. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. in a groveon the back part of the nasal bone, escaping between the lower borderof this bone and the upper lateral cartilage to supply the end of thenose. Its infratrochlear branch supplies the skin at the inner angle ofthe lids and side of the nose. The superior maxillary nerve (Fig. 145) passes forward through theforamen rotundum into the sphenomaxillary


. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. in a groveon the back part of the nasal bone, escaping between the lower borderof this bone and the upper lateral cartilage to supply the end of thenose. Its infratrochlear branch supplies the skin at the inner angle ofthe lids and side of the nose. The superior maxillary nerve (Fig. 145) passes forward through theforamen rotundum into the sphenomaxillary fossa, passing obliquelyforward and outward. It enters the orbit through the sphenomaxil-lary fissures, and passes into the infra-orbital canal and appears uponthe face at the infra-orbital foramen, where it divides into three setsof branches—palpebral, nasal, and labial—which are distributed to THE HEAD, SCALP, CRANIUM, BRAIN. AND FACE 473 these respective parts (Fig. 143). In the sphenomaxillary fossa thisnerve gives off its temporomalar, sphenopalatine, and posterior superiordental branches. The temporomalar branch enters the orbit, and divides at the backpart of this cavity into temporal and malar branches. The temporal £—. Fig. 145.—Innervation of the teeth (modified from Spalteholz). The outer wall oforbit and part of the outer wall of superior and inferior maxillae have been removed: I, In-fra-orbital nerve; 2, 3, and 4, posterior, middle, and anterior superior dental nerves; 5,sphenopalatine ganglion and nerves; 6, lateral mucous membrane, antrum of Highmore;7, inferior dental nerve; 8, mental nerve. (From Braun.) branch passes through a foramen in the malar bone and enters theanterior part of the temporal fossa; it ascends between the bone andsubstance of the temporal muscle, piercing the muscle and temporalfascia about i inch above the zygoma, to be distributed to the skinof the temporal regions and side of forehead. The malar branch 474 LOCAL ANESTHESIA pass


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanesthe, bookyear1914