A text-book of veterinary anatomy

When the tela is pulled out one may easily get the impression that the lateral ventricle communicates with the exterior by means of the chorioid fissure. Such is not the case, since the chorioid plexus is covered by the epithelial lining of the ventricle, which has been torn away.

The rhinencephalon or olfactory part of the brain comprises the olfactory bulb, peduncle and tracts or roots, the trigonum olfactorium, the area parolfactoria, and the pyriform lobe.^[199]

The olfactory bulb (Bulbus olfactorius) is an oval enlargement which curves upward in front of the frontal pole of the hemisphere. Its convex superficial face fits into the ethmoidal fossa and receives numerous olfactory nerve-fibers through the cribriform plate; hence it is very difficult to remove the bulb intact. It contains a considerable cavity (Ventriculus bulbi olfactorii) which is connected with the lateral ventricle by a small canal in the middle olfactory tract. The deep face is largely in contact with the frontal pole of the hemisphere and is connected with the olfactory peduncle.

The gray matter of the bulb is external and is thickest on the convex anterior surface. The posterior surface consists to a large extent of fibers which are the axones of the mitral cells of the deep layer of the gray substance and go to form the peduncle and striæ.

The olfactory peduncle (Tractus olfactorius) is a very short but wide band of white substance which arises in the olfactory bulb and extends back to be continued by the olfactory tracts.

The olfactory tracts or striæ (Striæ olfactorii) are three in number. The external tract (Stria lateralis) is much the largest and most distinct. It passes backward, upward, and outward, widens out and joins the pyriform lobe. It is clearly defined dorsally by the sulcus rhinalis and is marked off from the trigonum olfactorium by the sulcus arcuatus. The intermediate tract (Stria intermedia) is short, ill defined, and flat; it contains the canal which opens into the anterior horn of the lateral ventricle. The internal tract (Stria medialis) is small, short, and not well defined; it bends over to the parolfactory area (of Broca) on the inner face of the hemisphere below the genu of the corpus callosum.

The trigonum olfactorium is the prominent gray area situated in the angle of divergence of the internal and external olfactory striæ. It is bounded externally by the external olfactory stria, from which it is defined by the arcuate sulcus. It is continuous with the area parolfactoria on the medial surface; behind the latter a band descends from the rostrum of the corpus callosum and is continuous below with the anterior perforated space; it is termed the subcallosal gyrus or peduncle of the corpus callosum.

The pyriform lobe (Lobus piriformis) is the well-marked prominence on the base lateral to the optic tract and cerebral peduncle, from which it is separated by a deep fissure. Its nipple-like apex lies behind the fossa transversa and covers the optic tract. The external surface is marked by one or two sulci (lobi piriformis). The lobe contains a cavity, the ventral horn of the lateral ventricle.

The fibers of the olfactory tracts go to the pyriform lobe and hippocampus, the trigonum olfactorium, the area parolfactoria, the subcallosal gyrus, and part of the gyrus fornicatus. The central connections of the olfactory apparatus are complex and are not yet fully understood. The anterior cerebral commissure contains fibers which pass from the olfactory bulb of one side by way of the inner tracts to the bulb of the opposite side; also fibers which cross in it from the inner tract of one side to the pyriform lobe of the opposite side. Many fibers pass by way of the septum pellucidum, fornix, and fimbria to the hippocampus. Other fibers pass in the anterior pillar of the fornix to the mammillary body and thence to the thalamus by the thalamo-mammillary bundle.

The corpus callosum is the great transverse commissure which connects the two cerebral hemispheres through about half of their length. On median section (Fig. 508) it is seen to be arched from before backward, white in color, and composed substantially of transverse fibers. The middle part or truncus (Truncus corporis callosi) slopes downward and forward and is thinner than the ends. The anterior thickened end, the genu, bends downward and backward and thins out to form the rostrum; the latter is continuous with the lamina terminalis. The posterior end, the splenium, also thick, lies at a considerably higher level than the genu. The upper surface is convex in its length, concave transversely. Its central part forms the floor of the longitudinal fissure. It is covered by a thin layer of gray matter (Induseum griseum), in which are strands of longitudinal fibers (Striæ longitudinales); the latter are arranged in median and lateral bundles (Stria medialis, striæ laterales).^[200] The lower surface has the reverse configuration, and forms the roof of the lateral ventricles. Along the median line the septum pellucidum is attached to it. The fibers of the corpus callosum (with the exception of the longitudinal striæ) run transversely and spread out laterally in all directions in the central white matter of the hemispheres to the cortex, forming the radiation of the corpus callosum (Radiatio corporis callosi).

