[1][2] The auricular branch of the vagus nerve supplies sensory innervation to the skin of the ear canal, tragus, tympanic membrane and auricle.
It arises from the superior ganglion of the vagus nerve, and is joined soon after its origin by a filament from the petrous ganglion of the glossopharyngeal; it passes behind the internal jugular vein, and enters the mastoid canaliculus on the lateral wall of the jugular fossa.
In a small portion of individuals, the auricular nerve is the afferent limb of the Ear-Cough or Arnold Reflex.
Rarely, on introduction of speculum in the external ear, patients have experienced syncope due to the stimulation of the auricular branch of the vagus nerve.
Although the transcutaneous method has not been specifically approved in the United States (i.e. off-label) it is legal and being investigated (and found to be effective and safe) for many conditions including: This article incorporates text in the public domain from page 911 of the 20th edition of Gray's Anatomy (1918)