{"id":1329,"date":"2020-08-05T21:10:57","date_gmt":"2020-08-05T21:10:57","guid":{"rendered":"https:\/\/meddists.com\/learn\/pre-clinical\/anatomy\/head-and-neck\/neurovasculature\/innervation\/trigeminal-nerve-cn-v\/"},"modified":"2020-08-06T05:46:06","modified_gmt":"2020-08-06T05:46:06","slug":"trigeminal-nerve-cn-v","status":"publish","type":"page","link":"https:\/\/meddists.com\/learn\/pre-clinical\/anatomy\/skull-head-and-neck\/neurovasculature\/innervation\/trigeminal-nerve-cn-v\/","title":{"rendered":"Trigeminal nerve (CN V)"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><div class=\"intro\">The trigeminal nerve provides innervation to the face and meninges, and supplies motor innervation to the masticatory muscles. It divides into three parts as it originates: ophthalmic, maxillary, and mandibular.<\/div><\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n<span class=\"block-heading\" id=\"header_1\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Divisions<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_1\">\n\n\n<p class=\"wp-block-paragraph\">The trigeminal nerve is divided into three divisions (also known as V1,2,3):<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">These divisions provide distinct areas of sensory innervation, and the mandibular division provides motor innervation as well, for the masticatory muscles.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"http:\/\/meddists.com\/wp-content\/uploads\/2018\/08\/head_and_neck_cutaneous.png\" target=\"_blank\" title=\"Trigeminal nerve (CN V)\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" src=\"http:\/\/meddists.com\/wp-content\/uploads\/2018\/08\/head_and_neck_cutaneous.png\" alt=\"\" class=\"wp-image-4069\"\/><\/a><figcaption><strong>Cutaneous innervation of the head<\/strong><\/figcaption><\/figure>\n\n\n<\/span><span class=\"block-heading\" id=\"header_2\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Opthalmic division<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_2\">\n\n\n<p class=\"wp-block-paragraph\">The ophthalmic division exits through the superior orbital fissure. It provides sensory innervation to the anterior scalp, forehead, orbital regions, upper nose, and inside the nasal cavity.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Its main branches include:<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Tentorial&nbsp;nerve<\/li><li>Nasociliary nerve<ol><li>Long ciliary nerve<\/li><li>Short ciliary nerve<\/li><li>Anterior ethmoidal nerve<\/li><li>Posterior ethmoidal nerve<\/li><li>Infratrochlear nerve<\/li><\/ol><\/li><li>Frontal nerve<\/li><li>Supra-orbital nerve<\/li><li>Supratrochlear nerve<\/li><li>Lacrimal nerve<\/li><\/ol>\n\n\n\n<ul class=\"wp-block-list\"><li>The&nbsp;<strong>anterior&nbsp;<\/strong>and&nbsp;<strong>posterior ethmoidal nerves<\/strong>&nbsp;innervate the nasal cavity.<\/li><li>The&nbsp;<strong>supra-orbital&nbsp;nerve <\/strong>innervates the middle forehead.<\/li><li>The&nbsp;<strong>supra-trochlear nerves<\/strong>&nbsp;innervate the mid-lateral forehead.<\/li><li>The frontal nerve branches off after passing through the superior orbital fissure.<\/li><li>The supra-orbital nerve will leave through the supraorbital foramen (or notch).<\/li><li>The supratrochlear nerve leaves directly through the roof of the orbit.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"http:\/\/meddists.com\/wp-content\/uploads\/2018\/08\/cnv1_2_0.png\" target=\"_blank\" title=\"Trigeminal nerve (CN V)\"><img decoding=\"async\" src=\"https:\/\/meddists.com\/wp-content\/uploads\/2018\/08\/cnv1_2_0-661x1024.png\" alt=\"\" class=\"wp-image-4885\"\/><\/a><figcaption><strong>Schematic drawing of CN V1. The beginning is the sensory nucleus (upper right of the image)<\/strong><\/figcaption><\/figure>\n\n\n<\/span><span class=\"block-heading\" id=\"header_3\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Maxillary division<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_3\">\n\n\n<p class=\"wp-block-paragraph\">The maxillary division exits through foramen rotundum. It provides sensory innervation to the maxillary region and the meninges (shortly before entering foramen rotundum).