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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 t ...
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Human 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' ...
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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 late ...
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Inferior Alveolar Artery
The inferior alveolar artery (inferior dental artery) is an artery of the face. It is a branch of the first portion of the maxillary artery. Structure It descends with the inferior alveolar nerve to the mandibular foramen on the medial surface of the ramus of the mandible. It runs along the mandibular canal in the substance of the bone, accompanied by the nerve, and opposite the first premolar tooth divides into two branches, incisor and mental. Incisor branch The ''incisor branch'' is continued forward beneath the incisor teeth as far as the middle line, where it anastomoses with the artery of the opposite side The inferior alveolar artery and its incisor branch during their course through the substance of the bone give off a few twigs which are lost in the cancellous tissue, and a series of branches which correspond in number to the roots of the teeth: these enter the minute apertures at the extremities of the roots, and supply the pulp of the teeth. Mental branch The '' ...
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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 anterio ...
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Medial Pterygoid Muscle
The medial pterygoid muscle (or internal pterygoid muscle), is a thick, quadrilateral muscle of the face. It is supplied by the mandibular branch of the trigeminal nerve (V). It is important in mastication (chewing). Structure The medial pterygoid muscle consists of two heads. The bulk of the muscle arises as a deep head from just above the medial surface of the lateral pterygoid plate. The smaller, superficial head originates from the maxillary tuberosity and the pyramidal process of the palatine bone. Its fibers pass downward, lateral, and posterior, and are inserted, by a strong tendinous lamina, into the lower and back part of the medial surface of the ramus and angle of the mandible, as high as the mandibular foramen. The insertion joins the masseter muscle to form a common tendinous sling which allows the medial pterygoid and masseter to be powerful elevators of the jaw. Nerve supply The medial pterygoid muscle is supplied by the medial pterygoid nerve, a branch of t ...
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Chorda Tympani Nerve
The chorda tympani is a branch of the facial nerve that originates from the taste buds in the front of the tongue, runs through the middle ear, and carries taste messages to the brain. It joins the facial nerve (cranial nerve VII) inside the facial canal, at the level where the facial nerve exits the skull via the stylomastoid foramen, but exits through the petrotympanic fissure and descends in the infratemporal fossa. The chorda tympani is part of one of three cranial nerves that are involved in taste. The taste system involves a complicated feedback loop, with each nerve acting to inhibit the signals of other nerves. Structure The chorda tympani exits the cranial cavity through the internal acoustic meatus along with the facial nerve, then it travels through the middle ear, where it runs from posterior to anterior across the tympanic membrane. It passes between the malleus and the incus, on the medial surface of the neck of the malleus. The nerve continues through the pet ...
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Condyle Of Mandible
The condyloid process or condylar process is the process on the human and other mammalian species' mandibles that ends in a condyle, the mandibular condyle. It is thicker than the coronoid process of the mandible and consists of two portions: the condyle and the constricted portion which supports it, the neck. Condyle The most superior part of the mandible, the condyle presents an articular surface for articulation with the articular disk of the temporomandibular joint; it is convex from before backward and from side to side, and extends farther on the posterior than on the anterior surface. Its long axis is directed medialward and slightly backward, and if prolonged to the middle line will meet that of the opposite condyle near the anterior margin of the foramen magnum. At the lateral extremity of the condyle is a small tubercle for the attachment of the temporomandibular ligament. The articular surface of the condyle is covered by fibrous tissue, and interfaces with an articu ...
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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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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, give ...
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Spine Of Sphenoid Bone
The sphenoidal spine (Latin: "''spina angularis''") is a downwardly directed process at the apex of the great wings of the sphenoid bone that serves as the origin of the sphenomandibular ligament. Additional images File:Spine of sphenoid bone.png, Base of skull The base of skull, also known as the cranial base or the cranial floor, is the most inferior area of the skull. It is composed of the endocranium and the lower parts of the calvaria. Structure Structures found at the base of the skull are for .... Inferior surface. Spine of sphenoid bone marked with black circle References External links * - "Schematic view of key landmarks of the infratemporal fossa." * Bones of the head and neck {{musculoskeletal-stub ...
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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 branc ...
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Sphenoid Bone
The sphenoid bone is an unpaired bone of the neurocranium. It is situated in the middle of the skull towards the front, in front of the basilar part of the occipital bone. The sphenoid bone is one of the seven bones that articulate to form the orbit. Its shape somewhat resembles that of a butterfly or bat with its wings extended. Structure It is divided into the following parts: * a median portion, known as the body of sphenoid bone, containing the sella turcica, which houses the pituitary gland as well as the paired paranasal sinuses, the sphenoidal sinuses * two greater wings on the lateral side of the body and two lesser wings from the anterior side. * Pterygoid processes of the sphenoides, directed downwards from the junction of the body and the greater wings. Two sphenoidal conchae are situated at the anterior and inferior part of the body. Intrinsic ligaments of the sphenoid The more important of these are: * the pterygospinous, stretching between the spina angu ...
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