Pre-Class Reading Assignment for TBL 3 Flashcards
What structures do you have to remove to view the infratemporal region?
- Zygomatic arch
- Ramus of mandible
- Masseter muscle
- Temporalis muscle
Borders of the inframtemporal region
- Posterior aspect of the maxilla
- External acoustic meatus
- Styloid process
- Lateral pterygoid plate
- Medial surface of the ramus
- Infratemporal surface of the greater wing of the sphenoid
- Superior aspect of the body of the mandible
What cranial openings are found within the infratemporal fossa?
- Foramen spinosum
- foramen ovale
- Pterygomaxillary fissure
- Mandibular foramen
Structures within the infratemporal fossa
- Muscles of mastication
- Branches of the first two divisions of the maxillary artery
- Pterygoid plexus of veins
- Mandibular division of the trigeminal nerve
- Otic ganglion
- Chorda typani nerve
- Medial aspects of the TMJ and associated ligaments
Pterygoid plexus of veins is the venous counterpart to the…
Branches of the maxillary artery
Is the otic ganglion sympathetic or parasympathetic?
Parasympathetic ganglion
What CN does the chord tympani nerve come from?
CN VII
What ligaments are associated with the TMJ?
- Sphenomandibular ligament
- Stylomandibular ligaments
What are the four muscles of mastication?
- Masseter
- Temporalis
- Lateral pterygoid muscle
- Medial pterygoid muscle
Muscles of mastication receive motor innervation the the…
CN V3, mandibular division of the trigeminal nerve
Are the medial pterygoid muscle fibers vertical or horizontal?
Vertical
Are the lateral pterygoid muscle fibers vertical or horizontal?
Horizontal
Medial pterygoid muscle, superficial head origin
Maxillary tuberosity
Pyramidal process of the palatine
Medial pterygoid muscle, deep head origin
Sphenoid
Pyramidal process of the palatine
Medial pterygoid muscle insertion
Medial aspect of the ramus and angle of the mandible
Medial pterygoid muscle action
- Elevation
- Protrusion
What muscle is the medial pterygoid muscle parallel to?
Masseter
Masseter insertion
Angle of the mandible
Masseter action
Elevation
Lateral pterygoid muscle, inferior head origin
Lateral pterygoid plate
Lateral pterygoid muscle, superior head origin
Infratemporal surface of the greater wing of sphenoid
Lateral pterygoid muscle insertion
- Pterygoid fovea on the neck of the mandible
- Or directly onto articular disk of the TMJ
Lateral pterygoid muscle actions
- Depression
- Protrusion
CN V3 functional components
Motor and sensory fibers
CN V3 foramen?
Foramen ovale
What part of the cranial fossa is the foramen ovale in?
Middle cranial fossa
Overall, motor branches of V3 innervates what muscle group?
Muscles of mastication
What innervates the anterior belly of the digastric muscle?
CN V3
Mylohyoid innervation
CN V3
Tensor tympani innervation
CN V3
Tensor veli palatini muscles innervation
CN V3
Inferior alveolar nerve passes through what foramen? Then what does it enter?
- Mandibular foramen
- Mandibular canal
Inferior alveolar nerve mediates sensation from the…
- Bone
- Gingiva
- Teeth of mandible
Inferior alveolar nerve motor branch is the…
Mylohyoid branch
Inferior alveolar nerve sensory branch is the…
Mental branch
Lingual nerve mediates general sensation from the…
Anterior 2/3 of tongue
Lingual nerve conveys tasts fibers from the…
Anterior 2/3 of tongue
Lingual nerve conveys pregnalgionic parasympathetic fibers from the…
Chorda tympani branch of CN VII
Chorda tympani branch of the facial nerve mediates…
Submandibular and sublingual salivary glands
Auriculotemporal functional component
General sensory
Auriculotemporal nerve also conveys parasympathetic fibers from the…
Otic ganglion to the parotid gland
Parasympathetic input to the parotid gland is mediated by…
- CN IX
- Lesser petrosal branch
Where does the lesser petrosal branch enter the infratemporal fossa?
Foramen ovale
Two terminal branches of external carotid artery
- Maxillary arteries
- Superficial temporal artery
Maxillary artery branches
- Inferior alveolar artery
What do branches of the maxillary artery supply?
