Head: Temporal/Infratemporal Regions Flashcards
1
Q
Temporal Region
A
- Area overlying the temporal fossa (lateral head)
- Pterion
- Zygomatic arch is inferior
- Frontal process of zygomatic bone is anterior
2
Q
Temporal Region content
A
- Temporalis muscle and fascia
- Deep temporal nerves and vessels
3
Q
Infratemporal Fossa
A
- Located deep to zygomatic arch and mandibular ramus
4
Q
Infratemporal Fossa boundaries
A
- Lateral: ramus of mandible
- Medial: lateral pterygoid plate
- Anterior: posterior part maxilla
- Posterior: mastoid process, styloid process
- Superior: greater wing sphenoid
- Inferior: medial pterygoid insertion on mandible
5
Q
Infratemporal Fossa LATERAL boundary
A
- Ramus of mandible
6
Q
Infratemporal Fossa MEDIAL boundary
A
- Lateral pterygoid plate
7
Q
Infratemporal Fossa ANTERIOR boundary
A
- Posterior part maxilla
8
Q
Infratemporal Fossa POSTERIOR boundary
A
- Mastoid process, styloid process
9
Q
Infratemporal Fossa SUPERIOR boundary
A
- Greater wing sphenoid
10
Q
Infratemporal Fossa INFERIOR boundary
A
- Medial pterygoid insertion on mandible
11
Q
Infratemporal Fossa content
A
- Inferior part of temporalis muscle
- Lateral pterygoid muscle
- Medial pterygoid muscle
- Maxillary artery and some branches
- Pterygoid venous plexus
12
Q
Nerves of Infratemporal Fossa
A
- Mandibular nerve (V3) and branches
- Chorda tympani (branch of VII)
- Otic ganglion
13
Q
Muscles of mastication innervation
A
- Trigeminal nerve (CN V), mandibular division
14
Q
Muscles of mastication
A
- Temporalis
- Masseter
- Lateral pterygoid (2 heads)
- Medial pterygoid (2 heads)
15
Q
Temporalis origin
A
- Temporal fossa
16
Q
Temporalis insertion
A
- Coronoid process of mandible
17
Q
Temporalis innervation
A
- Deep temporal branches
18
Q
Temporalis function
A
- Elevates and retracts (retrusion) the mandible
19
Q
Masseter origin
A
- Inferior and medial surface of zygomatic arch
20
Q
Masseter insertion
A
- Angle and lateral surface of ramus
21
Q
Masseter innervation
A
- Masseteric nerve
22
Q
Masseter function
A
- Elevates and protrudes mandible
23
Q
Lateral Pterygoid superior head origin
A
- Infratemporal surface of sphenoid
24
Q
Lateral Pterygoid superior head insertion
A
- Capsule and disc of TMJ
25
Lateral Pterygoid inferior head origin
- Lateral surface of lateral pterygoid plate
26
Lateral Pterygoid inferior head insertion
- Pterygoid fovea and neck of mandible
27
Lateral Pterygoid innervation
- Lateral pterygoid nerve
28
Lateral Pterygoid function
- Protrusion, depression, and lateral excursion of mandible
29
Medial Pterygoid origin
- Medial surface of lateral pterygoid plate
| - Maxilla tuberosity
30
Medial Pterygoid insertion
- Medial surface of mandible ramus
31
Medial Pterygoid innervation
- Medial pterygoid nerve
32
Medial Pterygoid function
- Elevates, protrusion, lateral excursion of mandible
33
Trigeminal Nerve lesion causes
- Muscle of mastication weakness
- Jaw deviates to bad side when opened
- Ipsilateral Sensory loss
- Loss of ipsilateral jaw jerk reflex and corneal reflex
34
Maxillary Artery
- Terminal branches of the ECA
| - 3 parts based on location
35
Maxillary Artery pathway
- Runs deep mandibular neck
- Passes across the infratemporal fossa
- Passes through pterygomaxillary fissure to enter the pterygopalatine fossa
36
Maxillary Artery supplies blood to
- Mandible
- Maxilla
- Teeth
- Muscles of mastication
- Palate
- Nose
- Cranial dura
37
Branches of 1st part of Maxillary Artery
- Inferior alveolar
- Anterior tympanic
- Deep auricular
- Accessory meningeal artery
- Middle meningeal
38
Branches of 2nd part of Maxillary Artery
- Masseteric
- Deep temporal
- Pterygoid
- Buccal
39
3rd part of Maxillary Artery
- Located in pterygopalatine fossa
40
Pterygoid venous plexus location
- Between temporalis and pterygoid muscles
41
Tributaries of Pterygoid venous plexus
- Deep facial vein communicates with facial
- Maxillary joins with superficial temporal to form retromandibular
- Emissary veins communicate with cavernous sinus
42
Mandibular Nerve (V3) branches
- Auriculotemporal
- Inferior alveolar
- Lingual
43
Auriculotemporal Nerve location
- Encircles middle meningeal artery
