BMES208 Human Musculoskeletal System

Kittikun Viwatpinyo, Ph.D.

Infratemporal fossa : area in the head medial to zygomatic arch and ramus of mandible, and inferior to temporal fossa

(Agur & Dalley, 2008)

Walls of infratemporal fossa composed of 5 bones : Temporal bone, Sphenoid bone, Zygomatic bone, Maxilla and Mandible.

(Agur & Dalley, 2008)

(Agur & Dalley, 2008)

(Drake, Wayne & Mitchell, 2005)

Body of mandible Ramus of mandible

Condylar process Coronoid process Mandibular foramen Lingula Mylohyoid groove

Tank, 2005)

TMJ is a modified hinge type synovial joint between mandibular fossa of temporal bone and head of mandible

(Agur & Dalley, 2008)

Articular disc separates joint capsule into 2 compartments :

Lower compartment : Hinge movement Upper compartment : Gliding movement
(Moore, Dalley & Agur, 2010)

(Drake, Wayne & Mitchell, 2005)

Extracapsular ligaments of TMJ

Lateral (Temporomandibular) ligament Sphenomandibular ligament Stylomandibular ligament

(Drake, Wayne & Mitchell, 2005)

Movements through TMJ :

Elevation-Depression Protrusion-Retraction Lateral movement (side-to-side)

(Moore, Dalley & Agur, 2010) (Drake, Wayne & Mitchell, 2005)

Masseter m. Temporalis m.

(Drake, Wayne & Mitchell, 2005)

Lateral pterygoid m.

(Drake, Wayne & Mitchell, 2005)

Medial pterygoid m.

(Drake, Wayne & Mitchell, 2005)

Branches of Mandibular nerve (CN. V3) Autonomic nerves :

Chorda tympani Lesser petrosal nerve

(Agur & Dalley, 2008)

Muscular branches : Masseteric n., Deep temporal n. Buccal nerve : sensory from cheek and buccal mucosa

(Drake, Wayne & Mitchell, 2005)

Auriculotemporal nerve
Sensory from TMJ and skin of parotid and temporal region Postganglionic parasym fibers to parotid gland

(Drake, Wayne & Mitchell, 2005)

Lingual nerve
Sensory from anterior 2/3 of tongue and floor of oral mucosa Chorda tympani nerve joins lingual nerve

(Drake, Wayne & Mitchell, 2005)

Inferior alveolar nerve

Sensory from lower teeth & skin from lower lip and chin (via mental nerve) Nerve to mylohyoid : motor to mylohyoid and anterior belly of digastric

(Drake, Wayne & Mitchell, 2005)

Chorda tympani nerve

Postganglionic parasym fibers to submandibular & sublingual glands Taste from anterior 2/3 of tongue

(Drake, et al., 2007)

Lesser petrosal nerve

Preganglionic parasym fibers to Otic ganglion, which sends postganglionic parasym fibers to parotid gland via auriculotemporal nerve

(Drake, et al., 2007)

Maxillary artery is the largest branch of external carotid artery, and a major artery in infratemporal region Three parts (relate to lateral pterygoid m.)

Tank, 2005)

Middle meningeal artery

Mostly from 1st part Passes upward and enters cranial cavity through Foramen spinosum Supplies major parts of meninges Damage of artery : Epidural hemorrhage

(Drake, Wayne & Mitchell, 2005)

(Moore, Dalley & Agur, 2010)

Inferior alveolar artery

From 1st part, passes downward into mandibular foramen with inferior alveolar n. Supplies lower teeth, buccal side of gingiva, and also lower lip and chin (by mental artery)

(Drake, Wayne & Mitchell, 2005)

Pterygoid plexus is a major venous drainage of infratemporal region

Receives blood from cranial cavity, orbit, nasal and oral cavities, and drains into retromandibular vein and deep facial vein

(Drake, Wayne & Mitchell, 2005)