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105 Cards in this Set
- Front
- Back
the infratemporal fossa lies between what two structures medially and one structure laterally |
between the pharynx and lateral pterygoid plate medially and the ramus of the mandible laterally |
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the infratemporal fossa is inferior to which bone |
the temporal bone |
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what are the two important holes in the sphenoid bone |
the foramen ovale and the foramen spinosum |
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what does the foramen ovale transmit |
the mandibular portion of the CN V3 |
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what does the foramen spinosum transmit |
the middle meningeal artery |
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what is the anterior border of the infratemporal fossa |
the posterior surfaceof the maxilla |
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what is the posterior boundary of the infratemporal fossa |
mandibular fossa (where jawbone attaches), styloid process, carotid sheath |
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the tissue space of the infratemporal fossa continues down into |
the superior mediastinum |
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the temporalmandibular joint is between |
the articular tubercle of temporal bone and the head of the mandible |
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the articulating surface of the temporal bone (in TMJ) is the |
articular tubercle |
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what covers the articulating surfaces of the TMJ |
avascular fibers (rather than the usual hyaline cartilage) forming an articular disk! |
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what type of joint is the TMJ |
synovial |
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what is the articulation point of TMJ specifically called |
the mandibular fossa |
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the upper part of the TMJ allows the mandible to |
slide anteriory |
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the lower part of the TMJ allows |
the mandible to rotate |
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three ligaments of TM joint |
1. temporomandibular ligament 2. sphenomandibular ligament 3. sylomandibular ligament |
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temporomandibular joint: attachments and function |
-attached to posterior mandible and posterior border of zygomatic arch. -restricts movement of head of mandible forward and backwards.
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when is the temporomandibular ligament lax? tight? |
lax when in middle (rest) position; tight when jaw is pushed back or protruded forwards. |
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inferiorly, the temporomandibular ligament is adjacent to which joint |
hinge joint |
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superiorly, the temporormandibular ligament is adjacent to which joint |
gliding joint |
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what is the only ligament attached to the TMJ joint capsule |
the temporomandibular ligament |
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stylomandibular joint: attachments and functoin |
-styloid process to angle of mandible -keeps mandible from protruding forward |
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sphenomandibular ligament attachment points |
spine of sphenoid to the lingula of the mandible |
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function of sphenomandibular ligaments |
maintains ocnstant distance between the spine of the sphenoid and the lingula of the mandible so that top and bottom teeth do not touch at rest |
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the spine of the sphenoid is right next to |
the foramen spinosum |
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the lingula of the mandible is right next to |
the mandibular foramen |
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what portion of the TM joint is used for small movements |
the hinge joint |
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what portion of the TMjoint is used for larger motions |
both gliding and hinging (to avoid closing the oropharynx) |
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in larger openings, the axis of rotation of the mandible is around the |
lingula |
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when the mouth is wide open, the head of the mandible is next to the |
articular tubercle (the head has moved forward) |
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when the mouth is closed the head of the mandible is towards the __ of the mandibular fossa |
back (posterior) |
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if you move the head of the mandible further forward than the __ you will dislocate the jaw |
mandibular fossa |
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what causes a dislocated jaw to be locked into position |
the masseter muscle contracts |
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how can you reduce a dislocation |
push downwards and backwards on the back teeth |
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the muscles of mastication are innervated by |
the motor root of the mandibular division of the trigeminal nerve (V3) |
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MATT |
mylohyoid, anterior digastric, tensor tympani (eardrum), tensor veli palatini (soft palate) |
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temporalis m attachment |
coronoid process on mandible to temporal bone (makes arch) |
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action of temporalis m |
-closes jaw (anterior fibers) -moves jaw back (posterior fibers) |
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Masseter m |
zygomatic arch and angle of the mandible |
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innervation of temporalis m |
2 branches of V3: anterior and posterior deep temporal nerves |
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where do the anterior and posterior deep temporal nerves run? |
deep to the temporalis m |
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action of masseter m |
closes jaw by lifting mandible |
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innervation of masseter m |
nerve to masseter (from V3) |
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what are the two heads of the lateral pterygoid |
inferior and superior |
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attachment of the inferior head of the lateral pterygoid muscle |
lateral side of the lateral pterygoid plate to neck of mandible articular disk |
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attachment of the superior head of the lateral pterygoid muscle |
sphenoid bone to neck of mandible articular disc |
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both pterygoid msucles attach to the |
lateral pterygoid plate |
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action of the lateral pterygoid muscle |
protrudes jaw out; the ONLY muscle of mastication that helps open the mouth |
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medial pterygoid muscle attachments |
medial side of the lateral pterygoid plate to the medial side of the angle of the mandible |
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action of the medial pterygoid muscle |
pulls upward and medially (closes), can help pull jaw back |
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which attachment of the medial pterygoid m is medial to the other |
the attachment to the lateral pterygoid plate is much more medial than the attachment medial to the angle of the mandible |
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contents of the infratemporal fossa |
1. lateral and medial pterygoid muscles 2. maxillary artery and its branches 3. V3 and its branches 4. pterygoid venous plexus |
