Tuesday, September 22, 2020

Petrosal Nerves

 1. The greater petrosal nerve 

  • carries gustatory and parasympathetic fibres. 
  • It arises from the geniculate ganglion of the facial nerve, and 
  • enters the middle cranial fossa through the hiatus for the greater petrosal nerve on the anterior surface of the petrous temporal bone. 
  • It proceeds towards the foramen lacerum,  where it joins the deep petrosal nerve which carries sympathetic fibres to form the nerve of the pterygoid canal
  • The nerve of the pterygoid canal passes through the pterygoid canal to reach the pterygopalatine
  • ganglion. 
  • The parasympathetic fibres relay in this ganglion. 
  • Postganglionic parasympathetic fibres arising in the ganglion ultimately supply the lacrimal gland 
  • and the mucosal glands of the nose, palate and pharynx.
  • The gustatory or taste fibres do not relay in the ganglion and are distributed to the palate.




2. The deep petrosal nerve
  • sympathetic in nature, 
  • is a branch of the sympathetic plexus around the internal carotid artery. 
  • It contains postganglionic fibres from the superior cervical sympathetic ganglion. 
  • The nerve joins the greater petrosal nerve to form the nerve of the pterygoid canal. 
  • The sympathetic fibres in it are distributed through the branches of the pterygopalatine ganglion




3. The lesser petrosal nerve, 
  • parasympathetic in nature,
  • is a branch of the tympanic plexus, deriving its preganglionic parasympathetic fibres from the tympanic branch of the glossopharyngeal nerve. 
  • It emerges through the hiatus for the lesser petrosal nerve, 
  • situated just lateral to the hiatus for the greater petrosal nerve, 
  • passes out of the skull through the foramen ovale, and ends in the otic ganglion 
  • Postganglionic fibres arising in the ganglion supply the parotid gland through the auriculotemporal nerve















4. The external petrosal nerve, 
  • sympathetic in nature is an inconstant branch from the sympathetic plexus around the middle meningeal artery to the geniculate ganglion of the facial nerve.






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