external acoustic meatus and concha.
Ear acupuncture chart in the medical library, shows points for somatic
structures such as limbs, back and head are all on the lobule and helix.
Points for visceral structures are in the concha and scaphoid fossa.
11
GVA
I
II
III
SSA/SVA GSE
GVE
SVE
Smell
Vision
*
Extraocular
Const pupil.
muscles
Ciliary musc
IV
Superior
Skin and
Muscles of
mucous
mastication
oblique
membranes
VI
VII
Lateral rectus
Viscera
Taste
Sense
Sublingual
Muscles of
Submand.
facial
Hearing
Balance
IX
Viscera
Taste
Sense
X
Mucosa of the
Viscera
Sense
Taste
Parotid
Stylo-
gland
pharyngeus
Thoracic &
Palate
abdominal
Pharynx
organs
skin
XI
Larynx
Trapezius
and SCM
XII
Tongue
muscles