Maxillary Artery
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Maxillary Artery
The maxillary artery supplies deep structures of the face. It branches from the external carotid artery just deep to the neck of the mandible. Structure The maxillary artery, the larger of the two terminal branches of the external carotid artery, arises behind the neck of the mandible, and is at first imbedded in the substance of the parotid gland; it passes forward between the ramus of the mandible and the sphenomandibular ligament, and then runs, either superficial or deep to the lateral pterygoid muscle, to the pterygopalatine fossa. It supplies the deep structures of the face, and may be divided into mandibular, pterygoid, and pterygopalatine portions. First portion The ''first'' or ''mandibular '' or ''bony'' portion passes horizontally forward, between the neck of the mandible and the sphenomandibular ligament, where it lies parallel to and a little below the auriculotemporal nerve; it crosses the inferior alveolar nerve, and runs along the lower border of the lateral pte ...
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External Carotid Artery
The external carotid artery is a major artery of the head and neck. It arises from the common carotid artery when it splits into the external and internal carotid artery. External carotid artery supplies blood to the face and neck. Structure The external carotid artery begins at the upper border of thyroid cartilage, and curves, passing forward and upward, and then inclining backward to the space behind the neck of the mandible, where it divides into the superficial temporal and maxillary artery within the parotid gland. It rapidly diminishes in size as it travels up the neck, owing to the number and large size of its branches. At its origin, this artery is closer to the skin and more medial than the internal carotid, and is situated within the carotid triangle. Development In children, the external carotid artery is somewhat smaller than the internal carotid; but in the adult, the two vessels are of nearly equal size. Relations At the origin, external carotid artery is mo ...
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Maxillary Veins
The maxillary vein, or internal maxillary vein, is a vein of the head. It is a short trunk which accompanies the first part of the maxillary artery. It is formed by a confluence of the veins of the pterygoid plexus and the interpterygoid emissary vein, and passes posteriorly between the sphenomandibular ligament and the neck of the mandible. It unites with the superficial temporal vein to form the retromandibular vein. Structure The maxillary vein is a short trunk which accompanies the first part of the maxillary artery. It is formed from the merging of the veins of the pterygoid plexus, and the interpterygoid emissary vein. It passes posteriorly between the sphenomandibular ligament and the neck of the mandible. It unites with the superficial temporal vein. It drains into the retromandibular vein ( posterior facial vein). The maxillary vein anastomoses with the retroglenoid vein. Development The maxillary vein may be the embryological origin of the central retinal vein ...
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Anterior Tympanic Artery
The anterior tympanic artery (glaserian artery) is a small artery in the head that supplies the middle ear. It usually arises as a branch of the first part of the maxillary artery. It passes upward behind the temporomandibular articulation, enters the tympanic cavity through the petrotympanic fissure, and ramifies upon the tympanic membrane, forming a vascular circle around the membrane with the stylomastoid branch of the posterior auricular, and anastomosing with the artery of the pterygoid canal and with the caroticotympanic branch from the internal carotid The internal carotid artery (Latin: arteria carotis interna) is an artery in the neck which supplies the anterior circulation of the brain. In human anatomy, the internal and external carotids arise from the common carotid arteries, where these .... Notes References External links * () * * Arteries of the head and neck {{circulatory-stub ...
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Deep Auricular Artery
The deep auricular artery often arises in common with the anterior tympanic artery. It ascends in the substance of the parotid gland, behind the temporomandibular articulation, pierces the cartilaginous or bony wall of the external acoustic meatus, and supplies its cuticular lining and the outer surface of the tympanic membrane. It gives a branch to the temporomandibular joint In anatomy, the temporomandibular joints (TMJ) are the two joints connecting the jawbone to the skull. It is a bilateral synovial articulation between the temporal bone of the skull above and the mandible below; it is from these bones that it .... References External links * () Arteries of the head and neck {{circulatory-stub ...
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Inferior Alveolar Nerve
The inferior alveolar nerve (IAN) (also the inferior dental nerve) is a branch of the mandibular nerve, which is itself the third branch of the trigeminal nerve. The inferior alveolar nerves supply sensation to the lower teeth. Structure The inferior alveolar nerve is a branch of the mandibular nerve. After branching from the mandibular nerve, the inferior alveolar nerve travels behind the lateral pterygoid muscle. It gives off a branch, the mylohyoid nerve, and then enters the mandibular foramen. While in the mandibular canal within the mandible, it supplies the lower teeth (molars and second premolar) with sensory branches that form into the inferior dental plexus and give off small gingival and dental nerves to the teeth. Anteriorly, the nerve gives off the mental nerve at about the level of the mandibular 2nd premolars, which exits the mandible via the mental foramen and supplies sensory branches to the chin and lower lip. The inferior alveolar nerve continues anteriorl ...
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Auriculotemporal Nerve
The auriculotemporal nerve is a branch of the mandibular nerve (CN V3) that runs with the superficial temporal artery and vein, and provides sensory innervation to various regions on the side of the head. Structure Origin The auriculotemporal nerve arises from the mandibular nerve (CN V3). The mandibular nerve is a branch of the trigeminal nerve (CN V), and the mandibular nerve exits the skull through the foramen ovale.Gray's Anatomy for Students, 2nd edition (2010), Drake Vogel and Mitchell, Elseview These roots encircle the middle meningeal artery (a branch of the mandibular part of the maxillary artery, which is in turn a terminal branch of the external carotid artery). The roots encompass the middle meningeal artery then converge to form a single nerve. Course The auriculotemporal nerve passes between the neck of the mandible and the sphenomandibular ligament. It gives off parotid branches and then turns superiorly, posterior to its head and moving anteriorly, giv ...
