Pterygopalatine Fossa Flashcards
bony boundaries of pterygomaxillary region
1) maxilla
- anterior
2) sphenoid
- posterior and superior
3) palatine
- medially and inferiorly
4) pterygoid plates
- buttress the face
5) sphenopalatine foramen
6) pterygomaxillary fissure
sphenoid bone anatomy
1) foramen rotundum
2) foramen for nerve of pterygoid canal
boundaries of pterygopalatine fossa anterior
1) maxillary tuberosity
2) inferior orbital fissure
3) PSA foramen
boundaries of pterygopalatine fossa posterior
1) pterygoid process of sphenoid
2) foramen rotundum
3) pterygoid canal
lateral boundary of pterygopalatine fossa
1) pterygomaxillary fissure
medial boundary of pterygopalatine fossa
1) vertical part of palatine
2) sphenopalatine foramen
superior boundary of pterygopalatine fossa
sphenoid bone
inferior boundary of pterygopalatine fossa
1) palatine bone
2) palatine canal
CN V2 branches
1) meningeal
2) ganglionic
3) zygomatic
- zygomaticofacial and temporal
4) posterior superior alveolar
5) alveolar
- superior alveolar plexus
6) infraorbital
- anterior superior alveolar
- middle superior alveolar
- cutaneous branches (inferior palpebral, lateral nasal, superior labial)
pterygo(spheno)palatine ganglion
1) nasopalatine ganglion
2) posterior lateral nasal
3) pharyngeal
4) greater palatine
5) lesser palatine
5) nasopalatine
6) anterior ethmoidal V1
preganglionic parasympathetics
1) from superior salivatory nucleus with CN VII
2) but branch off as greater petrosal nerve
3) ONLY PRESYNAPTIC PARASYMPATHETIC
postganglionic sympathetics
1) leave internal carotid plexus as the deep petrosal
2) purely sympathetic
nerve of the pterygoid canal
1) it is composed of both greater and deep petrosal
2) these supply the minor nasal, palatal, and pharyngeal and lacrima lglands
- also nasal and pharyngeal mucosa
sympathetics to the lacrimal gland
1) presynaptic fibers from CN VII
2) postsynaptic parasympathetic fibers from the pterygopalatine ganglion via zygomatic nerve (V2) and communicating branch to gland
maxillary artery
1) posterior superior alveolar artery
2) infraorbital artery
3) sphenopalatine (nasopalatine) artery
4) artery of pterygoid canal
5) descending palatine artery
posterior superior alveolar artery
1) pulp of molars/premolars
2) mucosa of maxillary sinus
3) vestibular gingiva molar / premolar region