parotid and temporal regions + TMJ Flashcards
what artery and vein run through the parotid gland
retromandibular vein and external carotid a
parotid gland is inferior to what
external acoustic meatus
swelling of parotid gland does what to ear
pushes ear superolateral (Mumps)
what forms the retromandibular vein
superficial temporal and maxillary vein
where does the retromandibular vein enter the parotid gland
posterior to the ramus of the mandible
the retromandibular vein drains into:
splints into 2 divisions that drain into the external jugular vein(posterior) and internal jugular vein
distal postion of external carotid artery lies deep within what
parotid gland
what vein does the external carotid artery parallel
retromandiular vein
where does the external carotid artery split into its 2 terminal branches
posterior to the mandibular neck
what are the terminal branches of the external carotid artery
superficial temporal A
Maxillary A
order of stuff going through the parotid gland
lateral: facial nerve
retromandibular vein
medial: external carotid
how does the facial nerve leave the cranium
stylomastoid foramen
what plexus is formed by the facial nerve within the parotid
the parotid plexus
cervical branches of the facial nerve serve
the platysma
what is the parotid bed
the stuff behind the parotid gland
anterior and posterior bones of parotid bed
ramus
mastoid process
the fossa above and below the zygomatic arch
above: temporal fossa
Below: infratemporal fossa
2 parts of the ingratemporal fossa
one deep to ramus of mandibule
one deep to masseter but superficial to ramus
how superior does the temporal fossa extend
to the superior temporal line
what separates the superficaial temporal compartment from the deep
the temporal muscle
Contents of the temporal fossa
temporal fat pad
temporalis m
Neurovasculature
what coves the temporalis m
thick temporal facia
what works with the temporalis m to elevate mandible despite not being part of the temporal fossa
masseter m
where does the superficial temporal artery travel
between the tmj and external accoustic meatus (travels with the auriculo temporal)
where the maxillary artery is in relation to the lateral ptygoid
just lateral to it
the association between the auriculotemporal n and the middle meningeal artery
the auriculotemporal nerve bifurcates around the middle meningeal artery but then comes back together
trigeminal N mandibular division branches
auriculotemporal nerve anterior and posterior deep temporal nerve meningeal branch n Medial pterygoid tensor tympani tensor veli palatini n
travel of auriculotemporal nerve
with superficial temporal a and vein
deep to parotid galnd, posteior to TMJ
runs between auricle and condyle of the mandible
the auriculotemporal nerve does what
provides sensory innervation to TMJ and lateral scalp
carries parasympa fibers from CN IX into parotid gland
travel of the anterior and posterior deep temporal nerves
passes superior to lateral pterygoid m and deep to temporalis m
Borders of the infratemporal fossa
Lateral: ramus of mandible
Medial: lateral pterygoid plate
anterior: Maxilla
Posterior: tympanic plate, mastoid & styloid processes
what is found on the roof og the infratemporal fossa
inferior surface of the greater wing of the sphenoid; temporal bone
Foramen Ovale
Foramen Spinosum
infratemporal fossa contents
temporalis m medial and lateral pterygoid mm maxillary artery + branches Pterygoid plexus of veins mandibular divion of CN V (V3) Posterior superior alveolar n (V2) Chorda tympani n branch of CN VII (Facial) Otic ganglion lesser petrosal nerve
where is the maxillary vein
when the pterygoid plexus converges right until it enters into the retromandibular vein
major parts of the trigeminal n (CN V): Mandibular V3
Large sensory root + Small motor root
where do the sensory and motor root of the mandibular devision of the trigeminal nerve meet
unite after passing through foramen ovale to enter the infratemporal fossa
when the meningeal branch nerve of the mandibular devision of the trigeminal breaks off
immediately
the anterior and posterior divions of the mandibular devision of the trigeminal n
anterior: small, mainly motor
- 1 sensory branch as buccal n
Posterior: large, mainly sensory
-1 motor branch as the mylohyoid n
action of the tensor tympani
tighten up the oscicle bones against the membrane
what innervate the medial pterygoid, tensor tympani and tesnor veli palatini
nerves from CN V3
what do all CN V nerves have what to supply the dura
have a recurrent meningeal branch to supply the dura
Branches of CN V3
auriculotemporal N (Sensory)
Masseteric and deep temperal (A & P Nn) (motor)
Medial and Lateral Pterygoid Nn (Motor)
Buccal N (Sensory)
Inferior Alveolar & Lingual Nn (sensory)
nerves of matication
Masseteric N
Deep Temporal Nn
MEdial and Lateral Pterygoid Nn
nerves of mastication run with what
with similariliy named arteries
what does the Deep temporal Nn supply
termporalis m
what does the masseteric Nerve supply
masseter m
what does the medial and lateral pterygoid Nn supply
medal and lateral muscles
what does the masseteric N pass through
the mandibular notqch
where does long buccal N run
on the superficial surface of the pterygoids
what is the special sensory branch of CN VII
chorda tympani N (CN VII)
what does CHorda Tympani N join with
Lingual N posteriorly
what does the Chorda Tympani N do
supplies Parasympa innervation to lower 2 salivary glands
Carries taste fibers from anterior 2/3 of tongue
what makes up the TMJ
portions of the temporal bone and mandible
what type of joint is the TMJ
modified hinge type synovial joint
what surrounds the TMJ
a relatively lax articular capsule surrounding joint (More flexible
what is the lateral thickening of the articular capsule of the TMJ
lateral temporomandibular ligament
what is contained in the articular capsule of the TMJ
articular disc
what actions are done by the TMJ
hinge and gliding actions
what ligaments help to support the TMJ
LAteral Ligament
Sphenomandibular ligament
stylomandibular ligament
what cavities are made by the articular disk
superior and inferior
the posterior attachments of the articular disk
the retrodiscal zone (for nourishment)
muscles for protrusion
lateral pterygoid
assisted by medial ptergoid
muscles for retraction
posterior fibers of temporalis
deep part of masseter
geniohyoid
digastric
muscles of elevation
temporalis
masseter
medial pterygoid
muscles of depression
gravity
lateral pterygoid
digastric geniohyoid and mylohyoid
Shape of the articular disk
concavoconvex superior surface
concave inferior surface
increases in thickness toward periphery
why is the superior surface of the articular disk concavoconcex
fit articular tubercle and mandibular fossa
why is the inferior surface of the articular disk concave
fit around mandibular condyle
what does the stylomandibular ligament connect
styloid process to posterior border of mandibular ramus
what does the stylomandibular ligament separates
parotid and submandibular glands
what does the sphenomandibular ligament connect
spine of sphenoid bone to lingula of mandible
what separates the sphenomandibular ligament from the capsule
maxillary a and auriculotemporal n
what arteries supply the TMJ
branches from the superficial temporal A
brnaches from deep auricular A and anterior tympanic
also some from masseteric