The fornix is a bilateral structure composed of white fibers which arch chiefly over the thalamus and the third ventricle. It is described as consisting of a body and two pairs of pillars. The body (Corpus fornicis) is formed by the fusion of the two arches of which the fornix is composed. It is triangular and overlies the anterior parts of the thalami and the third ventricle. The upper surface gives attachment to the septum pellucidum and on either side forms part of the floor of the lateral ventricle. The lateral border is related to the chorioid plexus of the lateral ventricle and forms the inner boundary of the interventricular foramen. The anterior pillars or columns (Columnæ fornicis) (Fig. 512) are two slender round bundles which emerge from the body in front of the interventricular foramen and diverge slightly as they curve downward and backward to the mammillary body.

From the mammillary body the greater part of these fornix fibers are continued to the thalamus by the thalamo-mammillary fasciculus (or bundle of Vicq d’Azyr). Others pass to the cerebral peduncle. A portion of the fibers cross to the opposite thalamus and cerebral peduncle.

The posterior pillars (Crura fornicis) are much larger bands which diverge widely from the posterior angles of the body. Each curves outward and backward over the thalamus (from which it is separated by the tela chorioidea) and is chiefly continued as the fimbria along the concave border of the hippocampus. The pillars give off fibers to form the alveus or white matter which covers the ventricular face of the hippocampi, and between them are transverse fibers which constitute the hippocampal commissure.

The septum pellucidum is the median partition between the two lateral ventricles. Its convex upper border blends with the corpus callosum and its concave lower border joins the fornix. Its anterior part is received into the genu of the corpus callosum. Traced backward it diminishes in height and the two edges meet at an acute angle at the splenium.

The septum consists of two layers (Laminæ septi pellucidi) which are in direct contact with each other. They consist of nerve-fibers and gray matter. The latter exists in considerable amount in the thicker part of the septum adjacent to the anterior pillars of the fornix. Many of the fibers of the septum pass up through the corpus callosum to the gyrus fornicatus. Others are connected with the subcallosal gyrus and the parolfactory area.

The lateral ventricle (Ventriculus lateralis) is the irregular cavity in the interior of each cerebral hemisphere.^[201] Each communicates with the third ventricle through the interventricular foramen (of Monro), and by a small canal with the cavity of the olfactory bulb. It is usual to describe the ventricle as consisting of three parts, viz., the central part or body, and anterior and inferior horns. The anterior horn (Cornu nasale) is the part in front of the interventricular foramen; it communicates ventrally with the olfactory cavity. The central part (Pars centralis) extends back to the splenium of the corpus callosum. It opens into the third ventricle through the interventricular foramen, which is situated between the fornix and the anterior part of the thalamus. The inferior horn (Cornu ventrale) curves downward and forward into the pyriform lobe. The roof of the ventricle is formed by the corpus callosum and the inner wall is the septum pellucidum. After removal of the roof the floor is seen to be formed chiefly by two bodies. The anterior one is the caudate nucleus (Nucleus caudatus), a somewhat pear-shaped gray eminence, the long axis of which is directed obliquely upward, backward, and outward. Its anterior large end is termed the head, and the posterior long tapering end the tail. The posterior body, the hippocampus, is white on its ventricular surface, which is strongly convex. It curves outward and backward and then turns downward and forward to join the pyriform lobe. The two bodies are separated by an oblique groove which is occupied by the chorioid plexus of the lateral ventricle. This is the thickened edge of a fold of pia mater, the tela chorioidea (or velum interpositum), which lies between the hippocampus and the thalamus. It contains convolutions of small blood-vessels and in old subjects there may be calcareous concretions in it. The plexuses of the two sides are continuous through the interventricular foramen. On drawing the chorioid plexus backward a narrow white band, the stria terminalis (or tænia semicircularis), is seen along the margin of the caudate nucleus, where it bounds the intermediate groove. The plexus partially covers a wider white band which is blended with the white substance of the hippocampus; this is the posterior pillar of the fornix and its continuation, the fimbria.

