The anterior ethmoidal nerve is a nerve of the head. It is a branch of the nasociliary nerve (itself a branch of the ophthalmic nerve (V1)). It arises in the orbit, and enters first the cranial cavity and then the nasal cavity. It provides sensory innervation to part of the meninges, parts of the nasal cavity, and part of the skin of the nose.
Within the cranial cavity, it passes anterior-ward (external to the dura mater) along a groove upon the superior surface of the cribriform plate. It descends through an aperture situated lateral to the crista galli to reach the nasal cavity.[2]: 1464.e13
In the nasal cavity, it passes along a groove upon the internal aspect of the nasal bone, and issuing the medial and lateral internal nasal branches.[2]: 1464.e13
It is continued as the external nasal nerve beyond the inferior margin of the nasal bone.[2]: 1464.e13
Distribution
Within the anterior cranial fossa, it gives sensory fibers to the meninges to provide sensory innervation to part of the meninges.[3]
Its medial internal nasal branch innervates the superior and anterior portions of the nasal septum.[2]: 1464.e13
Its lateral internal nasal branch innervates the anterior portion of the lateral nasal wall.[2]: 1464.e13
Its terminal branch - the external nasal nerve - innervates skin of the nose between the nasal bones superiorly and the tip of the nose inferiorly, except the alar portionsurrounding the external nares.[2]: 1464.e13