Infratemporal Fossa and TMJ Flashcards
What are the boundaries of the infra temporal fossa
Lateral = ramus of mandible Anterior = maxilla Medial = lateral pterygoid plate (part of sphenoid bone) Roof = Sphenoid (greater wing) Posterior = Tympanic plate, mastoid and styloid process (part of temporal bone) Inferior = angle of mandible
Lateral and medial pterygoid plates (sphenoid bone) make up two holes
Foramen Ovale - V3
Foramen Spinosum - Middle Meningeal A. coming off the Maxillary A.
Inferior alveolar N. (V3) - comes out of the _____ and goes through ____ to terminate as the ____.
The inferior alveolar N. goes to the ___ and innervates ___.
The ____ comes off the inferior alveolar n. and rides along the ____.
Mandibular foramina
Mental foramina
Mental N.
The inferior alveolar n. goes to the JAW and innervates TEETH
Nerve to mylohyoid that runs along the groove for the nerve of mylohyoid that is on the back of the mandible
On the sphenoid bone, there is the pteryogoid palatine fossa what is present there?
Pterygoid palatine ganglion - this is where pre-ganglionic parasympathetic fibers from the greater petrosal nerve off the facial nerve will enter to innervate the lacrimal gland, nasal mucosa
What is the sella tursica?
Part of the sphenoid bone - depression which holds the pituitary gland
What are the contents of the infra temporal fossa?
- Inferior portion of the temporals m.
- Lateral and medial pterygoid muscles
- Maxillary A.
- Pterygoid venous plexus
- Nervous Structures:
- Inferior alveolar n. V3
- Lingual n. V3
- Chorda tympani CN VII
- Otic ganglion
When you are not moving for a long time and the blood becomes static you YAWN - what muscle contracts to help you yawn? - What is the purpose of this?
Lateral pterygoid muscle
- pterygoid plexus helps to increase venous return
Accessory Meningeal A. enters the cranium via the
Foramen Ovale - supplies the extracranial muscles of the infratemporal fossa, otic ganglion and the sphenoid bone
Middle Meningeal A. enters the cranium via the
Foramen spinosum and supplies the dura mater of the lateral wall, trigeminal ganglion, facial nerve, geniculate ganglion, tympanic cavity and tensor tympani muscle
What are the arteries for the muscles of mastication?
Pterygoid part of maxillary A. –> all from the second part of the maxillary A.
- Deep Temporal A –> Temporalis M.
- Pterygoid A –> Pterygoid M.
- Massteric A. –> Supplies TMJ and Masseter M
- Buccal A. –> Supplies buccal fat-pad, buccinator and buccal oral mucosa
runs with the buccal N. (comes of V)
V3 (mandibular) sensory branches
- Meningeal
- Auriculotemporal
- Lingal
- Inferior alveolar N.
- Meningeal N.
V3 (mandibular) motor branches - These supply the muscles of mastication
Massteric N.
Medial Pterygoid N.
Lateral Pterygoid N.
Nerve to Mylohyoid coming off the inferior alveolar N. (nerve to the mylohyoid m. and the anterior belly of the digastric m)
Deep Temporal N. - anterior and posterior
What are the muscles of mastication?
Muscles of mastication include the temporalis, masseter, medial pterygoid and lateral pterygoid. The actions of these muscles are assisted by the buccinator muscle
What is the sphenomandibular ligament?
The sphenomandibular ligament is a thickened band of pterygoid fascia between the sphenoidal spine and the lingula of the mandible. The maxillary artery, vein and auriculotemporal nerve pass between this ligament and the neck of the mandible.
What depresses the mandible?
Depression means OPEN the mandible
Lateral ptyergoid, suprahyoid muscles and infrahyoid muscles
- Digastric Muscle
- Mylohyoid Muscle
- Geniohyoid M.
- Stylohyoid M.
- Sternohyoid - Ansa Cervicalis
- Sternothyroid - Ansa Cervicalis
- Thyrohyoid - ventral rams C1
- Omohyoid - Ansa Cervicalis