The corpus striatum^[202] is the great basal ganglion of the hemisphere. It is situated in front of the thalamus and the cerebral peduncle, and its anterior rounded end appears on the base of the hemisphere at the trigonum olfactorium. It is composed of two masses of gray matter, the caudate and lenticular nuclei, separated incompletely by tracts of white matter which are known collectively as the internal capsule. The caudate nucleus (Nucleus caudatus) is the dorso-medial and larger of the two gray masses; it has been seen in the examination of the floor of the lateral ventricle. The lenticular nucleus (Nucleus lentiformis) lies ventro-laterally, over the trigonum olfactorium and the fossa transversa. It is related externally to a layer of white matter termed the external capsule, which separates it from a stratum of gray substance known as the claustrum. The two nuclei are fused in front, and further back they are connected by strands of gray matter which intersect the internal capsule.

The amygdaloid nucleus (Nucleus amygdalæ) (Fig. 506) is an ovoid mass of gray matter situated external to the ventral horn of the lateral ventricle and below the posterior part of the lenticular nucleus. Some fibers of the stria terminalis are connected with it.

The internal capsule (Capsula interna) is a broad band of white matter situated between the thalamus and caudate nucleus internally and the lenticular nucleus externally. A sagittal section through the brain shows that it is in great part directly continuous with the basis or ventral part of the cerebral peduncle. It contains most of the so-called projection fibers of the hemisphere, which connect the cerebral cortex with nuclei of other and more posterior parts of the brain. When the fibers of the internal capsule are traced forward it is evident that they spread out in all directions to reach the cerebral cortex. This arrangement, in which the fibers of the corpus callosum participate, is termed the corona radiata.

The internal capsule also contains fibers which connect the corpus striatum with the thalamus. These are termed the thalamo-striate and strio-thalamic fibers respectively, according to the direction in which they conduct impulses.

The fibers of the stria terminalis connect the amygdaloid nucleus with the septum pellucidum and trigonum olfactorium. It is therefore probably part of the complex connections between the primary and secondary olfactory centers.

The Cranial Nerves

The cranial or cerebral nerves (Nn. cerebrales) comprise twelve pairs which are designated from before backward numerically and by name. Their number, names, and functional characters are given in the subjoined table:

THE FIRST OR OLFACTORY NERVE

The olfactory nerve (N. olfactorius) is peculiar in that its fibers are not aggregated to form a trunk, but are connected in small bundles with the olfactory bulb. They are non-medullated, and are the central processes of the olfactory cells which are situated in the olfactory region of the mucous membrane of the nasal cavity. This region is distinguished by its brown color and comprises most of the lateral mass of the ethmoid, a small adjacent area of the superior turbinal, and the corresponding surface of the septum nasi. The nerve-bundles are inclosed in sheaths derived from the membranes of the brain and pass through the foramina of the cribriform plate to join the convex surface of the olfactory bulb. Some fibers come from the vomero-nasal organ of Jacobson.

THE SECOND OR OPTIC NERVE

The optic nerve (N. opticus) is composed of fibers which are the central processes of the ganglion cells of the retina. The fibers converge within the eyeball to the optic papilla, where they are collected into a round trunk, the optic nerve. The nerve thus formed pierces the chorioid and sclera, emerges from the posterior part of the eyeball, and passes backward and inward to the optic foramen. After traversing the latter it decussates with its fellow of the opposite side to form the optic chiasma or commissure. In the orbit the nerve is slightly flexuous and is embedded in the fat behind the eyeball and surrounded by the retractor oculi muscle. Its intraosseous part is an inch or more (ca. 3 cm.) long. The sheath of the nerve is formed by prolongations of the membranes of the brain, and includes continuations of the subdural and subarachnoid spaces.

