The infraorbital nerve is a branch of the maxillary nerve, itself a branch of the trigeminal nerve (CN V). It travels through the orbit and enters the infraorbital canal to exit onto the face through the infraorbital foramen.
| Infraorbital nerve |
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| FMA | 52978 |
| Anatomical terms of neuroanatomy |
The supratrochlear nerve (STN) is a branch of the frontal nerve and supplies sensory innervations to the bridge of the nose, medial part of the upper eyelid, and medial forehead.
The semilunar (gasserian or trigeminal) ganglion is the great sensory ganglion of CN V. It contains the sensory cell bodies of the 3 branches of the trigeminal nerve (the ophthalmic, mandibular, and maxillary divisions). The ophthalmic and maxillary nerves are purely sensory.
The zygomatic nerve is a branch of the maxillary nerve, itself a branch of the trigeminal nerve (CN V). It travels through the orbit and divides into branches that provide sensory innervation to skin over the zygomatic and temporal bones. Zygomatic nerve. Lateral view of the nerves of the orbit.
The nasopalatine nerve innervates the anterior part of the hard palate and the mucosa of the nasal septum. A nasopalatine nerve block may be used as local anesthesia for some dental procedures, though it is often painful for the patient.
The buccal nerve (long buccal nerve) is a nerve in the face. It is a branch of the mandibular nerve (which is itself a branch of the trigeminal nerve) and transmits sensory information from skin over the buccal membrane (in general, the cheek) and from the second and third molar teeth.
The inferior alveolar nerve (sometimes called the inferior dental nerve) is a branch of the mandibular nerve, which is itself the third branch of the trigeminal nerve. The inferior alveolar nerves supply sensation to the lower teeth.
Results: In 75 % of the cases the infraorbital foramen was located on the line which is connecting the lateral palpebral commissure to the ala of the nose. The closest distance of infraorbital foramen to the inferior orbital margin and to facial midline was also measured.
Foramen Rotundum. The foramen rotundum is located at the base of the greater wing of the sphenoid, inferior to the superior orbital fissure. It provides a connection between the middle cranial fossa and the pterygopalatine fossa. The maxillary nerve (branch of the trigeminal nerve, CN V) passes through this foramen.
The lateral wall and the floor of the orbit are separated posteriorly by the inferior orbital fissure which transmits the maxillary nerve and its zygomatic branch, and the ascending branches from the pterygopalatine ganglion. It is formed by the sphenoid bone and maxilla.
The supraorbital foramen or notch is the small opening at the central edge of the superior orbital margin in the frontal bone just below the superciliary arches that transmits the supra-orbital nerve, artery and vein.
How do you give a mental nerve block?
- Topical anesthetic is applied to the inner part of the lower lip and gums below the tooth line.
- The doctor feels for the mental canal (foramen) on the side of the chin, on the jawline.
- An anesthetic is injected into the area around the mental foramen using a small needle from inside the lower lip.
The supraorbital nerve block is a procedure performed to provide immediate localized anesthesia for a multitude of injuries such as complex lacerations to the forehead, upper eyelid laceration repair, debridement of abrasions or burns to the forehead, removal of foreign bodies, or pain relief from acute herpes zoster.
A maxillary nerve block is administered to nerves near the upper bone plate of the jaw to numb the face. A maxillary nerve block is a procedure that provides regional anesthesia to parts of the nose, upper jaw, cheek, and mouth.
A supraorbital nerve block is a procedure to provide regional anesthesia to the area of the face from the upper eyelid to the top of the head. An anesthetic solution is injected at a point in the eyebrow where the supraorbital nerve exits the skull to numb the upper eyelid, forehead and the frontal part of the scalp.
Approach: While retracting the lip, insert the needle into the intersection of the mucobuccal fold and the apex/center of the canine at a 45-degree angle, advancing the needle approximately 1-1.5 cm. Aspirate. Slowly inject 2 mL of local anesthetic and massage for 10-20 seconds.
Technique (multiple penetration)
- Hold the needle at right angles to the papilla.
- Retract the lip to improve visibility.
- Insert the needle into the papilla just above the crest of bone.
- Direct it toward the incisive papilla on the palatal side of the interdental papilla while slowly injecting anesthetic solution.
An infraorbital nerve block, which branches from the maxillary nerve, anesthetizes the lower eyelid, upper cheek, part of the nose, and upper lip (see image below).
The inferior alveolar nerve block, a common procedure in dentistry, involves the insertion of a needle near the mandibular foramen in order to deposit a solution of local anesthetic near to the nerve before it enters the foramen, a region where the inferior alveolar vein and artery are also present.
The mandibular foramen contains a branch of the trigeminal nerve (CN V), a branch of the maxillary artery and the inferior alveolar vein. The nerve and blood vessels within the mandibular foramen are the inferior alveolar nerve, artery, and vein.
The inferior orbital fissure (IOF) lies in the floor of the orbit inferior to the superior orbital fissure and it is bounded superiorly by the greater wing of sphenoid, inferiorly by maxilla and orbital process of palatine bone and laterally by the zygomatic bone.
The maxillary nerve is the second branch of the trigeminal nerve, which originates embryologically from the first pharyngeal arch. Its primary function is sensory supply to the mid-third of the face.
