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Temporal fossa Boundary Content Infratemporal fossa Communication Pterygopalatine fossa Terminal branches of external carotid artery Pterygoid venous plexus Mandibular division of trigeminal nerve Chorda tympani and otic ganglion
Wanida Sripairojthikoon, Department of Anatomy, Faculty of Dentistry, Mahidol University
Temporal fossa
Depression in the lateral skull, above zygomatic arch and infratemporal crest of sphenoid bone
Bounded by
Processes of frontal & zygomatic bones superior temporal line Supramastoid crest Zygomatic arch
Temporal fossa
Floor
Parietal bone
Frontal Sphenoid Parietal
Temporal
Frontal bone Greater wing of sphenoid bone Squamous part of temporal bone
Pterion :
A thin-boned area on lateral side of head, where those 4 bones articulate Clinical landmark overlies anterior branch of middle meningeal artery, within skull
Maxilla
Pterion
about 4 cm from zygomatic arch about 3 cm from zygomatic frontal bone landmark for frontal / anterior branch of middle meningeal artery
Wanida Sripairojthikoon, Department of Anatomy, Faculty of Dentistry, Mahidol University
Pterion
Trauma to the pterion can lead to tearing of the meningeal branches of the middle meningeal arteries. The middle meningeal vessels lie between the dura mater and the periosteum of the internal aspect of the skull. The build up of blood in this extradural space may lead to:
brain shift away from hematoma compress against midbrain and displace downward through opening of tentorium compress vasculature of midbrain and reticular formation decrease level of consciousness untreated hemorrhage may cause death in a few hour
Temporal fascia
A B
B
Wanida Sripairojthikoon, Department of Anatomy, Faculty of Dentistry, Mahidol University
Infratemporal fossa
Irregular space below temporal fossa
Inferior to zygomatic arch Medial to ramus of mandible Posterior to maxilla
Boundary
Lateral mandible Medial sphenoid bone Roof sphenoid bone Anterior maxilla Posterior - free
Infratemporal fossa
Contents
Lower part of temporal muscle Medial & lateral pterygoid muscles Maxillary artery & vein Pterygoid venous plexus Mandibular division of trigeminal nerve Chorda tympani CN VII Otic ganglion CN IX
Infratemporal fossa
Contents
Lower part of temporal muscle Medial & lateral pterygoid muscles Maxillary artery & vein Pterygoid venous plexus Mandibular division of trigeminal nerve Chorda tympani CN VII Otic ganglion CN IX
Maxillary artery
Terminal branch of external carotid artery 3 parts related to lateral pterygoid muscle
Mandibular part Pterygoid part Pterygopalatine part
Tributaries
Posterior division
Lingual nerve Inferior alveolar nerve Auriculotemporal nerve
Undivided trunk of CN V3
Meningeal branch, enter foramen spinosum Nerve to medial pterygoid muscle, Nerve to tensor palatine muscle Nerve to tensor tympani muscle
Auriculotemporal nerve
parotid branch articular branch anterior auricular branch superficial temporal branch
Wanida Sripairojthikoon, Department of Anatomy, Faculty of Dentistry, Mahidol University
Otic ganglion
parasympathetic ganglion of CN IX; supply parotid gland
Chorda tympani
taste fiber (SVA) from ant 2/3 of tongue parasympathetic fiber (GVE) to submandibular ganglion
supply sublingual & submandibular salivary glands
Wanida Sripairojthikoon, Department of Anatomy, Faculty of Dentistry, Mahidol University
Third part of maxilllary artery & its branches Maxillary division of trigeminal nerve Pterygopalatine (or sphenopalatine) ganglion
Wanida Sripairojthikoon, Department of Anatomy, Faculty of Dentistry, Mahidol University
Infratemporal fossa : pterygomaxillary fissure Nasal cavity : sphenopalatine foramen Orbital cavity : inferior orbital fissure Oral cavity : palatine canal Cranial cavity : foramen rotundum Pharynx : pterygoid canal
Wanida Sripairojthikoon, Department of Anatomy, Faculty of Dentistry, Mahidol University