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Anatomy
Test 3 Lecture 3
| Question | Answer |
|---|---|
| Muscles of masticaiton and their innervation | Masseter Temporalis Lateral pterygoid Medial pterygoid are innervated by the mandibular division of the trigeminal nerve (V3) |
| The temporal fossa Is bounded superiorly and posteriorly by the _______. Has a floor formed mainly by the_______ | -superior and inferior temporal lines. -parietal bone, greater wing of the sphenoid bone, and squamous part of the temporal bone. |
| The temporal fossa Is covered superficially by _____, which helps give origin to the underlying _______muscle | temporal fascia temporalis |
| where does the temporalis muscle run and what is the function | which has a tendon passing deep to the zygomatic arch to insert into the coronoid process and ramus of the mandible; the temporalis elevates the mandible and its posterior fibers retract the mandible |
| The temporal fossa contains the pterion, which is the junctions of the. the _______ artery often is embedded in bone and may be torn by a skull fracture at pterion to produce an extradural hematoma, which can be fatal within hours | the frontal, parietal, temporal, and greater wing of the sphenoid bones. middle meningeal |
| Other contents of the temporal fossa include the _________nerves and arteries ascending deep to the temporalis muscle | Deep temporal nerve (V3) and deep temporal artery |
| Superficial to the temporal fossa are the ____artery, which is one of the terminal branches of the external carotid artery ________ nerve ascending with the superficial temporal artery and vein | Superficial temporal. Auriculotemporal nerve (V3) |
| The superficial temporal vein Joins the ____vein behind the neck of the mandible to form the _______vein, which descends through the parotid gland | maxillary retromandibular |
| location and boundries of the infratemporal fossa | irregularly shaped space inferior to zygomatic arch boundries: lateral: ramus of the mandible, medial: lateral pterygoid plate, anterior: maxilla, posterior: tympanic portion & styloid process of temporal bone, superior: greater wing of sphenoid bone |
| The ramus of the mandible is covered laterally by the masseter muscle. What is it's function and innervation? | Is innervated by the masseteric nerve (V3) Elevates the mandible |
| The infratemporal fossa communicates Superiorly with ____, foramina ____ and ____ to ____. | temporal fossa and foramina ovale and spinosum with the middle cranial fossa |
| The infratemporal fossa communicates Medially through the ________ to the deep pterygopalatine fossa Anterosuperiorly through the ________ with the orbit | pterygomaxillary fissure. inferior orbital fissure |
| Contents of the infratemporal fossa include the: _____ muscle ________ muscle ______ nerve and ________ nerve _________artery _______plexus of veins | Lateral pterygoid muscle Medial pterygoid muscle Mandibular nerve (V3) and chorda tympani (VII) Maxillary artery Pterygoid plexus of veins |
| 2 Parts and function of the Lateral pterygoid | Lower head that depresses and protrudes mandible; unilateral contraction shifts the chin to the contralateral side; the upper head controls jaw closure to prevent damage to the teeth |
| 2 Parts and function of the Medial pterygoid | Superficial head, Deep head. the deep head and the masseter forms a mandibular sling. superfical and deep head Act to elevate the mandible; it also may assist the lateral pterygoid in protrusion |
| course and innervation of the auriculotemporal nerve | Splits around the middle meningeal artery before exiting the infratemporal fossa and ascending into the temporal region Carries postganglionic parasympathetic fibers from the otic ganglion to the parotid gland |
| lingual nerve Carries ______ information from the _____. Is joined by the _____in the infratemporal fossa | general sensation anterior 2/3 of tongue and floor of mouth. chorda tympani (VII) |
| the chorda tympani carries ________ from the anterior 2/3 of the tongue and_________ to the submandibular ganglion | taste (SVA) preganglionic parasympathetic fibers |
| The inferior alveolar nerve Enters the ______foramen Carries general sensation from the _________. Has the _______ nerve as one terminal branch (carrying sensation from the mucosa and skin of the lower lip and chin) | mandibular mandibular teeth and gingiva mental |
| The maxillary artery Is a terminal branch of the ________ artery. Supplies structures in the _________ (3 areas); it also supplies _____via the middle meningeal artery | external carotid. infratemporal fossa, nasal cavity, and oral cavity. dura mater |
| The pterygoid venous plexus Surrounds the lateral pterygoid muscle and coalesces to form the ______. Has clinically important connections via emissary veins with the ____ possibly causing___ | maxillary vein(s) cavernous sinus at the base of the brain; therefore, something as simple as an abscessed tooth may result in a life-threatening cavernous sinus thrombosis |
| The temporomandibular joint (TMJ) Is a synovial joint formed between the________ and the _________ with an articular disc subdividing the articular cavity into upper and lower joint cavities | head of the mandible. squamous portion of the temporal bone. |
| The temporomandibular joint (TMJ) Exhibits _____movements in the inferior joint cavity and _________movements in the superior joint cavity | hinge gliding |
| what is in between the head of the mandible and the brain? | in the squamus portion of the temporal bone, Only a thin roof of bone in the mandibular fossa separates the joint cavity from the temporal lobe of the brain |
| movements of the TMJ Depression : | Depression of the mandible (opening the jaws) involves Forward gliding of the head of the mandible and articular disc on the articular tubercle Downward rotation of the mandible about a horizontal plane through the head |
| movements of the TMJ Elevation: | Elevation of the mandible (closing the jaws) involves Backward gliding of the head and articular disc on the articular tubercle Upward rotation of the mandible |
| Depression of the mandible is produced by gravity assisted by the ________ and _________ | lateral pterygoid. accessory muscles of mastication (digastric, mylohyoid, and geniohyoid muscles). |
| Elevation of the mandible is produced by the______ (3 muscles) | masseter, temporalis, and medial pterygoid muscles |
| TMJ: Protrusion is performed mainly by the __________ muscle Retraction results mainly from contraction of the _______ Lateral shift results mainly from unilateral _______ and __________ | lateral pterygoid. posterior fibers of the temporalis. lateral pterygoid and medial pterygoid contractions. |
| Problems associated with tmj syndrome | Pain and tenderness with chewing Limited jaw movement Earaches Headaches Dizziness Neck pain and stiffness |
| see slide 31 for referred pain pic |