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The maxillary division is almost entirely accompanied by parasympathetic innervation coming from the\u00a0<strong>pterygopalatine ganglion<\/strong>, originating from the\u00a0<strong>greater petrosal nerve\u00a0<\/strong>(preganglionic).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Recall that parasympathetic innervation always accompanies (&#8220;rides along&#8221;) existing nerves. They never synapse with the nerves they are accompanying.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Taste sensation from the palate and pharynx is passed to the pterygopalatine ganglion via special viscero-sensory fibers (not shown below).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Its main branches include:<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Zygomatic nerve<ol><li>Zygomaticofacial nerve<\/li><li>Zygomaticotemportal nerve<\/li><\/ol><\/li><li>Infra-orbital nerve<ol><li>Posterior superior alveolar nerve<\/li><li>Middle superior alveolar nerve<\/li><li>Anterior superior alveolar nerve<\/li><\/ol><\/li><li>Posterior superior (lateral and medial) nasal nerves<\/li><li>Pharyngeal nerve<\/li><li>Lesser palatine nerve<\/li><li>Nasopalatine nerve<\/li><li>Greater palatine nerve<\/li><li>Ganglionic branch nerve<\/li><li>Meningeal nerve<\/li><\/ol>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/meddists.com\/wp-content\/uploads\/2018\/07\/Pasted-3.jpg\" alt=\"\"\/><figcaption><strong>Schematic drawing of<\/strong> <strong>CN V2. The beginning is the sensory nucleus (upper left of the image)<\/strong><\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"pure-table\"><tbody><tr><td><strong>Foramina<\/strong><\/td><td><strong>Nerve<\/strong><\/td><\/tr><tr><td>Foramen rotundum<\/td><td>The main branch of CN V2<\/td><\/tr><tr><td>Inferior orbital fissure<\/td><td>Zygomatic nerve<br>Infra-orbital nerve<\/td><\/tr><tr><td>Pterygomaxillary fissure<\/td><td>Posterior superior alveolar nerve<\/td><\/tr><tr><td>Zygomaticotemporal foramen<\/td><td>Zygomaticotemporal nerve<\/td><\/tr><tr><td>Zygomaticofacial foramen<\/td><td>Zygomaticofacial nerve<\/td><\/tr><tr><td>Infra-orbital foramen<\/td><td>Superficial infraorbital nerve<\/td><\/tr><tr><td>Sphenopalatine foramen<\/td><td>Nasopalatine nerve<br>Posterior superior nasal nerves<\/td><\/tr><tr><td>Greater palatine foramen<\/td><td>Greater palatine nerve<br>Lateral posterior inferior nasal nerve<\/td><\/tr><tr><td>Lesser palatine foramina<\/td><td>Lesser palatine nerve<\/td><\/tr><tr><td>Palato-vaginal canal<\/td><td>Pharyngeal nerve<\/td><\/tr><\/tbody><\/table><figcaption><strong>Foramina and the CN V2 branches passing through them<\/strong><\/figcaption><\/figure>\n\n\n<\/span><span class=\"block-heading\" id=\"header_4\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Mandibular division<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_4\">\n\n\n<p class=\"wp-block-paragraph\">The mandibular division only division of the trigeminal nerve that contains both sensory and motor nerves. It begins as sensory and motor nuclei and exits through the foramen ovale.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The mandibular division can be split into three parts \u2014 anterior part, posterior part, and the rest of the nerves.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Its main branches include:<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Anterior part<ol><li>Nerve to temporalis<\/li><li>Nerve to lateral pterygoid<\/li><li>Nerve to masseter<\/li><li>Buccal nerve (the only sensory of the anterior division)<\/li><\/ol><\/li><li>Posterior part<ol><li>Lingual nerve<\/li><li>Auriculotemporal nerve<\/li><li>Inferior alveolar nerve<ol><li>Mental nerve<\/li><li>Nerve to the mylohyoid and anterior belly of the digastric<\/li><\/ol><\/li><\/ol><\/li><li>Rest of nerves<ol><li>Nerve to medial pterygoid<ol><li>Nerve to medial pterygoid<\/li><li>Nerve