Head and Neck 2 Flashcards

1
Q

What are the bones of the TMJ?

A

head of mandible, mandibular fossa, articular tubercle

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2
Q

What is the articular surface of the bones covered by?

A

fibrocartilage

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3
Q

What are the articular surfaces separated by?

A

articular disc

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4
Q

What are the ligaments of the TMJ?

A

sphenomandibular ligament
lateral ligament
stylomandibular ligament

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5
Q

Where is an angle formed?

A

when a ramus and body meet

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6
Q

What is the mandible formed by?

A

by the union, in midline, of two halves each having a horizontal body and a vertical ramus

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7
Q

Describe ramus of mandible

A

Ramus is flat and has two processes at the superior end: coronoid process and condylar process (or head)/mandibular notch and foramen

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8
Q

What nerve supplies the mandible?

A

Inferior alveolar nerve (mandibular division of trigeminal nerve (CN V))

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9
Q

What nerves supplies TMJ?

A

auriculotemporal and masseteric branches of the mandibular nerve (CN V3).

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10
Q

What type is the synovial joint?

A

condyloid type (modified hinge joint)

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11
Q

What is the synovial joint between?

A

between condylar head of the mandible and the mandibular fossa of the temporal bone and the articular fossa

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12
Q

What are the accessory ligaments of the synovial joint?

A

sphenomandibular and stylomandibular

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13
Q

What is the capsule cavity divided into?

A

superior and inferior compartments

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14
Q

What are the movements the joint can carry out?

A

Depression/elevation/protrusion and retraction

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15
Q

Why is there greatest stability when mandible is elevated?

A

teeth are occluded and the condyle is secure in articular fossa

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16
Q

What is the most common injury?

A

forward dislocation

17
Q

Where is the blood supply of the TMJ from?

A

External carotid artery: superficial temporal and maxillary branches

18
Q

What are the muscles of mastication?

A

Masseter
Temporalis
Medial Pterygoid
Lateral Pterygoid

19
Q

What is the nerve supply of the muscles of mastication?

A

mandibular division of Trigeminal nerve (V3)

20
Q

What is the only muscle that can open the mouth?

A

lateral pteryoid can depress the mandible

21
Q

What is the function of medial pteryoid?

A

elevates and protrudes the mandible

22
Q

What is the function of lateral pteryoid?

A

depresses and protrudes the mandible

23
Q

What muscles retract the mandible?

A

masseter and temporalis

24
Q

What muscles elevate the mandible?

A

temporalis, masseter and medial pteryoid

25
Q

What are the attachments of the temporalis muscle?

A

Originates from the temporal fossa. It condenses into a tendon, which inserts onto the coronoid process of the mandible.

26
Q

What are the attachments of the masseter muscle?

A

originates from the zygomatic arch of the temporal bone.

attach to the ramus of the mandible.

27
Q

What are the attachments for the medial pteryoid?

A

arises from the medial surface of the lateral pterygoid plate

inserts onto the medial surface of the angle of the mandible and ramus

28
Q

What are the attachments for the lateral pteryoid?

A

arises surface of the greater wing of sphenoid and lateral surface of the lateral pterygoid plate

inserts into anterior side of the mandibular condyle and articular disc of TMJ