nerves of the head and neck - kocwcontents.kocw.net/kocw/document/2014/gacheon/kimheeeun1/... ·...
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Nerves of the head and neck
Hee-Eun, Kim
Department of Dental Hygiene College of Health Science, Gachon University
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목
차
3 1 신경 총론
4
6
삼차신경 3 3
3 5
안신경
상악신경
하악신경
2 뇌신경
2
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삼차신경 (trigeminal nerve)
3
3 1 삼차신경의 성분
4
삼차신경절 (trigeminal ganglion) 3 3
삼차신경의 감각신경과 운동신경
2 삼차신경의 부속 신경절
3 5 안신경, 상악신경, 하악신경의 성분
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Trigeminal Nerve (CN. V)
Motor portion ◦ muscles of mastication
Sensory portion ◦ touch, pain, &
temperature receptors of the face ophthalmic branch maxillary branch mandibular branch
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삼차신경 (trigeminal nerve) 뇌신경 중 가장 큰 신경 감각(대부분)+운동⇒혼합신경 ◦ 운동신경 : 씹기근육, 목뿔위근육 일부 (두힘살근의 앞힘살, 턱목뿔근)
눈신경, 위턱신경(순수 감각신경), 아래턱신경(혼합신경)
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V1- 눈신경, opthalmic division
V2- 위턱신경, maxillary division
V3- 아래턱신경, mandibular division
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첫째가지 안신경 (눈신경, ophthalmic nerve)
둘째가지 상악신경 (위턱신경, maxillary nerve)
셋째가지 하악신경 (아래턱신경, mandibular nerve)
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삼차신경의 요약
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V1 _ 안신경 (눈신경, ophthalmic nerve)
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3 1 안신경의 성분
4
안신경의 분포 3 3
비모양체신경의 가지인 전사골신경의 외비지의 분포
2 안신경의 가지
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V1 _ 안신경 (눈신경, ophthalmic nerve)
삼차신경의 첫째 가지 감각 신경 상안와열을 통과해 안와로 들어감 누선신경, 전두신경(활차상신경, 안와상신경), 비모양체신경(전사골신경, 후사골신경, 활차하신경)
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위눈확틈새
C3, 부교감신경절
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V2 _ 상악신경 (위턱신경, maxillary nerve)
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3 1 상악신경의 성분 및 분포
4
상악신경의 가지들의 분포 3 3
익구개 신경절의 성질
2 상악신경에 속하는 신경절
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V2 _ 상악신경 (위턱신경, maxillary nerve)
삼차신경의 둘째가지, 감각신경 정원공을 통과해서 두개강 밖으로, 안와하공을 거쳐서 얼굴로,,
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원형구멍
C7, 부교감신경절
발치 시 마취와 관련
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앞니구멍
큰입천장구멍
작은입천장구멍
발치 시 마취와 관련
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V3 _ 하악신경 (아래턱신경, mandibular nerve)
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3 1 하악신경의 성분
각 신경들의 분포 위치 3 3
2 하악신경의 감각, 운동신경 분포
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V3 _ 하악신경 (아래턱신경, mandibular nerve)
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삼차신경의 셋째가지
혼합신경(감각+운동)
난원공을 통과하여 두개강 밖으로
운동신경 • 저작근, 악설골근, 악이복근의 전복, 고막장근, 구개범장근
신경의 기시 • 감각신경 : 삼차신경척수핵 • 운동신경 : 삼차신경운동핵
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타원구멍
씹기 근육에 분포
턱뼈구멍(하악공)
턱끝구멍(이공)
턱끝신경
운동신경
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