Temporal and Infratemporal Fossae - 17 Flashcards
Bony Landmarks of the Mandible
Ramus, Angle, Body
Temporal Lines
Superior: attachment of temporalis fascia
Inferior: attachment of temporalis muscle
Temporal Boundaries
Superior/Posterior: inferior temporal line
Anterior: frontal process of zygomatic
Inferior: zygomatic arch
Temporal Floor Contents
Floor:
- greater wing of sphenoid
- squamous temporal
- frontal
- parietal
Contents:
- temporalis muscle
- deep temporal nerve and arteries
- zygomaticofacial nerve
Muscles of Mastication
Innervated by mandibular branch of CN V
Masseter, temporalis, lateral pterygoid, medial pterygoid
Masseter
O: inferior margin of deep surface of zygomatic bone
I: lateral surface of mandibular ramus and coronoid process
In: CN V
F: Elevates and protracts mandible
Temporalis
O: floor of temporal fossa and temporal fascia
I: coronoid process and anterior border of mandibular ramus
In: CN V
F: elevates and retracts mandible
Lateral Pterygoid
O: lateral pterygoid plate and greater wing of sphenoid
I: front of neck of mandible, articular disc and TMJ
In: CNV
F: protracts mandible, depresses chin (bilateral); grinding (unilateral)
Medial Pterygoid
O: lateral pterygoid plate and maxilla
I: medial surface of mandible near angle
In: CN V
F: elevates, protracts (Bilateral); grinding (unilateral)
Temporomandibular Joint (TMJ)
Between head of mandible (condyloid process) and mandibular fossa of temporal bone
Intervening fibrocartilage disc:
•Divides joint into superior and inferior compartments.
•Allows mandible to protract and retract as well as elevate and depress.
Axes
Anterior Gliding and Hinge-like rotation
Anterior gliding of TMJ
Protraction and retraction; grinding occurs when protraction and retraction of the mandible alternate on the two sides.
Hinge-Like Rotation of TMJ
During mandibular depression, head of the mandible and the articular disc move anteriorly until the head lies inferior to the anterior tubercle.
TMJ Ligaments
Temporomandibular, Sytlomandibular, Sphenomandibular
Temporomandibular Ligament
Base of zygomatic process to mandibular neck