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Head	and	Neck		
									Temporal	and	Infratemporal	regions	
																																		part	IV	
Maxillary	Artery	and	tempromandibular	joint		
							Dr.	Mohamed	El	Fiky	
										Professor	of	Anatomy	and	embryology
Maxillary	Artery		
Origin:	
	Is	the	larger	of	the	two	terminal	branches	of	the	external	caroEd	artery.		Arises	behind	the	neck	of	the	
mandible	within	the,	substance	of	The	paroEd	gland.	
Course	and	rela5ons:	for	descripEve	purpose	
the	artery	is	divided	into	three	parts	by	the	
lateral	pterygoid	muscle.	
(1)	 The	 first	 part:	 runs	 horizontally	 first	
between	the	neck	of	the	mandible	and	the	
sphenomandibular	ligament.	and	then	along	
thel	ower	border	of	the	lateral	ptrygoid.	
(2)	 The	 second	 part:	 runs	 upwards	 and	
forwards	 either	 superficial	 or	 deep	 to	 the	
lower	head	of	the	lateral	pterygoid.	
(3)	The	third	part:	passes	between	the	two	
heads	 of	 the	 lateral	 pterygoid	 and	 through	
the	 pterygomaxillary	 fissure	 to	 enter	 the	
pterygopalaEne	fossa.
 Temporal and  infratemporal region  part 4
External	CaroEd	
Artery	
Maxillary	
Artery	
Lateral	
Pterygoid	
Sphenomandibular	
Ligament	
Medial	
Pterygoid	
Muscle	
Maxillary	Artery
Maxillary	Artery	
Sphenomandibular	Ligament	
Neck	of	the	Mandible	
Deep	Head	
of	
Medial	Pterygoid
Branches	of	Maxillary	Artery
3-	Middlle	meningeal
4-	Accessory	meningeal	
1-		Deep	auricular
2-	Anterior	tympanic	
5-	Inferior	alveolar
1-	Branches	of	The	First	Part
Inferior	alveolar	
artery		
Mandibular	Foramen	
Mental		
Artery		
Mylohyoid		
Artery		
Mylohyoid	Muscle		
(Mylohyoid	Diaphragm)	
Mylohyoid		
Artery	and	Nerve
1-	Deep	temporal
2-	Pterygoid	arteies
3-	Masseteric	artery
4-	Buccal		artery
2-	Branches	of	The	Second	Part
2-	Posterior	superior	alveolar
1-	Descending	palaEne
3-	SphenopalaEne	
4-	Artery	of	
Pterygoid	canal
5-	Pharyngeal	artery
6-	Infraorbital	artery
Lesser	PalaEne	
Greater	PalaEne	
3-	Branches	of	The	Third	Part
Pterygoid	plexus	of	veins
Maxillary	Vein	
Superficial		
Temporal	Vein	
Retromandibular	Vein	
Maxillary	Vein	and	Pterygoid	Plexus	of	Veins
Pterygoid	Plexus	of	Veins	
Maxillary	Vein	
Superficial	
Temporal	Vein	
Retromandibular		
Vein	
Pterygoid	Plexus	of	Veins
1-	Anterior	Facial	Vein	
2-	Cavernous	Sinus	
3-	Inferior	
Ophthalmic	Vein	
4-	To	
Pharyngeal	Plexus	of	Veins	
Deep	Facial	Vein	
Communica5ons		of	Pterygoid	Plexus	of	Veins
Mandibular	Fossa	ArEcular	Eminence	
Head	of	The	Mandible	
Type:	Condylar	variety	of	synovial	
joint.		
	
Ar5cular	surfaces:	
(A)	From	above:	(1)	arEcular	
tubercle	(eminence);	and	(2)	
mandibular	fossa.	(B)	From	below:	
head	of	mandible.	
	
Capsule:	Is	aached	to	the	margins	
of	the	arEcular	surfaces.	
(A)	Above:	to	the	arEcular	tubercle	
and	the	circumference	.of	
mandibular	fossa.	(B)	Below:	to	the	
neck	of	the	mandible.	
	
Synovial	membrane:	Lines	the	
capsule	and	the	neck	of	the	
mandible.	
	
							Type	and	ArEcular	Surfaces
Intra-arEcular	Disc	
Synovial	Saddle	Variety	
Condylar	Saddle	Variety	
Ar5cular	disc	
	
	*		Is	an	oval	plate	of	fibrous	Essue	that	divides	the	joint	into	upper	and	lower	compartments.	
	*		Its	upper	surface	is	concavoconvex	to	fit	the	arEcular	tubercle	and	the	mandibular	fossa.	
	*		Its	lower	surface	is	concave	to	fit	into	the	head	of	the	mandible.	
	*		Is	aached	by	its	circumference	to	the	inner	surface	of	the	capsule.
1-	Lateral	Temporomandibular	
2-	The	Sphenomandibular	Ligament	
3-	The	Stylomandibular	Ligament	
4-	Pterygomandibular	Ligament	
							Accessory	Ligaments	of	TMJ		
1-	Lateral	Temporomandibular	
2-	The	Sphenomandibular	Ligament	
3-	The	Stylomandibular	Ligament	
4-	Pterygomandibular	Ligament
Buccinator
Superior	constrictor
Pterygomandibular		
ligament
Maxillary	Artery	
Superficial	Temporal	Artery	
Blood	Supply	of	TMJ
Auriculotemporal	Nerve	
From	Nerves	To	Muscles	of	MasEcaEon	
Nerve	Supply	of	TMJ
1-	PosiEon	at	Rest	
1-	slight	interval	between	upper	and	lower	teeth	
		
2-	Lower	teeth	lie	slightly	behind	the	level	of	the	upper	teeth.	
Movements	
2-	Occlusal	
PosiEon
3-	ProtracEon	of	The	Mandible	
																																	By	
Lateral	and	Medial	Pterygoid	Muscles	
And	masseter		
4-	RetracEon	of	The	Mandible	
																																			By	
Posterior	Fibers	of	Temporalis,	Digastric	and	
	Geniohyoid	Muscles	
Movements
5-	Depression	of	The	Mandible	
						(Opening	of	the	Mouth)	
																																			By	
Lateral	Pterygoid,	Platysma,	Digastric,	Mylohyoid		
and	Geniohyoid	Muscles	
Movements	
6-	ElevaEon	of	The	Mandible		
											(Closure	of	the	Mouth)	
																				By	
Temporalis,	Masseter	and		
Medial	Pterygoid
7-	Side	to	Side	Movement	of	The	Mandible	(Grinding)	(Chewing)	
By	
Lateral	and	Medial	Pterygoid	Muscles	
Movements
Anterior	DislocaEon	of	The	Mandible	
Disloca5on
DislocaEon	of	Temporomandibular	Joint
Thank You

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