to tensor veli palatini<\/li><li>Nerve to tensor tympani<\/li><\/ol><\/li><li>Meningeal branch<\/li><\/ol><\/li><\/ol>\n\n\n\n<ul class=\"wp-block-list\"><li>The&nbsp;<strong>lingual nerve:<\/strong><ul><li>Joined by the&nbsp;<strong>chorda tympani<\/strong>&nbsp;nerve from CN VII<\/li><li>They will both innervate the anterior 2\/3 of the tongue \u2014 the lingual nerve will provide somato-sensory innervation, while the chorda tympani will provide special viscero-sensory innervation<\/li><li>A&nbsp;<strong>parasympathetic fiber of the chorda tympani<\/strong>&nbsp;will synapse within the&nbsp;<strong>submandibular ganglion<\/strong>&nbsp;(pre-ganglionic fiber), from there, a&nbsp;<strong>post-ganglionic<\/strong>&nbsp;parasympathetic fiber together with a sympathetic fiber from the facial artery will innervate the<strong>&nbsp;submandibular and submental<\/strong>&nbsp;salivary glands<\/li><\/ul><\/li><li>The&nbsp;<strong>auriculotemporal nerve:<\/strong><ul><li>Loops around the middle meningeal artery before picking up the post-ganglionic sympathetic and parasympathetic fibers from the otic ganglion<\/li><li>The post-ganglionic fibers terminate on the parotid gland, while the auriculotemporal nerve itself innervates the skin of the region (hence, they only share their connective tissue)<\/li><\/ul><\/li><li>The<strong>&nbsp;inferior alveolar nerve<\/strong><ul><li>Provides motor innervation to the mylohyoid and anterior belly of the digastric<\/li><li>Its main branch will enter the inferior alveolar foramen, innervate the mandibular teeth, lip and gingivae<\/li><li>Exit through the mental foramen as the&nbsp;<strong>mental nerve<\/strong>&nbsp;to innervate the skin of the chin<\/li><\/ul><\/li><li>The&nbsp;<strong>nerve to medial pterygoid:<\/strong><ul><li>Actually consists of branches to 2 other nerves as well<ul><li>Nerve to tensor tympani<\/li><li>Nerve to tensor veli palatini<\/li><\/ul><\/li><\/ul><\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/meddists.com\/wp-content\/uploads\/2018\/07\/Pasted-4.jpg\" target=\"_blank\" title=\"Trigeminal nerve (CN V)\"><img decoding=\"async\" src=\"https:\/\/meddists.com\/wp-content\/uploads\/2018\/07\/Pasted-4-571x600.jpg\" alt=\"\" class=\"wp-image-15284\"\/><\/a><figcaption><strong>Schematic drawing of<\/strong> <strong>CN V3. The beginning is the sensory and motor nuclei (upper left of the image)<\/strong><\/figcaption><\/figure>\n<\/span><div id=\"the_titles\" style=\"display:none;\"><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Divisions<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Opthalmic division<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Maxillary division<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Mandibular division<\/h4><\/div>","protected":false},"excerpt":{"rendered":"<p>Divisions The trigeminal nerve is divided into three divisions (also known as V1,2,3): These divisions provide distinct areas of sensory innervation, and the mandibular division provides motor innervation as well, for the masticatory muscles. Opthalmic division The ophthalmic division exits through the superior orbital fissure. It provides sensory innervation to the anterior scalp, forehead, orbital [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1159,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1329","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Trigeminal nerve (CN V) &#8211; Meddists<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/meddists.com\/learn\/pre-clinical\/anatomy\/skull-head-and-neck\/neurovasculature\/innervation\/trigeminal-nerve-cn-v\/\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/meddists.com\\\/learn\\\/pre-clinical\\\/anatomy\\\/skull-head-and-neck\\\/neurovasculature\\\/innervation\\\/trigeminal-nerve-cn-v\\\/\",\"url\":\"https:\\\/\\\/meddists.com\\\/learn\\\/pre-clinical\\\/anatomy\\\/skull-head-and-neck\\\/neurovasculature\\\/innervation\\\/trigeminal-nerve-cn-v\\\/\",\"name\":\"Trigeminal nerve (CN V) &#8211; 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