infra-temporal Flashcards

1
Q

what makes up the anterior wall of the infratemporal fossa

A

the posterior surface of the maxilla bone

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2
Q

what makes up the medial wall of the infratemporal fossa

A

the lateral plate of the pterygoid process (sphenoid bone)

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3
Q

what makes up the roof of the infratemporal fossa

A
  • squamous of the temporal bone

- greater wing of sphenoid bone

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4
Q

what makes up the lateral wall of the infratemporal fossa

A

ramus of mandible

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5
Q

what sort of joint is the temporomandibular (TMJ)

A

atypical synovial

  • articulate surface is covered by fibrous cartilage
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6
Q

what is the difference between a typical and an atypical synovial joint

A

typical = hyaline cartilage at articulate surface

atypical = fibrous cartilage at articulate surface

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7
Q

what ligaments stabilise the TMJ

A

sphenomandibular ligament

stylomandibular ligament

lateral ligament

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8
Q

articular disc of TMJ

A

sits inside the joint, separating it into an upper and lower joint cavity

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9
Q

what muscles are involved in depressing the TMJ

A
  • myohyoid
  • genohyoid
  • digastrics
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10
Q

if the temporalis and masseter muscle has a mass what movement of the TMJ will be limited?

A

elevation of the mandible will be limited

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11
Q

what muscles are involved in mastication

A
  • temporalis
  • masseter
  • pterygoid muscles (both lateral and medial)
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12
Q

describe the location of the masseter muscle

A

runs from the angle and body of the mandible

up to the zygomatic arch and the maxillary process of the zygomatic arch

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13
Q

what nonvascular structures run inside the infratemporal fossa

A
  • pterygoid muscles

- sphenomandibular ligament

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14
Q

what vascular structures run inside the infratemporal fossa

A

MAXILLARY artery

  • middle meningeal artery (exit through foramen spinosus)
  • inferior alveolar artery
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15
Q

what nerves run through the infratemporal fossa

A
  • V3 mandibular nerve (via foramen ovale)
  • glossopharyngeal nerve
  • facial nerve
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16
Q

branches of V3 as it enters the infratemporal fossa

-be specific

A

gives off an anterior branch
- buccal nerve

gives off a posterior branch

  • inferior alveolar nerve
  • lingual nerve
  • auricotemporal
17
Q

lesser petrosal nerve

A

branch of glossopharyngeal (9)

  • goes to tympanic plexus in middle ear then back to give the parasympathetic supply to the parotid gland
  • runs through the infratemporal fossa on its course
18
Q

what nerve does chord tympani join with

A

lingual nerve

19
Q

importance of infection in pterygoid plexus

A

the pterygoid sinus gives off emissary veins which drain back to the cavernous sinus in the cranial cavity
- can cause dysfunction to internal carotid artery and abducens nerve that run inside sinus

20
Q

borders of pterygopalatine fossa

A
anterior = posterior border of maxilla
roof = sphenoid bone
medially = palatine bone
posteriorly =  lateral plates of pterygoid process (sphenoid bone)
21
Q

what enters the pterygopalatine fossa

A

foramen rotundum V2 (*purely sensory)

sphenopalatine foramen (opens to palatine bone)
      -posterior epistaxis
22
Q

what sits close to V2

A

internal carotid artery

- carotid canal runs close to foramen rotundum

23
Q

what artery runs inside the pterygopalatine fossa

A

sphenopalatine artery off the maxillary artery

24
Q

name 3 branches off the maxillary artery

A
  • middle meningeal artery
  • inferior alveolar artery
  • sphenopalatine artery
25
what surgery can be done to a patient with uncontrollable hay fever symptoms
surgeon goes to pterygopalatine fossa and destroy the pterygopalatine ganglion to stop the symptoms of running nose and eyes
26
what parasympathetic nerve enters the pterygoplatine fossa
greater petrosal nerve - a branch off facial nerve - joins ganglion and runs to nasal cavity and lacrimal (eyes) hence symptoms - goes to nasal-oral cavity