Pterygopalatine Fossa Flashcards
Where is the pterygopalatine fossa located?
-small space that is medial the the infratemporal fossa
Anterior boundary: posterior surface of the maxilla
Posterior boundary: pterygoid process
Superior boundary: greater wing of the sphenoid
Medial boundary: perpendicular plate of palatine bone
Lateral wall of the pterygopalatine fossa
Pterygomaxillary fissure
Medial wall of pterygopalatine fossa
Sphenopalatine for amen
Anterior wall of pterygopalatine fossa
Inferior orbital fissure
Posterior wall of the pterygopalatine fossa
Pterygoid canal
Ceiling of pterygopalatine fossa
For amen rotundum
What is the floor of the pterygopalatine fossa?
NO FLOOR
-just a passage to the greater and lesser palatine canals
What nerve passes through the pterygopalatine fossa?
V2
What ganglion hangs from the pterygopalatine fossa?
Pterygopalatine ganglion
What kind of ganglion is the pterygopalatine ganglion?
Parasympathetic
What three types of fibers does the pterygopalatine ganglion receive?
Sensory
Preganglionic parasympathetic
Postganglionic sympathetic
What supplies the sensory fibers to the pterygopalatine ganglion?
V2
What supplies preganglionic parasympathetic fibers to the pterygopalatine ganglion?
Greater petrodollars nerve
What supplies the postganglionic sympathetic fibers to the pterygopalatine ganglion?
Deep petrodollars nerve
The greater petrosal nerve is a branch of what
Facial (CN VII)
What kind of fibers does the greater petrosal nerve have?
Preganglionic parasympathetic fibers
What makes up the nerve of the pterygoid canal?
Greater petrosal nerve and deep petrosal nerve
What kind of fibers does the nerve of the pterygoid canal have?
Autonomic fibers!
-preganglionic parasympathetic from greater petrosal nerve and postganglionic sympathetic from deep petrosal nerve
Where does the nerve to the pterygoid Canal terminate?
Pterygopalatine ganglion
What fibers synapse in the pterygopalatine ganglion and which ones pass through?
- preganglionic parasympathetic fibers synapse there
- postganglionic sympathetic pass through
What are the branches from the pterygopalatine ganglion?
- greater palatine nerve
- lesser palatine nerve
- nasopalatine nerve
- posterolateral branches
- pharyngeal nerve
What for amen does the maxillary nerve exit the middle cranial fossa through?
For amen rotundum
What kind of fibers does the maxillary nerve contain?
Sensory fiber only
What does the maxillary nerve enter the orbit through?
Inferior orbital fissure
What does the maxillary nerve change its name to when it enters the orbit?
Infraorbital nerve
What part of the orbit does the infraorbital nerve (maxillary nerve) travel through?
Floor of the orbit
Intracranial branch of V2 innervates…
Dura mater in the middle cranial fossa
Ganglionic branches of V2
Connects to the pterygopalatine ganglion
- contains mostly sensory fibers
- contains a few postganglionic parasympathetic fibers
What does the zygomatic nerve (branch of V2) divide into?
Zygomaticotemporal and zygomaticofacial nerves
What does the zygomatic nerve innervates?
Skin over temporal region and cheek
Zygomaticotemporal nerve has a branch that contains what kind of fibers?
Postganglionic parasympathetic fibers
What do the fibers from zygomaticotemporal nerve innervate?
Lacrimal gland
Posterior superior alveolar nerve innervation
Supplies maxillary molar teeth and mucosa of maxillary sinus
Middle superior alveolar nerve innervates what?
Supplies maxillary premolars and mucosa of maxillary sinus
Anterior superior alveolar nerve innervates…
Supplies maxillary incisors and canine teeth and mucosa of maxillary sinus
All of the alveolar nerves supply what?
Sensory fibers to the maxillary sinus
How many mL can maxillary sinus hold?
15mL
What does the maxillary artery enter the pterygopalatine fossa through?
The pterygomaxillary fissure
Coming laterally, entering medially
The branches of the maxillary artery follow…
The branches of V2 and the pterygopalatine ganglion
Branches of the pterygopalatine part of the maxillary artery
- posterior superior alveolar artery
- infraorbital artery
- descending palatine artery
- pharyngeal artery
- artery of the pterygoid canal
- sphenopalatine artery
Posterior superior alveolar artery supplies…
Maxillary molar and premolars teeth
-mucosa of the maxillary sinus
Infraorbital artery gives what branches
- anterior superior alveolar artery
- terminal branches
Anterior superior alveolar artery supplies…
Maxillary incisor and canine teeth
-mucosa of maxillary sinus
Terminal branches of infraorbital artery supply…
Structures on the face
Descending palatine artery divides into what branches
Divides into greater and lesser palatine arteries to hard AND soft palate
Pharyngeal artery passes through what canal with a branch of what?
Passes through palatovaginal canal with a branch of the pterygopalatine ganglion
What does the pharyngeal artery supply?
Supplies mucosa of the nasopharynx and sphenoid sinus
Artery of the pterygoid canal supplies…
Walls and contents of the pterygoid canal
- mucosa of the nasopharynx
- auditory tube
- tympanic cavity
What is another name for the sphenopalatine artery?
Pterygopalatine artery
What does the sphenopalatine artery enter the nasal canal through?
Sphenopalatine foramen
What are the branches of the sphenopalatine artery?
- posterolateral nasal branches
- posterior septal branches
Posterolateral nasal branches supply…
Supplies posterior part of lateral wall of nasal cavity
Posterior septal branches supply…
Supplies mucosa of the posterior part of the nasal septum