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The auriculotemporal nerve is a sensory branch of the mandibular nerve (CN V 3) that runs with the superficial temporal artery and vein, and provides sensory innervation to parts of the external ear, scalp, and temporomandibular joint. The nerve also conveys post-ganglionic parasympathetic fibres from the otic ganglion to the parotid gland. [1]
This nerve may be involved by the glomus jugulare tumour. Laryngeal cancer can present with pain behind the ear and in the ear - this is a referred pain through the vagus nerve to the nerve of Arnold. In a small portion of individuals, the auricular nerve is the afferent limb of the Ear-Cough or Arnold Reflex. [3]
The ear canal has an abundant nerve supply, so the pain is often severe enough to interfere with sleep. Wax in the ear can combine with the swelling of the canal skin and the associated pus to block the canal and dampen hearing, creating a temporary conductive hearing loss .
The posterior auricular nerve is a nerve of the head. It is a branch of the facial nerve (CN VII). It communicates with branches from the vagus nerve, the great auricular nerve, and the lesser occipital nerve. Its auricular branch supplies the posterior auricular muscle, the intrinsic muscles of the auricle, and gives sensation to the auricle.
The great auricular nerve is a cutaneous (sensory) nerve of the head. It originates from the second and third cervical (spinal) nerves (C2-C3) of the cervical plexus . It provides sensory innervation to the skin over the parotid gland and the mastoid process , parts of the outer ear , and to the parotid gland and its fascia .
The human earlobe (lobulus auriculae), the lower portion of the outer ear, is composed of tough areolar and adipose connective tissues, lacking the firmness and elasticity of the rest of the auricle (the external structure of the ear). In some cases the lower lobe is connected to the side of the face.
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The Great auricular nerve runs posteriorly to the ear, and is "greater," since it provides most of the innervation to the ear: the back of the ear, front of the ear and earlobe. The rest is provided by the auriculotemporal nerve , which supplies the skin anterior to the external auditory meatus.