WordNet

remarkable or out of the ordinary in degree or magnitude or effect; "a great crisis"; "had a great stake in the outcome"
a person who has achieved distinction and honor in some field; "he is one of the greats of American music"
of major significance or importance; "a great work of art"; "Einstein was one of the outstanding figures of the 20th centurey" (同)outstanding
relatively large in size or number or extent; larger than others of its kind; "a great juicy steak"; "a great multitude"; "the great auk"; "a great old oak"; "a great ocean liner"; "a great delay"
any bundle of nerve fibers running to various organs and tissues of the body (同)nervus
relating to or perceived by or shaped like the organ of hearing; "my apprehension of words is auricular; I must hear what I read"- George Santayana; "an auricular confession"; "an auricular appendage"
pertaining to an auricle of the heart; "auricular fibrillation"
yellow-flowered primrose native to Alps; commonly cultivated (同)bear''s ear, Primula auricula
a pouch projecting from the top front of each atrium of the heart (同)auricular appendage, auricular appendix
control of your emotions; "this kind of tension is not good for my nerves"

PrepTutorEJDIC

(規模・範囲などが)『大きい』,巨大な / 『多数の』;『多量の』 / 『偉大な』,すぐれた;《the Great》《称号・肩書に用いて》 / (身分・地位などの)高い / 気高い,崇高な / 《名詞の前にのみ用いて》重要な,重大な / 《人を表す名詞の前にのみ用いて》大の,たいへんな / 《話》すてきな,すばらしい / 《名詞的に》《the great》偉大な人たち,重要人物 / とても,すごく / とてもよく(very well) / 大物,花形
〈C〉『神経』 / 〈C〉《複数形で》『神経過敏』,いらだち / 〈U〉『勇気』,度胸(courage) / 〈U〉《時にa ~》厚かましさ,ずぶとさ;無礼 / 〈C〉葉脈;(昆虫の)翅脈(しみゃく) / 〈人,特に自分〉‘に'力を与える,‘を'元気づける
耳の;聴覚の / (心臓の)心耳の

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/07/10 18:52:03」(JST)

wiki en

The great auricular nerve originates from the cervical plexus, composed of branches of spinal nerves C2 and C3. It provides sensory innervation for the skin over parotid gland and mastoid process, and both surfaces of the outer ear.

Terminology

Although this nerve is frequently referred to as the "greater" auricular nerve, this is not the proper nomenclature since there is no "lesser" auricular nerve. Great refers to the distinction between it and the Auriculotemporal nerve, which is the less influential of the two.

Path

It is the largest of the ascending branches. It arises from the second and third cervical nerves, winds around the posterior border of the Sternocleidomastoideus, and, after perforating the deep fascia, ascends upon that muscle beneath the Platysma to the parotid gland, where it divides into an anterior and a posterior branch.

Branches

The anterior branch (ramus anterior; facial branch) is distributed to the skin of the face over the parotid gland, and communicates in the substance of the gland with the facial nerve.
The posterior branch (ramus posterior; mastoid branch) supplies the skin over the mastoid process and on the back of the auricula, except at its upper part; a filament pierces the auricula to reach its lateral surface, where it is distributed to the lobule and lower part of the concha. The posterior branch communicates with the smaller occipital, the auricular branch of the vagus, and the posterior auricular branch of the facial.

Additional images

Dermatome distribution of the trigeminal nerve
Side of neck, showing chief surface markings.

References

This article incorporates text in the public domain from the 20th edition of Gray's Anatomy (1918)

External links

Diagram at aapmr.org
Anatomy figure: 25:03-03 at Human Anatomy Online, SUNY Downstate Medical Center - "Diagram of the cervical plexus."

This neuroanatomy article is a stub. You can help Wikipedia by expanding it.

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 成人における詳細な神経学的検査 the detailed neurologic examination in adults
2. 末梢神経ブロック：テクニック peripheral nerve block techniques
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4. 肩部の身体診察 physical examination of the shoulder
5. 胸腺神経内分泌（カルチノイド）腫瘍 thymic neuroendocrine carcinoid tumors

English Journal

Topographic anatomy of the great auricular point: landmarks for its localization and classification.

Raikos A1, English T2, Yousif OK2, Sandhu M2, Stirling A2.
Surgical and radiologic anatomy : SRA.Surg Radiol Anat.2016 Oct 15. [Epub ahead of print]
PURPOSE: The great auricular point (GAP) marks the exit of the great auricular nerve at the posterior border of the sternocleidomastoid muscle (SCM). It is a key landmark for the identification of the spinal accessory nerve, and its intraoperative localization is vital to avoid neurological sequelae
PMID 27744536

An anatomical study of the transversus nuchae muscle: Application to Better Understanding Occipital Neuralgia.

Watanabe K1, Saga T1, Iwanaga J1, Tabira Y1, Yamaki KI2.
Clinical anatomy (New York, N.Y.).Clin Anat.2016 Sep 29. doi: 10.1002/ca.22797. [Epub ahead of print]
INTRODUCTION: The transversus nuchae muscle appears inconsistently in the occipital region. It has gained attention as one of the muscles composing the superficial musculoaponeurotic system (SMAS). The purpose of this study was to clarify its detailed anatomical features.MATERIALS AND METHODS: We
PMID 27685778

Nerve Sharing Between the Lingual and Mental Nerve to Restore Lower Lip Sensation After Segmental Resection of the Mandible.

Murata T1, Abukawa H2, Satomi T3, Chikazu D4.
Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.J Oral Maxillofac Surg.2016 Sep;74(9):1897.e1-5. doi: 10.1016/j.joms.2016.04.017. Epub 2016 Apr 25.
This report demonstrates a successful new procedure for reconstructing the inferior alveolar nerve by transplanting the great auricular nerve (GAN) between the mental nerve and the remaining submandibular ganglion to achieve nerve sharing of the lingual nerve. A 59-year-old woman with discomfort in
PMID 27206628

Japanese Journal

側頭骨骨折による顔面神経完全断裂例

耳鼻咽喉科臨床 110(2), 95-100, 2017
NAID 130005306323

大耳介神経耳垂枝温存手技を利用した耳下腺手術

口腔・咽頭科 28(2), 231-235, 2015
NAID 130005438187

肉腫様変化をきたした乳腺類似分泌癌の1例

口腔・咽頭科 28(2), 137-141, 2015
NAID 130005438168

Related Pictures

teamLabBody Great Auricular Nerve: Anatomy and Imaging in a Case of Perineural Tumor Spread Beware the Greater Auricular nerve. #21 - YouTube Preservation of branch of Great Auricular Nerve | Iowa Head and Neck Protocols Illustration showing the courses of the great auricular nerve (GAN) and | Download Nerve: Great Auricular Nerve

★リンクテーブル★

リンク元	「大耳介神経」
関連記事	「great」「auricular」「nerve」

「大耳介神経」

Great auricular nerve
	The nerves of the scalp, face, and side of neck. (Great auricular visible below ear.)
	Plan of the cervical plexus. (Great auricular labeled at top center.)
Details
Latin	nervus auricularis magnus
From	Cervical plexus (C2-C3)
Innervates	Cutaneous innervation of the inferior part of the auricle and the parotid region of the face.
Identifiers
Gray's	p.926
Dorlands; /Elsevier	n_05/12565226
TA	A14.2.02.018
FMA	6872
	Anatomical terms of neuroanatomy