Podcast
Questions and Answers
Which nerve provides sensory innervation to the buccal gingivae?
Which nerve provides sensory innervation to the buccal gingivae?
- Inferior alveolar nerve
- Long buccal nerve (correct)
- Mental nerve
- Lingual nerve
Which nerve carries secretomotor fibers to the submandibular and sublingual glands?
Which nerve carries secretomotor fibers to the submandibular and sublingual glands?
- Inferior alveolar nerve
- Chorda tympani nerve (correct)
- Long buccal nerve
- Lingual nerve
The mental nerve is a terminal branch of which nerve?
The mental nerve is a terminal branch of which nerve?
- Lingual nerve
- Inferior alveolar nerve (correct)
- Masseteric nerve
- Long buccal nerve
Which of the following nerves does NOT directly innervate a muscle of mastication?
Which of the following nerves does NOT directly innervate a muscle of mastication?
Taste sensation from the anterior two-thirds of the tongue is carried by which nerve?
Taste sensation from the anterior two-thirds of the tongue is carried by which nerve?
Which cranial nerve division provides both sensory and motor innervation?
Which cranial nerve division provides both sensory and motor innervation?
Which foramen does the mandibular nerve (V3) pass through to enter the infratemporal fossa?
Which foramen does the mandibular nerve (V3) pass through to enter the infratemporal fossa?
Which nerve travels with the superficial temporal vessels?
Which nerve travels with the superficial temporal vessels?
Which nerve provides sensory innervation to the mandibular teeth?
Which nerve provides sensory innervation to the mandibular teeth?
The lesser petrosal nerve synapses on which ganglion?
The lesser petrosal nerve synapses on which ganglion?
Which nerve provides motor innervation to the mylohyoid muscle?
Which nerve provides motor innervation to the mylohyoid muscle?
The auriculotemporal nerve conveys postsynaptic parasympathetic fibers to which gland?
The auriculotemporal nerve conveys postsynaptic parasympathetic fibers to which gland?
The tympanic nerve is a branch of which cranial nerve?
The tympanic nerve is a branch of which cranial nerve?
Which anatomical structure does NOT form a boundary of the infratemporal fossa?
Which anatomical structure does NOT form a boundary of the infratemporal fossa?
The infratemporal fossa is located deep to which of these structures?
The infratemporal fossa is located deep to which of these structures?
The motor root of the mandibular division of the trigeminal nerve (CN V3) innervates which group of muscles?
The motor root of the mandibular division of the trigeminal nerve (CN V3) innervates which group of muscles?
Which of the following structures is NOT a content of the infratemporal fossa?
Which of the following structures is NOT a content of the infratemporal fossa?
Through what pathway does the infratemporal fossa communicate with the temporal fossa?
Through what pathway does the infratemporal fossa communicate with the temporal fossa?
What is the embryological origin of the muscles of mastication?
What is the embryological origin of the muscles of mastication?
Which nerve contributes to the infratemporal fossa, but is not part of the mandibular division of CN V?
Which nerve contributes to the infratemporal fossa, but is not part of the mandibular division of CN V?
What structure is located directly posterior to the infratemporal fossa?
What structure is located directly posterior to the infratemporal fossa?
Which of the following correctly describes the innervation provided by the auriculotemporal nerve?
Which of the following correctly describes the innervation provided by the auriculotemporal nerve?
What is the most common type of TMJ dislocation?
What is the most common type of TMJ dislocation?
Which artery is NOT involved in the blood supply to the TMJ?
Which artery is NOT involved in the blood supply to the TMJ?
Which statement about TMJ dislocation is accurate?
Which statement about TMJ dislocation is accurate?
What role does the lesser petrosal nerve play in TMJ innervation?
What role does the lesser petrosal nerve play in TMJ innervation?
Which component is NOT part of the gnathostomatic system?
Which component is NOT part of the gnathostomatic system?
What type of joint is the temporomandibular joint (TMJ)?
What type of joint is the temporomandibular joint (TMJ)?
What is the primary function of the lateral ligament of the TMJ?
What is the primary function of the lateral ligament of the TMJ?
Which part of the lateral ligament limits the opening of the mandible?
Which part of the lateral ligament limits the opening of the mandible?
The collateral ligaments of the TMJ primarily function to:
The collateral ligaments of the TMJ primarily function to:
Which accessory ligament runs from the spine of the sphenoid to the lingula of the mandible?
Which accessory ligament runs from the spine of the sphenoid to the lingula of the mandible?
What is the role of the articular disc in the TMJ?
What is the role of the articular disc in the TMJ?
Which of the following statements about the TMJ capsule is correct?
Which of the following statements about the TMJ capsule is correct?
What is the primary movement occurring in the superior cavity of the Temporomandibular Joint (TMJ)?
