Infratemporal Fossa
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Questions and Answers

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  • Paris (correct)
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Flashcards

What are the two movements at the Temporomandibular Joint (TMJ)?

  1. Hinge like rotation
  2. Forward gliding

What two structures glide forward on the temporal bone when the mouth opens wide?

  1. Mandibular head
  2. Articular Disc

The two cambers of the TMJ are divided by what?

Articular joint

Temporalis Origin and Insertion

O: Temporal fossa & fascia I: Coronoid process and anterior border of the ramus

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Masseter Origin and Insertion

O: Zygomatic arch + bone I: Mandible & Ramus

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Lateral Pterygoid Origin and Insertion

O: Greater wing of sphenoid & lateral pterygoid plate I: Mandible & TM Joint Capsule

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Medial Pterygoid Origin and Insertion

O: Maxilla and Lateral Pterygoid Plate I: Mandible

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4 Movements produced by the muscles of mastication

  1. Protrusion (out)
  2. Retraction (in)
  3. Depression (down)
  4. Elevation (up)
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Movement produced by Temporalis

Elevation & Retraction

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Movement produced by Masseter

Elevation & Retraction

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Movement produced by Lateral Pterygoid

Protrusion

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Movement produced by Medial Pterygoid

Protrusion & Elevation

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What muscles depress the mandible against resistance (like opening your mouth --> this depresses the mandible while you rest your hand on your chin)

Suprahyoid muscles (digastric, mylohoid, geniohyoid)

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What nerve innervates the muscles of mastication?

Mandibular division of V --> V3

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What are the V3 Motor Branches?

MOTOR TO 4 MASTICATORY MUSCLES:

  • Deep temporal nerve
  • Nerve to masseter
  • Nerves to lateral and medial pterygoid

MOTOR TO 2 SUPRAHYOID MUSCLES:

  • Nerve to mylohyoid

MOTOR TO 1 SOFT PALATE MUSCLE:

  • Nerve to tensor veli palatini

MOTOR TO 1 MIDDLE EAR CAVITY MUSCLE:

  • Nerve to tensor tympani
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V3 Sensory Branches

  1. Lingual Nerve
  2. Inferior Alveolar Nerve
  3. Auriculotemporal Nerve
  4. Buccal Nerve
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The inferior alveolar nerve sends branches to what part of the mouth?

Lower teeth

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The inferior alveolar nerve exits the mental foramen as what nerve?

MENTAL NERVE

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The nerve to mylohyoid runs with what sensory branch?

Inferior alveolar nerve

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The chorda tympani nerve (CN VII branch), enters the IT fossa via the ...

Petrotympanic fissure

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The chorda tympanic nerve (CN VII branch) joins what nerve to then travel to the floor of the mouth?

Lingual nerve

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Where are the cell bodies of the PRE-ganglionic PANS CN VII?

Brainstem

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Where do the PRE-ganglionic PANS axons travel to?

Chorda tympanic nerve --> then join with lingual nerve within the IT fossa and then enter the floor of the mouth

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POST-ganglionic PANS

Submandibular ganglia

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Where do the POST-ganglionic PANS travel to?

Submandibular and Sublingual glands

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Where do PRE-ganglionic PANS axons travel in?

Lesser petrosal Nere

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Describe the route of the lesser petrosal nerve in autonomics

Lesser petrosal nerve (PRE-PANS) --> IT Fossa through foramen ovale --> synapse on POST-PANS in otic ganglia

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Where do the POST-ganglionc PANS axons travel to?

Parotid gland via auriculotemporal nerve

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What nerve carries sensation from anterior 2/3 of the tongue, floor of the mouth & lower gingiva?

Lingual N.

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What nerve carries general sensation from the lower teeth, chin, and lower lip (commonly anesthetized in dental procedures)

Inferior alveolar nerve

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What nerve provides general sensation from the temporal region, TMJ, and auricle?

Auriculotemporal nerve

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What nerve carries visceral motor post-ganglionic PANS to stimulate parotid gland secretion?

Auriculotemporal nerve

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What nerve carries general sensation from cheek & lower gingiva?

Buccal n.

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What nerve provides taste sensation to the anterior 2/3 of the tongue?

Chorda tympani

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What nerve carries visceral motor pre-ganglionic PANS to stimulate submandibular and sublingual gland secretions

Chorda tympani nerve

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T or F: A lingual nerve lesion in the IT fossa proximal to where it is joined by the chorda tympani nerve will produce both loss of generation sensation and taste in the anterior 2/3 of the tongue

FALSE - A lingual lesion in the IT fossa proximal to where it is joined by the chorda tympani nerve will ONLY produce a loss of general sensation A lingual lesion in the IT fossa DISTAL to where it is joined by the chorda tympani nerve will produce BOTH loss of general sensation and taste

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The maxillary artery travels through the IT fossa either superficial or deep to what muscle?

Lateral pterygoid muscle

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