The greater part of the fibers of the optic nerve cross in the chiasma to the tract of the opposite side. In the tract the fibers proceed to (1) the internal geniculate body, (2) the posterior part of the thalamus, and (3) the anterior quadrigeminal body (indirectly). The fibers which go to the internal geniculate body appear to belong to Gudden’s commissure and to be nonvisual in function. The visual fibers, which come from the outer part of the retina of the same side and the inner part of the retina of the opposite side, terminate about cells in the anterior quadrigeminal body and the part of the thalamus which corresponds to the pulvinar and external geniculate body of man. From the cells of the former fibers pass to the nuclei of the motor nerves of the eyeball, and complete the reflex arc. Fibers proceed from the cells of the thalamus to the visual area of the cortex in the occipital part of the hemisphere.

THE THIRD OR OCULOMOTOR NERVE

The oculomotor nerve (N. oculomotorius) arises by several radicles from the basal surface of the cerebral peduncle, a little lateral to the interpeduncular furrow. It turns sharply outward and forward, crosses over the cavernous sinus, and continues above the maxillary nerve and in company with the ophthalmic nerve to the foramen lacerum orbitale. It emerges through the foramen with the latter nerve and the abducens and divides into two branches. The superior branch is short and divides into twigs which supply the rectus superior, retractor, and levator palpebræ superioris. The inferior branch (Figs. 438, 439) is larger and much longer. It supplies the motor fibers to the ciliary ganglion (which lies directly on this branch in the horse) and short branches to the rectus internus and rectus inferior, and continues forward on the latter to end in the inferior oblique muscle.

The deep origin of the fibers of the oculomotor nerve is in the oculomotor nucleus situated in the gray matter of the floor of the cerebral aqueduct in the region of the anterior corpora quadrigemina.

THE FOURTH OR TROCHLEAR NERVE

The trochlear or pathetic (N. trochlearis) is the smallest of the cranial nerves. It arises from the anterior cerebellar peduncle just behind the corpora quadrigemina, curves outward and forward, pierces the tentorium cerebelli, and passes forward along the outer border of the maxillary nerve (Figs. 504, 505). It emerges from the cranium through a small foramen immediately above the foramen lacerum orbitale or through the latter and passes forward along the inner wall of the orbit to end in the posterior part of the superior oblique muscle of the eyeball (Fig. 439).

The fibers of the fourth nerve spring from a nucleus in the gray matter of the floor of the cerebral aqueduct behind the oculomotor nucleus. The fibers run backward in the tegmentum, then turn upward and inward and undergo total decussation with those of the opposite nerve in the anterior part of the anterior medullary velum. In addition to this peculiarity it is the only nerve which is connected with the dorsal aspect of the brain.

THE FIFTH, TRIGEMINAL, OR TRIFACIAL NERVE

The trigeminal nerve (N. trigeminus) is the largest of the cranial series. It is connected with the lateral part of the pons by a large sensory root and a smaller motor root (Fig. 499).

The sensory root (Portio major) extends forward through a notch on the lower part of the petrosal crest and widens out to join the semilunar ganglion.

The semilunar (or Gasserian) ganglion (Ganglion semilunare) is a crescent-shaped mass of nerve-fibers and cells which overlies the antero-external part of the foramen lacerum basis cranii, and is partly embedded in the dense fibrous tissue which occupies the foramen except where vessels and nerves pass through. Its long axis, which is about an inch (2.5 cm.) in length, is directed forward and inward and its convex anterior face gives rise to the ophthalmic, the maxillary, and the sensory part of the mandibular division of the nerve. The surface of the ganglion is irregularly striated. It is connected by filaments with the adjacent carotid plexus of the sympathetic, and sends delicate twigs to the dura mater.

