Infratemporal Fossa Flashcards
What is the infratemporal fossa?
An irregularly shaped space
Where is the infratemporal fossa found?
- Deep and inferior to the zygomatic arch
- Deep to ramus of mandible
What are the borders of the infratemporal fossa?
- Superior
- Anterior
- Inferior
- Medial
- Lateral
- Posterior
What is the superior border of the infratemporal fossa?
Inferior greater wing of sphenoid
What is the anterior border of the infratemporal fossa?
Posterior maxilla
What is the inferior border of the infratemporal fossa?
Medial pterygoid muscle attachment at the mandible
What is the medial border of the infratemporal fossa?
Lateral pterygoid plate of sphenoid
What is the posterior border of the infratemporal fossa?
Temporal boen
What is the lateral border of the infratemporal fossa?
Ramus of mandible
What is the contents of the infratemporal fossa?
- 3 muscles
- Maxillary artery
- Pterygoid venus plexus
- Nerves
What muscles are in the infratemporal fossa?
- Inferior part of temporal muscle
- Lateral and medial pterygoid muscles
What does the pterygoid venous plexus communicate with?
The cavernous sinus
What nerves are in the infratemporal fossa?
- Mandibular branch of trigeminal
- Otic ganglion
What does the mandibular branch of the trigeminal nerve give off in the infratemporal fossa?
- Inferior alveolar nerve
- Lingual nerve
- Buccal nerve
What does the inferior alveolar nerve innervate?
The lower teeth
How does the inferior alveolar nerve continue?
As the mental nerve
What does the lingual nerve supply?
Sensory to the anterior 2/3 of the tongue
What does the lingual nerve carry?
Chorda tympani fibres from the facial nerve
What do chorda tympani fibres supply?
Special sensory to anterior 2/3 of tongue
What does the buccal nerve supply?
Sensory to cheek and buccal gum
What does the otic ganglion supply?
Parasympathetics of parotid gland
What is the clinical relevance of the infratemporal fossa?
- Fossa can be site for isolated infections
- Rarely, site of tumours
- Can be used as site for mandibular nerve blocks
Who may get an infection in the infratemporal fossa?
Diabetic patients
What is there a risk of if infection is present in the infratemporal fossa?
Cavernous sinus thrombosis,
Why is there a risk of cavernous sinus thrombosis if there is an infection in the infratemporal fossa?
Due to venous communication with the pterygoid venous plexus