Cutaneous Nerves of Head and Neck

See also Plates 32, 35, 52

From ophthalmic division Auricular branch

of trigeminal nerve (V1) of vagus nerve (X)

Supra-orbital nerve
Supratrochlear nerve
Medial branches
Palpebral branch of of dorsal rami
lacrimal nerve of cervical spinal
nerves
Infratrochlear nerve
Greater occipital
External nasal branch of
nerve (C2)
anterior ethmoidal nerve
3rd occipital
nerve (C3)

From maxillary division From 4th, 5th,

of trigeminal nerve (V2) 6th, and 7th
nerves in
Infra-orbital nerve succession
below
Zygomaticofacial nerve

Zygomaticotemporal nerve
Branches from
cervical plexus
Lesser occipital
From mandibular division of nerve (C2)
trigeminal nerve (V3) Great auricular
Mental nerve nerve (C2, 3)
Transverse cervical
Buccal nerve nerve (C2, 3)

Auriculotemporal nerve Supraclavicular

nerves (C3, 4)

Dorsal rami of
Ophthalmic nerve (V1) cervical spinal
nerves

Note: Auricular branch

of vagus nerve to
Trigeminal external acoustic
nerve (V) Maxillary nerve (V2) meatus and small
area on posteromedial
surface of auricle and
concha via facial nerve

Branches from
Mandibular nerve (V3) cervical plexus

Plate 2 Superficial Head and Neck

 Skull: Anterior View

Frontal bone Coronal suture

Glabella
Parietal bone
Supra-orbital Nasion
notch (foramen)
Sphenoidal bone
Orbital surface Lesser wing

Nasal bone Greater wing

Temporal bone
Lacrimal bone
Ethmoidal bone

Zygomatic bone Orbital plate

Perpendicular plate
Frontal process

Orbital surface Middle nasal concha

Temporal process Inferior nasal concha

Zygomaticofacial
foramen Vomer

Maxilla Mandible
Zygomatic process Ramus
Orbital surface Body
Infra-orbital foramen Mental foramen
Frontal process Mental tubercle
Alveolar process Mental protuberance
Anterior nasal spine

Right orbit: frontal and slightly lateral view

Orbital surface of frontal bone Supra-orbital notch

Orbital surface of lesser Posterior and

wing of sphenoidal bone Anterior
ethmoidal foramina
Superior orbital fissure Orbital plate of
Optic canal (foramen) ethmoidal bone
Orbital surface of greater Lacrimal bone
wing of sphenoidal bone
Fossa for lacrimal sac
Orbital surface of
Orbital process of
zygomatic bone
palatine bone
Zygomaticofacial foramen Orbital surface
of maxilla
Inferior orbital fissure
Infra-orbital foramen
Infra-orbital groove

Plate 4 Bones and Ligaments

 Facial Nerve Branches and Parotid Gland 2
See also Plates 53, 134

Temporal
branches

Parotid
gland
Zygomatic
branches

Posterior
auricular
nerve

Facial nerve
emerging from Parotid
stylomastoid duct (of
foramen Stensen)

Buccal
branches

Digastric and
stylohyoid Marginal
branches mandibular
branch

Cervical branch

Temporofacial division Temporal branch

Posterior auricular nerve

Zygomatic branches
Facial nerve proper

Digastric and stylohyoid Buccal branches

branches

Cervicofacial division
Marginal mandibular branch

Cervical branch

Nasal Region Plate 54

 Cranial Nerve Nuclei in Brain Stem: Schema

Oculomotor nerve (CN III)

Red nucleus
Superior colliculus

Oculomotor nucleus

Accessory oculomotor
Lateral geniculate body (Edinger-Westphal) nucleus

Mesencephalic nucleus Trochlear nucleus

of trigeminal nerve
Trochlear nerve (CN IV)
Principal
sensory nucleus of Motor nucleus of
trigeminal nerve trigeminal nerve
Trigeminal nerve
(CN V) and ganglion Trigeminal
(semilunar) nerve (CN V)
and ganglion
Facial nerve (CN VII)
and geniculate
ganglion Abducens nucleus
Vestibulocochlear
Facial nucleus
nerve (CN VIII)

Geniculate ganglion
of facial nerve

Superior
Anterior and inferior
Cochlear salivatory
nuclei Posterior nuclei

Vestibular
nuclei Glosso-
pharyngeal
nerve (CN IX)
Glossopharyngeal
nerve (CN IX)
Vagus nerve (CN X)

Vagus nerve (CN X)

