HEAD

OSCE
Station 8

Temporal and Infratemporal Fossae

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  • Posterior and superior : Temporal lines
  • Anterior : Frontal and Zygomatic bones
  • Lateral : Zygomatic arch
  • Inferior : Infratemporal crest
  • Floor : Pterion (frontal, parietal, temporal and greater wing of the sphenoid)
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Identify the following bones on the image

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The boundaries of the infratemporal fossa are:

  • Medial :        Lateral pterygoid plate
  • Lateral :        Mandible ramus and coronoid process
  • Anterior :        Maxilla
  • Posterior :        Tympanic plate, mastoid and styloid processes of the                      temporal bone
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The muscles found in the infra temporal fossa are the:

  • Medial pterygoid
  • Lateral pterygoid
  • Temporalis muscle
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Vessels in the infra temporal fossa are the:

  • Maxillary artery
  • Pterygoid venous plexus
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The nerves coursing through the infratemporal fossa are the:

  • Mandibular Nerve
  • Chorda tympani
  • Otic ganglion
  • Auriculotemporal nerve
  • Inferior alveolar nerve
  • Lingual nerve
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The four muscles of mastication are:

  • Temporalis
  • Masseter
  • Lateral Pterygoid
  • Medial Pterygoid
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The muscles of mastication are supplied by the mandibular division (CN V3) of trigeminal nerve.

The retromandibular vein is formed by the union of the superficial temporal and maxillary veins. This descends within the parotid gland deep to the facial nerve between the mandible and sternocleidomastoid muscle. It then divides into anterior and posterior branches. The anterior branch joins the anterior facial vein to form the common facial vein, which drains into the internal jugular vein. The posterior branch unites with the posterior auricular vein to form the external jugular vein, which drains into the subclavian vein.
The facial artery arises in the carotid triangle from the external carotid artery. It passes obliquely beneath the digastric and stylohyoid muscles and then curves upwards over the body of the mandible. It then passes forwards and upwards across the cheek to the angle of the mouth, ascends along the side of the nose and ends at the medial commissure of the eye as the angular artery.
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The branches within the neck include the:

  • Ascending palatine artery
  • Tonsillar artery
  • Submental artery
  • Branch to the submandibular gland

 

The facial branches include the:

  • Inferior labial artery
  • Superior labial artery
  • Lateral nasal branch
  • Angular artery
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