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Temporal and infratemporal region part 4
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Temporal and infratemporal region part 4
1.
Head and Neck Temporal and Infratemporal regions part IV Maxillary Artery and tempromandibular joint Dr. Mohamed El Fiky Professor of Anatomy and embryology
2.
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.
4.
External CaroEd Artery Maxillary Artery Lateral Pterygoid Sphenomandibular Ligament Medial Pterygoid Muscle Maxillary Artery
5.
Maxillary Artery Sphenomandibular Ligament Neck of the Mandible Deep Head of Medial Pterygoid
6.
Branches of Maxillary Artery
7.
3- Middlle meningeal 4- Accessory meningeal 1- Deep auricular 2- Anterior tympanic 5- Inferior alveolar 1- Branches of The First Part
8.
Inferior alveolar artery Mandibular Foramen Mental Artery Mylohyoid Artery Mylohyoid Muscle (Mylohyoid Diaphragm) Mylohyoid Artery and Nerve
9.
1- Deep temporal 2- Pterygoid arteies 3- Masseteric artery 4- Buccal artery 2- Branches of The Second Part
10.
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
11.
Pterygoid plexus of veins Maxillary Vein Superficial Temporal Vein Retromandibular Vein Maxillary Vein and Pterygoid Plexus of Veins
12.
Pterygoid Plexus of Veins Maxillary Vein Superficial Temporal Vein Retromandibular Vein Pterygoid Plexus of Veins
13.
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
14.
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
15.
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.
16.
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
17.
Buccinator Superior constrictor Pterygomandibular ligament
18.
Maxillary Artery Superficial Temporal Artery Blood Supply of TMJ
19.
Auriculotemporal Nerve From Nerves To Muscles of MasEcaEon Nerve Supply of TMJ
20.
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
21.
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
22.
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
23.
7- Side to Side Movement of The Mandible (Grinding) (Chewing) By Lateral and Medial Pterygoid Muscles Movements
24.
Anterior DislocaEon of The Mandible Disloca5on
25.
DislocaEon of Temporomandibular Joint
26.
Thank You
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