Sensory Innervation of Head and Neck

(Figures 6.2 and 6.3B , Table 6-3)
  • Trigeminal nerve provides sensory innervation to facial skin along with motor function to muscles of mastication (masseter, medial/lateral pterygoid, temporalis)
    • Three main trigeminal divisions: V1 (ophthalmic), V2 (maxillary), and V3 (mandibular)
    • V1 with five subdivisions: supraorbital (frontal branch), supratrochlear (frontal branch), infratrochlear (nasociliary branch), external nasal (nasociliary branch), and lacrimal nerve
Figure 6.2 Sensory innervation of head and neck (Reprint from Nouri, K. Complications in Dermatologic Surgery. Philadelphia, PA: Mosby Elsevier; 2008)
Figure 6.2 Sensory innervation of head and neck
(Reprint from Nouri, K. Complications in Dermatologic Surgery. Philadelphia, PA: Mosby Elsevier; 2008)

   
 
Table 6-3 Sensory Innervation of Head and Neck
 Nerve BranchSensory Innervation to:
V1: Ophthalmic branch
 
Supratrochlear nerve
 
Medial forehead, medial upper eyelid, frontal scalp
 
Supraorbital nerve
 
Most of forehead, portion of frontoparietal scalp, frontal sinus, upper eyelid
 
Lacrimal nerve
 
Lacrimal gland, conjunctivae, lateral eyelids
 
    
 
Reason why zoster lesions on tip of nose can be sign of ocular involvement (since both ciliary branch and external nasal branch come from nasociliary nerve)
  
    
 
External nasal branch of anterior ethmoidal (AE) nerve
 
Nasal dorsum, tip, supratip, and columella
 
  
     
  
CN V → ophthalmic → nasociliary → AE nerve → external nasal branch
  
     
 
Ciliary nerve
 
Corneal surface
  
     
  
CN V → ophthalmic → nasociliary → ciliary nerve
  
     
     
 
Infratrochlear nerve
 
Root of nose, upper lateral sidewalls , part of medial canthus, lacrimal sac
V2: Maxillary branch
 
Infraorbital nerve
 
Medial cheek, upper lip, lower nasal sidewall, nasal ala, lower eyelid
 
Zygomaticofacial (ZMF) nerve
Malar eminence of cheek
 
Zygomaticotemporal (ZMT) nerve
 
Temple and supratemporal scalp
 
Superior alveolar and palatine nerve
Upper teeth, palate, nasal mucosa, and gingiva
V3: Mandibular branch(both sensory and motor branches)
 
Auriculotemporal nerve
Anterior upper half of ear, tragus, preauricular cheek, anterior ½ of meatus, TMJ, external tympanic membrane, temple, temporoparietal scalp
 
Buccal nerve
Cheek, buccal mucosa, and gingiva
 
Inferior alveolar
 
Mandibular teeth
 
Mental nerve
Chin, lower lip
 
Lingual nerve
 
Anterior 2/3 of tongue (somatic sensation), floor of mouth, lower gingiva
Cervical plexus (C2–C4)
 
Lesser occipital nerve C2
 
Neck and postauricular scalp, posterior upper half of ear
 
Greater occipital nerve C2
Occipital scalp
 
Transverse cervical nerve C2 and C3
 
Anterior neck
 
Supraclavicular nerve C3 and C4
Anterior chest, clavicle, and shoulder
 
Greater auricular nerve C2 and C3
 
Lateral neck, angle of jaw , inferior lateral cheek, anterior/posterior lower half of ear (include ear lobule), mastoid process, and postauricular skin
Other sensory nerves
 
Facial nerve
CN VII → chorda tympani


CN VII → small branches
(minor role in sensory)
Taste sensation (anterior 2/3 tongue via chorda tympani), small portion of auditory meatus, concha bowl (variably innervated by branches of vagus and facial nerves), soft palate, pharynx
 
Auricular branch of vagus nerve (CN X)
CN X → auricular branch
Posterior ½ of tympanic membrane and posterior wall of external auditory meatus
 
Glossopharyngeal (CN IX)
 Taste and somatic sensation to posterior 1/3 of tongue
    
 
   


Figure 6.3 A: Sensory innervation of the lower extremity B: Sensory innervation of the ear (Reprint from Nouri, K. Complications in Dermatologic Surgery. Philadelphia, PA: Mosby Elsevier; 2008)
Figure 6.3
A: Sensory innervation of the lower extremity
B: Sensory innervation of the ear
(Reprint from Nouri, K. Complications in Dermatologic Surgery. Philadelphia, PA: Mosby Elsevier; 2008)