Parotid and Infratemporal Regions Flashcards
Parotid Duct
Transversely passes over Masseter then through Buccinator
Opens into Oral Vestibule opposite 2nd maxillary molar tooth
Parotid Gland Innervation
Secretomotor Innervation Parasympathetic innervation from CN IX Sensory Innervation - Great auricular nerve (cervical plexus) - Auriculotemporal nerve (V3)
Parotid Gland Innervation - Parasympathetic
Preganglionic fibers emerge from foramen ovale from lesser petrosal nerve
Synapse at Otic Ganglion
Postganglionic fiber hitch ride from auriculotemporal nerve to arrive at parotid gland
Strucures within the Parotid Gland
Lymph nodes Facial nerve and branches External Carotid Artery Retromandibular Vein Great Auricular Nerve (C2,3)
Temporal Region
Temporal Fossa
Infratemporal Fossa
Temporal Region - Temporal Fossa Boundaries and Muscles
Posteriorly and Superiorly = Temporal lines
Anteriorly = Frontal and zygomatic bones
Laterally = Zygomatic arch
Inferiorly = Infratemporal crest
Muscles = Temporalis and Masseter
Temporal Region - Infratemporal Fossa Boundaries
Laterally = Ramus of mandible Medially = lateral pterygoid plate of sphenoid Anteriorly = posterior part of maxilla Posteriorly = tympanic plate, mastoid and styloid process of temporal bone Superiorly = inferior surface of the greater wing of the sphenoid bone Inferiorly = medial pterygoid's attachment to the angle of the mandible
Temporal Region - Infratemporal Fossa Contents
- Temporalis-Inferior part
- Lateral and Medial pterygoids
- Maxiallary artery and vein
- Pterygoid venous plexus
- Mandibular division of CN V and branches
- Chorda tympani (CN VII)
- Otic ganglion
Muscles of Mastication and Innervation
Innervated by V3
Temporalis
Masseter
Medial and Lateral Pterygoids
Maxillary Artery
Divided into three parts by the lateral pterygoid muscle
Arises posterior to the neck of mandible
Maxillary Artery - Selected Branches
- Inferior Alveolar
- Middle Meningeal
- Deep Temporal (ant and post)
- Infraorbital
- Sphenopalatine
- Descending Palatine
Maxillary Artery - Inferior Alveolar Branch
Enters the mandibular foramen
Supplies inferior teeth
Emerges out the mental foramen as mental artery
Maxillary Artery - Middle Meningial
Enters the foramen spinosum to supply the dura mater
Before it enters the foramen is surrounded by the auriculotemporal nerve
Maxillary Artery - Deep Temporal
Ascends deep to the tempoalis muscle
Maxillary Artery - Infraorbital
Enters inferior orbital fissure to enter the orbit
Runs in floor of orbit to emerge from infraorbital foramen