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Infratemporal Fossa
 Nervous Structures


              Kristine Joy Leyva
              DMD1-A
I. Mandibular Nerve

     - largest of the 3 divisions of CN V
     - Mixed nerve
     - large sensory and small motor
 root that unite after passing through
 foramen ovale to enter
 infratemporal fossa
Anterior Division: Masseteric

                   anterior to TMJ
laterally
superior to        and posterior
                   of temporalis
lateral
pterygoid M.

                      mandibular
                        notch
    small branch
    to TMJ
Anterior Division: Anterior
and Posterior Deep Temporal
superior to lateral pterygoid M.;
between skull and temporalis; pass
deep to muscle it innervates



  Anterior Division: Medial
         Pterygoid
 enters deep surface of muscle
Anterior Division: Buccal

                      descends along
anterior              lower part of
between 2             temporalis
heads of lateral
pterygoid

     mucous           supply skin of
    membrane          buccinator



  gingiva along
  mandibular molars
Posterior Division: Auriculotemporal

                      runs posteriorly, inferior to
 arise from 2              lateral pterygoid
 roots

superiorly between      medial aspect of
auricle and condyle     neck of mandible
of mandible deep to
parotid gland


ascends over             divides to superficial
zygomatic arch           temporal branches
Posterior Division: Lingual

inferior to lateral
pterygoid and         joins Chorda
medial and            Tympani
anterior to I.A.N.


                      between medial
       oral cavity    pterygoid and
                      ramus of mandible
Posterior Division: Inferior Alveolar

                             inferior to
descends with                lateral
inferior alveolar            pterygoid
artery


                         between sphenomandibular
                         ligament and ramus of
 INNERVATES: lower       mandible
 teeth and gingiva
 from premolars
 anteriorly to midline
                            mandibular foramen
Posterior Division: Mylohyoid

branch form     descends in a
I.A.N           groove on deep side
                of ramus




              superficial surface
              of Mylohyoid M.
II. Maxillary Nerve: Posterior Superior
             Alveolar Nerve
                          infratemporal fossa (on
pterygomaxillary          posterior surface of
fissure                   maxilla along maxillary
                          tuberosity)


 enter posterior
 surface of maxilla          gingival branch



    innervate maxillary
    sinus and molars
III. Chorda Tympani

 SOURCE: branch from facial n. in tympanic cavity

preganglionic               enter tympanic cavity
sympathertic fibers to
submandibular ganglion      and lies along
and taste fibers to         tympanic membrane
anterior 2/3 of tongue      and malleus

joins lingual nerve
in infratemporal            petrotympanic fissure
fossa
IV. Lesser Petrosal

 SOURCE: tympanic plexus along promontory of
 the ear and re-forms as lesser petrosal nerve
 middle ear          preganglionic parasympathetic and
                     postganglionic parasympathetic to
 cavity              parotid gland


                 foramen
                   ovale          groove for lesser
                                  petrosal n.
infratemporal
fossa                joins otic
                     ganglion
V. Otic Ganglion

Postganglionic            auriculotemporal
parasympathtic            branch (CN V)
fibers

                                parotid
                                 gland

CHARACTERISTICS OF CELL BODY: a collection of
nerve cell bodies; located in infratemporal fossa;
small stellate-shaped ganglion; located inferior to
foramen ovale, medial V₃
Parasympathetics of
   Parotid Gland
I. Preganglionic Neuron

   Preganglionic                    Inferior salivatory
   parasympathetic                  nucleus in medulla
   fibers

                    jugular                  glossopharyngeal
                   foramen                          N.

