00:01
Going back to cranial nerve V,
the trigeminal nerve,
has a lot of different nuclei
all throughout the brainstem
from the midbrain all the
way down to the medulla.
00:15
And as the name implies,
it's going to have
three major components.
00:19
It's going to have an
ophthalmic division,
a maxillary division and
a mandibular division.
00:25
The ophthalmic nerve
is going to go along
the lateral wall of
the cavernous sinus
through the superior
orbital fissure
and then give off
several branches
including the frontal
nerve, the lacrimal nerve
and the nasal ciliary nerve,
all providing important
sensory information.
00:44
The maxillary division
or cranial nerve V2
is going to go through the
wall of the cavernous sinus
and then exit through
the foramen rotundum
before it passes over
the pterygopalatine fossa
and then give off some
terminal branches.
01:04
It's actually going to
travel all the way anteriorly
through the inferior
orbital fissure
and then out the
infraorbital foramen.
01:14
Where it will become
the infraorbital nerve.
01:17
It's also going to give
off many important branches
including those
to the upper teeth
via superior alveolar nerves.
01:24
It's also going to
give off some branches
that go down towards the
pterygopalatine area as well.
01:32
The third division,
the mandibular branch
is going to go through
the foramen ovale
and then through the
infratemporal fossa
and going to do something different
from the other two branches
of the trigeminal nerve.
01:47
It provides both sensory
information and motor supply.
01:52
So it's going to give
some sensory branches
such as a auricolotemporal,
or buccal nerve.
01:59
But then it's also
going to innervate
what are called the
muscles of mastication,
things like the
temporalis and masseter.
02:05
Hence nerves like deep temporal
or nerve to the masseter.
02:10
In terms of this
sensory distribution,
the ophthalmic is going
to be responsible for
part of the dermatome of the
anterior part of the head
down to the level of the
eyes and the tip of the nose.
02:23
The maxillary division
is going to come down in a strip
that covers the cheek
to the upper lips
and then the lower portion
is going to come down
past the ears down to the jaw
to cover the rest of the
anterior aspect of the head.