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ENT · Ear and audiology: sensory supply of external ear
Sample itemA surgeon planning a block for the anterior wall of the external auditory canal and the tragus needs to know the sensory nerve to this area. Which nerve is it?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Auriculotemporal nerve
The auriculotemporal branch of the mandibular nerve supplies the tragus, the anterior canal wall and the anterior part of the pinna and drum. The great auricular and lesser occipital nerves supply the lower and posterior pinna. The vagus (Arnold's nerve) supplies the floor and posterior canal wall.
Option by option
A. Great auricular nerve
It supplies the lobule and posterior pinna, not the anterior canal.
B. Facial nerve
The facial nerve gives only a small sensory contribution to the concha and posterior canal.
C. Auriculotemporal nerve (correct)
Correct. It is a branch of V3 and carries sensation from the anterior canal and tragus.
D. Lesser occipital nerve
It supplies the upper medial part of the posterior pinna.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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