H19 Infraorbital Cutaneous

This ARP is located exactly on the infraorbital foramen (Fig. 8-13). The infraorbital nerve, a cutaneous nerve from the maxillary branch (V2) of the trigeminal nerve, passes the foramen and innervates the facial skin. To avoid hematoma when needling in this area, the practitioner should use 38- or 36-gauge needles (0.18- or 0.20-mm diameter, respectively). The depth for needling ranges from 2 to 5 mm.

The H19 infraorbital ARP is always the first ARP on the face to become sensitive because the infraorbital nerve is the biggest cutaneous nerve on the face. In addition to homeostatic decline, all symptoms related to the face and the head may further sensitize this point. Thus the sensitivity and size of the point provide useful information on the severity or chronicity of the symptom. Common symptoms that may sensitize this ARP are cranial neuralgias; all kinds of headache; facial, myofascial, and tem-poromandibular disorders; dental and intraoral pain; ocular and periocular pain; pain in the ear;

Squamous suture

Temporal bone

Lamboid suture

Occipital bone

Sphenoid bone

External acoustic meatus

Mastoid process

Zygomatic arch Styloid process

Zygomatic bone

Mandible Ramus^ Angle Body

Parietal bones

Sagittal suture

Coronal suture

Frontal bone

Supraorbital foramen (H23)

Nasal bones

Squamous suture

Temporal bone

Supraorbital foramen (H23)

Nasal bones

Maxilla

Mental foramen

Zygomatic arch Styloid process

Zygomatic bone

Figure 8-13 The infraorbital and supraorbital nerve.

Infraorbital YJ foramen (H19)

Inferior concha

Maxilla

Mental foramen

Figure 8-13 The infraorbital and supraorbital nerve.

sinusitis; cold; allergy; and facial paralysis. The H19 infraorbital ARP should be used for all these symptoms. Pain caused by cancer of the head and neck also sensitizes this point.

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