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TEMPORAL REGION By: Dr. Zainab Majid Pterion Frontal Parietal Greater wing of sphenoid Temporal Pterygopalatine fossa Sphenoid Pterygopalatine fossa Rotundum f. Palatine Maxilla Alveolar foramen A. Temporal Fossa and B. Infratemporal Fossa Temporal Fossa and Infratemporal Fossa Temporal Fossa (above zygomatic arch) Infratemporal Fossa (below zygomatic arch) Floor (Medial Wall) parietal frontal greater wing of sphenoid temporal (squamous portion) Anterior Wall frontal bone zygomatic bone INFRATEMPORAL FOSSA A. Temporal Fossa: Inferior Boundary of Medial Wall lateral surface of greater wing of sphenoid infratemporal crest Anterior View of Sphenoid A. Temporal Fossa: Lateral Wall and Content Contents temporalis muscle Roof (Lateral Wall) temporalis fascia zygomatic arch (inferior boundary of lateral wall) B. Infratemporal Fossa medial wall (not seen) roof lateral view anterior wall (not seen) posterior wall lateral wall postero-lateral view (like a wedge of cheese, with sharp edge pointing inferiorly) Infratemporal Fossa: Lateral Wall ramus of mandible lateral wall B. Infratemporal Fossa: Roof infratemporal crest roof Anterior View of Sphenoid Roof inferior surface of greater wing Infratemporal Fossa: Roof – Inferior View infratemporal crest Anterior View of Sphenoid inferior surface of greater wing of sphenoid roof inferior view B. Infratemporal Fossa: Posterior Wall styloid process (medially) posterior wall posterior edge of ramus of mandible (laterally) B. Infratemporal Fossa: Anterior and Medial Walls Medial Wall spine of sphenoid medial wall lateral pterygoid plate Anterior Wall infraorbital fissure posterior surface of maxilla anterior wall Infratemporal Fossa – Medial Wall (Posterior View) lateral pterygoid plate medial pterygoid muscle Mandibular Nerve (V3) inferior alveolar (motor and sensory) nerve to mylohyoid (and anterior belly of digastric) mylohyoid anterior belly of digastric Mandibular Nerve (V3) – Sensory Branches Auriculotemporal buccal inferior alveolar n. (motor and sensory portion) inferior alveolar n. (sensory portion) lingual mental Chorda Tympani Nerve (Br. of VII) chorda tympani br. of facial (VII) lingual Chorda Tympani Branch of Facial Nerve (VII) foramen ovale chorda tympani mandibular n. (V3) ant 2/3 tongue lingual n. submandibular and sublingual salivary glands Arterial Supply of Infratemporal Fossa deep temporal middle meningeal maxillary maxillary external carotid buccal inferior alveolar Venous Drainage of Infratemporal Fossa foramen ovale pterygoid venous plexus superficial temporal vein maxillary veins retromandibular vein facial vein TM Joint Temporomandibular Joint mandibular fossa articular tubercle head neck condylar process mandibular notch coronoid process Temporomandibular Joint – Lateral View of Sagittal Section) superior compartment articular disk capsule Lateral View inferior compartment Temporomandibular Joint – Posterior View of Coronal Section) superior compartment articular disk inferior compartment capsule Temporomandiular Joint - Ligaments lateral (temporomandibular) ligament (resists post. displacement) capsule (resists ant. displacement) sphenomandibular ligament spine of sphenoid stylomandibular ligament lingula (resists ant. displacement) Medial View axis of rotation (swinging hinge) Lateral View Temporomandiular Joint - Movements – 1) Protrusion and Retrusion Retrusion Protrusion Temporomandiular Joint – Anterior Dislocation articular tubercle head and disk are inferior to articular tubercle head is anterior to articular tubercle and is elevated further protrusion leads to anterior dislocation protruded position Muscles of Mastication Muscles of Mastication Muscles of Mastication Posterior View THANKS