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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

the infratemporal fossa is inferior to which bone

the temporal bone

what are the two important holes in the sphenoid bone

the foramen ovale and the foramen spinosum

what does the foramen ovale transmit

the mandibular portion of the CN V3

what does the foramen spinosum transmit

the middle meningeal artery

what is the anterior border of the infratemporal fossa

the posterior surfaceof the maxilla

what is the posterior boundary of the infratemporal fossa

mandibular fossa (where jawbone attaches), styloid process, carotid sheath

the tissue space of the infratemporal fossa continues down into

the superior mediastinum

the temporalmandibular joint is between

the articular tubercle of temporal bone and the head of the mandible

the articulating surface of the temporal bone (in TMJ) is the

articular tubercle

what covers the articulating surfaces of the TMJ

avascular fibers (rather than the usual hyaline cartilage) forming an articular disk!

what type of joint is the TMJ

synovial

what is the articulation point of TMJ specifically called

the mandibular fossa

the upper part of the TMJ allows the mandible to

slide anteriory

the lower part of the TMJ allows

the mandible to rotate

three ligaments of TM joint

1. temporomandibular ligament


2. sphenomandibular ligament


3. sylomandibular ligament

temporomandibular joint: attachments and function

-attached to posterior mandible and posterior border of zygomatic arch.


-restricts movement of head of mandible forward and backwards.


when is the temporomandibular ligament lax? tight?

lax when in middle (rest) position; tight when jaw is pushed back or protruded forwards.

inferiorly, the temporomandibular ligament is adjacent to which joint

hinge joint

superiorly, the temporormandibular ligament is adjacent to which joint

gliding joint

what is the only ligament attached to the TMJ joint capsule

the temporomandibular ligament

stylomandibular joint: attachments and functoin

-styloid process to angle of mandible


-keeps mandible from protruding forward

sphenomandibular ligament attachment points

spine of sphenoid to the lingula of the mandible

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

the spine of the sphenoid is right next to

the foramen spinosum

the lingula of the mandible is right next to

the mandibular foramen

what portion of the TM joint is used for small movements

the hinge joint

what portion of the TMjoint is used for larger motions

both gliding and hinging (to avoid closing the oropharynx)

in larger openings, the axis of rotation of the mandible is around the

lingula

when the mouth is wide open, the head of the mandible is next to the

articular tubercle (the head has moved forward)

when the mouth is closed the head of the mandible is towards the __ of the mandibular fossa

back (posterior)

if you move the head of the mandible further forward than the __ you will dislocate the jaw

mandibular fossa

what causes a dislocated jaw to be locked into position

the masseter muscle contracts

how can you reduce a dislocation

push downwards and backwards on the back teeth

the muscles of mastication are innervated by

the motor root of the mandibular division of the trigeminal nerve (V3)

MATT

mylohyoid, anterior digastric, tensor tympani (eardrum), tensor veli palatini (soft palate)

temporalis m attachment

coronoid process on mandible to temporal bone (makes arch)

action of temporalis m

-closes jaw (anterior fibers)


-moves jaw back (posterior fibers)

Masseter m

zygomatic arch and angle of the mandible

innervation of temporalis m

2 branches of V3: anterior and posterior deep temporal nerves

where do the anterior and posterior deep temporal nerves run?

deep to the temporalis m

action of masseter m

closes jaw by lifting mandible

innervation of masseter m

nerve to masseter (from V3)

what are the two heads of the lateral pterygoid

inferior and superior

attachment of the inferior head of the lateral pterygoid muscle

lateral side of the lateral pterygoid plate to neck of mandible articular disk

attachment of the superior head of the lateral pterygoid muscle

sphenoid bone to neck of mandible articular disc

both pterygoid msucles attach to the

lateral pterygoid plate

action of the lateral pterygoid muscle

protrudes jaw out; the ONLY muscle of mastication that helps open the mouth

medial pterygoid muscle attachments

medial side of the lateral pterygoid plate to the medial side of the angle of the mandible

action of the medial pterygoid muscle

pulls upward and medially (closes), can help pull jaw back

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

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

behind the neck of the mandible the external carotid artery divides into

the superficial temporal artery and the maxillary artery

in order to enter the infratemporal fossa, the maxillary artery passes between the