44
Auriculotemporal Nerve supplies
- Sensory to auricle, temporal region, TMJ
45
Auriculotemporal Nerve carries postsynaptic parasympathetics to
- Parotid gland
46
Inferior Alveolar Nerve location
- Enters mandibular foramen
- Exits mental foramen as mental nerve
- Gives off nerve to mylohyoid before entering mandibular foramen
47
Inferior Alveolar Nerve supplies
- Mandibular teeth (dental plexus)
48
Mental Nerve sensation
- Lower lip/chin
49
Lingual Nerve sensation
- Sensation (touch, pain) to anterior 2/3 of tongue, mouth floor, gums
50
Chorda Tympani Nerve (branch of facial) joins with Lingual to supply
- Taste to anterior 2/3 of tongue
| - Parasympathetic fibers to submandibular and sublingual glands
51
Pterygopalatine Fossa
- Communicates with infratemporal fossa through pterygomaxillary fissure
52
Pterygopalatine Fossa boundaries
- Medial: perpendicular plate of palatine bone
- Floor: pyramidal process of palatine bone
- Roof: infratemporal surface of sphenoid greater wing
- Anterior: maxilla
- Posterior: root of pterygoid process
53
Pterygopalatine Fossa MEDIAL boundary
- Perpendicular plate of palatine bone
54
Pterygopalatine Fossa FLOOR
- Pyramidal process of palatine bone
55
Pterygopalatine Fossa ROOF
- Infratemporal surface of sphenoid greater wing
56
Pterygopalatine Fossa ANTERIOR boundary
- Maxilla
57
Pterygopalatine Fossa POSTERIOR boundary
- Root of pterygoid process
58
Pterygopalatine Fossa content
- 3rd part of maxillary artery and branches
- Maxillary nerve (V2) and branches
- Pterygopalatine ganglion
59
3rd part of Maxillary Artery location
- Passes between heads of lateral pterygoid muscle and through pterygomaxillary fissure
60
Branches of 3rd part of Maxillary Artery
- Posterior superior alveolar
- Infra-orbital (inferior orbital fissure)
- Artery of pterygoid canal (pterygoid canal)
- Pharyngeal branch of maxillary (pharyngeal canal)
- Descending palatine (greater palatine canal)
- Sphenopalatine (sphenopalatine foramen)
61
Descending palatine (greater palatine canal) contains
- Greater and lesser palatine arteries
62
Maxillary Nerve (V2) pathway
- Exits middle cranial fossa and enters pterygopalatine fossa through foramen rotundum
63
Pterygopalatine ganglion
- Suspended from maxillary nerve
64
Nerve of Pterygoid canal
- Bringing in parasympathetic and sympathetic nerve fiber
65
Branches of Maxillary Nerve (V2) convey
- Sensory information from the areas they innervate
66
Branches of Maxillary Nerve (V2)
- Meningeal
- Zygomatic
- Nasopalatine
- Greater/lesser palatine
- Posterior superior alveolar
- Pharyngeal
- Infraorbital
67
Meningeal branch of Maxillary Nerve branches off
- Before foramen rotundum
68
Zygomatic branch of Maxillary Nerve (in the inferior orbital fissure)
- Enters orbit
| - Branches into zygomaticotemporal and zygomaticofacial
69
Nasopalatine branch of Maxillary Nerve location
- Sphenopalatine foramen
70
Greater and Lesser Palatine Nerve location
- Greater palatine canal
71
Pharyngeal Nerve location
- Pharyngeal canal
72
Infraorbital Nerve passes through
- Inferior orbital fissure
- Infraorbital groove
- Infraorbital canal
73
Pterygopalatine ganglion (Parasympathetic ganglion)
- Nerve of pterygoid canal
- ONLY Presynaptic parasympathetics from greater petrosal (branch of facial nerve) synapse here
- Sensory and sympathetic fibers pass through without synapsing
74
Nerve of Pterygoid Canal is formed by
- Greater petrosal nerve
| - Deep petrosal nerves
75
Post-synaptic nerve fibers destined for Lacrimal gland travel in
- Zygomatic nerve (V2) and lacrimal (V1)
76
Post-synaptic nerve fibers destined for Nasal cavity, Palate, Upper Pharynx, Pharynx travel in
- Branches of V2
77
Deep Petrosal Nerve
- Deprived from internal carotid plexus
| - Post synaptic sympathetic nerve fibers
78
Greater Petrosal Nerve (facial)
- Presynaptic parasympathetic nerve fibers
| taste to palate
79
Nerve of Pterygoid canal
- Formed by greater petrosal and deep petrosal nerves
- Presynaptic parasympathetic
- Postsynaptic sympathetics
80
Branches from Pterygopalatine ganglion
- General sensory nerve fibers
- Postsynaptic sympathetics
- Postsynaptic parasympathetics