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Tympanic nerve

From Wikipedia, the free encyclopedia
Branch of the glossopharyngeal nerve
Tympanic nerve
Plan of upper portions ofglossopharyngeal,vagus, andaccessory nerves. (Tympanic nerve visible in upper right)
Tympanic nerve (labelled right side)
Details
ToTympanic plexus
Identifiers
Latinnervus tympanicus
TA98A14.2.01.138
TA26323
FMA53480
Anatomical terms of neuroanatomy

Thetympanic nerve (Jacobson's nerve) is a branch of theglossopharyngeal nerve passing through thepetrous part of the temporal bone to reach themiddle ear. It provides sensory innervation for the middle ear, theEustachian tube, theparotid gland, andmastoid cells. It also carriesparasympathetic fibers destined for the parotid gland.

Structure

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The tympanic nerve contains sensory axons to themiddle ear (including the internal surface of thetympanic membrane) whose cell bodies are lodged in thesuperior ganglion of the glossopharyngeal nerve.[1][verification needed]

It also contains parasympathetic axons which continue as thelesser petrosal nerve to theotic ganglion, which itself gives off postganglionic parasympathetic neurons.[1][verification needed]

Origin

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The tympanic nerve arises from theinferior ganglion of theglossopharyngeal nerve (CN IX)[1] in thejugular fossa.[2]

Course

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It passes through thepetrous part of the temporal bone within thetympanic canaliculus that is situated within the bony ridge separating thecarotid canal and thejugular foramen to reach themiddle ear.[2]

In thetympanic cavity of themiddle ear, it ramifies upon thepromontory of tympanic cavity to form thetympanic plexus.[2][1][verification needed]

Distribution

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Sensory

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The tympanic nerve provides sensation to themiddle ear (tympanic cavity).[1] This includes the internal surface of thetympanic membrane. It also supplies theEustachian tube, theparotid gland, andmastoid air cells.[1]

Parasympathetic autonomic

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The tympanic nerve is also the parasympathetic root of theotic ganglion.[1][3] These neurons then provide secretomotor innervation of theparotid gland via theauriculotemporal nerve.[1] It is involved in the salivatory reflex to increasesalivation duringchewing.[4]

Variation

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The tympanic nerve usually arises from theinferior ganglion of theglossopharyngeal nerve. Rarely, it may arise from a higher part.[1][verification needed] Rarely, it may provide no parasympathetic fibres to the otic ganglion.[3]

Clinical significance

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The tympanic nerve is involved in a reflex, where stimulation of theear canal increasessalivation.[4]

Cancer

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The tympanic nerve may be involved byparaganglioma, in this location referred to as a glomus tympanicum tumour.[5] This causes a soft mass in themiddle ear (tympanic cavity).[5] There may also bepulsatile tinnitus,hearing loss orhearing problems, and some cardiac abnormalities.[5]

History

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The tympanic nerve is also known as the nerve of Jacobson, or Jacobson's nerve.[1]

Additional images

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References

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Public domainThis article incorporates text in thepublic domain frompage 910 of the 20th edition ofGray's Anatomy(1918)

  1. ^abcdefghijTubbs, R. Shane; Shoja, Mohammadali; Loukas, Marios (2015)."26 - Anatomy of the Glossopharyngeal Nerve".Nerves and Nerve Injuries. Vol. 1: History, Embryology, Anatomy, Imaging, and Diagnostics.Academic Press. pp. 371–383.doi:10.1016/B978-0-12-410390-0.00027-5.ISBN 978-0-12-410390-0.
  2. ^abcSinnatamby, Chummy S. (2011).Last's Anatomy (12th ed.). p. 366.ISBN 978-0-7295-3752-0.
  3. ^abThomas, P. K.; Mathias, Christopher J. (2005)."52 - Diseases of the Ninth, Tenth, Eleventh, and Twelfth Cranial Nerves".Peripheral Neuropathy. Vol. 2 (4th ed.).Saunders. pp. 1273–1293.doi:10.1016/B978-0-7216-9491-7.50055-7.ISBN 978-0-7216-9491-7.
  4. ^abBarral, Jean-Pierre; Croibier, Alain (2009)."21 - Glossopharyngeal nerve".Manual Therapy for the Cranial Nerves.Churchill Livingstone. pp. 181–189.doi:10.1016/B978-0-7020-3100-7.50024-0.ISBN 978-0-7020-3100-7.
  5. ^abcWeissleder, Ralph; Wittenberg, Jack; Harisinghani, Mukesh G.; Chen, John W. (2011)."7 - Head and Neck Imaging".Primer of Diagnostic Imaging (5th ed.).Mosby. pp. 427–461.doi:10.1016/B978-0-323-06538-2.00007-X.ISBN 978-0-323-06538-2.

External links

[edit]
Terminal (CN 0)
Olfactory (CN I)
Optic (CN II)
Oculomotor (CN III)
Trochlear (CN IV)
  • Nucleus
  • Branches
    • no significant branches
Trigeminal (CN V)
Abducens (CN VI)
  • Nucleus
  • Branches
    • no significant branches
Facial (CN VII)
Near origin
Inside
facial canal
Atstylomastoid
foramen
Nuclei
Vestibulocochlear (CN VIII)
Glossopharyngeal (CN IX)
Beforejugular fossa
Afterjugular fossa
Nuclei
Vagus (CN X)
Beforejugular fossa
Afterjugular fossa
Neck
Thorax
Abdomen
Nuclei
Accessory (CN XI)
Hypoglossal (CN XII)
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