Deeper Head and Neck Flashcards
Temporal fossa
Above zygomatic arch
Temporalis m and fascia
CNV3 and maxillary a
Pterion common site of epidural haematoma
Infratemporal fossa
Below zygomatic arch
Deep to ramus of mandible
Infratemporal fossa mm
Pterygoids
Mm attached to styloid process partially in fossa
Infratemporal fossa floor
Superior pharyngeal constrictor
LVP and TVP
Mandibular division course and branches
Exits skull via foramen ovale Branches to mm of mastication Buccal n Auriculotemporal n Lingual n Inferior alveolar n (and its mental branch)
Maxillary a from and supplies
Terminal branch of external carotid a
Infratemporal fossa, dura and skull, mm of mastication, maxilla, mandible, teeth, nasal cavity, palate
Middle meningeal branch of maxillary a
Enters skull via foramen spinosum
Anterior branch deep to pterion
Pterygoid plexus
Drains area supplied by maxillary a
Forms maxillary vv
Pterygopalatine fossa location
Deep in infratemporal fossa
Between maxilla and sphenoid (lateral plate of pterygoid process)
Many foramina within
Superficial entrance is superior part of pterygomaxillary fissure
Palatine bone deep in fossa
Pterygopalatine fossa structures
Maxillary a enters via pterygomaxillary fissure
Cn V2 enters via foramen rotundum and distribute through various foramina
Pterygopalatine ganglion
Preganglionic axons from superior salivatory/lacrimal nucleus via CN VII
Postganglionic axons to nasal cavity, palate and lacrimal gland via CNV2 branches
Submandibular gland
Location
Relations
Duct
Wraps around posterior edge mylohyoid
Facial a and v
Duct open at sublingual papilla
Duct close to lingual n
Sublingual gland
Location
Ducts
Relations
Superior to mylohyoid
Ducts open at sublingual folds
Submandibular duct
Branches of lingual a, v, n
Parotid gland
Location
Relations
Duct
Superficial and posterior to massester and ramus of mandible
CN VII, aurciulotemporal n (CN V3), external carotid, maxillary and superficial temporal a and v, retromandibular v
Duct superficial to masseter, pierces buccinator, opens in vestibule of mouth opposite 2nd upper molar
PS innervation submandibular sublingual glands
Superior salivatory nucleus (caudal pons)
CN VII (chorda tympani, joins lingual n CN V3 in infratemporal fossa)
Submandibular ganglion
Lingual n or separately to glands