Infratemporal Fossa Flashcards

1
Q

infratemporal fossa

A

an irregularly shaped space, inferior to the temporal bone and below the zygomatic arch; medial to the mandible

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2
Q

contents of the infratemporal fossa

A

muscles of mastication (lateral and medial pterygoid muscles)
mandibular nerve V3 and its branches
otic ganglion
maxillary artery
pterygoid plexus of veins

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3
Q

muscles of mastication

A

temporalis
masseter
lateral pterygoid
medial pterygoid

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4
Q

temporalis attachments

A

superior attachment: parietal bone
inferior attachment: coronoid process of the mandible

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5
Q

temporalis main function

A

elevates mandible (closes the mouth)
anterior fibers: elevate mandible
posterior fibers: retract mandible

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6
Q

masseter attachments

A

superior: zygomatic arch
inferior: angle and ramus of the mandible

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7
Q

masseter function

A

elevation of mandible (closing the mouth)

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8
Q

medial pterygoid muscle attachments

A

superior: medial surface of the lateral pterygoid plate (of sphenoid bone)
inferior: angle of mandible (medial surface)

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9
Q

medial pterygoid muscle function

A

elevation of mandible
protrusion of mandible
lateral chewing movements

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10
Q

what fibers run in the same direction as masseter

A

medial pterygoid muscle fibers

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11
Q

what muscle lies on the medial surface of mandible

A

medial pterygoid muscle

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12
Q

what muscles lies on the lateral surface of mandible

A

masseter muscle

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13
Q

sphenoid bone

A

greater wing with lateral and medial pterygoid plates

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14
Q

lateral pterygoid muscle has how many heads

A

2

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15
Q

lateral pterygoid muscle attachments

A

from the lateral surface of the lateral pterygoid plate to condylar neck, TMJ capsule and articular disc

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16
Q

lateral pterygoid msucle function

A

protrusion of mandible
depression of mandible
lateral chewing movements (side-to-side movement)

17
Q

mandibular movements

A

elevation, depression, protrusion, retraction and lateral excursion

18
Q

what is the main force that depresses mandible

19
Q

temporomandibular joint

A

synovial joint formed by the condyle of mandible and the mandibular fossa of the temporal bone

20
Q

temporomandibular joint divided into compartments by the

A

articular disc

21
Q

compartments of the temporomandibular joint

A

superior compartment permits anterior and posterior movement
inferior compartment is a hinge joint, permits depression and elevation

22
Q

mandibular nerve

A

branch of CN V
mostly a sensory nerve, also has some motor fibers
passes through the foramen ovale to enter the infratemporal fossa

23
Q

mandibular nerve sensory branches

A

lingual nerve
inferior alveolar nerve
buccal nerve
auriculotemporal nerve

24
Q

motor branches of mandibular nerve

A

to muscles of mastication

25
buccal nerve
carries general sensory information from: skin on the cheek buccal mucous membrane buccal gingiva of the mandibular posterior teeth 2nd and 3rd molar
26
lingual nerve
carries general sensory fibers from the anterior 2/3s of the tongue, floor of the mouth and mandibular gingiva
27
what nerve exits middle ear and joins lingual nerve
chorda tympani nerve, a branch of the facial nerve
28
chorda tympani carries
special sensory (taste) fibers from the anterior 2/3s of tongue and parasympathetic fibers, which synapse in the submandibular ganglion and then supply 2 salivary glands: submandibular and sublingual gland
29
after chorda tympani joins lingual nerve, the lingual nerve carries
all 3 types of fibers general sensory, special sensory of taste parasympathetic fibers
30
inferior alveolar nerve carries
general sensory fibers from mandibular teeth and mandibular gingiva
31
branches of inferior alveolar nerve (IAN)
nerve to mylohyoid muscle: branches off just before IAN enters mandibular foramen, motor nerve to mylohyoid muscle and anterior belly of digastric muscle mental nerve: terminal branch of IAN, it exits through the mental foramen and carries general sensory information from the skin and mucosa of the lower lip and chin
32
auriculotemporal nerve carries
general sensory fibers from: external ear and scalp of the temporal region, external auditory meatus and tympanic membrane, TMJ also carries postganglionic parasympathetic nerve fibers to the parotid gland
33
auriculotemporal nerve makes a loop around
middle meningeal artery
34
the parasympathetic innervation of the parotid gland is from
glossopharyngeal nerve
35
otic ganglion fibers
the preganglionic fibers from CN IX reach otic ganglion located next to the V3 nerve in the infratemporal fossa they synapse in the otic ganglion, and postganglionic fibers join the auriculotemporal nerve, a branch of V3, which carries them to the parotid gland
36
maxillary artery
main artery in the infratemporal fossa; branch of the external carotid artery supplies blood to the deep part of face
37
branches of the maxillary artery
middle meningeal artery inferior alveolar artery
38
pterygoid plexus of veins
located in the infratemporal fossa, around pterygoid muscles and maxillary artery plexus protects maxillary artery from being compressed during mastication plexus connects with facial and retromandibular veins