What is the primary movement occurring in the superior cavity of the Temporomandibular Joint (TMJ)?
Which movement occurs first when the mouth is opened, contributing to the first 15° of mouth opening?
Which movement occurs first when the mouth is opened, contributing to the first 15° of mouth opening?
During side-to-side movements of the TMJ, what defines the role of the resting condyle?
During side-to-side movements of the TMJ, what defines the role of the resting condyle?
What anatomical change occurs when the mouth is opened wider than 15°?
What anatomical change occurs when the mouth is opened wider than 15°?
Which nerve branches are primarily responsible for the innervation of the TMJ?
Which nerve branches are primarily responsible for the innervation of the TMJ?
Which of the following best describes the action of the swinging condyle during side-to-side movements?
Which of the following best describes the action of the swinging condyle during side-to-side movements?
During mastication, what is the term used for the lateral excursion of the mandible?
During mastication, what is the term used for the lateral excursion of the mandible?
What characterizes the movements of the TMJ during grinding/pivoting?
What characterizes the movements of the TMJ during grinding/pivoting?
Flashcards
Infratemporal Fossa
Infratemporal Fossa
Deep and inferior to the zygomatic arch, located deep to the ramus of the mandible and posterior to the maxilla. Communicates with the temporal fossa through a space between the zygomatic arch and cranial bones.
Temporal Fossa
Temporal Fossa
The lateral area of the scalp and deeper soft tissues that lie above the temporal fossa of the skull, above the zygomatic arch.
Describe the boundaries of the infratemporal fossa.
Describe the boundaries of the infratemporal fossa.
This space in the skull is bounded superiorly by the greater wing of the sphenoid and the temporal bones, anteriorly by the maxilla, posteriorly by the tympanic process of the temporal bone, medially by the lateral pterygoid plate, and laterally by the ramus of the mandible.
List the contents of the infratemporal fossa.
List the contents of the infratemporal fossa.
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What are the muscles of mastication?
What are the muscles of mastication?
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What are the branches of the maxillary artery?
What are the branches of the maxillary artery?
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What veins drain the deep face?
What veins drain the deep face?
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What are the branches of the mandibular nerve?
What are the branches of the mandibular nerve?
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What does the mental nerve supply?
What does the mental nerve supply?
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Where does the lingual nerve provide sensation?
Where does the lingual nerve provide sensation?
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What is the function of the chorda tympani nerve?
What is the function of the chorda tympani nerve?
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What does the long buccal nerve supply?
What does the long buccal nerve supply?
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What is the function of the mandibular nerve?
What is the function of the mandibular nerve?
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Mandibular Nerve (CN V3)
Mandibular Nerve (CN V3)
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Auriculotemporal Nerve
Auriculotemporal Nerve
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Inferior Alveolar Nerve
Inferior Alveolar Nerve
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Nerve to Mylohyoid
Nerve to Mylohyoid
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Otic Ganglion
Otic Ganglion
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Lesser Petrosal Nerve
Lesser Petrosal Nerve
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Tympanic Nerve
Tympanic Nerve
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Tympanic Plexus
Tympanic Plexus
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Temporomandibular Joint (TMJ)
Temporomandibular Joint (TMJ)
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TMJ Articulation
TMJ Articulation
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TMJ Capsule
TMJ Capsule
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TMJ Ligaments
TMJ Ligaments
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Lateral (Temporomandibular) Ligament
Lateral (Temporomandibular) Ligament
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Sphenomandibular Ligament
Sphenomandibular Ligament
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Stylomandibular Ligament
Stylomandibular Ligament
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TMJ Articular Disc
TMJ Articular Disc
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TMJ (Temporomandibular Joint)
TMJ (Temporomandibular Joint)
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TMJ Cavities
TMJ Cavities
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TMJ Movements
TMJ Movements
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Superior TMJ Cavity
Superior TMJ Cavity
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Inferior TMJ Cavity
Inferior TMJ Cavity
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Mouth Opening: Rotation
Mouth Opening: Rotation
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Mouth Opening: Translation
Mouth Opening: Translation
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Side-to-Side Chewing: Resting and Swinging Condyles
Side-to-Side Chewing: Resting and Swinging Condyles
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What nerve innervates the TMJ?
What nerve innervates the TMJ?
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What are the specific types of fibers carried by the auriculotemporal nerve?
What are the specific types of fibers carried by the auriculotemporal nerve?
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Where does the blood supply to the TMJ originate?
Where does the blood supply to the TMJ originate?
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What is TMJ dislocation?
What is TMJ dislocation?
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What are the causes of TMJ dislocation?
What are the causes of TMJ dislocation?
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Study Notes
Deep Face & Gnathostomatic System
- The gnathostomatic system includes the head and neck structures and functions.
