It is in relation, laterally, with the trunk of the mandibular nerve at the point where the motor and sensory roots join; medially, with the cartilaginous part of the auditory tube, and the origin of the tensor veli palatini; posteriorly, with the middle meningeal artery. It surrounds the origin of the nerve to the medial pterygoid.
Frey's syndrome is caused by re-routing of parasympathetic and sympathetic fibres of the auriculotemporal nerve (V3) within the otic ganglion. It is a complication of surgery involving the parotid gland whereby injury to these branches, which innervate the parotid gland and sweat glands of the face respectively, form abnormal connections. Salivation leads to perspiration and flushing of the pre-auricular region and is called 'gustatory sweating'.
Additional images
Plan of the facial and intermediate nerves and their communication with other nerves.
Shimizu T (1994). "Distribution and pathway of the cerebrovascular nerve fibers from the otic ganglion in the rat: anterograde tracing study". J. Auton. Nerv. Syst. 49 (1): 47–54. doi:10.1016/0165-1838(94)90019-1. PMID7525688.
External links
cranialnerves at The Anatomy Lesson by Wesley Norman (Georgetown University) (V, IX)