Pterygopalatine Fossa Flashcards

1
Q

What are the boundaries of the PP fossa?

A

Posterior: sphenoid
Anterior: maxilla
Medial: palatine bone
Lateral: infratemporal fossa (pterygo(spheno) maxillary fissure)

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2
Q

What are ways of communication of the PP fossa?

A

Middle cranial fossa, nasal cavity, orbit, nasopharynx, oral cavity, infratemporal fossa

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3
Q

How do we communicate with the nasal cavity of the PP fossa?

A

Sphenopalatine foramen

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4
Q

What are other areas of PP fossa communication?

A

Inferior orbital fissure, pterygomaxillary fissure, foramen rotundum, pterygoid canal, palatovaginal canal, palatine canal

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5
Q

What fossa communicates with the PP fossa directly?

A

Middle cranial fossa

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6
Q

Where is the PPG fossa?

A

Posterior to the maxillary bone

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7
Q

What are the branches of the maxillary nerve?

A

Zygomaticofacial nerve, infraorbital nerve, zygomaticotemporal nerve, pharyngeal nerve, greater & lesser palatine nn., superior alveolar nn

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8
Q

What axons come from deep petrosal nerve?

A

GVE

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9
Q

What axons come from greater petrosal nerve?

A

GVE, GVA

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10
Q

Nerve of pterygoid canal consist of…

A

Post-ganglionic synaptic GVEs, pre-ganglionic GVEs, and parasympathetics, and sensation (GVA)

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11
Q

What hitchhikes on all branches of maxillary nerve?

A

GVE fibers

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12
Q

What is the final destination of the zygomaticotemporal nerve?

A

Postganglionic GVE fibers to the lacrimal gland

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13
Q

What ganglion is exhibiting dysfunction when eye is red, dry, and painful?

A

PPG

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14
Q

The nasal nerve supplies…

A

Medial and lateral walls of the nasal cavity via the posterior superior and inferior lateral nasal nerves, and the nasopalatine nerve

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15
Q

What does the nasopalatine nerve innervate?

A

Nasal cavity, then passes into oral cavity through the incisive canal

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16
Q

What forms the superior dental plexus?

A

Superior alvelolar nerve

17
Q

What are the terminal branches of the maxillary artery?

A

Infraorbital artery, sphenopalatine artery, and descending palatine artery

18
Q

What does the descending palatine artery run with?

A

Greater and lesser petrosal nerve

19
Q

What is the venous drainage of PP fossa?

A

Facial vein and infraorbital vein via pterygoid plexus

20
Q

Where are sensory cell bodies during a sphenopalatine release?

A

Geniculate + trigeminal

21
Q

When is a PPG block done?

A

Diagnose the cause of pain in the face and head
Manage the pain of certain types of chronic/cluster headaches
Manage sympathetically maintained facial pain

22
Q

What vessel is most at risk during a PPG block?

A

Spehnopalatine artery