- Supply the tympanic region
- Supply meninges/cranial cavity
- Muscles of mastication
- Temporal and buccal regions
Articulation between the mandible and skull
TMJ
Joint capsule
Thin loose ligament that encloses the joint capsule
Temporomandibular ligament
Joint capsule and ligaments
Temporomandibular ligament function
Protect joint from posterior dislocation
Sphenomandibular and stylomandibular ligament functions
Weaker, protect joint from excessive range of motion
Sphenomandibular ligament
- Flat broad band
- Goes between the spine of the sphenoid and the lingual of the mandible
What does the sphenomandibular ligament course near to?
Inferior alveolar nerve, artery, and vein as they enter the mandibular foramen
Stylomandibular ligament
- Posterior boundary
- Styloid process to the angle of the mandible
Rotational/hinge like movements of the mandible are executed in the…
Inferior synovial cavity
Gliding movements occur in the
Superior synovial cavity
Translation of the mandible
- Mandible sits in the mandibular fossa when closed
- Must glide anteriorly onto the articular eminence for the jaw to open
Nasal cavity location
Midline between orbits and maxillary sinuses
Nasal cavity function
- Warm and humidify air on its way to respiratory tract
Superior aspect of the nasal cavity function? What is it called?
- Sensing odorant molecules in the passing of air
- Olfactory epithelium
What nerve innervates the olfactory epithelium?
CN I
Support of the nasal septum
- Posterior: Perpendicular plate of the ethmoid
- Superiorly: Vomer
Anterior part of the nasal septum is made of…
Septal cartilage
What covers the surface of the septum?
Nasal mucosa
The nasal mucosa is vascularized by ..
Branches of the maxillary, ophthalmic, and facial arteries
What is the nasal mucosa innervated by
- CN V1
- CN V2
- Superior aspects by CN I
Conchae on lateral wall purposes
Humidify air, warm air, and increase surface area
Meati on lateral wall purpose
Contains openings/ostia for communication with adjacent structures
Where is the spheno-ethmoidal recess located?
Above superior nasal concha
Inferior meatus contains the opening to…
The nasolacrimal duct
Nasolacrimal duct function
Where tear fluid produced by the lacrimal gland drains from the medial part of the eye
Middle meatus contains…
- Elevation
- Ethmoidal bulla, raised by the middle ethmoidal sinuses
Hiatus semilunaris
- Expands in several directions to maintain openings with the frontal sinus, maxillary sinus, and anterior ethmoidal sinus
Through what does the hiatus semilunaris maintain contact with the frontal sinus?
Frontonasal duct
The superior meatus contains…
Small openings for posterior ethmoidal sinuses
Sphenoethmoidal recess contains…
Ostium for sphenoid sinus
Sinus infection/sinusitis
Can be caused by the occluded openings in the nasal wall, then they can’t drain
Frontal sinus location
Frontal bone, superior to nasal cavity and orbit
Ethmoidal sinus
Ethmoid bone, medial to orbits
Sphenoidal sinus
Midline, nasal cavity in the body of sphenoid
Infraorbital nerve goes through what sinus?
Maxillary sinus
What branches come from the infraorbital nerve?
Anterior, middle, and superior alveolar nerves
Where do the anterior, middle, and superior alveolar nerves go to?
Down the walls of the sinus to the maxillary teeth
What do the anterior, middle, and superior alveolar nerves mediate sensation to
Maxillary teeth
What is the most difficult paranasal sinus to drain? Why?
- Maxillary
- Opening to this is located in the superiorly aspect
Pterygopalatine fossa borders
- Maxilla
- Palatine
- Sphenoid bone
Major contents of the pterygopalatine fossa include
- 3rd portion of the maxillary artery and branches
- Maxillary division, CN V2
- Branches of the pterygopalatine ganglion
Is the pterygopalatine ganglion parasympathetic or sympathetic?
Parasympathetic
What foramen does the CN V2 go through? Where is it going?
- Foramen rotundum
- Pterygopalatine fossa
What does CN V2 give rise into what branches in the pterygopalatine fossa?
- Posterior superior alveolar nerve
- Infraorbital nerve
- Middle superior alveolar nerve
- Anterior superior alveolar nerve
- Greater lesser palatine nerves
- Sphenopalatine nerve
Where does the middle superior alveolar nerve branch from?
Infraorbital nerve within the maxillary sinus
Where does the anterior superior alveolar nerve branch from?
Infraorbital nerve within the maxillary sinus
The 3rd division of the maxillary artery goes into the infratemporal fossa through the…
Pterygomaxillary fissure