Anatomy of the Temporal Fossa and Mandible

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Questions and Answers

What structure forms the floor of the temporal fossa?

  • Frontal bone (correct)
  • Zygomatic bone
  • Parietal bone (correct)
  • Temporal and Greater wing of sphenoid bone (correct)

Which muscle is primarily covered by the temporal fascia within the temporal fossa?

  • Sternocleidomastoid
  • Masseter
  • Buccinator
  • Temporalis (correct)

Which of the following describes the zygomatic arch?

  • Serves as a connection between the maxilla and mandible
  • Bounds the temporal fossa inferiorly (correct)
  • Forms the roof of the temporal fossa
  • Is part of the pterion structure

What structure communicates with the temporal fossa?

<p>Infratemporal fossa (B)</p> Signup and view all the answers

What important clinical significance does the pterion hold?

<p>It serves as the entry point for the middle meningeal artery (A), It is a weak point for fractures (B)</p> Signup and view all the answers

Which of the following is NOT a part of the mandible's structure?

<p>Frontal process (C)</p> Signup and view all the answers

What movement is primarily associated with the temporomandibular joint (TMJ)?

<p>Elevation and depression (B)</p> Signup and view all the answers

Which region is bounded superiorly by the superior temporal line?

<p>Temporal region (A)</p> Signup and view all the answers

What is the location of the mental foramen on the mandible?

<p>Opposite the line between the two premolars (A)</p> Signup and view all the answers

Which feature of the mandible can be found near the midline on the inner surface?

<p>Superior genial tubercle (A)</p> Signup and view all the answers

What does the mylohyoid line separate on the inner surface of the mandible?

<p>Superior and inferior fossae (C)</p> Signup and view all the answers

What is the mental protuberance known for?

<p>It forms a projection on each side called mental tubercle (B)</p> Signup and view all the answers

Which is NOT a feature of the outer surface of the mandible?

<p>Sublingual fossa (C)</p> Signup and view all the answers

What anatomical structure does the oblique line of the mandible extend to?

<p>Mental foramen (B)</p> Signup and view all the answers

The submandibular fossa is related to which gland?

<p>Submandibular gland (D)</p> Signup and view all the answers

Which structure is found on the outer surface of the mandible?

<p>Coronoid process (C)</p> Signup and view all the answers

What structure does the head of the condylar process articulate with?

<p>Mandibular fossa of the temporal bone (B)</p> Signup and view all the answers

Which feature is located at the center of the ramus?

<p>Mandibular foramen (B)</p> Signup and view all the answers

What is the significance of the neck of the mandible?

<p>It connects the head to the body and has a depression called pterygoid fossa. (C)</p> Signup and view all the answers

Which border of the ramus forms the mandibular notch?

<p>Upper border (B)</p> Signup and view all the answers

Which of the following best describes the condition of the mandibular foramen?

<p>It features an irregular margin with a prominence called lingula. (A)</p> Signup and view all the answers

What is the primary role of the mylohyoid groove?

<p>To provide attachment for the mylohyoid muscle. (A)</p> Signup and view all the answers

Which border of the ramus is continuous with the anterior border of the coracoid process?

<p>Anterior border (C)</p> Signup and view all the answers

What characterizes the inner surface of the ramus?

<p>It contains the pterygoid fossa and mandibular foramen. (D)</p> Signup and view all the answers

What anatomical structure articulates with the head of the mandible?

<p>Mandibular fossa (B)</p> Signup and view all the answers

Which of the following bones contributes to the posterior part of the nasal septum?

<p>Vomer (D)</p> Signup and view all the answers

Which structure is formed by the lateral and medial pterygoid plates?

<p>Pterygoid process (C)</p> Signup and view all the answers

What feature is located on the medial side of the mastoid process?

<p>Mastoid notch (A)</p> Signup and view all the answers

What is the primary function of the muscles of mastication?

<p>Act on the temporomandibular joint (D)</p> Signup and view all the answers

Which nerves provide innervation to the muscles of mastication?

<p>Mandibular nerve (D)</p> Signup and view all the answers

What defines the maxillary tuberosity?

<p>A rough prominence behind the last molar tooth (A)</p> Signup and view all the answers

Which of the following statements about the development and insertion of the muscles of mastication is accurate?

<p>They arise from the skull (D)</p> Signup and view all the answers

What is the main action of the temporalis muscle?