Accessory nerve (CN XI)

Spinal tract and spinal Nucleus ambiguus

nucleus of trigeminal nerve
Dorsal nucleus
Nuclei of solitary tract of vagus nerve (CN X)

Nucleus of hypoglossal nerve

Accessory nucleus
Efferent fibers
Afferent fibers
Mixed fibers

Plate 127 Cranial and Cervical Nerves

 Cranial Nerves (Motor and Sensory Distribution): Schema

Spinal nerve fibers

Efferent (motor) fibers
Afferent (sensory) fibers

CN III
Oculomotor
Ciliary muscle, sphincter
CN I CN II pupillae, and all external eye lm
ic
a
Olfactory Optic muscles except those below hth
Eye Op
Nasal cavity
CN IV ry
Trochlear illa
ax
Superior oblique muscle M
CN V lar Motor—muscles of
ibu
Trigeminal Ma
nd mastication: tensor
CN VI Sensory—face, tympani, tensor
Abducens sinuses, teeth, orbit veli palatini,
Lateral rectus and oral cavities, mylohyoid,
muscle dura mater anterior belly
of digastric

CN VII Intermediate nerve

Facial Motor—submandibular,
Muscles of face, sublingual, lacrimal glands
stapedius, posterior Taste—anterior 2⁄3 of
belly of digastric, tongue, sensory soft palate
stylohyoid, occipitalis,
auricularis muscles

CN VIII
Vestibulocochlear
Cochlear Vestibular

CN IX
Glossopharyngeal
Taste—posterior 1⁄3 of tongue
Sensory—tonsil, pharynx, middle ear
Motor—stylopharyngeus,
parotid gland

CN X
Vagus
Motor—heart, lungs, palate, pharynx,
larynx, trachea, bronchi, GI tract
CN XI Sensory—heart, lungs, trachea,
CN XII Accessory bronchi, larynx, pharynx,
Hypoglossal Sternocleidomastoid, GI tract, external ear
Tongue trapezius muscles
muscles

Infrahyoid
muscles
(C1, 2, 3
fibers)

Plate 129 Cranial and Cervical Nerves

 Eyeball 1
Horizontal section Cornea
Zonular fibers Capsule of lens Anterior chamber
(suspensory ligament of lens)
Lens Posterior chamber
Scleral venous sinus
(canal of Schlemm) Iris Iridocorneal angle
Scleral spur
Ciliary processes
Ciliary body and ciliary muscle
Bulbar conjunctiva
Ciliary part of retina
Ora serrata
Tendon of
lateral rectus
muscle Tendon of
medial rectus
muscle

Optic (visual)
part of retina
Vitreous body
Choroid

Perichoroidal space Hyaloid canal

Sclera
Lamina cribrosa of sclera
Fascial sheath of eyeball
(Tenon’s capsule) Optic nerve (II)
Episcleral space
Central retinal
Fovea centralis in macula (lutea) artery and vein

Meningeal sheath of optic nerve

Subarachnoid space

Orbit and Contents Plate 89

 Afferent Innervation of Oral Cavity and Tongue 2
See also Plates 144, 146

Midde superior
alveolar branch

Ophthalmic nerve (CN V1) Anterior superior

alveolar branch
Trigeminal nerve (CN V)

Trigeminal (semilunar) ganglion

Infraorbital
Maxillary nerve (CN V2) nerve
Mandibular nerve (CN V3)
Buccal nerve

Posterior superior alveolar branch

Lingual nerve

Inferior alveolar nerve

Anterior superior
alveolar branch
Nasopalatine nerve
Mental
Infraorbital nerve nerve
Middle superior
alveolar nerve Middle superior
alveolar branch
Posterior superior Inferior alveolar nerve Incisive branch
alveolar branch and
buccal nerves

Greater palatine Posterior superior

nerve alveolar branch
Lesser palatine Buccal nerve
nerve

Inferior
Lingual nerve and alveolar
nerve to mylohyoid nerve
muscle
Mental nerve Incisive branch
(branch of inferior
alveolar nerve)

Glossopharyngeal nerve (CN IX)

Lingual nerve

Vagus nerve (CN X)

Taste and general sensation
via superior laryngeal nerve Glossopharyngeal nerve (CN IX)
Taste plus general sensation
via lingual branches

Facial nerve (CN VII)

Intermediate nerve of (Wrisberg) Trigeminal nerve (CN V)
via chorda tympani (taste) (mandibular nerve V3)
via lingual nerve
(general sensation)

Oral Region Plate 66