- This system has the following components:
- Infratemporal fossa
- Muscles of mastication
- Vasculature of the infratemporal fossa
- Mandibular nerve branches
- Components of the TMJ
Infratemporal Fossa
- The boundaries of the infratemporal fossa include:
- Superior: infratemporal surface of the greater wing of the sphenoid bone and infratemporal surface of the temporal bones.
- Anterior: posterior surface of the maxilla.
- Posterior: styloid process of the temporal bone and condylar process of the mandible.
- Medial: lateral pterygoid plate of the sphenoid bone and pyramidal process of the palatine bone.
- Lateral: ramus of the mandible.
- The contents of the infratemporal fossa include:
- Muscles of mastication
- Maxillary artery and branches
- Maxillary v. & Pterygoid venous plexus
- CN V3 nerves & Chorda tympani n. of CN VII
Muscles of Mastication
- Temporalis
- Origin: entire temporal fossa, inferior temporal line, deep surface of temporal fascia
- Insertion: coronoid process & anterior border of the ramus of the mandible.
- Action: elevates mandible (closing jaws) & horizontal fibers retract mandible
- Masseter
- Origin: inferior border and medial surface of the zygomatic arch.
- Insertion: lateral surface of the ramus and angle of the mandible.
- Action: Elevates mandible, closing jaws, protrudes mandible (superficial head).
- Medial Pterygoid
- Origin:
- Superficial head: Maxillary tuberosity; pyramidal process of palatine bone.
- Deep head: Medial surface of lateral pterygoid plate.
- Insertion: Medial surface of the ramus of the mandible.
- Action: Bilateral contraction - elevates mandible, closing jaws, protrudes mandible. Unilateral contraction - causes mandible to deviate to contralateral side.
- Origin:
- Lateral Pterygoid
- Origin:
- Upper head: Greater wing of the sphenoid bone.
- Lower head: Lateral surface of lateral pterygoid plate
- Insertion:
- Upper head: Joint capsule & articular disc of TMJ
- Lower head: Pterygoid fovea on the neck of condylar process of mandible
- Action: Bilateral contraction - protrudes & depresses mandible. Unilateral contraction - causes mandible to deviate to contralateral side.
TMJ
- Modified hinge type of synovial joint.
- Permits hinge (elevation/depression), as well as gliding (protrusion/retrusion) and a small degree of pivoting (side-to-side) movements.
- The TMJ is comprised of the following
- Mandibular fossa & Articular eminence
- Head of the mandible
- Articular disk
- Synovial Membrane
- Joint capsule
- Lateral (temporomandibular) ligaments:
- Thickened portion of the joint capsule
- Strongest TMJ ligament; strengthens joint laterally and prevents posterior dislocation.
- Collateral ligaments:
- Medial collateral ligament: connects medial aspect of articular disk to medial pole of condyle.
- Lateral collateral ligament: connects lateral aspect of articular disk to lateral pole of condyle.
- Accessory Ligaments:
- Sphenomandibular ligament: Runs from spine of sphenoid to lingula of mandible; helps limit anterior protrusion of mandible.
- Stylomandibular ligament: Thickening of fibrous capsule of parotid gland; runs from styloid process to angle of the mandible; helps limit anterior protrusion of mandible.
###Additional Accessory Muscles
- Buccinator: Keeps bolus between check & teeth.
- Orbicularis oris: Aids in keeping bolus in oral cavity.
- Tongue muscles: Food manipulation.
- Suprahyoid: Assists in opening/depressing mandible.
TMJ Vascularity
- Superficial temporal a.
- Deep auricular a.
- Anterior tympanic a.
TMJ Innervation
- Auriculotemporal nerve
- Masseteric nerve
- Posterior deep temporal nerve
TMJ Dislocation
- Unilateral or bilateral (more common) displacement of the head of the mandible from the mandibular fossa.
- Can result from atraumatic& traumatic causes.
- Dislocations can be Anterior, Posterior, Superior, or Lateral
- anterior dislocation is the most common type.
- Posterior, superior, & lateral dislocations are rare and mostly associated with trauma.
- Anterior dislocation: head of mandible passes anterior to articular eminence. Mandible remains depressed; person unable to close mouth. It is usually due to atraumatic causes (excessive mouth opening).
- Posterior dislocation: uncommon due to resistance from the postglenoid tubercle & strong lateral ligament.
Temporomandibular Disorders (TMD)
- Over 30 conditions that cause pain and dysfunction of the TMJ and muscles that control jaw movement collectively referred to as TMD.
- Divided into 2 Subtypes:
- Arthrogenous: pain and dysfunction due to the joint itself; pain is commonly located around the TMJ and the ear.
- Myogenous: pain and dysfunction within masticatory muscles; pain is generally described as deep, diffuse, achy, and often refers to TMJ, ear, temples, or teeth.
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