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lary region. They are the masseteric, the temporal, the buccal,
and the internal pterygoid. Then, again, the internal branch of
the inferior maxillary divides into three branches, which are the
gustatory, the inferior dental, and the anterior auricular. The
gustatory supplies the side of the tongue, its papillae, and the
mucous membrane. The inferior dental passes on by the ramus
of the lower jaw, enters the dental foramen, and runs along the
bony canal in the jaw, giving off branches to the teeth and gums
as it passes, and then terminates in two considerable twigs, the
incisive and the mental. The former supplies the lower incisive
teeth, while the mental branch escapes through the mental fora-
men, and there becomes superficial, to supply the muscles and
skin of the chin, lower lip, and the mucous membrane of the
lower lip ; it also communicates with the portio dura.
Now, if we go back and trace the temporal, or the second of
the four branches of the inferior maxillary, we find it at first
turns around the posterior side of the neck of the lower jaw
condyle, near the joint of the jaw, then goes up vertically
between the articulation of the jaw and the anterior edge of the
ear, where it becomes superficial, and then even sub-cutaneous,
in the most superior portions of the temporal fossa. But at its
root, and behind the condyle, it furnishes important anastomotic
branches to the portio dura; thus uniting with the upper divis-
ions of these motory nerves, to be together distributed and lost in
the integuments of the temple, the surroundings of the eye, and
in the upper lip. These deserve our particular attention, as
likewise do the twigs of this nerve to the lobe of the ear, and
those to the auditory cavity and pavilion, as also the communi-
cations with twigs from the cervical plexus, and from the lachry-
mal, sub-cutaneous malar, auricular, and facial nerves.
Neuralgic Points. —The, to us, most important points of the
tri-facial nerve are, 1. The point of exit of the lachrymal
branch, which is at the external part of the upper eyelid. This
is what Dr. Valleix called the " palpebral painful point."
2. The point of emergence of the frontal nerve, or, rather, of
its external branch, from the upper orbital foramen, called the
upper orbital point.
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