Temporal and Infratemporal Regions Flashcards

1
Q

what are the superior and posterior borders of the temporal fossa

A

superior and inferior temporal lines

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2
Q

what is the anterior border of the temporal fossa

A

frontal process of zygomatic bone and zygomatic process of frontal bone

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3
Q

what is the inferior border of temporal fossa

A

infratemporal crest deep to zygomatic arch

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4
Q

what is the floor of the temporal fossa

A

frontal, parietal, temporal and greater wing of sphenoid bone, includes pterion

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5
Q

where does the temporal fascia attach to

A

superior temporal line and inferiorly splits into 2 attaching to lateral and medial zygomatic arch

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6
Q

what does the temporal fascia do

A

provide resistance to masseter muscle by sitting on opposite side of zygomatic arch

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7
Q

what are the contents of the infratemporal fossa

A

inferior part of temporalis, lateral and medial pterygoids,
maxillary artery, pterygoid venous plexus,
mandibular, IAN, lingual, buccal, chorda tympani nerves and otic ganglion

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8
Q

what muscle does the maxillary artery pass through

A

between pterygoid and heads of lateral pterygoid

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9
Q

what nerve does the chorda tympani come from

A

facial nerve

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10
Q

what does the chorda tympani supply

A

taste to anterior 2/3rd of tongue

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11
Q

where does the chorda tympani run

A

in the lingual nerve

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12
Q

what is important to consider when injecting an IDB into the pterygomandibular space

A

pterygoid venous plexus - need to aspirate

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13
Q

where is the otic ganglion

A

on medial side of mandibular nerve and posterior to pterygoids

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14
Q

what nerves synapse in the otic ganglion

A

parasympathetic presynaptic fibres from glossopharyngeal nerve

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15
Q

what nerve supplies secretomotor fibres to the parotid gland

A

auriculotemporal nerve

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16
Q

what are the branches of the mandibular nerve to be aware of

A

auriculotemporal nerve, inferior alveolar nerve, lingual nerve, buccal nerve

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17
Q

what does the auriculotemporal nerve encircle

A

middle meningeal artery

18
Q

what does the auriculotemporal nerve supply

A

auricle, temporal region, TMJ

19
Q

what fibres does the auriculotemporal nerve pass to the parotid gland from the otic ganglion

A

postsynaptic parasympathetic secretomotor fibres

20
Q

what does the IAN supply

A

mandibular teeth

21
Q

what does the mental nerve supply

A

skin of lower lip and chin, gingiva of mandibular incisors

22
Q

what does the nerve to mylohyoid supply

A

mylohyoid and anterior belly of digastric

23
Q

what does the lingual nerve supply

A

sensory to anterior 2/3rd of tongue, floor of mouth, lingual gingiva

24
Q

where does the lingual nerve and chorda tympani join

A

in infratemporal fossa

25
Q

what are the branches of the maxillary artery

A

mandibular, pterygoid, pterygopalatine

26
Q

what artery does the maxillary artery come from

A

external carotid artery

27
Q

where does the mandibular part of maxillary artery change to pterygoid part

A

at the lateral pterygoid

28
Q

where does the pterygoid part of the maxillary artery change to the pterygomaxillary part

A

once passing through the lateral pterygoid muscles

29
Q

what branch of the maxillary artery does the middle meningeal artery come from

A

mandibular part

30
Q

where does the middle meningeal artery enter the cranial cavity

A

foramen spinosum into middle cranial fossa

31
Q

what does the middle meningeal artery supply

A

dura and part of cranium

32
Q

what part of the maxillary artery does the IAN come off of

A

mandibular part

33
Q

what do the deep temporal arteries supply

A

temporalis

34
Q

what part of the maxillary artery do the deep temporal arteries come off of

A

pterygoid part

35
Q

what part of the maxillary artery does the masseteric artery come off of

A

pterygoid part

36
Q

what part of the maxillary artery does the buccal nerve come off of

A

pterygoid part

37
Q

what does the buccal nerve supply

A

buccinator of cheek and buccal oral mucosa

38
Q

what part of the maxillary artery does the superior alveolar arteries branch off of

A

pterygopalatine

39
Q

where is the pterygoid venous plexus

A

between temporalis and pterygoid muscles (pterygomandibular space)

39
Q

where is the pterygoid venous plexus

A

between temporalis and pterygoid muscles

40
Q

what does the pterygoid plexus anastomose with

A

facial vein and cavernous sinus (via emissary veins)

41
Q

what can the relationship of the facial vein, pterygoid plexus and cavernous sinus lead to

A

spread of infection (danger triangle)