neck of the mandible and the spehnomandibular ligament

the divisions of the maxillary artery are based upon passage along

the lateral pterygoid muscle

the branches off of the first and third portions of the maxillary artery go

through foraminae

the branches off the middle portion of the maxillary artery go

to supply the muscles of mastication

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)

medial meningeal artery is from which portion of maxillary artery

first

inferior alveolar artery is from which portion of the maxillary artery

first

the last branch of the inferior alveolar artery is the

mental artery -- out through mental foramen

the muscles of mastication each have one artery except

temporalis, which has two (anterior and posterior temporal arteries)

arteries off middle portion of maxillary artery

temoral aa(2), medial pterygoid a, lateral pterygoid a, masseter a, buccal a

what supplies the cheek with blood

the buccal artery

the pterygomaxillary fissure is between

the pterygoid plates and the maxilla

what does the pterygomaxillary fissure lead to

the pterygopalatine fossa

two branches of the maxillary artery that leave the pterygopalatine fossa are the

posterior superior alveolar artery and the infraorbital artery

Sensory input to the face is from the

trigeminal nerve

the mandibular portion of the trigeminal nerve enters the infratemporal fossa via the

foramen ovale

main trunk of V3 gives off

meningeal branch and the nerve to the medial pterygoid muscle

meningeal branch returns to cranial cavity via

foramen spinosum

anterior division of V3 gives

-2 deep tempral nerves


-lateral pterygoid nerve


-messeter nerve


-buccal nerve

masseter nerve goes through the

mandibular notch

meningeal n is what kind

sensory

buccal n is what kind

sensory

posterior division of V3

auriculotemporal, inferior alveolar, lingual

auriculotemporal provides sensory to

the ear and temporal region

what does the auriculotemporal n carry

postganglionic parasympathetic fibers that run from the otic ganglion to the parotid gland controlling secretions from that gland

the inferior alveolar branch (n) ends distally as

the mental nerve (supplying sensory to chin)

inferior alveolar nerve supplies

sensory to mandible and lower teeth; also gives motor branches to mylohyoid and anterior belly of digastric

lingual nerve supplies sensory to

anterior 2/3 of tongue

lingual nerve joins ___ in the infratemporal fossa

chorda tympani

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

chorda tympani runs across the

ear drum

the pterygoid venous plexus lies deep to the

lateral pterygoid plexus

pterygoid venous plexus receives drainage from the

deep fascial veins (also connected to caverous sinus)

the pterygoid venous plexus drains to the

maxillary vein and retromandibulra vein

the maxillary vein and retromandibular veins drain to the

internal and external jugular veins

the pterygopalatine fossa is located between

the pterygoid plates and the vertical plates of the palatine bone

maxillary artery enters the pterygopalatine fossa via the

pterygoidmaxillary fissure (then divides into multiple arteries)

all of the nerves within the pterygopalatine fossa are from the

V2 (maxillary division of the trigeminal nerve)

parasympathetic postganglionic fibers from WHICH ganglion can be found with the nerves in the pterygopalatine fossa

pterygopalatine ganglion (they control secretion)

V2 enters the pterygopalatine fossa via the

foramen rotundum

preganglionic parasympathetic fibers enter the pterygopalatine fossa via the

pterygoid canal

what travels through the infraorbital fissure

the infraorbital nerve

what does the infraorbital nerve supply

to the orbit, skin below eye, and maxillary sinus

which nerve supply the middle and upper teech

anterior and middle superior alveolar nerves (from infraorbital nerve)

posterior superior alveolar nerve supplies the

posterior upper teeth

what travels through the greater and lesser palatine canals

the greater and lesser palatine nerves and arteries

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)

what exits the pterygopalatine fossa via the sphenopalatine foramen

the nasopalatine nerve and sphenopalatine atery which supply the nasal septum

what innervates the nasal septum

the nasopalatine nerve

what supplies blood to the nasal septum

the sphenopalatine artery

where does the sphenopalatine artery travel through on its way to the nasal cavity

the sphenopalatine foramen

where does the nasopalatine nerve travel through on its way to the nasal cavity

through the sphenopalatine foramen