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Glossopharyngeal , vagus , accessory and hypoglossal nerve Dr Gallatz Katalin. BRAIN EXIT OF THE CRANIAL NERVES. GLOSSOPHARYNGEAL NERVE IX. GLOSSOPHARYNGEAL NERVE IX. LEAVES THE SKULL THROUGH THE JUGULAR FORAMEN. THE FIST BRANCH – TYMPANIC NERNE ORIGINATES IN THE PETROSAL FOSSULA
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Glossopharyngeal, vagus, accessory and hypoglossalnerve DrGallatz Katalin
GLOSSOPHARYNGEAL NERVE IX. LEAVES THE SKULL THROUGH THE JUGULAR FORAMEN. THE FIST BRANCH – TYMPANIC NERNE ORIGINATES IN THE PETROSAL FOSSULA IT HAS TWO SENSORY GANGLION: SUPERIOR (JUGULAR) AND (PSEUDOUNIPOLAR CELLS) INFERIOR (PETROSAL)
NUCLEI OF GLOSSOPHARYNGEAL NERVE: ambiguusnucleusSVM inferiorsalivatorynucleusGVM nucleus of thesolitarytractSVS nucleus of thespinaltrigeminaltr. GSS
Sensoryganglia of theglossopharyngealnerve PETROSAL GANGLION (INFERIOR) JUGULAR GANGLION (SUPERIOR) Vegetative (parasympathetic) ganglion: OTIC GANGLION
GLOSSOPHARYNGEAL NERVE INNERVATES WITH SOMATOSENSORY FIBERS:posterior 1/3 of thetongue palatinetonsil WITH SPECIAL VISCEROSENSORY FIBERS: tastebuds of thecircumvallatepapillas WITH GENERAL VISCEROSENSORY FIBERS: mucousmembrane of thepharynx receptors of thecarotid sinus WITH GENERAL VISCEROMOTOR (parasympathetic) FIBERS: parotidgland WITH SPECIAL VISCEROMOTOR FIBERS: levatorvelipalatinimuscle stylopharyngeusmuscle constrictormuscles (pharyngealplexus)
BRANCHES OF GLOSSOPHARYNGEAL NERVE: TYMPANIC NERVE GVM, GSS TYMPANIC PLEXUS LESSER PETROSAL NERVE GVM PHARYNGEAL BRANCHES PHARYNGEAL PLEXUS SVM, GVM, GSS NERVE FOR CAROTID SINUS GVS TONSILLARY BRANCH GVS LINGUAL BRANCHES SVS,GVM,GSS
TYMPANIC NERVE GVM, GSSTYMPANIC PLEXUSLESSER PETROSAL NERVE GVM
TYMPANIC PLEXUS tympanicnerve (IX.) communicatingramus of VII n. caroticotympanicnerves: (postganglionarsympathetic fibersfromthecarotidplexus)
LESSER PETROSAL NERVE containsparasympatheticpreganglionicfibers. Thesefibersterminateintheoticganglion (justbeneaththeovalforamen). The postganglionisfibersjointotheauriculotemporalnerve and providethe Secretomotorinnervation of theparotidgland
TONSILLARY BRANCH GVS LINGUAL BRANCHES SVS, GVM, GSS PHARYNGEAL BRANCHES PHARYNGEAL PLEXUS SVM, GVM, GSS
Nuclei of thevagusnerve: ambiguusnucleusSVM dorsalnucleus of thevagusnerveGVM lateralnucleus of alacinereaGVS nucleus of thesolitarytractSVS nucleus of thespinaltrigeminaltr. GSS
Sensory ganglia of the vagus nerve superior (jugular) ggl. inferior (nodose) ggl Vegetative (parasympathetic) gangliacan be foundinthewall of theviscera intramuralganglia
Vagusnerveinnervates Withbranchialmotor SVM fibers - levatorvelipalatini, - middleconstrictor of thepharynx - inferiorconstrictorpharynx - muscles of thelarynx and esophagus Withsomatosensoryfibers - mucousmembrane of thelarynx, - mucousmembrane of theinferior part of thepharynx - epiglotticvallecules - posterior part of thedura mater - posterior part of theskinoftheexternalacusticmeatus
Withspecialviscerosensoryfibers - thetastebudsaroundtheepiglotticvallecules and aroundthe adituslaryngis General viscerosensoryand visceromotorfibers thelarynx, trachea, oesophagus, bronchi, lungs, heart and abdominalviscerafromthestomachtothe leftcolicflexura
Branches of the vagus nerve Cranio-cervical part 1. posteriormeningealbranch 2. auricularbranch 3. pharyngeal 4. superiorlaryngealnerve 5. superiorcardiacnerves 6. recurrantlaryngealnerve: -inferiorlaryngealnerve, - inferiorcardiacnerves, - trachealesbranches, - esophagealbranches
Branches of the vagus nerve Thoracic part - cardiacbranches - bronchialbranches - pericardiacbranches - oesophagealbranches Adominal part - branchesfortheviscera • gastric plexus • hepatic plexus • coeliac plexus • renal plexus
Branches of trigeminalnerve n. facialis nucl. saliv. sup Zygomatic n./lacrimaln. Lacrimalgland Pterygopalatineggl. Post.nasalnerves,nasopalatine n.,greater and lesserpalatinenerves Palatine and nasalglands Greaterpetrosal n. Submandibularggl. Lingual n. submandibular, sublingual and anteriorlingualgl. chordatympani Glossopharyngeal n. inf. salivatory n. Oticggl auriculotemporal n. Parotidgland tympanicn. /lesserpetrosal n.
Nuclei of the accessory nerve: ambiguus nucleus SVMcranial root motoneurons of the C1-6 SM spinal root
Branches of the accessory nerve 1. ExternalbranchSM innervatesthesternocleidomastoid and trapezius 2. InternalbranchSVM joinstothevagus helpsintheinnervation of thearytenoideidmuscle
Hypoglossal nerve Innervates: all the extrinsic and intrinsic muscles of the tongue
Parapharyngeal region Nerves: glossopharyngeal n., sympathetic trunk vagus n., hypoglossal n. accessory nerve