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Auricular Branch Of Vagus Nerve
The auricular branch of the vagus nerve is often termed the Alderman's nerve ("a reference to the old Aldermen of the City of London and their practice of using rosewater bowls at ceremonial banquets, where attendees were encouraged to place a napkin moistened with rosewater behind their ears in the belief that this would aid digestion") or Arnold's nerve (an eponym for Friedrich Arnold). The auricular branch of the vagus nerve supplies sensory innervation to the skin of the ear canal, tragus, tympanic membrane and auricle. Path It arises from the superior ganglion of the vagus nerve, and is joined soon after its origin by a filament from the petrous ganglion of the glossopharyngeal; it passes behind the internal jugular vein, and enters the mastoid canaliculus on the lateral wall of the jugular fossa. Traversing the substance of the temporal bone, it crosses the facial canal about above the stylomastoid foramen, and here it gives off an ascending branch which joins the ...
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Glossopharyngeal
The glossopharyngeal nerve (), also known as the ninth cranial nerve, cranial nerve IX, or simply CN IX, is a cranial nerve that exits the brainstem from the sides of the upper Medulla oblongata, medulla, just anterior (closer to the nose) to the vagus nerve. Being a mixed nerve (sensorimotor), it carries afferent sensory and efferent motor information. The motor division of the glossopharyngeal nerve is derived from the Basal plate (neural tube), basal plate of the embryonic medulla oblongata, whereas the sensory division originates from the cranial neural crest. Structure From the anterior portion of the medulla oblongata, the glossopharyngeal nerve passes laterally across or below the Flocculus (cerebellar), flocculus, and leaves the skull through the central part of the jugular foramen. From the superior and inferior ganglia in jugular foramen, it has its own sheath of dura mater. The inferior ganglion on the inferior surface of petrous part of temporal is related with a tri ...
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Superior Ganglion Of Vagus Nerve
The superior ganglion of the vagus nerve (jugular ganglion) is a sensory ganglion of the peripheral nervous system. It is located within the jugular foramen, where the vagus nerve exits the skull. It is smaller than and proximal to the inferior ganglion of the vagus nerve. Structure The neurons in the superior ganglion of the vagus nerve are pseudounipolar and provide sensory innervation (general somatic afferent) through either the auricular or meningeal branch. The axons of these neurons synapse in the spinal trigeminal nucleus of the brainstem. Peripherally, the neurons found in the superior ganglion form two branches, the auricular and meningeal branch. Function Auricular branch of the vagus nerve The superior ganglion contains neurons which innervate the concha of the auricle, the posteroinferior surface of the external auditory canal and posteroinferior surface of the tympanic membrane all via the auricular branch of the vagus nerve. Meningeal branch of the v ...
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Laryngeal Cancer
Laryngeal cancer is a kind of cancer that can develop in any part of the larynx (voice box). It is typically a squamous-cell carcinoma, reflecting its origin from the epithelium of the larynx. The prognosis is affected by the location of the tumour. For the purposes of Cancer staging, staging, the larynx is divided into three anatomical regions: the glottis (true vocal cords, anterior and posterior commissures); the supraglottis (epiglottis, Arytenoid cartilage, arytenoids and aryepiglottic folds, and Vestibular fold, false cords); and the subglottis. Most laryngeal cancers originate in the glottis, with supraglottic and subglottic tumours being less frequent. Laryngeal cancer may spread by: direct extension to adjacent structures, metastasis to regional cervical lymph nodes, or via the blood stream. The most common site of distant metastases is the lung. Laryngeal cancer occurred in 177,000 people in 2018, and resulted in 94,800 deaths (an increase from 76,000 deaths in 1990). F ...
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Paraganglioma
A paraganglioma is a rare neuroendocrine tumour, neuroendocrine neoplasm that may develop at various body sites (including the head, neck, thorax and abdomen). When the same type of tumor is found in the adrenal gland, they are referred to as a pheochromocytoma. They are rare tumors, with an overall estimated incidence of 1 in 300,000. There is no test that determines benign from malignant tumors; long-term follow-up is therefore recommended for all individuals with paraganglioma. Signs and symptoms Most paragangliomas are asymptomatic, present as a painless mass, or create symptoms such as hypertension, tachycardia, headache, and palpitations. While all contain neurosecretory granules, only in 1–3% of cases is secretion of hormones such as catecholamines abundant enough to be clinically significant; in that case manifestations often resemble those of pheochromocytomas (intra-medullary paraganglioma). Genetics About 75% of paragangliomas are sporadic; the remaining 25% are here ...
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Human Ear
In vertebrates, an ear is the organ that enables hearing and (in mammals) body balance using the vestibular system. In humans, the ear is described as having three parts: the outer ear, the middle ear and the inner ear. The outer ear consists of the auricle and the ear canal. Since the outer ear is the only visible portion of the ear, the word "ear" often refers to the external part (auricle) alone. The middle ear includes the tympanic cavity and the three ossicles. The inner ear sits in the bony labyrinth, and contains structures which are key to several senses: the semicircular canals, which enable balance and eye tracking when moving; the utricle and saccule, which enable balance when stationary; and the cochlea, which enables hearing. The ear canal is cleaned via earwax, which naturally migrates to the auricle. The ear develops from the first pharyngeal pouch and six small swellings that develop in the early embryo called otic placodes, which are derived from the e ...
