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The clinical tests used to determine if the glossopharyngeal nerve has been damaged include testing the gag reflex of the mouth, asking the patient to swallow or cough, and evaluating for speech impediments. The clinician may also test the posterior one-third of the tongue with bitter and sour substances to evaluate for impairment of taste.
Glossopharyngeal neuralgia, a rare disorder, usually begins after age 40 and occurs more often in men. Often, its cause is unknown. However, glossopharyngeal neuralgia sometimes results from an abnormally positioned artery that compresses the glossopharyngeal nerve near where it exits the brain stem. Rarely, the cause is a tumor in the brain or ...
the sensory limb is mediated predominantly by CN IX (glossopharyngeal nerve) the motor limb by CN X (vagus nerve). The gag reflex involves a brisk and brief elevation of the soft palate and bilateral contraction of pharyngeal muscles evoked by touching the posterior pharyngeal wall. Touching the soft palate can lead to a similar reflex response.
The tympanic nerve (Jacobson's nerve) is a branch of the glossopharyngeal nerve passing through the petrous part of the temporal bone to reach the middle ear. It provides sensory innervation for the middle ear, the Eustachian tube, the parotid gland, and mastoid cells. It also carries parasympathetic fibers destined for the parotid gland.
The pharyngeal branches of the glossopharyngeal nerve are three or four filaments which unite, opposite the constrictor pharyngis medius, with the pharyngeal branches of the vagus and sympathetic, to form the pharyngeal plexus. Branches from this plexus perforate the muscular coat of the pharynx and supply its muscles and mucous membrane.
The carotid branch of the glossopharyngeal nerve (carotid sinus nerve or Hering's nerve) is a small branch of the glossopharyngeal nerve (cranial nerve IX) that innervates the carotid sinus, and carotid body.
The axons of these neurons branch from the glossopharyngeal nerve at the level of the inferior ganglion and form the tympanic nerve along with the preganglionic parasympathetic axons from the inferior salivatory nucleus. The tympanic nerve then travels through the inferior tympanic canaliculus to the tympanic cavity forming the tympanic plexus ...
The tympanic plexus is a nerve plexus within the tympanic cavity formed upon the promontory of tympanic cavity by the tympanic nerve (branch of the inferior ganglion of glossopharyngeal nerve (CN IX)), and the superior and inferior caroticotympanic nerves (post-ganglionic sympathetic branches of the internal carotid plexus).