Parotid, Temporal, TMJ Flashcards
What is found within the parotid gland?
parotid gland
retromandibular vein
external carotid artery
facial nerve (CN 7)
The parotid gland is found just inferior to the ____
external acoustic meatus
If the parotid gland swells, what happens to the ear?
it is pushed superolaterally
= mumps
Which portion of the external carotid artery is found deep within the parotid gland?
distal external carotid artery is found deep within the parotid gland
The external carotid artery is deep to and parallel with ____
retromandibular vein
Where is the external carotid artery relative to the mandible?
the external carotid artery is posterior to the neck of the mandible
External carotid artery splits into 2 terminal branches: ___ and __
superfical temporal artery
maxillary artery
Facial nerve exits cranium at ___
stylomastoid foramen
Facial nerve forms ____ within the parotid gland
parotid plexus
The parotid plexus if formed by ____ in the parotid gland
facial nerve
The facial nerve branches emerge and fan out over all _____
lateral aspects of the face
Facial nerve innervates ___
mm of facial expression
Name the branches of facial nerve
Temporal n Zygomatic n Buccal n Marginal Mandibular n Cervical n Posterior Auricular n
What are the two spaces found in the temporal region?
temporal fossa
infratemporal fossa
T/F: temporal fossa and infratemporal fossa are continuous
true
What structure lies between the temporal fossa and the infratemporal fossa?
zygomatic arch
line of demarcation bw them
What kind of fascia is found in the temporal fossa?
temporal fat pad
Where is the temporal fat pad found?
in the temporal fossa
between temporalis muscle and lateral pterygoid muscle
The temporal fat pad encloses the _____ and fills the ___
encloses the temporal fossa and fills the temporal region
What muscles are found in the temporal fossa?
temporalis
In the temporal fossa, temporalis m. is covered by___
thick temporal fascia
What muscle is not technically in the temporal fossa, but works closely with the muscle that IS found in the temporal fossa?
masseter muscle is not in the temporal fossa but works with temporalis muscle to elevate the mandible
What arteries are found in the temporal fossa?
middle temporal a
superficial temporal a
deep temporal a
What nerves are found in the temporal fossa?
CN V3 (auricolutemporal nerve and anterior/posterior deep temporal nn)
CN 7: temporal branches
CN V3 comes through what foramen when it goes to temporal fossa?
foramen ovale
Auriculotemporal nerve (from CN V3) travels with ____
superficial temporal artery/vein
Auriculotemporal nerve (from CN V3) runs deep to the ____
parotid gland
Auriculotemporal nerve (from CN V3) runs posterior to the ____
TMJ
Auriculomteporal nerve (from CN V3) runs between what 2 structures?
between the auricle and the condyle
Auriculotemporal nerve (from CN V3) provides sensory to what areas?
TMJ and lateral scalp
Auriculotemporal nerve (from CN V3) provides what innervation besides sensory?
parasympathetics form CN 9 to the parotid gland
Anterior/Posterior Deep Temporal nn (from CN V3) pass superior to the ____
lateral pterygoid muscle
Anterior/Posterior Deep Temporal nn (from CN V3) pass deep to ___
temporalis muscle
What branches of CN 7 are found in the temporal fossa
temporal branches of CN 7
What is the lateral border of the infratemporal fossa
ramus and coronoid process of the mandible
Wha tis the medial border of the infratemporal fossa
lateral pterygoid plate of sphenoid
superior constrictor muscle
pyramidal process of palatines
What is the anterior border of the infratemporal fossa?
maxilla (posteiror part)
What is the posterior border of the infratemporal fossa?
There is no anatomical “floor”
The space ends when the medial pterygoid muscle connects to the mandible
What is the roof of the infratemporal fossa?
greater wing of sphenoid and temporal bone
What foramen are found on the roof of infratemporal fossa?
foramen ovale - more anteriorly
foramen spinosum - more posteriorly
Foramen ovale and foramen spinosum are found on the roof of what anatomical space?
infratemporal space
What muscles are found in the infratemporal space?
temporalis m
medial pterygoid muscle
lateral pterygoid muscle
Describe temporalis muscle course through temporal fossa and infratemporal fossa
Temporalis muscle is continuous through these two continuous spaces
What is the action of medial pterygoid muscle
protract, rotate, elevate the mandible
What is the action of lateral pterygoid muscle
protract, rotate, depress the mandible
Why is the masseter muscle not in the infratemporal fossa?
masseter muscle is too lateral (it is passed the ramus of the mandible)
the lateral border of the infratemporal fossa is the ramus of the mandible (and coronoid process of mandible)
What main artery is found in the infratemporal fossa?
