Small peripheral parasympathetic ganglion (pinhead-sized, 2β3 mm). Relays secretomotor fibres to parotid gland. Topographically related to mandibular nerve; functionally part of glossopharyngeal nerve.
Inferior salivatory nucleus (medulla) β glossopharyngeal nerve β tympanic branch (Jacobsonβs nerve) β tympanic plexus β lesser petrosal nerve β RELAY in otic ganglion β postganglionic fibres β auriculotemporal nerve β parotid gland (secretomotor)
| Fibre type | Pathway out | Destination |
|---|---|---|
| Postganglionic parasympathetic | Auriculotemporal nerve | Parotid gland (secretomotor) |
| Postganglionic sympathetic | Auriculotemporal nerve | Parotid gland (vasomotor) |
| Sensory | Auriculotemporal nerve | Parotid gland |
| Motor (pass-through) | Nerve to medial pterygoid | Medial pterygoid, tensor veli palatini, tensor tympani |
The otic ganglion is a small peripheral parasympathetic ganglion that relays secretomotor fibres to the parotid gland. Topographically, it is intimately related to the mandibular nerve, but functionally it is part of the glossopharyngeal nerve.
The otic ganglion is pinhead-sized (2β3 mm), situated in the infratemporal fossa just below the foramen ovale. It lies medial to the mandibular nerve and lateral to the tensor veli palatini, and surrounds the origin of the nerve to the medial pterygoid.
The otic ganglion has four roots β parasympathetic (secretomotor), sympathetic, sensory, and motor.
This is the principal functional connection, formed by the lesser petrosal nerve. Preganglionic parasympathetic fibres arise from the inferior salivatory nucleus and pass via:
Inferior salivatory nucleus (medulla)
β
Glossopharyngeal nerve
β
Tympanic branch of glossopharyngeal nerve
(Jacobson's nerve)
β
Tympanic plexus
β
Lesser petrosal nerve
β
ββ relay in OTIC GANGLION ββ
β
Postganglionic fibres
β
Auriculotemporal nerve
β
Parotid gland
These postganglionic fibres are secretomotor to the parotid gland.
Derived from the plexus on the middle meningeal artery. Postganglionic fibres arise in the superior cervical ganglion (preganglionic fibres originate from T1βT2 spinal segments, ascend the sympathetic chain, and relay in the superior cervical ganglion). These postganglionic fibres pass through the otic ganglion without relay, and reach the parotid gland via the auriculotemporal nerve. They are vasomotor in function.
Derived from the auriculotemporal nerve, providing sensory innervation to the parotid gland.
The nerve to the medial pterygoid gives off a motor root that passes through the ganglion without relay, supplying:
These three muscles β medial pterygoid, tensor veli palatini, and tensor tympani β are thus supplied by branches that pass through, but do not relay in, the otic ganglion.
| Fibre type | Pathway out | Destination |
|---|---|---|
| Postganglionic parasympathetic | Auriculotemporal nerve | Parotid gland (secretomotor) |
| Postganglionic sympathetic | Auriculotemporal nerve | Parotid gland (vasomotor) |
| Sensory | Auriculotemporal nerve | Parotid gland (sensory) |
| Motor (pass-through, no relay) | Nerve to medial pterygoid | Medial pterygoid, tensor veli palatini, tensor tympani |
The chorda tympani nerve is connected to the otic ganglion and also to the nerve of the pterygoid canal. These connections provide an alternative pathway for taste sensation from the anterior two-thirds of the tongue.
Clinical evidence suggests that in humans, the parotid gland also receives secretomotor fibres through the chorda tympani nerve, in addition to the principal pathway via the otic ganglion and auriculotemporal nerve. This is relevant when considering alternative or collateral secretomotor supply in surgical or pathological contexts affecting the glossopharyngealβotic ganglion pathway.
Diagram content will be added later.
Personal revision notes, mnemonics and reminders.
