Zygomaticotemporal nerve

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Zygomaticotemporal nerve

The zygomaticotemporal nerve (zygomaticotemporal branch, temporal branch) is a cutaneous (sensory) nerve of the head.[1] It is a branch of the zygomatic nerve (itself a branch of the maxillary nerve (CN V2)). It arises in the orbit and exits the orbit through the zygomaticotemporal foramen in the zygomatic bone to enter the temporal fossa. It is distributed to the skin of the side of the forehead. It also contains a parasympathetic secretomotor component for the lacrimal gland which it confers to the lacrimal nerve (which then delivers it to the gland).

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Zygomaticotemporal nerve
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Distribution of the maxillary and mandibular nerves and the submaxillary ganglion
Details
FromMaxillary nerve
InnervatesSkin on side of forehead
Identifiers
Latinramus zygomaticotemporalis nervi zygomatici
TA98A14.2.01.057
TA26232
FMA52972
Anatomical terms of neuroanatomy
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Structure

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Perspective

Origin

The zygomaticotemporal nerve is a branch of the zygomatic nerve.[2]:496

Course

It passes along the lateral wall of the orbit in a groove in the zygomatic bone.[3]

It passes through the zygomaticotemporal foramen of the zygomatic bone[4] to emerge (at the anterior portion of) the temporal fossa.[1]

In the temporal fossa, it passes superior-ward[5] between the two layers of the temporal fascia,[2]:357 between the temporal bone and temporalis muscle. It pierces the temporal fascia about 2 cm superior to the zygomatic arch.[1]

As it pierces the deep layer of temporal fascia, it issues a small branch which runs between the two layers of the temporalis fascia to the lateral angle of the orbit.[1]

Distribution

The nerve provides sensory innervation to a small area of skin[2]:354 over the temple[1][2]:354,356 superior to the zygomatic arch.[2]:496

Communications

The zygomaticotemporal nerve communicates with the facial nerve (CN VII) (in most individuals[6]),[1][6] the lacrimal nerve (a branch of the ophthalmic nerve (CN V1)),[2]:495 and the auriculotemporal nerve (a branch of the mandibular nerve (CN V3)).[1]

  • The zygomaticotemporal nerve confers a parasympathetic[7] secretomotor[2]:495 communicating[2]:402 branch (containing post-ganglionic fibres for the lacrimal gland from the pterygopalatine ganglion[2]:399) to the lacrimal nerve at the superior portion of the lateral wall of the orbit.[2]:495

Variation

Sometimes, the zygomaticotemporal nerve replaces the lacrimal nerve and vice versa.[1]

References

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