PTERYGOPALATINE FOSSA
Pterygopalatine fossa
Boundaries
Anterior
Superomedial part of posterior surface of maxilla
Posterior
Root of pterygoid process and adjoining part of anterior surface of greater wing of sphenoid
Medial
Upper part of perpendicular plate of palatine bone
Orbital and sphenoidal process of bone
Lateral
Fossa opens in to infratemporal fossa through pterygomaxillary fissure
Superior
Undersurface of body of sphenoid
Inferior
Closed by pyramidal process of palatine bone in angle between maxilla and pterygoid process
Communications
Anteriorly
With orbit
Through medial end of inferior orbital fissure
Posteriorly
Middle cranial fossa
Foramen rotundum
Pterygoid canal
Foramen lacerum
Pharynx
Palatovaginal canal
Medially
Nose
Sphenopalatine foramen
Laterally
Infratemporal fossa through
Pterygomaxillary fissure
Inferiorly
Oral cavity
Through greater and lesser palatine canals
contents
Maxillary nerve
Pterygopalatine ganglion
Features
Largest parasympathetic peripheral ganglion
Roots
Parasympathetic root
Nerve of pterygoid canal
Carries preganglionic fibres
Arise from superior salivatory and lacrimatory nuclei
Pass through
Post ganglionic fibers
Supply secretomotor fibers to lacrimal gland
Mucous glands of nose , paranasal sinuses
Nasopharynx and palate
Sympathetic root
Nerve of pterygoid canal
Postganglionic sympathetic fibers
Arising from superior cervical sympathetic ganglion
Pass through internal carotid plexus , deep petrosal nerve and nerve of pterygoid canal
To reach PTG
Pass through ganglion without relay
SENSORY ROOT
come from maxillary nerve
Pass through ganglion without relay
BRANCHES
orbital branches
Palatine branches - greater or anterior palatine nerve
Lesser or middle and posterior palatine nerves
Nasal branches
Lateral posterior superior nasal branches
Medial posterior superior nasal branches