Surgical anatomy of the maxillary nerve in the zygomatic region

Anatomic knowledge on the zygomatic fossa is of primary importance to improve the regional anesthetic technique of the maxillary nerve. Few reports in the literature have addressed the trajectory of the maxillary nerve and its branches in this region; thus, this study aimed at presenting information...

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Detalles Bibliográficos
Autores: Moretto, Elizandra Paccola, Silva, Gustavo Henrique de Souza, Toledo Filho, João Lopes, Andreo, Jesus Carlos, Navarro, Ricardo de Lima, Navarro, João Adolfo Caldas
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2005
País:Brasil
Institución:Universidade de São Paulo (USP)
Repositorio:Journal of applied oral science (Online)
Idioma:inglés
OAI Identifier:oai:revistas.usp.br:article/3270
Acceso en línea:https://www.revistas.usp.br/jaos/article/view/3270
Access Level:acceso abierto
Palabra clave:Nervo maxilar
Região zigomática
Nervo trigêmeo
Fossa pterigopalatina
Maxillary nerve
Zygomatic region
Trigeminal nerve
Pterygopalatine fossa
Descripción
Sumario:Anatomic knowledge on the zygomatic fossa is of primary importance to improve the regional anesthetic technique of the maxillary nerve. Few reports in the literature have addressed the trajectory of the maxillary nerve and its branches in this region; thus, this study aimed at presenting information about the trajectory of these nerves. Thirty human half-heads of both genders were fixed in 10% formalin and demineralized in 5% nitric acid, and the maxillary nerve was dissected since its origin on the pterygopalatine fossa until penetration into the inferior orbital fissure. It was observed that the maxillary nerve sends one to three posterior superior alveolar branches and tuberal descendent branches, which supply the soft tissue structures of the region. The posterior superior alveolar nerves are inferiorly oriented near the maxillary tuberosity, where they penetrate the alveolar canals with the posterior superior alveolar artery and send small nerve branches that continue in an extraosseous trajectory. This study found that nearly 2/3 of the trajectory of the maxillary nerve is located in the zygomatic region, with a short segment (1/3) in the pterygopalatine fossa.