Temporal/infratemporal fossa Flashcards
temporal fossa
above zygomatic arch
communicates w/ infratemporal arch thru gap between zygomatic arch and more medial surface of skull
infratemporal fossa
wedge-shaped space deep to masseter m. and underlying ramus of mandible
boundaries of temporal fossa
superior: superior/inferior temporal lines
anterior: frontal and zygomatic bones
lateral: zygomatic arch
inferior: infratemporal crest
floor: frontal, parietal, temporal, GW sphenoid
contents of temporal fossa
temporalis m. and fascia
superficial temporal a. and v.
on surface…
CNV- auriculotemporal n.
CNVII - temporal and zygomatic br.
superior boundaries of infratemporal fossa
infratemporal crest
on surface of GW sphenoid
inferior boundaries of infratemporal fossa
medial pterygoid m. (attaches to the mandible)
anterior boundaries of infratemporal fossa
posterior aspect of maxilla
posterior boundaries of infratemporal fossa
tympanic plate, mastoid, styloid processes
lateral boundaries of infratemporal fossa
ramus of mandible
medial boundaries of infratemporal fossa
lateral pterygoid plate
contents of the infratemporal fossa
temporalis m. (inferior pt)
pterygoid m. (medial/lateral)
maxillary a. (first 2 parts)
pterygoid venous plexus
V3
otic ganglion
chorda tympani
pterygopalatine fossa communicates laterally with…
infratemporal fossa
pterygopalatine fossa communicates medially with…
nasal canal via SPHENOPALATINE FORAMEN
pterygopalatine fossa communicates anterograde-superiorly with…
orbit via inferior orbital fissure
pterygopalatine fossa communicates postero-superiorly with…
middle cranial fossa via
foramen rotundum
vidian (pterygoid) canal
pharyngeal canal (–> nasopharynx)
pterygopalatine fossa communicates inferiorly with…
oral cavity via greater palatine canal
which arch are mastication m. derived from?
arch 1
which m. of mastication is lateral to the infratemporal fossa?
masseter
n.: masseteric br. V3, thru mandibular notch
which m. of mastication is particularly susceptible to infection tracking?
temporalis m.
tendon insets very low, close to 3rd molar. infection can travel upward
origin of deep head of medial pterygoid m.
medial surface of LATERAL pterygoid plate and pterygoid fossa
origin of superficial head of medial pterygoid m.
maxilla tuberosity
insertion of both heads of medial pterygoid m.
pterygoid tuberosity on medial surface of mandibular angle
origin of superior head of lateral pterygoid m.
GW sphenoid (infratemporal crest)
origin of inferior head of lateral pterygoid m.
lateral pterygoid plate (lateral surface)
insertion of superior head of lateral pterygoid m.
TMJ (articular disk)
insertion of inferior head of lateral pterygoid m.
mandbile (condylar process, pterygoid fovea)
3 parts of the maxillary a.
- mandibular part (bony foramina)
- pterygoid part (supplies muscles)
- pterygopalatine part (thru pterygopalatine fossa
important br. of mandibular part of maxillary a.
inferior alveolar a. (teeth, mylohyoid m.)
middle meningeal a. (dura and calvaria via FS)
accessory meningeal a. (dura via FO)
pterygoid part of maxillary a. supplies…
muscles
important br. of pterygopalatine part of maxillary a.
infraorbital a.
posterior superior alveolar a.
descending palatine a.
sphenopalatine a.
the inferior alveolar a. ends as _____ a.
the inferior alveolar a. ends as MENTAL a.
Which n. wraps around the middle meningeal a. before ascending upward?
auriculotemporal n.
anterior and posterior deep temporal a.
br. of pterygopalatine part of maxillary a.
supplies temporalis m.
infraorbital a.
br. of pterygopalatine part of maxillary a.
descending palatine a.
br. of pterygopalatine part of maxillary a.
supplies roof of mouth
sphenopalatine a.
terminal br. of maxillary a.
goes thru sphenopalatine foramen
supplies lateral nasal wall, nasal septum, paranasal sinuses
which a. provides blood supply to maxillary molars?
posterior superior alveolar a.
pterygoid venous plexus
- communicates w/ facial v. and cavernous sinus
- valveless (*infection to teeth)
- VERY THIN
cavernous sinus drains through ______ and _______ to the pterygoid plexus
cavernous sinus drains through PETROSAL SINUSES and EMISSARY V. to the pterygoid plexus
articular tubercle
holds mandible in place
prevents dislocation of jaw
ligaments of the TMJ
lateral ligament (TMJ ligament)
sphenomandibular ligament
stylomandibular ligament
articular surface of the TMJ
condyle of mandible
articular tubercle of temporal bone
mandibular fossa
lateral ligament of TMJ
strengthens TMJ laterally
w/ postglenoid tubercle, presents posterior dislocation of the joint
sphenomandibular ligament
spine of sphenoid to lingual of mandible
main passive support of mandible
serves as a “swinging hinge” for mandible
stylomandibular ligament
thickening in fibrous fascia of parotid gland
stabilizes mandible in extreme, protrusive movements
motions of TMJ
up to 15 degrees abduction –> SWING motion (head of mandible still in mandibular fossa)
past 15 degrees –> head of mandible GLIDES onto articular tubercle
two articular cavities (superior/inferior) are separated by ______
fibrocartilage disc (articular disc)
attaches to margin of articular area on temporal bone and around neck of mandible
anterior boundary of pterygopalatine fossa
posterior aspect of maxilla
posterior boundary of pterygopalatine fossa
pterygoid process of sphenoid bone
roof of pterygopalatine fossa
incomplete, greater wing of sphenoid
floor of of pterygopalatine fossa
pyramidal process of palatine bone
TMJ n. supply
mandibular n. (V3)
- auriculotemporal n.
- deep temporal n.
- masseteric n.
Which CN lie w/i the cavernous sinus?
CN III
CN IV
CN V1,V2
CN VI
inferior alveolar a. has a br. to which m.?
mylohyoid m.
important br. of pterygoid part of maxillary a.
anterior and posterior deep temporal a.