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Head and Neck - pterygopalatine and infratemporal
Anatomy of the head and neck
56
Health Care
Professional
10/10/2010

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Cards

Term
The infratemporal fossa is deep to...
Definition
the masseter muscle and ramus of the mandible
Term
Which ligament attaches to the lingula of the mandible?
Definition
The sphenomandibular ligament
Term
What muscles accomplish protrusion of the mandible?
Definition
Lateral pterygoid assisted by medial pterygoid
Term
What muscles accomplish retraction of the TMJ?
Definition
posterior fibers of temporalis, deep part of masseter, geniohyoid and digastric
Term
What muscles elevate the mandible?
Definition
Temporalis, masseter, medial pterygoid
Term
What muscles depress the mandible?
Definition
Digastric, geniohyoid and mylohyoid
Term
In the TMJ, much forward movement occurs in the _____ portion of the joint, and hinge movement occurs in the ______ portion.
Definition
Upper, lower
Term
What muscle inserts into the TMJ joint capsule at the region of the articular disc?
Definition
Lateral pterygoid
Term
In bilateral TMJ dislocation, where do the heads of the mandibles lie?
Definition
In front of the tubercles
Term
Reduction of a dislocated TMJ is accomplished by pushing on the jaw in what direction(s)?
Definition
down and backwards
Term
Injury to which nerve is associated with traumatic dislocation of the TMJ?
Definition
auriculotemporal
Term
Care must be taken during TMJ surgery to branches of the ______ nerve overlying it, and the branches of the ________ nerve that enter the posterior part of the joint
Definition
facial, auriculotemporal
Term
TMJ clicking and popping is caused by what?
Definition
delayed movement of the articular disc followed by sudden movement
Term
What 3 ligaments are associated with the TMJ?
Definition
Sphenomandibular, stylomandibular, lateral
Term
Where does the sphenomandibular ligament attach?
Definition
spine of the sphenoid to the lingula of the ramus of the mandible
Term
Where does the stylomandibular ligament attach?
Definition
styloid process of the temporal bone to the angle of the mandible
Term
Where does the lateral ligament attach?
Definition
margin of the articular tubercle to neck of the mandible
Term
Masseter muscle: O&I? Innervation? Blood supply? Function?
Definition
Zygomatic arch to lateral surface of mandible, masseteric nerve (V3), masseteric artery (maxillary), powerful elevation of mandible
Term
What are the contents of the temporal fossa?
Definition
Temporalis muscle, zygomaticotemporal branches of V2
Term
Temporalis muscle: O&I? Innervation? Blood supply? Function?
Definition
Temporal fossa, anterior surface of coronoid process and ramus of mandible. Deep temporal nerves from V3. Deep temporal arteries (maxillary) and middle temporal (superficial temporal). Powerful elevator and retractor, also side-to-side movement.
Term
What forms the roof of the infratemporal fossa? What opens are there?
Definition
The inferior surfaces of the greater wing of the sphenoid and temporal bones. Foramen spinosum and ovale, pterygotympanic fissure
Term
What is the lateral wall of the infratemporal fossa?
Definition
The medial surface of the ramus of the mandible
Term
What forms the medial wall of the infratemporal fossa?
Definition
The lateral plate of the pterygoid process and pharynx (posteriorly)
Term
What forms the anterior wall of the infratemporal fossa? What foramen does it contain, and where does the upper part open to?
Definition
The posterior surface of the maxilla. Contains the alveolar foramen and the upper part opens as the inferior orbital fissure.
Term
What are the two smaller muscles found in the infratemporal fossa?
Definition
Levator veli palatini and tensor veli palatini
Term
What is the medial opening to/from the infratemporal fossa?
Definition
Pterygomaxillary fissure
Term
What is the fissure that opens to/from the superior infratemporal fossa?
Definition
petrotympanic fissure
Term
Medial pterygoid: O&I? Innervation? Actions?
Definition
Deep: medial surface of the lateral plate of the pterygoid process, superficial: tuberosity of maxilla and palatine bone. I: medial surface of the mandible near the angle. Nerve to medial pterygoid (V3). Elevates, assists with protrusion.
Term
Medial pterygoid passes deep to which ligament?
Definition
Sphenomandibular
Term
Lateral pterygoid: O&I?