<p>Elevate the mandible (B), Retract the mandible (C)</p> Signup and view all the answers

Which cranial nerve is responsible for supplying the masseter muscle?

<p>Trigeminal nerve (C)</p> Signup and view all the answers

Which muscle primarily facilitates the grinding motion of the mandible?

<p>Medial pterygoid (B)</p> Signup and view all the answers

What is the function of the superficial oblique fibers of the masseter muscle?

<p>Protrude the mandible (D)</p> Signup and view all the answers

Where does the lateral pterygoid muscle insert?

<p>Articular disc of TMJ (A), Neck of the mandible (B)</p> Signup and view all the answers

Which statement about the medial pterygoid muscle is true?

<p>It contributes to the elevation of the mandible (A)</p> Signup and view all the answers

How can one palpate the facial artery?

<p>As it crosses the inferior border of the mandible (B)</p> Signup and view all the answers

Which muscle acts as the sole retractor of the mandible?

<p>Temporalis (C)</p> Signup and view all the answers

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Study Notes

Temporal Fossa

  • A shallow depression on the side of the head.
  • Bounded superiorly by the superior temporal line and inferiorly by the zygomatic arch.
  • Floor formed by the frontal, parietal, temporal, and greater wing of the sphenoid bone.
  • These four bones meet forming an H-shaped suture called the pterion.
  • The pterion overlies the frontal branch of the middle meningeal artery.
  • Site of trephining in extradural hemorrhage.
  • Contains the temporalis muscle covered by the temporal fascia.
  • The temporal fascia is attached to the superior temporal line and upper border of the zygomatic arch.
  • Connects with the infratemporal fossa via a gap deep to the zygomatic arch.

Mandible

  • It is the skeleton of the lower jaw and the only mobile bone of the skull.
  • It is formed of a body and two rami.
  • The body is horseshoe shaped.
  • The body has two borders (an alveolar margin and a lower border) and two surfaces (external and internal).
  • The upper border contains the sockets for 16 teeth.
  • The lower border continues posteriorly with the posterior border of the ramus.
  • The outer surface exhibits the symphysis menti, mental foramen, oblique line, and mental protuberance.
  • The inner surface contains the superior and inferior genial tubercles, mylohyoid line, and sublingual and submandibular fossae.

Ramus of the Mandible

  • Projects upwards on either side from the posterior part of the body.
  • Has 4 borders, 2 surfaces, and 2 processes.
  • Condylar process has a head and neck.
  • The head articulates with the mandibular fossa of the temporal bone forming the temporomandibular joint.
  • The neck shows a depression called the pterygoid fossa or fovea.
  • The inner surface of the ramus features the mandibular foramen, lingula, and mylohyoid groove.

Muscles of Mastication

  • Developed from the 1st pharyngeal arch.
  • Innervated by the mandibular nerve.
  • All originate from the skull.
  • All insert into the mandibular ramus.
  • Act on the temporomandibular joint.
  • All are involved in mastication.

Temporalis Muscle

  • Fan-shaped.
  • Originates from the floor of the temporal fossa and deep surface of the temporal fascia.
  • Inserts into all aspects of the coronoid process except the lateral surface, extending to the anterior border of the ramus down to the last molar.
  • Anterior vertical fibers elevate the mandible.
  • Posterior horizontal fibers retract the mandible.

Masseter Muscle

  • Originates from two heads:
    • Superficial head from the anterior 2/3 of the lower border of the zygomatic arch.
    • Deep head from the posterior 1/3 of the lower border of the zygomatic arch.
  • Inserts into the lateral surface of the mandibular ramus.
  • Deep vertical fibers elevate the mandible.
  • Superficial oblique fibers protrude the mandible.

Medial Pterygoid Muscle

  • Originates from two heads:
    • Superficial head from the maxillary tuberosity.
    • Deep head from the medial surface of the lateral pterygoid plate.
  • Inserts into the medial surface of the angle of the mandible.
  • Elevates the mandible.
  • Protrudes the mandible (both sides with both lateral pterygoids).
  • Performs side-to-side movement (grinding) with alternating sides (medial and lateral pterygoids).

Lateral Pterygoid Muscle

  • Originates from two heads:
    • Upper head from the infratemporal surface of the greater wing of the sphenoid.
    • Lower head from the lateral surface of the lateral pterygoid plate.
  • Inserts into the front of the neck of the mandible, capsule, and articular disc of TMJ.
  • Depresses the mandible.
  • Protrudes the mandible.
  • Performs side-to-side movement.

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