The fibers of the sensory root arise from the ganglion as axones of the ganglion cells, and the fibers of the nerves which extend peripherally from the ganglion are dendrites of the cells. The sensory root-fibers enter the tegmentum of the pons and divide into anterior and posterior branches, which terminate about the cells of the sensory nucleus of termination of the trigeminus. This nucleus extends from the pons to the sixth cervical segment of the spinal cord (Dexler). The posterior branches of the fibers are collected into a compact bundle, the spinal tract or root of the trigeminus, which lies lateral to the substantia gelatinosa in the medulla. The central connections of the sensory part of the trigeminus are very extensive. The most important paths are: (1) Axones of cells of the sensory nucleus and the substantia gelatinosa pass chiefly as arcuate fibers across the raphé to the thalamus, whence impulses are transmitted by thalamo-cortical fibers to the cerebral cortex. In ungulates a distinct tract extends from the anterior part of the sensory nucleus to the thalamus of the same side (Wallenberg). It is probable that collaterals of the arcuate fibers go to the motor nuclei of the fifth, seventh, ninth, and tenth cranial nerves. (2) Axones of cells of the sensory nucleus enter the posterior cerebellar peduncle of the same side and reach the cerebellar cortex. (3) Collaterals are distributed to the nuclei of origin of the hypoglossal and of the motor part of the trigeminal and facial nerves.

The motor root (Portio minor) extends forward beneath the sensory root and the semilunar ganglion and is incorporated with the mandibular division of the nerve. Its fibers arise chiefly from the so-called masticatory nucleus, which is situated in the pons near the inner face of the sensory nucleus; a few of these fibers come from the nucleus of the opposite side and cross in the raphé. Other fibers, which constitute the mesencephalic root, arise from cells in the outer part of the central gray matter of the mid-brain.

It is evident from the foregoing statements that the trigeminus has essentially the same arrangement as a typical spinal nerve. It divides into three branches.

I. The ophthalmic nerve (N. ophthalmicus) (Figs. 438, 439, 440) is purely sensory and is the smallest of the three branches of the trigeminus. It arises from the inner part of the front of the semilunar ganglion, passes forward along the outer side of the cavernous sinus, and is blended with the maxillary nerve for some distance. It enters the foramen lacerum orbitale with the third and sixth nerves and divides into three branches.

1. The lacrimal nerve (N. lacrimalis) runs forward on the rectus superior and the levator palpebræ superioris and ramifies chiefly in the lacrimal gland and the upper eyelid. A branch (Ramus zygomatico-temporalis) exchanges twigs with the zygomatic branch of the maxillary nerve, perforates the periorbita, and emerges from the orbital fossa behind the supraorbital process; it forms a plexus with branches of the auriculo-palpebral and frontal nerves, and ramifies in the skin of the temporal region.

2. The frontal nerve (N. frontalis), also termed the supraorbital, runs forward almost parallel with the superior oblique muscle, at first within, then outside of, the periorbita. It passes through the supraorbital foramen with the artery of like name and ramifies in the skin of the forehead and upper eyelid, forming a plexus with the lacrimal and auriculo-palpebral nerves. It divides into three branches.

3. The naso-ciliary nerve (N. naso-ciliaris), also termed the palpebro-nasal, runs forward along the inner side of the optic nerve between parts of the retractor muscle and divides into two branches. Of these the ethmoidal nerve (N. ethmoidalis) is the continuation of the parent trunk. It accompanies the ethmoidal artery through the foramen of like name into the cranial cavity and crosses the lower part of the ethmoidal fossa. Leaving the cranium through an opening in the cribriform plate close to the crista galli, it enters the nasal cavity and ramifies in the mucous membrane of the septum nasi and the superior turbinal. The infratrochlear nerve (N. infratrochlearis) runs forward to the inner canthus and ramifies in the skin in this region; it detaches twigs to the conjunctiva and caruncula lacrimalis, and a long branch which supplies the third eyelid and the lacrimal ducts and sac. The naso-ciliary nerve furnishes the sensory or long root (Radix longa) of the ciliary ganglion.

The ciliary ganglion is placed on the inferior branch of the oculomotor nerve. It is usually not larger than a millet-seed, and is best found by following the nerve to the inferior oblique muscle back to its origin. The ganglion receives (a) sensory fibers from the naso-ciliary nerve; (b) motor fibers from the oculomotor nerve; and (c) sympathetic fibers from the sphenopalatine plexus. It detaches filaments which unite with twigs from the ophthalmic and maxillary nerves and from the sphenopalatine ganglion to form the ciliary plexus. From the latter emanate five to eight delicate short ciliary nerves (Nn. ciliares breves), which pursue a somewhat flexuous course along the optic nerve, pierce the sclera near the entrance of that nerve, and run forward between the sclera and chorioidea to the circumference of the iris. Here the branches of adjacent nerves anastomose to form a circular plexus (Plexus gangliosus ciliaris), from which filaments go to the ciliary body, iris, and cornea.

The circular fibers of the iris and the ciliary muscle are innervated by fibers derived from the oculomotor nerve, the radial fibers of the iris by the sympathetic.

II. The maxillary nerve (N. maxillaris), also termed the superior maxillary, is purely sensory and is much larger than the ophthalmic. It extends forward from the semilunar ganglion in the middle cranial fossa in the large groove on the root of the temporal wing of the sphenoid. It is related internally to the cavernous sinus and superiorly to the ophthalmic nerve, with which it is blended for some distance. It emerges through the foramen rotundum, passes forward in the pterygo-palatine fossa above the internal maxillary artery and embedded in fat, and is continued in the infraorbital canal as the infraorbital nerve (Fig. 439). Its branches are as follows:

1. The zygomatic nerve (N. zygomaticus s. subcutaneus malæ), also termed the orbital branch, arises before the maxillary nerve reaches the pterygo-palatine fossa (Figs. 438, 439, 514). It pierces the periorbita and divides into two or three delicate branches which pass along the surface of the external straight muscle to the external canthus and ramify chiefly in the lower lid and the adjacent skin. Anastomoses are formed with branches of the lacrimal nerve.

2. The sphenopalatine nerve (N. sphenopalatinus) is given off in the pterygo-palatine fossa from the lower border of the maxillary nerve (Fig. 439). It is broad and flat and forms a plexus in which several small sphenopalatine ganglia are interposed. It divides into posterior nasal, and greater and lesser palatine nerves. (1) The posterior nasal nerve (N. nasalis aboralis) passes through the sphenopalatine foramen, in which it bears one or more minute ganglia, enters the nasal cavity, and divides into internal and external branches (Figs. 440, 464). The internal branch (N. septi narium) runs forward in the submucous tissue of the lower part of the septum nasi, gives twigs to the mucous membrane here and to the vomero-nasal organ (of Jacobson), passes through the palatine cleft and ramifies in the anterior part of the hard palate. The external branch (Ramus lateralis) ramifies in the mucous membrane of the inferior turbinal and the middle and inferior meatus nasi. (2) The greater or anterior palatine nerve (N. palatinus major s. anterior) (Figs. 438, 439) is the largest of the three branches. It runs forward in the palatine canal and groove and ramifies in the hard palate and gums. It also supplies twigs to the soft palate, and gives off branches which pass through the accessory palatine foramina to supply the mucous membrane of the inferior meatus.

The branches of the two nerves anastomose in the hard palate and form a plexus about the branches of the palatine arteries.

(3) The lesser or posterior palatine nerve (N. palatinus minor s. posterior), also termed the staphyline, is much the smallest of the three branches (Figs. 438, 439). It passes downward and forward with the palatine vein in the groove at the inner side of the tuber maxillare and ramifies in the soft palate.

The sphenopalatine ganglia and plexus (Fig. 515) lie on the perpendicular part of the palate bone and the pterygoid process under cover of the maxillary nerve. The afferent fibers of the plexus and ganglia come chiefly from the branches of the sphenopalatine nerve and the nerve of the pterygoid canal. Interspersed in these are several minute ganglia and one or more larger ones. The nerve of the pterygoid canal or Vidian nerve (N. canalis pterygoidei) is formed by the union of sympathetic fibers with the superficial petrosal branch of the facial nerve. It passes forward at first between the Eustachian tube and the sphenoid bone, enters the canal between the pterygoid bone and process, and joins the posterior part of the plexus. It is probable that it furnishes the motor fibers to the levator palati and palatinus muscles. Efferent filaments go to the periorbita and the ophthalmic vessels, and others accompany the branches of the maxillary nerve, around which they have a plexiform arrangement.

3. The infraorbital nerve (N. infraorbitalis) is the continuation of the maxillary trunk. It traverses the infraorbital canal, emerges through the infraorbital foramen, and divides into nasal and superior labial branches. Along its course it gives off superior alveolar or dental branches (Rami alveolares maxillæ), which supply the teeth, alveolar periosteum, and gums.

The delicate posterior alveolar branches are given off in the pterygo-palatine fossa, pass through small foramina in the tuber maxillare, and supply the posterior molar teeth and the maxillary sinus. The middle alveolar branches are given off in the infraorbital canal, and constitute the chief nerve-supply to the cheek teeth and the maxillary sinus. The anterior or incisor branch runs forward in the anterior alveolar or incisor canal and supplies branches to the canine and incisor teeth. The foregoing unite with each other to form the superior dental plexus, from which the dental and gingival branches are given off.

The external nasal branches (Rami nasales externi), two or three in number, accompany the levator labii superioris proprius and ramify in the dorsum nasi and the nasal diverticulum.

The large anterior nasal branch (Ramus nasalis anterior) passes over the nasal process of the premaxilla under cover of the dilatator naris inferior, gives branches to the nasal mucous membrane, and terminates in the skin of the upper lip.

The superior labial branch (Ramus labialis dorsalis) is the largest of the terminals of the infraorbital nerve. It passes downward and forward under the levator nasolabialis and, after supplying the skin of the anterior part of the cheek, forms a rich terminal ramification in the skin and mucous membrane of the upper lip. It anastomoses with the superior buccal branch of the facial nerve.

III. The mandibular nerve (N. mandibularis), also termed the inferior maxillary branch, is formed by the union of two roots; of these the large sensory root comes from the semilunar ganglion, and the small motor root is the pars minor of the trigeminus. It emerges from the cranium through the oval notch of the foramen lacerum, between the temporal wing of the sphenoid bone and the muscular process of the petrous temporal, and gives off the following branches:

1. The masseteric nerve (N. massetericus) (Figs. 437, 515) passes outward through the sigmoid notch of the mandible and enters the deep face of the masseter muscle, in which it ramifies.

2. The deep temporal nerves (Nn. temporales profundi) (Fig. 437), two or three in number, arise by a common trunk with the masseteric. They supply the temporal muscle.

3. The buccinator nerve (N. buccinatorius) passes obliquely forward through the anterior part of the external pterygoid muscle, then between the internal pterygoid and the tuber maxillare (Fig. 514). It continues forward in the submucous tissue of the cheek along the lower border of the buccinator and divides into branches which ramify in the mucous membrane and glands of the lips in the vicinity of the commissure. It supplies small branches to the external pterygoid and temporal muscles and detaches numerous collateral twigs to the mucous membrane of the cheek and to the buccal glands. It also communicates with the inferior buccal branch of the facial nerve.

4. The pterygoid nerve (N. pterygoideus) arises in common with the preceding, passes forward on the guttural pouch, and divides into branches for the pterygoid muscles (Fig. 515).

The otic ganglion (G. oticum) is situated near the origin of the pterygoid and buccinator nerves, and is related internally to the tensor palati and the Eustachian tube. It receives motor fibers from the pterygoid nerve and sensory fibers by the small superficial petrosal nerve from the tympanic plexus, through which communications are made with the facial and glosso-pharyngeal nerves. Sympathetic fibers are derived from the plexus on the internal maxillary artery. Efferent filaments go to the tensor palati, tensor tympani, and pterygoid muscles, and to the Eustachian tube.

The ganglion is small and somewhat difficult to demonstrate. In many cases it is replaced by a number of minute ganglia interspersed in a fine plexus.

5. The superficial temporal nerve (N. temporalis superficialis) (Figs. 437, 514, 515) runs outward across the pterygoideus externus, passes between the parotid gland and the neck of the ramus of the mandible, turns around the latter, and divides into two branches. The upper branch (Ramus transversus faciei) accompanies the transverse facial vessels and ramifies in the skin of the cheek. The larger inferior branch unites with the inferior buccal division of the facial nerve.