Muscles of Mastication and Infratemporal Fossa Flashcards

0
Q

Where does the temporalis muscle insert

A

cornonoid process of the mandible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

The muscles of mastication develop from which branchial arch
what nerve innervates that arch
what artery supplies the muscles of mastication

A

1st branchial arch
trigeminal nerve (mandibular division V3) - named according to hte corresponding muscle
second part of maxillary artery (named according to corresponding muscle)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What covers the medial surface of the medial pterygoid and splits around the lateral pterygoid

A

pterygoid fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is the pterygospinous ligament

A

may be formed by pterygoid fascia between the medial and lateral pterygoid muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

the pterygoid fascia is continuous with the _______, ________, and the _______

A

stylomandibular ligament, deep parotid fascia, and the superficial fascia of the neck

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

In fracture dislocations of the mandible anterior to the angle of the mandible, what causes the proximal portion of the mandible to displace upward and forward?

A

the masseter muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What nerve innervates the buccinator muscle

A

CN VII

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is the buccinator’s role in mastication

A

pushes food onto chewing portion of the teeth,

if paralyzed, food is pushed between teeth and cheeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what structures pass between the two heads of the lateral pterygoid

A

maxillary artery

long buccal nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what structures pass between the medial and lateral pterygoids

A

the inferior alveolar and lingual nerves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe the jaw jerk (masseteric) reflex mechanism

A

one synapse only
rapid depression of the chin
stretching neuromuscular spindle in masseter
maseteric nerve to mesencephalic nucleus of V (sensory nucleus)
motor nucleus of V
masseteric nerve to neuromuscular endplates in the masseter muscle
contraction of masseter muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is the jaw jerk reflex

A

rapid depression of the chin results in a closing of the mouth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is responsible for action of normal opening of the mouth

A

gravity,

lateral pterygoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what muscles are responsible for wide opening of the mouth

A

lateral pterygoid,

suprahyoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what muscles are responsible for closing the mouth

A

temporalis
masseter
medial pterygoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How many different joint cavities make up the TMJ. What are they separated by?

A

to separate disks subdivided by an articular disk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What type of joint is the superior joint of the TMJ

A

gliding joint
between mandibular fossa and articular tubercle, and the articular disk
capsule is thin and loose to permit extensive sliding movement
MOBILE

17
Q

what type of joint is the inferior joint of the TMJ

A

hinge type joint between the articular disk and the mandibular condyle
lower capsule is strong and tight

18
Q

What is the articular disk of the TMJ attached to

A

the sphenomeniscus muscle and the strong lateral (collateral) ligament

19
Q

What ligament makes it much easier to open the mouth

A

stylomandibular ligament
from the apex of the syloid process to the inner surface of the angle of the mandible
biomechanically changes the transverse axis of rotation from a line between the mandibular condyles to a line between the lingulae

20
Q

What are two critical developments in the skull

A

development of dentition

development of paranasal sinuses

21
Q

Newborn has a mental angle of

why

A

175 degrees, because the alveolar bone is only a shell and the basilar bone is thin

22
Q

four year old child has a mental angle of

A

140 degrees

23
Q

adult has a mental angle of

why

A

110-120 degrees

due to the development of dentition

24
What type of changes in the mental angle do we see in senior patients
regressive change in the mental angle to about 140 degrees. | an edentulous condition with corresponding alveolar bon resorption is causative
25
Fracture of the neck of the mandible may compromise
maxillary artery maxillary vein or auriculotemporal nerve (sideburn anesthesia)
26
fracture of the ramus of the mandible may damage
lingual or inferior alveolar nerves
27
fracture of the body of the mandible would compress
the inferior alveolar nerve and vessels
28
What is the terminal branch of maxillary artery | What does it supply
sphenopalatine artery | posterior 2/3 of the nasal cavity
29
infratemporal fossa contains
``` tendon of tempoalis muscle medial and lateral pterygoid muscles maxillary artery and branches pterygoid venous plexus mandibular division of V (V3) ```
30
What are the two terminal branches of external carotid artery
superficial temporal and maxillary
31
what artery do we care about that is a branch of maxillary | why
middle meningeal artery | with head trauma it can cause epidural hematomas
32
Know the mandibular nerve schematic
the angel diagram
33
long buccal n passes between what muscle heads
the two heads of lateral pterygoid muscle
34
where does the distal portion of buccal nerve course
deep to tempoprobuccinator band, a portion of the temporalis tendon that is attached to the buccinator muscle
35
What does the buccal nevrve supply
GSA fibers to the epithelia of the inner and outer cheek
36
What nerve originates as two roots which encircle the middle meningeal artery
the auriculotemporal nerve
37
at the point where auriculo temporal nerve encircles the middle meningeal artery, it receives what sort of autonomic supply from where, and where do they terminate?
postganglionic sympathetic fibers from middle meningeal plexys, which will terminate in the parotid gland
38
GSA to anterior 2/3 of the tongue
lingual nerve (V3)
39
chorda tympany nerve joins lingual nerve where
medial to the mandibular condyle
40
Chorda tympani courses with lingual nerve to supply
SVA fibers to the anterior 2/3 of tongue | GVE parasympathetic fibers to the submandibular and sublingual glands