Infratemporal Fossa Flashcards
Where is the temporal fossa
lateral area of skull overlaying squamous portions of frontal, parietal, temporal and sphenoid bones
What are the boundaries of the temporal fossa
anterior/superior/posterior: superior temporal line (zygomatic, frontal, parietal and temporal bones)
inferior (lateral) zygomatic arch
inferior (medial) infratemporal crest of temporal and sphenoid bones
what are the contents of the temporal fossa
upper portion temporalis m and dense temporalis fascia
Where is the infratemporal fossa
deep region of head lying inferior and deep to temporal region
what are the boundaries of the infratemporal fossa
lateral-ramus of mandible
superior lateral- zygomatic arch
superior medial- lateral pterygoid plate of sphenoid bones
medial- lateral pterygoid plate of sphenoid and pharynx
anterior- maxilla
posterior- imaginary line connecting posterior border of ramus of mandible and styloid process of temporal bone
inferior- continuous with submandibular region
what are the general contents of the infratemporal fossa
lower portion of temporal is m medial pterygoid lateral pterygoid maxillary a (1st and 2nd portion) pterygoid plexus of vv mandibular division of CN V or V3 otic ganglion
Where is the TMJ
condyle of mandible
temporal bone- mandibular fossa and articular tubercle
which way does the condyle of mandible move when opening mouth
anteriorly against posterior surface of articular tubercle
What is within the TMJ between bones
dense CT articular disc that separates joint into two separate synovial lined cavities
Where is the joint capsule of TMJ tight? loose?
tight below disc
loose above disc
What are the ligaments in the TMJ
lateral ligament
stylomandibular ligament
spehnomandibular ligament
what is the role of the lateral ligament of TMJ
thickening that helps prevent posterior dislocation of mandible
what is the role of the stylomandibular ligament
thickening of parotid fascia
extends from styloid process to angle of mandible
not very strong
what is the role of the sphenomandibular ligament
extends from spine of sphenoid to lingula of mandible
strong ligament and prvides most passive support for TMJ
What type of movements does theupper portion of synovial joint of TMJ allow
gliding
protrusion/retrusion and elevation/depression
what type of movements does the lower portion of synovial joint of TMJ allow
pivot type movements between disc and mandible
side to side during chewing
What causes dislocation of TMJ
mandibular condyle slides too far forward and results in inability to close jaw
what corrects TMJ dislocation
inferiorly and posteriorly to correct
what n can be damaged by dislocation of TMJ
auriculotemporal
What pharyngeal arch do the mm of mastication come from
1st because all from V3 trigeminal
o i action inn temporalis m
o: temporal lines and deep temporal fascia/infratemporal crest
i: coronoid process and anterior surface ramus mandible
action: elevates(closes)retracts jaw
inn V3 via anterior and posterior deep temporal nn
what are the special features of the temporalis
temporobuccinator band
dense fascial band that spans from temporalis tendon to buccinator m
function- pulls buccinator m away from teeth
o i action inn masseter
o: zygomatic arch
insertion: external surface of ramus of mandible
action: elevates(closes) mandible and assists with protrusion
inn: V3 via masseteric branches
o i action inn medial pterygoid
o: medial surface lateral pterygoid plate (deep head) and tuberosity of maxilla (superficial head)
i: internal surface of ramus of mandible
action: elevates (closes) mandible and assists with protrusion and pivot movements of mandible
inn: V3 via medial pterygoid branch
o i action inn lateral pterygoid
o: lateral surface of lateral pterygoid plate (deep head) infra temporal crest of sphenoid bone (superficial head)
i: neck of mandibular condyle (deep portion), articular disc( superficial; sphenomeniscal portion)
action: protrusion of mandible, acting unilateral, moves jaw towards contralateral side to produce pivot movements of chewing (side to side)
inn: V3- lateral pterygoid branch