9. Infratemporal fossa (lecture) Flashcards

1
Q

what is the infratemporal fossa?

A

an irregularly shaped space deep and inferior to the zygomatic arch (cheek bone) and deep to the ramus of the mandible

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2
Q

superior border of ITF?

A

inferior greater wing of sphenoid

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3
Q

posterior border of ITF?

A

temporal bone

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4
Q

medial border of ITF?

A

lateral pterygoid plate of sphenoid

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5
Q

anterior border of ITF?

A

posterior maxilla

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6
Q

inferior border of ITF?

A

medial pterygoid muscle attachment at mandible

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7
Q

lateral border of ITF?

A

ramus of mandible

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8
Q

what does mandibular branch of trigeminal give off?

A

inferior alveolar nerve
lingual nerve
buccal nerve

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9
Q

what does the inferior alveolar nerve (V3) innervate?

A

lower teeth (lower lip and jaw)

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10
Q

what does the inferior alveolar nerve (V3) continue as?

A

mental nerve

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11
Q

what does the lingual nerve supply?

A

sensory to anterior 2/3rd tongue

carries chorda tympani fibres from facial nerve (special sensory) - parasympathetic hitch hike trigeminal nerve

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12
Q

what does the otic ganglion supply?

A

parasympathetic supply of parotid gland

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13
Q

what can the infratemporal fossa be a site for?

A

a site for isolated infections

e.g. diabetic patients and rarely tumours

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14
Q

if infection presents in the ITF, what can be a risk?

A

there is a risk of cavernous sinus thrombosis due to venous communication with pterygoid venous plexus (via foramen ovale)

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15
Q

what can the infratemporal fossa be used as?

A

a site for mandibular nerve blocks

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16
Q

what are the contents of the infratemporal fossa?

A

4 muscles: lateral + medial pterygoid muscles (within), inferior temporalis and masseter (attach)
1 artery: maxillary artery
1 venous plexus: pterygoid venous plexus
lots of nerves

17
Q

what are the nerves within the infratemporal fossa?

A
mandibular
inferior alveolar
lingual
buccal
chorda tympani
otic ganglion