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Posterior Auricular Nerve
The posterior auricular nerve is a nerve of the head. It is a branch of the facial nerve (CN VII). It communicates with branches from the vagus nerve, the great auricular nerve, and the lesser occipital nerve. Its auricular branch supplies the posterior auricular muscle, the intrinsic muscles of the auricle, and gives sensation to the auricle. Its occipital branch supplies the occipitalis muscle. Structure The posterior auricular nerve arises from the facial nerve (CN VII). It is the first branch outside of the skull. This origin is close to the stylomastoid foramen. It runs upward in front of the mastoid process. It is joined by a branch from the auricular branch of the vagus nerve (CN X). It communicates with the posterior branch of the great auricular nerve, as well as with the lesser occipital nerve. As it ascends between the external acoustic meatus and mastoid process it divides into auricular and occipital branches. * The ''auricular branch'' travels to the posterior a ...
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Tympanomastoid Fissure
The temporal bone is a paired bone situated at the sides and base of the skull, lateral to the temporal lobe of the cerebral cortex. The temporal bones are overlaid by the sides of the head known as the temples where four of the cranial bones fuse. Each temple is covered by a temporal muscle. The temporal bones house the structures of the ears. The lower seven cranial nerves and the major vessels to and from the brain traverse the temporal bone. Structure The temporal bone consists of four parts—the squamous, mastoid, petrous and tympanic parts. The squamous part is the largest and most superiorly positioned relative to the rest of the bone. The zygomatic process is a long, arched process projecting from the lower region of the squamous part and it articulates with the zygomatic bone. Posteroinferior to the squamous is the mastoid part. Fused with the squamous and mastoid parts and between the sphenoid and occipital bones lies the petrous part, which is shaped like a py ...
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Facial Nerve
The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of facial expression, and functions in the conveyance of taste sensations from the anterior two-thirds of the tongue. The nerve typically travels from the pons through the facial canal in the temporal bone and exits the skull at the stylomastoid foramen. It arises from the brainstem from an area posterior to the cranial nerve VI (abducens nerve) and anterior to cranial nerve VIII (vestibulocochlear nerve). The facial nerve also supplies preganglionic parasympathetic fibers to several head and neck ganglia. The facial and intermediate nerves can be collectively referred to as the nervus intermediofacialis. The path of the facial nerve can be divided into six segments: # intracranial (cisternal) segment (from brainstem pons to internal auditory canal) # meatal (canalicular) segment (with ...
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Stylomastoid Foramen
The stylomastoid foramen is a foramen between the styloid and mastoid processes of the temporal bone of the skull. It is the termination of the facial canal, and transmits the facial nerve, and stylomastoid artery. Facial nerve inflammation in the stylomastoid foramen may cause Bell's palsy. Structure The stylomastoid foramen is between the styloid and mastoid processes of the temporal bone. The average distance between the opening of the stylomastoid foramen and the styloid process is around 0.7 mm or 0.8 mm in adults, but may decrease to around 0.2 mm during aging. The stylomastoid foramen transmits the facial nerve, and the stylomastoid artery. These 2 structures lie directly next to each other. Clinical significance Bell's palsy can result from inflammation of the facial nerve The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of fa ...
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Facial Canal
The facial canal (also known as the Fallopian canal) is a Z-shaped canal in the temporal bone of the skull. It extends between the internal acoustic meatus and stylomastoid foramen. It transmits the facial nerve (CN VII) (after which it is named). Anatomy The facial canal gives passage to the facial nerve (CN VII) (hence the name). Its proximal opening is at the internal auditory meatus; its distal opening is the stylomastoid foramen. In humans, the canal is approximately 3 cm long, making it the longest bony canal of a nerve in the human body. It is located within the middle ear region. The facial nerve gives rise to three nerves while passing through the canal: the greater petrosal nerve, nerve to stapedius, and the chorda tympani. Structure Horizontal part The proximal portion of the facial canal is termed the horizontal part. It commences at the introitus of facial canal at the distal end of the internal auditory meatus. The horizontal part is further sub ...
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Temporal Bone
The temporal bone is a paired bone situated at the sides and base of the skull, lateral to the temporal lobe of the cerebral cortex. The temporal bones are overlaid by the sides of the head known as the temples where four of the cranial bones fuse. Each temple is covered by a temporal muscle. The temporal bones house the structures of the ears. The lower seven cranial nerves and the major vessels to and from the brain traverse the temporal bone. Structure The temporal bone consists of four parts—the squamous, mastoid, petrous and tympanic parts. The squamous part is the largest and most superiorly positioned relative to the rest of the bone. The zygomatic process is a long, arched process projecting from the lower region of the squamous part and it articulates with the zygomatic bone. Posteroinferior to the squamous is the mastoid part. Fused with the squamous and mastoid parts and between the sphenoid and occipital bones lies the petrous part, which is shaped li ...
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Jugular Fossa
The jugular fossa is a deep depression ( fossa) in the inferior part of the temporal bone at the base of the skull. It lodges the bulb of the internal jugular vein. Structure The jugular fossa is located in the temporal bone, posterior to the carotid canal and the cochlear aqueduct. In the bony ridge dividing the carotid canal from the jugular fossa is the small inferior tympanic canaliculus for the passage of the tympanic branch of the glossopharyngeal nerve. In the lateral part of the jugular fossa is the mastoid canaliculus for the entrance of the auricular branch of the vagus nerve. Behind the jugular fossa is a quadrilateral area, the jugular surface, covered with cartilage in the fresh state, and articulating with the jugular process of the occipital bone. Variation The jugular fossa has variable depth and size in different skulls. Function The jugular fossa lodges the bulb of the internal jugular vein. Clinical significance Abnormally shaped jugular fossae ...
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