Auriculotemporal nerve

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Nerve: Auriculotemporal nerve
Sympathetic connections of the otic and superior cervical ganglia. (Auriculotemporal labeled at top right.)
Distribution of the maxillary and mandibular nerves, and the submaxillary ganglion.
Latin	n. auriculotemporalis
Gray's	subject #200 895
Innervates	temple
From	mandibular nerve

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Overview

The auriculotemporal nerve is a branch of the mandibular nerve that runs with the superficial temporal artery and vein, and provides sensory innervation to various regions on the side of the head.

Structure

Origin

The auriculotemporal nerve arises as two roots from the posterior division of the mandibular nerve. These roots encircle the middle meningeal artery (a branch of the mandibular part of the maxillary artery, which is in turn a terminal branch of the external carotid artery). The roots then converge to form a single nerve.

Course

The auriculotemporal nerve passes medially to the neck of the mandible, gives off parotid branches and then turns superiorly, posterior to its head and moving anteriorly, gives off anterior branches to the auricle. It then crosses over the root of the zygomatic process of the temporal bone, deep to the superficial temporal artery

Innervation

The somatosensory root (superior) originates from branches of the mandibular nerve, which pass through the otic ganglion without synapsing. Then they form the somatosensory (superior) root of the auriculotemporal nerve. The two roots re-unite and shortly after the branching of secretomotor fibers to the parotid gland (parotid branches) the auriculotemporal nerve comprises exclusively somatosensory fibers, which ascend up to the superficial temporal region. Supplies the auricle, external acoustic meatus, outer side of the tympanic membrane and the skin in the temporal region (superficial temporal branches).

The parasympathetic root (inferior) carries postganglionic fibers to the parotid gland. These parasympathetic, preganglionic secretomotor fibers originate from the glossopharyngeal nerve (CN IX) as one of its branches, the lesser petrosal nerve. This nerve synapses in the otic ganglion and its postganglionic fibers from the inferior, parasympathetic root of the auriculotemporal nerve. The two roots re-unite and shortly after the "united" auriculotemporal branch gives off parotid branches, which serve as secretomotor fibers for the parotid gland.

Clinical significance

This nerve as it courses posteriorly to the condylar head, is frequently injured in temporomandibular joint surgery, causing an ipsilateral parasthesia of the auricle and skin surrounding the ear.

See also

• Superficial temporal artery

Additional images

Mandible of human embryo 24 mm. long. Outer aspect.

External links

• SUNY Figs 27:03-04 - "Illustration of the nerves within the infratemporal fossa after removal of the lateral pterygoid muscle."
• MedEd at Loyola GrossAnatomy/h_n/cn/cn1/cnb3.htm
• Auriculotemporal+nerve at eMedicine Dictionary
• Norman/Georgetown lesson4 (mandibularnerve)
• Norman/Georgetown cranialnerves (V)

v • d • e The cranial nerves: trigeminal nerve
ophthalmic (V1)	frontal: supratrochlear - supraorbital (lateral branch, medial branch) nasociliary: long ciliary - infratrochlear - posterior ethmoidal - anterior ethmoidal (external nasal, internal nasal) - sensory root of ciliary ganglion (ciliary ganglion) lacrimal
maxillary (V2)	in meninges middle meningeal in pterygopalatine fossa zygomatic (zygomaticotemporal, zygomaticofacial) - pterygopalatine (pterygopalatine ganglion see below for details) - posterior superior alveolar in infraorbital canal infraorbital nerve: superior alveolar (middle, anterior) - internal nasal branches on face inferior palpebral - external nasal - superior labial (infraorbital plexus)
mandibular (V3)	in meninges meningeal anterior to muscles of mastication (medial pterygoid/to tensor veli palatini, lateral pterygoid, masseteric, deep temporal) - buccal posterior auriculotemporal (otic ganglion) - lingual (submandibular ganglion) - inferior alveolar (mylohyoid, mental)

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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .