Nervus trigeminal dan fasialis

Drg. Andries Pascawinata, MDSc, Sp.BM

 Sistem saraf
Berdasarkan letak kerjanya Sistem Saraf terdiri atas 3
bagian yaitu :
1. Sistem Saraf Pusat
Otak
Sumsum Tulang Belakang
2. Sistem Saraf Perifer/ tepi
12 pasang saraf serabut otak (saraf cranial)
31 pasang saraf sumsum tulang belakang (saraf spinal)
3. Sistem Saraf Autonom/ saraf tak sadar
Susunan saraf simpatik
Susunan saraf parasimpatik
 Saraf kranialis

I N. olfactorius
II N. opticus
III N. oculomotorius
IV N. trochlearis
V N. trigeminus
VI N. abducens
VII N. facialis
VIII N.vestibulocochlearis
IX N. glossopharyngeus
X N. vagus
XI N. accessorius
XII N. hypoglossus
 Klasifikasi saraf kranialis
Sensory: only afferent (sensory) fibers
N. Olfactorius
N. Opticus
N. Vestibulocochlearis
Motor: only efferent (motor) fibers
N. Oculomotorius
N. Trochlearis
N. Abducens
N. Accessorius
N. Hypoglossus
Mixed: sensory and motor fibers
N. Trigeminalis
N. Facialis
N. Glossopharyngeus
N. Vagus
TRIGEMINAL NERVE SENSORY INNERVATION
TO SKIN OF HEAD 3 DIVISIONS
V1 OPHTHALMIC
DIVISION
Boundary-
V2 MAXILLARY
Lateral edge
of eye
DIVISON

Boundary
V3 Lateral
MANDIBULARedge
DIVISION of mouth
 Nervus trigeminal
Merupakan nervus kranialis terbesar
Gabungan saraf sensorik dan motorik
Sensorik pada kepala dan leher
Motorik pada otot pengunyahan
 TRIGEMINAL SENSORY BRANCHES TO FACE

V2 MAXILLARY -
to skin of cheek
V1 OPHTHALMIC -
below orbit -
to skin above orbit -
a. Zygomatico-
Lacrimal
temporal
Supraorbital
b. Zygomaticofacial
Supratrochlear
c. Infraorbital
Infratrochlear
ZYGOMATICOTEMPORAL N.
External Nasal Nerve
ZYGOMATICOFACIAL N.

INFRAORBITAL N. NOTE: These are branches of V

to face

V3- MANDIBULAR - - Full list of all branches of V is

to skin of jaw and face on CD:
Reference_handout_list_of_Tri
below angle of mouth -
geminal_nerve_branches_2010
Auriculotemporal .doc
Buccal
Mental
 V2 - MAXILLARY - GSA
1. Meningeal Branch
Dura of Middle
Nasal Cranial Fossa (not shown)
Branches
2. Ganglionic branches
a) Greater Palatine N.
Hard Palate
V2 b) Lesser Palatine N.
Soft Palate
c) Nasopalatine
Nasal Cavity
Ant. part of hard Palate
d) Nasal Branches
Nasal Cavity

Naso- Greater Lesser

Palatine Palatine Palatine

Note: V2 branches from Pterygopalatine Fossa to Nasal Cavity are deep and can
only be seen on bisected head
 V2 - MAXILLARY - GSA
Nose
Infraorbital

Zygomatic 3. Posterior
Superior Alveolar
V2 Maxillary molar teeth

4. Infraorbital
Lower eyelid, nose, upper
lip
a) Ant. & Mid Sup
Alveolar
Other Maxillary teeth

Post 5. Zygomatic - br.

Sup. Alveolar a) Zygomaticofacial
b) Zygomaticotemporal
Skin of check, temporal
region
 V3 - MANDIBULAR - GSA + SVE
1. Nervus Spinosus
Buccal Dura of Middle Cranial
Deep Branch Fossa (not shown)
Temporal Of
Trigeminal 2. Motor to
Medial Pterygoid
Tensor Tympani
Tensor Palati (not shown)

3. Ant Division

a. Nerve to Lat. Pterygoids

N. To Lat b. Masseteric N.
Pterygoid c. Deep Temporal
To Temporalis
d. Buccal Branch
Of Trigeminal
Sensory to Cheek
 V3 - MANDIBULAR - GSA + SVE
Post Division
Auriculo-
Temporal a. Auriculotemporal
Skin of Temple, Scalp
External ear, TMJ
b. Lingual
Lingual Touch to Ant 2/3
Tongue
c. Inf. Alveolar N.
Sens to Lower Teeth
Inferior
i) Mental N.
Alveolar
Skin Lower Jaw
ii) Nerve to Mylohyoid -
N. TO Motor to Mylohyoid
MYLOHYOID & Ant. Belly of Digastric

MENTAL N.
 Nervus Fasialis
Secara umum dibagi 3:
Intracranial portion
Intratemporal portion
Extratemporal portion
 Intratemporal portion of Facial nerve

Dibagi menjadi 4 segmen:

Meatal
Labyrinthine
Tympanic, horizontal
Mastoid, vertica
Saraf chorda tympani
 Extratemporal Facial Nerve
Cabang :
1. Ansa of Haller (inconstant)
2. Posterior auricular branch
3. Stylohyoid branch
4. Posterior belly of digastric branch
5. Pes anserinus
Setelah divisi utama, terdapat 5 buah cabang
besar:
Temporal (i.e., frontal)
Zygomatic
Buccal
marginal
mandibular dan cervical.