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Home  »  Anatomy of the Human Body  »  pages 562

Henry Gray (1825–1861). Anatomy of the Human Body. 1918.

pages 562

  The Posterior Superior Alveolar Artery (a. alveolaris superior posterior; alveolar or posterior dental artery) is given off from the internal maxillary, frequently in conjunction with the infraorbital just as the trunk of the vessel is passing into the pterygopalatine fossa. Descending upon the tuberosity of the maxilla, it divides into numerous branches, some of which enter the alveolar canals, to supply the molar and premolar teeth and the lining of the maxillary sinus, while others are continued forward on the alveolar process to supply the gums.
  The Infraorbital Artery (a. infraorbitalis) appears, from its direction, to be the continuation of the trunk of the internal maxillary, but often arises in conjunction with the posterior superior alveolar. It runs along the infraorbital groove and canal with the infraorbital nerve, and emerges on the face through the infraorbital foramen, beneath the infraorbital head of the Quadratus labii superioris. While in the canal, it gives off (a) orbital branches which assist in supplying the Rectus inferior and Obliquus inferior and the lacrimal sac, and (b) anterior superior alveolar branches which descend through the anterior alveolar canals to supply the upper incisor and canine teeth and the mucous membrane of the maxillary sinus. On the face, some branches pass upward to the medial angle of the orbit and the lacrimal sac, anastomosing with the angular branch of the external maxillary artery; others run toward the nose, anastomosing with the dorsal nasal branch of the ophthalmic; and others descend between the Quadratus labii superioris and the Caninus, and anastomose with the external maxillary, transverse facial, and buccinator arteries. The four remaining branches arise from that portion of the internal maxillary which is contained in the pterygopalatine fossa.
  The Descending Palatine Artery (a. palatina descendens) descends through the pterygopalatine canal with the anterior palatine branch of the sphenopalatine ganglion, and, emerging from the greater palatine foramen, runs forward in a groove on the medial side of the alveolar border of the hard palate to the incisive canal; the terminal branch of the artery passes upward through this canal to anastomose with the sphenopalatine artery. Branches are distributed to the gums, the palatine glands, and the mucous membrane of the roof of the mouth; while in the pterygopalatine canal it gives off twigs which descend in the lesser palatine canals to supply the soft palate and palatine tonsil, anastomosing with the ascending palatine artery.
  The Artery of the Pterygoid Canal (a. canalis pterygoidei; Vidian artery) passes backward along the pterygoid canal with the corresponding nerve. It is distributed to the upper part of the pharynx and to the auditory tube, sending into the tympanic cavity a small branch which anastomoses with the other tympanic arteries.
  The Pharyngeal Branch is very small; it runs backward through the pharyngeal canal with the pharyngeal nerve, and is distributed to the upper part of the pharynx and to the auditory tube.
  The Sphenopalatine Artery (a. sphenopalatina; nasopalatine artery) passes through the sphenopalatine foramen into the cavity of the nose, at the back part of the superior meatus. Here it gives off its posterior lateral nasal branches which spread forward over the conchæ and meatuses, anastomose with the ethmoidal arteries and the nasal branches of the descending palatine, and assist in supplying the frontal, maxillary, ethmoidal, and sphenoidal sinuses. Crossing the under surface of the sphenoid the sphenopalatine artery ends on the nasal septum as the posterior septal branches; these anastomose with the ethmoidal arteries and the septal branch of the superior labial; one branch descends in a groove on the vomer to the incisive canal and anastomoses with the descending palatine artery.
 
3a. 3. The Triangles of the Neck
 
  The side of the neck presents a somewhat quadrilateral outline (Fig. 512), limited, above, by the lower border of the body of the mandible, and an imaginary line extending