The tympanic （Jacobson’s） nerve is a useful anatomi-cal structure in the middle ear with both practical and physiological functions extending beyond its origin. The paper reviews its clinical anatomy in adults and ...The tympanic （Jacobson’s） nerve is a useful anatomi-cal structure in the middle ear with both practical and physiological functions extending beyond its origin. The paper reviews its clinical anatomy in adults and its surgical signifcance. English language articles from 5 major databases and Google scholar search engine were used to identify papers outlining the anatomy of the tympanic nerve, associated pathology and surgical relevance. In the majority of cases the tympanic nerve arises from the inferior ganglion of the glossopharyn-geal nerve traversing through the tympanic canaliculus into the middle ear. On the promontory it coalesces with sympathetic fbres from the carotid chain forming the tympanic plexus which has individual variability. Functionally, as well as giving off parasympathetic fbres to the parotid gland via the lesser petrosal nerve, it is a useful anatomical landmark for cochlear implantation. The surgical importance of the tympanic nerve is not only restricted to middle ear surgery; it also extends to salivary gland disorders. The tympanic nerve remains clinically relevant to the modern otolaryngologist and as such a detailed understanding of its anatomy is crucial.展开更多
文摘The tympanic （Jacobson’s） nerve is a useful anatomi-cal structure in the middle ear with both practical and physiological functions extending beyond its origin. The paper reviews its clinical anatomy in adults and its surgical signifcance. English language articles from 5 major databases and Google scholar search engine were used to identify papers outlining the anatomy of the tympanic nerve, associated pathology and surgical relevance. In the majority of cases the tympanic nerve arises from the inferior ganglion of the glossopharyn-geal nerve traversing through the tympanic canaliculus into the middle ear. On the promontory it coalesces with sympathetic fbres from the carotid chain forming the tympanic plexus which has individual variability. Functionally, as well as giving off parasympathetic fbres to the parotid gland via the lesser petrosal nerve, it is a useful anatomical landmark for cochlear implantation. The surgical importance of the tympanic nerve is not only restricted to middle ear surgery; it also extends to salivary gland disorders. The tympanic nerve remains clinically relevant to the modern otolaryngologist and as such a detailed understanding of its anatomy is crucial.