Definition
Upper head: sphenoid bone lateral to foramens ovale and spinosum. Lower head: Lateral surface of lateral plate of pterygoid process, passes between heads of medial pterygoid. I: Neck of the mandible and articular capsule
Term
Lateral pterygoid - innervation? Actions?
Definition
Nerve to lateral pterygoid (V3), protrusion and pulls articular disc anteriorly
Term
When lateral and medial pterygoid muscles both contract on the same side, what happens?
Definition
chin moves to opposite side
Term
What does V3 provide motor innervation to?
Definition
Muscles of mastication, tensor tympani, tensor veli palatini
Term
The nerve branches that innervate tensor veli palatini and tensor tympani come from...
Definition
nerve to medial pterygoid (V3)
Term
What are the branches from the anterior trunk of V3?
Definition
buccal, masseteric, and deep temporal nerves, nerve lateral pterygoid (all motor except buccal)
Term
What are the branches of the posterior trunk of V3?
Definition
Auriculotemporal, lingual, inferior alveolar
Term
Where does the lingual nerve enter the oral cavity?
Definition
On the medial surface of the mandible, inferior to the last molar tooth
Term
Which nerve may penetrate the temporalis tendon, running inferiorly, to emerge superficially?
Definition
buccal
Term
Which nerve may penetrate the sphenomandibular ligament near its attachment to the lingula?
Definition
Inferior alveolar nerve
Term
The first part of the maxillary artery gives off which branches?
Definition
Inferior alveolar artery and middle meningeal artery (also deep auricular, anterior tympanic, and accessory meningeal arteries).
Term
The second part of the maxillary artery, in the region of the lateral pterygoid muscles, gives off which branches?
Definition
deep temporal, masseteric ,buccal, and pterygoid branches, which travel with the branches of V3
Term
The maxillary artery arises within the _______ gland, passes between the bone of the ________ and the ________ ligament.
Definition
Parotid, mandible, sphenomandibular
Term
Veins draining regions supplied by the maxillary artery are joined by emissary veins that connect which important structures?
Definition
Cavernous sinus, pterygoid plexus and orbit (via inferior opthamic veins)
Term
What are the medial and posterior walls of the pterygopalatine fossa?
Definition
Lateral surface of the palatine bone, and parts of sphenoid (posterior and roof)
Term
What are the openings into/out of the pterygopalatine fossa? Where do they go?
Definition
Inferior orbital fissure (floor of orbit), pterygomaxillary fissure (infratemporal fossa), sphenopalatine foramen (nasal cavity), foramen rotundum (middle cranial fossa), palataovaginal canal (nasopharynx), pterygoid canal (middle cranial fossa), palatine canal (roof of oral cavity). (alveolar foramen is closely associated)
Term
From an anterior view of the sphenoid bone, what is the relationship of the foramen rotundum to the pterygoid canal?
Definition
Superior, lateral
Term
Part of the pterygoid canal is in the cartilage of the...
Definition
foramen lacerum
Term
What are the main nerves from V2 that innervate the nasal cavity?
Definition
Sphenopalatine, nasopalatine (medial), posterior inferior and posterior superior lateral nerves
Term
The maxillary artery branches from the ______ artery at the level of the __________.
Definition
External carotid, neck of the mandible
Term
The maxillary artery enters the pterygopalatine fossa through the...
Definition
pterygomaxillary fissure
Term
How does the maxillary artery lie in relation to the ganglion in the pterygopalatine fossa
Definition
Anterior
Term
The infraorbital artery arises from ______, give rise to _______ that supplies the maxillary teeth
Definition
maxillar, anterior alveolar artery
Term
Which branch of maxillary artery travels through the alveolar foramen with the nerve to the maxillary teeth?
Definition
Posterior superior alveolar artery
Term
The maxillary artery gives rise to the _________ artery, which enters the ______ canal to supply the hard palate. This branch gives rise to the _______ artery which supplies the soft palate.
Definition
Greater palatine, palatine canal, lesser palatine
Term
Which artery traverses the incisive foramen to the anterior septal wall?
Definition
Greater palatine artery.
Term
The ________ artery passes through the ________ canal with a nerve supplying the nasal cavity, sphenoid sinus, and pharyngotympanic tube .
Definition
pharyngeal, palatovaginal, (with the pharyngeal nerve)
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