Anatomy & Histology · single question

When local anesthesia is placed at the BASE of a lesion on the LATERAL tongue, which nerve is MOST likely being anesthetized?

  1. Glossopharyngeal nerve (CN IX)
  2. Lingual nerve (branch of CN V3)
  3. Hypoglossal nerve (CN XII)
  4. Facial nerve (CN VII)
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Correct answer: B. Lingual nerve (branch of CN V3)

The lingual nerve (a branch of the inferior alveolar nerve, which is a branch of V3 / mandibular division of CN V) provides general somatic sensation to the anterior 2/3 of the tongue. Infiltration at the base/lateral tongue would anesthetize the lingual nerve. The glossopharyngeal nerve (CN IX) provides sensation to the posterior 1/3 of the tongue and pharynx. The hypoglossal nerve (CN XII) is purely motor to the tongue muscles — it is not anesthetized by local anesthetic for sensory block.

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