Structure and Location of the Pterygopalatine Ganglion - The pterygopalatine ganglion is located in the pterygopalatine fossa. - It is triangular or heart-shaped and has a reddish-gray color. - The ganglion is situated below the maxillary nerve as it crosses the fossa. - It supplies the lacrimal gland, paranasal sinuses, nasal cavity and pharynx mucosa glands, gingiva, and the hard palate. - It communicates anteriorly with the nasopalatine nerve.
Roots of the Pterygopalatine Ganglion - The pterygopalatine ganglion has a sensory, parasympathetic, and sympathetic root. - The sensory root is derived from two sphenopalatine branches of the maxillary nerve. - The parasympathetic root is derived from the nervus intermedius through the greater petrosal nerve. - The sympathetic root consists of fibers from the superior cervical ganglion.
Sensory Root of the Pterygopalatine Ganglion - The sensory root of the pterygopalatine ganglion comes from the sphenopalatine branches of the maxillary nerve. - Most of the fibers pass directly into the palatine nerves. - Some fibers enter the ganglion, forming its sensory root.
Parasympathetic Root of the Pterygopalatine Ganglion - The parasympathetic root of the pterygopalatine ganglion comes from the nervus intermedius through the greater petrosal nerve. - In the ganglion, preganglionic parasympathetic fibers synapse with neurons. - Postganglionic axons project to various areas, including the lacrimal glands and nasal mucosa.
Sympathetic Root of the Pterygopalatine Ganglion - The pterygopalatine ganglion receives sympathetic efferent fibers from the superior cervical ganglion. - These fibers travel through the carotid plexus and the deep petrosal nerve. - The deep petrosal nerve joins with the greater petrosal nerve to form the nerve of the pterygoid canal. - Fibers from the stellate ganglion pass through the superior cervical sympathetic ganglion and into the pterygopalatine ganglion.