Infratemporal and Pterygopalantine fossa Flashcards
What are the three key muscles of mastication?
Temporalis
Maseter
Lateral pterygoid
Three ligaments of temperomandibular joint (atypical synovial)
Sphenomandibular
Lateral
Stylomandibular
Boundaries of infratemporal fossa
Medial- pterygoid process, pharynx and soft palate muscles (tenso veli palatine and levator veli palantine)
Lateral- ramus of mandible
Anterior-maxilla
Roof-greater wing of sphenoid and temporal bone
Contents of infratemporal fossa
Sphenomandibular ligament Lateral and medial pterygoid muscles Maxillary artery (inferior alveolar artery and middle meningeal artery) V3 (lingual, mental, inferior alveolar) Pterygoid venous plexus CN9 CN7
Branches and origin of maxillary artery
Originates from external carotid artery
Branches: Middle menegial artery
Inferior alveolar artery
Sphenopalatine
Boundaries of Pterygopalantine fossa
Medial-palantine bone
Roof-sphenoid bone and middle cranial fossa
Anterior-maxillary bone
Lateral-infratemporal fossa
Pterygopalantine fossa contents
Maxillary division V2 Autonomic nerves Foramen rotundum Sphenopalantine foramen Maxillary artery Sphenopalantine artery Pterygoid ganglion (hay fever) Inferior orbital fissure
Which two nerve blocks relate to the pterygopalantine fossa?
Greater palantine nerve block
Posterior superior alveolar nerve block
Which artery causes posterior epistaxis?
Sphenopalantine artery
No blood out of nose but can taste blood at the back of the tongue
What is the venous drainage of the pterygopalantine fossa?
Pterygoid venous plexus
What does an atypical joint/temperomandibular joint have on one side?
Fibrocartilage on bony sources (no hyaline)
Muscles which protrude TMJ
Lateral and medial pterygoid muscles
Muscles which retract TMJ
Temporalis (posterior part)
masseter (deep)
geniohyoid
digastric
Muscles which elevate TMJ
Temporalis
Masseter
medial pterygoid
Muscles which depress TMJ
Digastric
geniohyoid
Mylohyoid