the common carotids and infra temporal fossa Flashcards

1
Q

where is most of the blood supply to the head and neck derived from?

A

the common carotid arteries

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2
Q

describe the branching pattern of the common carotid arteries?

A

typically the only branches of the common carotids are the terminal branches of the internal and external carotid arteries

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3
Q

what are the regional branches of the external carotid artery?

A

anterior, posterior, deep and terminal branches

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4
Q

where do posterior branches of the external carotid artery supply?

A

the scalp

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5
Q

where do deep branches of the external carotid artery supply?

A

they contribute to the blood supply of the pharynx

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6
Q

where do the anterior branches of the external carotid artery supply?

A

the thyroid gland, structures. of the oral cavity and soft tissues of the face

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7
Q

where does the external carotid artery end and what are the terminal branches?

A

ends in the parotid gland

terminal branches are the superficial temporal artery and maxillary artery

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8
Q

where does the superficial temporal artery supply?

A

the lateral side of the face and scalp

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9
Q

where does the maxillary artery lie and where supply?

A

lies in the infra temporal fossa

forms branches that supply structures in the ear, nose, mouth, pharynx and meninges

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10
Q

where does the infratemporal fossa lie?

A

between the ramus of the mandible and the base of the skull

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11
Q

what is the area that the foramen ovale opens into?

A

the infra temporal fossa

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12
Q

how does the middle meningeal artery enter the skull?

A

it passes from the infratemporal fossa into the foramen spinousum to enter the skull

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13
Q

what are the boundaries of the infratemporal fossa?

A

anterior - posterior surface of maxilla
posterior - styloid process
superior - infra temporal surface of the greater wing of sphenoid
media - lateral pterygoid plate
lateral - ramus of the mandible

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14
Q

what are the contents of the infra temporal fossa (6 things)?

A

lateral and medial pterygoid

mandibular division the trigeminal nerve and its branches

maxillary artery and branches

pterygoid venous plexus

chords tympani

otic ganglion

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15
Q

explain the course of the mandibular division of the trigeiminal nerve

A

the mandibular division passes through the foramen ovale and into the infra temporal fossa where it gives branches that supply the muscles of mastication and sensory nerve to the teeth and oral cavity

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16
Q

what branch of the mandibular division of the trigeminal nerve supplies the lower teeth and skin over the mandible ?

A

the inferior alveolar branch

17
Q

what branch of the mandibular division of the trigeminal nerve supplies the skin anterior to the auricle?

A

the auriclotemporal nerve

18
Q

where does the maxillary artery arise from?

A

it is a branch of the external carotid artery

19
Q

where does the maxillary artery supply?

A

muscles of mastication
the dura
the lower teeth
the cheek

20
Q

describe the innervation of the upper teeth

A

the mandibular division of the trigeminal nerve passes between the heads of lateral pterygoid to send branches to the upper teeth

21
Q

what are the divisions of the maxillary artery that arise as it crosses the infra temporal fossa?

A

mandibular
pterygoid
pterygopalatine

22
Q

what is the pterygoid venous plexus?

A

a small connective network of veins surrounding the lateral pterygoid that is usually difficult to see

23
Q

where does the ptyerygoid venous plexus communicate w/?

A

w/ the cavernous venous sinus inside the skull and the facial vein that drains the superficial structures of the face

24
Q

where does the chorda tympania arise from and where does this occur?

A

arises from the facial nerve as it passes through the temporal bone

25
Q

explain the course of the chorda tympani

A

it crosses the handle of the malleus and ossicle in the ear and then passes through a bony canal to reach the infratemporal fossa where it joins the lingual nerve and parasympathetic fibres and special sense of taste fibres and ten runs w/ the lingual nerve into the oral cavity

26
Q

where does the otic ganglion lie?

A

at the mouth of the foramen ovale