Pterygopalatine Fossa Flashcards

1
Q

what is “the ganglion of hayfever”

A

the pterygopalatine ganglion

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2
Q

what occurs during hayfever

A

acute inflammation of the nasal mucosa, dilated blood vessels, nasal glands secrete mucous, lacrimal gland produces tears

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3
Q

Give the 5 points which describe where the pterygopalatine fossa is located

A
  • beneath the apex of the orbital cone
  • anterior to the pterygoid process of the sphenoid bone
  • posterior to the maxilla
  • medial to the infratemporal fossa
  • lateral to the postern-superior part of the lateral wall of the nasal cavity
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4
Q

Give the 4 features that the pterygopalatine fossa communicates with

A
  • the orbit
  • the middle cranial fossa
  • the infra temporal fossa
  • the nasal cavity
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5
Q

How does the pterygopalatine fossa communicate with the orbit?

A

via the inferior orbital fissure ANTERIORLY

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6
Q

How does the pterygopalatine fossa communicate with the middle cranial fossa?

A

via the foramen rotundum & the pterygoid canal POSTERIORLY

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7
Q

How does the pterygopalatine fossa communicate with the infratemporal fossa?

A

via the pterygomaxillary fissure LATERALLY

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8
Q

How does the pterygopalatine fossa communicate with the nasal cavity?

A

via the sphenopalatine foramen MEDIALLY

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9
Q

where is the sphenopalatine foramen found?

A

at the posterior aspect of the superior nasal meatus on the lateral wall of the nasal cavity, between the body of sphenoid and the perpendicular plate of the palatine bone

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10
Q

What 3 things are contained within the pterygopalatine fossa?

A
  • terminal 1/3rd of maxillary artery
  • CNV2
  • pterygopalatine ganglion
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11
Q

Give the branches of the 3rd part of the maxillary artery, which is found within the prterygopalatine fossa

A

sphenopalatine, descending palatine, infra temporal–superior alveolar (posterior, middle and anterior parts)

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12
Q

what branches come from the descending palatine artery?

A

greater and lesser palatine arteries

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13
Q

What nerve (and branch) gives somatic sensory innervation to the antero-superior section of the nasal cavity?

A

CNV1 - anterior ethmoidal branch of nasocillary

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14
Q

What nerve (and branches) gives somatic sensory innervation to the postern-inferior section of the nasal cavity?

A

CNV2 - nasopalatine nerve and greater palatine nerve

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15
Q

what does the nasopalatine nerve always travel with?

A

sphenopalatine artery

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16
Q

name the ganglion found within the pterygopalatine fossa

A

pterygopalatine ganglion

17
Q

what sort of of post-ganglionic secretomotor fibres do the branches of CNV2 have?.

A

sympathetic; AND parasympathetic; post-ganglionic secretomotor fibres

18
Q

where have the sympathetic; and parasympathetic; post-ganglionic secretomotor fibres synapse?

A

in the pterygopalatine ganglion

19
Q

what are the 5 branches of the maxillary nerve from the pterygopalatine ganglion?

A
  • Lateral nasal
  • nasopalatine
  • greater palatine
  • lesser palatine
  • nerve of pterygoid canal
20
Q

what are the 2 branches of the the nerve of the pterygoid canal and give the fibre types?

A
  • greater petrosal nerve = parasympathetic fibres from CNVII

- deep petrosal nerve = sympathetic fibres from carotid plexus

21
Q

what does the lateral nasal nerve innervate?

A

mucous membranes of lateral wall of nasal cavity

22
Q

what does the nasopalatine nerve innervate?

A

the nasal septum

23
Q

what does the greater palatine nerve innervate?

A

hard palate

24
Q

what does the lesser palatine nerve innervate?

A

soft palate

25
Q

what type of fibres does the zygomatic nerve take to the lacrimal gland?

A

parasympathetic secretomotor fibres from CN VII