Anatomy of Pterygopalatine Fossa
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Questions and Answers

What is the boundary of the pterygopalatine fossa superiorly?

  • Pterygoid process
  • Maxilla
  • Palatine bone
  • Body of sphenoid (correct)
  • Which nerve passes through the foramen rotundum?

  • Olfactory nerve
  • Trochlear nerve
  • Optic nerve
  • Maxillary nerve (correct)
  • What is the function of the maxillary nerve?

  • Purely motor
  • Purely sensory (correct)
  • Sympathetic nerve
  • Mixed nerve
  • What connects the pterygopalatine fossa to the nasal cavity?

    <p>Sphenopalatine foramen</p> Signup and view all the answers

    What is the connection between the pterygopalatine fossa and the orbit?

    <p>Inferior orbital fissure</p> Signup and view all the answers

    What is the connection between the pterygopalatine fossa and the infraorbital fossa?

    <p>Pterygomaxillary fissure</p> Signup and view all the answers

    Which canal connects the pterygopalatine fossa to the hard palate?

    <p>Greater palatine canal</p> Signup and view all the answers

    What is the contents of the pterygopalatine fossa?

    <p>All of the above</p> Signup and view all the answers

    What is the location of the pterygopalatine ganglion?

    <p>In the pterygopalatine fossa</p> Signup and view all the answers

    What branch of the facial nerve is responsible for the parasympathetic root of the pterygopalatine ganglion?

    <p>Greater superficial petrosal branch</p> Signup and view all the answers

    Which of the following nerves is connected to the pterygopalatine ganglion through two ganglionic branches?

    <p>V2 (maxillary nerve)</p> Signup and view all the answers

    What is the function of the sympathetic root of the pterygopalatine ganglion?

    <p>Vasomotor</p> Signup and view all the answers

    Which branch of the pterygopalatine ganglion is responsible for innervating the lacrimal gland?

    <p>Zygomaticotemporal branch</p> Signup and view all the answers

    What is the origin of the sympathetic root of the pterygopalatine ganglion?

    <p>Superior cervical sympathetic ganglion</p> Signup and view all the answers

    What is the path of the maxillary nerve after it enters the pterygopalatine fossa?

    <p>It enters the inferior orbital fissure and then the infra-orbital canal</p> Signup and view all the answers

    What is the distribution of the postganglionic branches of the pterygopalatine ganglion?

    <p>Along the sensory roots and the nasal branches</p> Signup and view all the answers

    Study Notes

    Pterygopalatine Fossa

    • Boundaries: Medial - palatine bone, Inferiorly - palatine bone, Anterior - maxilla, Posterior - pterygoid process, Superiorly - body of sphenoid, Lateral - Pterygomaxillary fissure → infratemporal fossa
    • Contents: Maxillary nerve and its branches, Pterygopalatine ganglion and its branches, Third part of maxillary artery and its branches

    Connections

    • Medial wall: Sphenopalatine foramen → nasal cavity
    • Posterior wall: Three openings - Foramen rotundum → middle cranial fossa, Pterygoid (Vidian) canal → base of skull, Pharyngeal canal → nasopharynx
    • Antero-superior portion: Inferior orbital fissure → orbit
    • Lateral wall: Pterygomaxillary fissure → infraorbital fossa
    • Lower part: Palatine canals - Greater palatine canal → hard palate, Lesser palatine canal → soft palate

    Maxillary Nerve

    • Purely sensory
    • Leaves the skull through the foramen rotundum
    • Descends to the pterygopalatine fossa
    • Enters the inferior orbital fissure and the infra-orbital canal → infraorbital nerve
    • Branches:
      • Middle cranial fossa: Meningeal branch
      • Pterygopalatine fossa: Sensory root to pterygoplatine ganglion, Posterior superior alveolar and zygomatic
      • Orbit (infraorbital): Middle and anterior superior alveolar, Terminal branches - Labial, nasal, palpebral

    Pterygopalatine Ganglion

    • Located in the pterygopalatine fossa
    • Connected with a branch of V2 by 2 ganglionic branches
    • Has afferent (roots) and efferent (branches) roots
    • Roots:
      • Parasympathetic (secretomotor) - Greater superficial petrosal branch of facial nerve
      • Sympathetic (vasomotor) - Deep petrosal plexus around internal carotid artery from superior cervical sympathetic ganglion
      • Sensory
    • Branches:
      1. Greater palatine
      2. Lesser palatine
      3. Long sphenopalatine
      4. Short sphenopalatine
      5. Orbital
      6. Pharyngeal
    • Postganglionic branches are distributed as follows:
      • Along sensory roots → Maxillary nerve → Zygomatic → Zygomaticotemporal → Lacrimal → Lacrimal gland
      • Along greater & lesser palatine → Palatine glands
      • Along nasal branches → Nasal glands

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    Description

    This quiz covers the boundaries, nerves, vessels, and bony features of the pterygopalatine fossa, a region in the skull.

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