The maxillary division of the trigeminal nerve supplies sensation to the midface from the lower eyelid to the upper lip and from the nose to the upper teeth. The infraorbital nerve is its main terminal branch, exiting the infraorbital foramen below the orbital rim to supply the cheek skin. Infraorbital nerve injury from zygomaticomaxillary fractures produces the characteristic midface numbness (upper lip, cheek, and nasal ala) that is a key finding in facial trauma assessment.
| Origin | Trigeminal ganglion |
|---|
The infraorbital nerve is at risk in orbital floor blowout fractures (where the nerve runs in the infraorbital canal in the orbital floor) and in Le Fort II fractures. Persistent infraorbital numbness after fracture repair indicates nerve injury rather than pure oedema-related compression. V2 trigeminal neuralgia involving the cheek and upper lip occurs less commonly than V3 involvement.
V2 branch damage in orbital floor blowout or zygomaticomaxillary fractures producing cheek, upper lip, and nasal ala numbness that may be permanent if the nerve is transected.
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