Glossopharyngeal              tympanic
                                                      tympanic
       n.                     branch of IX
                                                      plexus

                      otic ganglion                 lesser petrosal
                                                    nerve
NAME OF CELL BODY: inferior salivatory nucleus
CHAR. OF CELL BODY: a collection of nerve cell
bodies located in the medulla
II. Postganglionic Neuron

postganglionic                  otic
                              ganglion
parasympathetic
fibers

    parotid gland           auriculotemporal
                            branch (CN V)

NAME OF CELL BODY: otic ganglion
CHAR. OF CELL BODY: a collection of nerve cell
bodies; small stellate-shaped ganglion; located
inferior to foramen ovale, medial V₃

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Nervous Structures of the Infratemporal Fossa

  • 1. Infratemporal Fossa Nervous Structures Kristine Joy Leyva DMD1-A
  • 2.
  • 3. I. Mandibular Nerve - largest of the 3 divisions of CN V - Mixed nerve - large sensory and small motor root that unite after passing through foramen ovale to enter infratemporal fossa
  • 4. Anterior Division: Masseteric anterior to TMJ laterally superior to and posterior of temporalis lateral pterygoid M. mandibular notch small branch to TMJ
  • 5. Anterior Division: Anterior and Posterior Deep Temporal superior to lateral pterygoid M.; between skull and temporalis; pass deep to muscle it innervates Anterior Division: Medial Pterygoid enters deep surface of muscle
  • 6. Anterior Division: Buccal descends along anterior lower part of between 2 temporalis heads of lateral pterygoid mucous supply skin of membrane buccinator gingiva along mandibular molars
  • 7. Posterior Division: Auriculotemporal runs posteriorly, inferior to arise from 2 lateral pterygoid roots superiorly between medial aspect of auricle and condyle neck of mandible of mandible deep to parotid gland ascends over divides to superficial zygomatic arch temporal branches
  • 8. Posterior Division: Lingual inferior to lateral pterygoid and joins Chorda medial and Tympani anterior to I.A.N. between medial oral cavity pterygoid and ramus of mandible
  • 9. Posterior Division: Inferior Alveolar inferior to descends with lateral inferior alveolar pterygoid artery between sphenomandibular ligament and ramus of INNERVATES: lower mandible teeth and gingiva from premolars anteriorly to midline mandibular foramen
  • 10. Posterior Division: Mylohyoid branch form descends in a I.A.N groove on deep side of ramus superficial surface of Mylohyoid M.
  • 11.
  • 12. II. Maxillary Nerve: Posterior Superior Alveolar Nerve infratemporal fossa (on pterygomaxillary posterior surface of fissure maxilla along maxillary tuberosity) enter posterior surface of maxilla gingival branch innervate maxillary sinus and molars
  • 13. III. Chorda Tympani SOURCE: branch from facial n. in tympanic cavity preganglionic enter tympanic cavity sympathertic fibers to submandibular ganglion and lies along and taste fibers to tympanic membrane anterior 2/3 of tongue and malleus joins lingual nerve in infratemporal petrotympanic fissure fossa
  • 14. IV. Lesser Petrosal SOURCE: tympanic plexus along promontory of the ear and re-forms as lesser petrosal nerve middle ear preganglionic parasympathetic and postganglionic parasympathetic to cavity parotid gland foramen ovale groove for lesser petrosal n. infratemporal fossa joins otic ganglion
  • 15. V. Otic Ganglion Postganglionic auriculotemporal parasympathtic branch (CN V) fibers parotid gland CHARACTERISTICS OF CELL BODY: a collection of nerve cell bodies; located in infratemporal fossa; small stellate-shaped ganglion; located inferior to foramen ovale, medial V₃
  • 16. Parasympathetics of Parotid Gland
  • 17.
  • 18. I. Preganglionic Neuron Preganglionic Inferior salivatory parasympathetic nucleus in medulla fibers jugular glossopharyngeal foramen N. Glossopharyngeal tympanic tympanic n. branch of IX plexus otic ganglion lesser petrosal nerve
  • 19. NAME OF CELL BODY: inferior salivatory nucleus CHAR. OF CELL BODY: a collection of nerve cell bodies located in the medulla
  • 20. II. Postganglionic Neuron postganglionic otic ganglion parasympathetic fibers parotid gland auriculotemporal branch (CN V) NAME OF CELL BODY: otic ganglion CHAR. OF CELL BODY: a collection of nerve cell bodies; small stellate-shaped ganglion; located inferior to foramen ovale, medial V₃