maxillary artery
What is the venous drainage for the infratemporal fossa?
pterygoid plexus
What is the main ganglion found in infratemporal fossa?
otic ganglion (found on medial V2 just after foramen ovale)
Where is otic ganglion found?
just after foramen ovale in infratemporal space
found on medial V2
What fibers run towards the otic ganglion?
lesser petrosal nerves
What branch of V2 is found in the infratemporal fossa?
posterior superior alveolar nerve
V3 has two roots one large ___ root, and one small ___ root.
large sensory
small motor
V3 sensory and motor roots unite just after ___
passing through foramen ovale (so now in infratemporal space)
V3 has an immediate branch in infratemporal fossa that goes to the cranial vault. It is ____
meningeal branch
Meningeal branch of V3 branches of ___
immediately (in the cranial vault)
What are the anterior/posterior roots of V3?
anterior - small, motor
posterior - large, sensory
The anterior motor root of V3 has 1 sensory component. What is it?
buccal nerve
The posterior sensory root of V3 has 1 motor component. What is it?
mylohyoid nerve
The nerves of mastication in the infratemporal fossa come from which branch of V3?
the anterior motor branch
What are the nerves of mastication?
masseteric nerve
deep temporal nerve
medial/lateral pterygoid nerve
The masseteric nerve travels with ____ to innervate ___
masseteric artery to innervate massteter muscle
The masseteric nerve travels through ___
mandibular notch
The deep temporal nerve travels with ___ to innervate ____
deep temporalis artery to supply temporalis muscle
(runs DEEP to temporalis muscle)_
Medial/Lateral Pterygoid Nn travel with ____ to innervate ___
pterygoid aa to supply medial/lateral pterygoid mm
What are the main posterior sensory branches off of V3?
auriculotemporal nerve
lingual nerve
inferior alveolar nerve
inferior alveolar nerve (sensory branch off of posterior division of V3 in infratemporal fossa) goes through what foramen?
mandibular foramen
What special sensory nerve is found in the infratemporal fossa?
chorda tympani
Chorda tympani is a special sensory branch from CN __
7
Chorda tympani joins with ___ nerve posteriorly
lingual
Chorda tympani supplies parasympathetics to ____
lower 2 salivary glands
How do lower 2 salivary glands receive parasympathetic innervation?
chorda tympani
Chorda tympani gives receives taste fibers from ___
anterior 2/3 of tongue
What kind of joint is the TMJ?
modified hinge (synovial joint)
There is a relatively lax ____ surrounding the TMJ
articular capsule
There is a lateral thickening to the TMJ which is _____
temporomandibular ligament
The articular disc is located between ____
temporal bone adn mandible
What movements take place at the articular disc?
hinge and gliding
What are the 3 ligaments associated with the TMJ
sphenomandibular
stylomadibular
lateral temporomandibular ligament
What muscles help the jaw protrude from TMJ?
lateral pterygoid m
is assisted by medial pterygoid muscle
What muscles help the jaw retract from TMJ?
posterior fibers of temporalis m
deep part of masseter m
geniohyoid m
digastric m
What muscles help the jaw elevate from TMJ?
temporalis m
masseter m
medial pterygoid m
What muscles help the jaw depress from TMJ
digastric
geniohyoid
mylohyoid
and gravity lol
The superior surface of the articular disc has a ____ shape
concavoconvex
The superior surface of the articular disc is CONCAVOCONVEX to allow proper alignment with ___
articular tubercle and mandibular fossa
The inferior surface of the articular disc has a ____ shape
concave
The inferior shape of the articular disc has a CONCAVE shape to allow proper alignemnt with ___
the mandibular condyle
The articular disc has ____ towards the periphery for ____
increased thickness towards the periphery
This is for attachment to the articular capsule
The articular capsule connects to the articular discs where?
at the lateral thickenings towards the periphery of the articular disc
That is where the articular capsule connects to the articular disc
The stylomastoid ligament runs from the ___ to the ___
styloid process to the posterior ramus of the amndible
Stylomandibular ligament separates ____ and ___
parotid gland from submandibular gland
What separates the parotid gland from the submandibular gland?
Stylomandibular ligament
The sphenomandibular ligament runs from ___ to ___
from spine of sphenoid bone to lingula of mandible
The sphenomandibular ligament is separated from the capsule via _____
maxillary artery and auriculotemporal nerve
What are the arteries found in teh TMJ region?
TMJ branch from superior temporal a
Anterior tympanic a
Deep auricular a