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behind the neck of the mandible the external carotid artery divides into |
the superficial temporal artery and the maxillary artery |
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in order to enter the infratemporal fossa, the maxillary artery passes between the |
neck of the mandible and the spehnomandibular ligament |
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the divisions of the maxillary artery are based upon passage along |
the lateral pterygoid muscle |
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the branches off of the first and third portions of the maxillary artery go |
through foraminae |
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the branches off the middle portion of the maxillary artery go |
to supply the muscles of mastication |
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two major branches from the 1st portion of maxillary a |
medial meningeal artery (upward through foramen spinosum) and inferior alveolar artery (down through mandibular foramen) |
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medial meningeal artery is from which portion of maxillary artery |
first |
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inferior alveolar artery is from which portion of the maxillary artery |
first |
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the last branch of the inferior alveolar artery is the |
mental artery -- out through mental foramen |
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the muscles of mastication each have one artery except |
temporalis, which has two (anterior and posterior temporal arteries) |
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arteries off middle portion of maxillary artery |
temoral aa(2), medial pterygoid a, lateral pterygoid a, masseter a, buccal a |
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what supplies the cheek with blood |
the buccal artery |
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the pterygomaxillary fissure is between |
the pterygoid plates and the maxilla |
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what does the pterygomaxillary fissure lead to |
the pterygopalatine fossa |
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two branches of the maxillary artery that leave the pterygopalatine fossa are the |
posterior superior alveolar artery and the infraorbital artery |
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Sensory input to the face is from the |
trigeminal nerve |
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the mandibular portion of the trigeminal nerve enters the infratemporal fossa via the |
foramen ovale |
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main trunk of V3 gives off |
meningeal branch and the nerve to the medial pterygoid muscle |
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meningeal branch returns to cranial cavity via |
foramen spinosum |
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anterior division of V3 gives |
-2 deep tempral nerves -lateral pterygoid nerve -messeter nerve -buccal nerve |
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masseter nerve goes through the |
mandibular notch |
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meningeal n is what kind |
sensory |
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buccal n is what kind |
sensory |
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posterior division of V3 |
auriculotemporal, inferior alveolar, lingual |
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auriculotemporal provides sensory to |
the ear and temporal region |
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what does the auriculotemporal n carry |
postganglionic parasympathetic fibers that run from the otic ganglion to the parotid gland controlling secretions from that gland |
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the inferior alveolar branch (n) ends distally as |
the mental nerve (supplying sensory to chin) |
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inferior alveolar nerve supplies |
sensory to mandible and lower teeth; also gives motor branches to mylohyoid and anterior belly of digastric |
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lingual nerve supplies sensory to |
anterior 2/3 of tongue |
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lingual nerve joins ___ in the infratemporal fossa |
chorda tympani |
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chorda tympani carries |
taste information from anterior 2/3 of tongue; also preganglionic parasympathetic fibers that supply the submandibular ganglion which controls secretions from the submandibular and sublingual glands |
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chorda tympani runs across the |
ear drum |
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the pterygoid venous plexus lies deep to the |
lateral pterygoid plexus |
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pterygoid venous plexus receives drainage from the |
deep fascial veins (also connected to caverous sinus) |
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the pterygoid venous plexus drains to the |
maxillary vein and retromandibulra vein |
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the maxillary vein and retromandibular veins drain to the |
internal and external jugular veins |
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the pterygopalatine fossa is located between |
the pterygoid plates and the vertical plates of the palatine bone |
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maxillary artery enters the pterygopalatine fossa via the |
pterygoidmaxillary fissure (then divides into multiple arteries) |
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all of the nerves within the pterygopalatine fossa are from the |
V2 (maxillary division of the trigeminal nerve) |
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parasympathetic postganglionic fibers from WHICH ganglion can be found with the nerves in the pterygopalatine fossa |
pterygopalatine ganglion (they control secretion) |
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V2 enters the pterygopalatine fossa via the |
foramen rotundum |
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preganglionic parasympathetic fibers enter the pterygopalatine fossa via the |
pterygoid canal |
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what travels through the infraorbital fissure |
the infraorbital nerve |
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what does the infraorbital nerve supply |
to the orbit, skin below eye, and maxillary sinus |
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which nerve supply the middle and upper teech |
anterior and middle superior alveolar nerves (from infraorbital nerve) |
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posterior superior alveolar nerve supplies the |
posterior upper teeth |
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what travels through the greater and lesser palatine canals |
the greater and lesser palatine nerves and arteries |
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who supplies the hard and soft palates? |
the greater and lesser palatine nerves and arteries (which exit the pterygopalatine fossa via the greater and lesser palatine canals) |
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what exits the pterygopalatine fossa via the sphenopalatine foramen |
the nasopalatine nerve and sphenopalatine atery which supply the nasal septum |
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what innervates the nasal septum |
the nasopalatine nerve |
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what supplies blood to the nasal septum |
the sphenopalatine artery |
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where does the sphenopalatine artery travel through on its way to the nasal cavity |
the sphenopalatine foramen |
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where does the nasopalatine nerve travel through on its way to the nasal cavity |
through the sphenopalatine foramen |