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Pterygopalatine Ganglion
The pterygopalatine ganglion (aka Meckel's ganglion, nasal ganglion, or sphenopalatine ganglion) is a parasympathetic ganglion found in the pterygopalatine fossa. It is largely innervated by the greater petrosal nerve (a branch of the facial nerve); and its postsinaptic axons project to the lacrimal glands and nasal mucosa. The flow of blood to the nasal mucosa, in particular the venous plexus of the conchae, is regulated by the pterygopalatine ganglion and heats or cools the air in the nose. It is one of four parasympathetic ganglia of the head and neck, the others being the submandibular ganglion, otic ganglion, and ciliary ganglion. Structure The pterygopalatine ganglion (of Meckel), the largest of the parasympathetic ganglia associated with the branches of the maxillary nerve, is deeply placed in the pterygopalatine fossa, close to the sphenopalatine foramen. It is triangular or heart-shaped, of a reddish-gray color, and is situated just below the maxillary nerve as it cr ...
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Pterygoid Processes Of The Sphenoid
The pterygoid processes of the sphenoid (from Greek ''pteryx'', ''pterygos'', "wing"), one on either side, descend perpendicularly from the regions where the body and the greater wings of the sphenoid bone unite. Each process consists of a medial pterygoid plate and a lateral pterygoid plate, the latter of which serve as the origins of the medial and lateral pterygoid muscles. The medial pterygoid, along with the masseter allows the jaw to move in a vertical direction as it contracts and relaxes. The lateral pterygoid allows the jaw to move in a horizontal direction during mastication (chewing). Fracture of either plate are used in clinical medicine to distinguish the Le Fort fracture classification for high impact injuries to the sphenoid and maxillary bones. The superior portion of the pterygoid processes are fused anteriorly; a vertical groove, the pterygopalatine fossa, descends on the front of the line of fusion. The plates are separated below by an angular cleft, the pt ...
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Pterygopalatine Fossa
In human anatomy, the pterygopalatine fossa (sphenopalatine fossa) is a fossa in the skull. A human skull contains two pterygopalatine fossae—one on the left side, and another on the right side. Each fossa is a cone-shaped paired depression deep to the infratemporal fossa and posterior to the maxilla on each side of the skull, located between the pterygoid process and the maxillary tuberosity close to the apex of the orbit. It is the indented area medial to the pterygomaxillary fissure leading into the sphenopalatine foramen. It communicates with the nasal and oral cavities, infratemporal fossa, orbit, pharynx, and middle cranial fossa through eight foramina. Structure Boundaries It has the following boundaries: * ''anterior'': superomedial part of the infratemporal surface of maxilla * ''posterior'': root of the pterygoid process and adjoining anterior surface of the greater wing of sphenoid bone * ''medial'': perpendicular plate of the palatine bone and its orbital and sph ...
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Lateral Pterygoid Muscle
The lateral pterygoid muscle (or external pterygoid muscle) is a muscle of mastication. It has two heads. It lies superior to the medial pterygoid muscle. It is supplied by pterygoid branches of the maxillary artery, and the lateral pterygoid nerve (from the mandibular nerve, CN V3). It depresses and protrudes the mandible. When each muscle works independently, they can move the mandible side to side. Structure The lateral pterygoid muscle has an upper head and a lower head. * The upper head originates on the infratemporal surface and infratemporal crest of the greater wing of the sphenoid bone. It inserts onto the articular disc and fibrous capsule of the temporomandibular joint. * The lower head originates on the lateral surface of the lateral pterygoid plate. It inserts onto the pterygoid fovea at the neck of the condyloid process of the mandible. It lies superior to the medial pterygoid muscle. Blood supply The lateral pterygoid muscle is supplied by pterygoid branch ...
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Sphenomandibular Ligament
The sphenomandibular ligament (internal lateral ligament) is one of the three ligaments of the temporomandibular joint. It is situated medially to - and generally separate from - the articular capsule of the joint. Superiorly, it is attached to the spine of the sphenoid bone; inferiorly, it is attached to the lingula of mandible. The SML acts to limit inferior-ward movement of the mandible. The SML is derived from Meckel's cartilage. Anatomy The SML is a flat, thin band. It widens/broadens inferiorlybefore as it reaches its inferior attachment, measuring about 12 mm in width on average at the point of its inferior attachment. Attachments Superiorly, the SML is attached to the spine of the sphenoid bone (spina angularis. Inferiorly, it is attached at to lingula of mandible (which occurs just proximally to the mandibular foramen). Anatomical relations The lateral pterygoid muscle, auriculotemporal nerve, and the maxillary artery and maxillary vein are situated laterally to ...
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Ramus Of The Mandible
In anatomy, the mandible, lower jaw or jawbone is the largest, strongest and lowest bone in the human facial skeleton. It forms the lower jaw and holds the lower teeth in place. The mandible sits beneath the maxilla. It is the only movable bone of the skull (discounting the ossicles of the middle ear). It is connected to the temporal bones by the temporomandibular joints. The bone is formed in the fetus from a fusion of the left and right mandibular prominences, and the point where these sides join, the mandibular symphysis, is still visible as a faint ridge in the midline. Like other symphyses in the body, this is a midline articulation where the bones are joined by fibrocartilage, but this articulation fuses together in early childhood.Illustrated Anatomy of the Head and Neck, Fehrenbach and Herring, Elsevier, 2012, p. 59 The word "mandible" derives from the Latin word ''mandibula'', "jawbone" (literally "one used for chewing"), from '' mandere'' "to chew" and ''-bula'' (i ...
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