Infratemporal Fossa Flashcards

1
Q

infratemporal fossa

A

an irregularly shaped space, inferior to the temporal bone and below the zygomatic arch; medial to the mandible

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2
Q

contents of the infratemporal fossa

A

muscles of mastication (lateral and medial pterygoid muscles)
mandibular nerve V3 and its branches
otic ganglion
maxillary artery
pterygoid plexus of veins

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3
Q

muscles of mastication

A

temporalis
masseter
lateral pterygoid
medial pterygoid

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4
Q

temporalis attachments

A

superior attachment: parietal bone
inferior attachment: coronoid process of the mandible

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5
Q

temporalis main function

A

elevates mandible (closes the mouth)
anterior fibers: elevate mandible
posterior fibers: retract mandible

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6
Q

masseter attachments

A

superior: zygomatic arch
inferior: angle and ramus of the mandible

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7
Q

masseter function

A

elevation of mandible (closing the mouth)

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8
Q

medial pterygoid muscle attachments

A

superior: medial surface of the lateral pterygoid plate (of sphenoid bone)
inferior: angle of mandible (medial surface)

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9
Q

medial pterygoid muscle function

A

elevation of mandible
protrusion of mandible
lateral chewing movements

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10
Q

what fibers run in the same direction as masseter

A

medial pterygoid muscle fibers

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11
Q

what muscle lies on the medial surface of mandible

A

medial pterygoid muscle

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12
Q

what muscles lies on the lateral surface of mandible

A

masseter muscle

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13
Q

sphenoid bone

A

greater wing with lateral and medial pterygoid plates

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14
Q

lateral pterygoid muscle has how many heads

A

2

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15
Q

lateral pterygoid muscle attachments

A

from the lateral surface of the lateral pterygoid plate to condylar neck, TMJ capsule and articular disc

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16
Q

lateral pterygoid msucle function

A

protrusion of mandible
depression of mandible
lateral chewing movements (side-to-side movement)

17
Q

mandibular movements

A

elevation, depression, protrusion, retraction and lateral excursion

18
Q

what is the main force that depresses mandible

A

gravity

19
Q

temporomandibular joint

A

synovial joint formed by the condyle of mandible and the mandibular fossa of the temporal bone

20
Q

temporomandibular joint divided into compartments by the

A

articular disc

21
Q

compartments of the temporomandibular joint

A

superior compartment permits anterior and posterior movement
inferior compartment is a hinge joint, permits depression and elevation

22
Q

mandibular nerve

A

branch of CN V
mostly a sensory nerve, also has some motor fibers
passes through the foramen ovale to enter the infratemporal fossa

23
Q

mandibular nerve sensory branches

A

lingual nerve
inferior alveolar nerve
buccal nerve
auriculotemporal nerve

24
Q

motor branches of mandibular nerve

A

to muscles of mastication

25
Q

buccal nerve

A

carries general sensory information from:
skin on the cheek
buccal mucous membrane
buccal gingiva of the mandibular posterior teeth 2nd and 3rd molar

26
Q

lingual nerve

A

carries general sensory fibers from the anterior 2/3s of the tongue, floor of the mouth and mandibular gingiva

27
Q

what nerve exits middle ear and joins lingual nerve

A

chorda tympani nerve, a branch of the facial nerve

28
Q

chorda tympani carries

A

special sensory (taste) fibers from the anterior 2/3s of tongue and parasympathetic fibers, which synapse in the submandibular ganglion and then supply 2 salivary glands: submandibular and sublingual gland

29
Q

after chorda tympani joins lingual nerve, the lingual nerve carries

A

all 3 types of fibers
general sensory, special sensory of taste parasympathetic fibers

30
Q

inferior alveolar nerve carries

A

general sensory fibers from mandibular teeth and mandibular gingiva

31
Q

branches of inferior alveolar nerve (IAN)

A

nerve to mylohyoid muscle: branches off just before IAN enters mandibular foramen, motor nerve to mylohyoid muscle and anterior belly of digastric muscle
mental nerve: terminal branch of IAN, it exits through the mental foramen and carries general sensory information from the skin and mucosa of the lower lip and chin

32
Q

auriculotemporal nerve carries

A

general sensory fibers from: external ear and scalp of the temporal region, external auditory meatus and tympanic membrane, TMJ
also carries postganglionic parasympathetic nerve fibers to the parotid gland

33
Q

auriculotemporal nerve makes a loop around

A

middle meningeal artery

34
Q

the parasympathetic innervation of the parotid gland is from

A

glossopharyngeal nerve

35
Q

otic ganglion fibers

A

the preganglionic fibers from CN IX reach otic ganglion located next to the V3 nerve in the infratemporal fossa
they synapse in the otic ganglion, and postganglionic fibers join the auriculotemporal nerve, a branch of V3, which carries them to the parotid gland

36
Q

maxillary artery

A

main artery in the infratemporal fossa; branch of the external carotid artery
supplies blood to the deep part of face

37
Q

branches of the maxillary artery

A

middle meningeal artery
inferior alveolar artery

38
Q

pterygoid plexus of veins

A

located in the infratemporal fossa, around pterygoid muscles and maxillary artery
plexus protects maxillary artery from being compressed during mastication
plexus connects with facial and retromandibular veins