Lecture 8: Deep Face and Infratemporal Fossa Flashcards
In comparision to the zymgomatic arch, where is the temporal and infratemporal fossa found?
Temporal Fossa: Superior to Zymgomatic Arch
Infratemporal Fossa: Inferior to Zymgomatic Arch
What are the boundaries of the infratemporal fossa?
- Roof: Greater Wing of Sphenoid
- Anterior: Maxilla Bone
- Posterior: Tympanic Plate, Mastoid Process, and Styloid Process
- Lateral: Ramus of Mandible
- Medial: Lateral Pterygoid Plate
- Inferior: Angle of Mandible
What are the contents of the infratemporal fossa?
Muscles
- Inferior portion of Temporalis Muscle
- Lateral and Medial Pterygoid Muscles
Vasculature
- Maxillay Artery
- Pterygoid Venous plexus
Nervous Structures
- Inferior Alveolar Nerve of V3: goes to mandible
- Lingual Nerve of V3: sensation of anterior tongue
- Buccal Nerve of V3: sensation to cheek
- Auricolotemporal Nerve of V3: sensation to parotid gland
- Otic Ganglion: parotid gland
- Chorda Tympani of VII: taste of anterior tongue and paraysmpathetic innervation to submandibular and sublingual glands
What are the branches of the mandibular portion of the Maxillary Artery?
- Deep Auricular Artery
- Supplies external acoustic meatus and tympanic membrane and TMJ
- Anterior Tympanic Artery
- Supplies internal tympanic membrane
- Inferior Alveolar Artery: supplies mandible
- Mylohyoid Artery
- Mental Artery
- Middle Meningeal Artery
- Accessory Menigneal Artery
- Supplies extracranial muscles of infratemporal fossa, otic ganglion, and sphenoid bone
What are the branches of the pterygoid portion of the Maxillary Artery?
- Deep Temporal Artery
- Supplies Temporalis Muscle
- Pterygoid Branches
- Supplies Pterygoid Muscle
- Masseteric Artery
- Supplies TMJ and Masseter Muscle
- Buccal Artery
What nerves make up the sensory part of Mandibular Nerve?
- Buccal Nerve
- Lingual Nerve
- Inferior Alveolar
- Dental Nerve
- Incisive Nerve
- Mental Nerve
- Auriculotemporal Nerve
- Meningeal Nerve
What are all the targets of the motor part of Mandibular Nerve?
- Muscles of Mastication
- Temporalis Muslce
- Masseter Muscle
- Lateral Pterygoid Muscles
- Medial Pterygoid Muscles
- Tensor Veli Palatini
- Tensory Tympani
- Deep Temporal Muscle
- Mylohyoid Muscle
- Anterior Belly of Digastric Muscle
What is the function of the buccal N. from the mandibular branch of the trigeminal?
What is the funciton of the buccal branch of the facial nerve?
Buccal nerve from V3 provides sensation to the interior cheek and part of the gums.
The buccal branch of the facial nerve provides motor innervation to the buccinator muscle.
The “tensor” muscles of the face are innervated by which cranial nerve?
Trigeminal N.
What foramen does the inferior alveolar N. enter?
The mandibular foramen
What do the cell bodies of the otic ganglion ultimately serve?
The parotid gland
Less petrosal nerve synapses at ganglion
Where can we find the otic ganglion?
Posterior and inferior to V3 as it exits the foramen ovale
Fracture high on the neck of the mandible can interfere with what structures?
Branches of the Maxillary Artery
Examples: Deep Auricular and Anterior Tympanic
A fracture of the ramus of the mandible can damage what structures?
Inferior Alveolar Artery and Nerve
A fracture of the corpus of the mandible can damage what structures?
Not much