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Maxillary Nerve

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HanaMajeed
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5 views22 pages

Maxillary Nerve

Uploaded by

HanaMajeed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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COURSE AND BRANCHES

OF MAXILLARY NERVE

Dr. Hana Majeed


Junior Resident ENT
• The second division of trigeminal nerve
• Purely Sensory nerve
Course

Convex anterior border of trigeminal ganglion

Trigeminal cave of dura

Cavernous sinus

Foramen rotundum

Pterygopalatine fossa
Floor of orbit
( infraorbital Infraorbital
Infraorbital nerve Face
groove and foramen
canal)
Middle cranial Pterygopalatine
Orbit face
fossa fossa
Branches

• IN THE MIDDLE CRANIAL FOSSA


Meningeal branch: supplies the dura mater of middle cranial fossa
IN THE PTERYGOPALATINE FOSSA
1. Ganglionic ( Communicating ) branches
• Two in number to pterygopalatine ganglion
2. Zygomatic nerve:
• Zygomaticotemporal branch
• Zygomaticofacial branch
3. Posterior Superior Alveolar nerve
• Superior dental plexus
IN THE ORBIT (INFRAORBITAL
CANAL)
• Middle Superior Alveolar nerve
• Anterior Superior Alveolar nerve
ON THE FACE
• Palpebral branches
• Nasal branches
• Superior labial branches
Clinical Application
• Maxillary nerve block for nasal bone reduction
• Maxillary nerve anaesthesia:
• The higher tuberosity
• Greater palatine canal approach

• Greater palatine nerve and nasopalatine nerve block


• This block is produced at the site where the greater
palatine nerve exists on the palate.
• Posterior superior alveolar nerve block
• produce anaesthesia in the maxillary molars
• most common complication :haematoma (puncturing the
pterygoid plexus).
• Uncommon complications : temporary Bell’s palsy, injury
of the parotid gland, and trismus
• Middle superior alveolar nerve block
• Administered if the infraorbital nerve block does not
provide adequate anaesthesia to the teeth distal of the
canine
• The posterior superior alveolar injection does not provide
anaesthesia for the mesiobuccal root of the first molar
• Infraorbital nerve block

• Anaesthesia from the


maxillary central incisor
to the premolar teeth in
70% of patients

• Superior lateral labial


frenulum as an anatomic
reference point
• Supraperiosteal injection
• This field block allows anaesthetizing chosen terminal
branches of the maxillary nerve.
• Used for pulpal and soft tissue anaesthesia.
• Infection or increased bone density can diminish or
abolish the anaesthetic effect
• Trigeminal neuralgia:
• The maxillary and mandibular nerves transmit pain

• Due to vascular compression of the nerves by vessel loops


or aneurysms

• Higher prevalence of right-sided pain since rotundum and


ovale foramina on the right side of the human cranium are
significantly narrower than on the left side
THANK YOU!

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