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Maxillary Artery
The maxillary artery (eg, internal 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 Human mandible, 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 Human mandible, mandibular, Pterygoid processes of the sphenoid, pterygoid, and pterygopalatine ganglion, 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 ...
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External Carotid Artery
The external carotid artery is the major artery of the head and upper neck. It arises from the common carotid artery. It terminates by splitting into the superficial temporal and maxillary artery within the parotid gland. Structure Origin The external carotid artery arises from the common carotid artery just inferior to the upper border of the thyroid cartilage. At its origin, this artery is closer to the skin and more medial than the internal carotid, and is situated within the carotid triangle. Course and fate It curves to pass anterosuperiorly before inclining posterior-ward to reach the space posterior 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. Relations At the origin, external carotid artery is more medial than internal carotid artery. When external carotid artery ascends the ...
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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. It and passes posterior-ward between the sphenomandibular ligament and the neck of the mandible to enter the parotid gland where unites with the superficial temporal vein to form the retromandibular vein The retromandibular vein (temporomaxillary vein, posterior facial vein) is a major vein of the face. It is formed within the parotid gland by the confluence of the maxillary vein, and superficial temporal vein. It descends in the gland and split ... ( posterior facial vein). Structure Development The maxillary vein may be the embryological origin of the central retinal vein. Additional images File:Head ap anatomy.jpg, Head anatomy anterior view References {{Authority control Veins of the head and neck ...
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Deep Auricular Artery
The deep auricular artery is a branch of the maxillary artery. The deep auricular artery pierces the external acoustic meatus. It provides arterial supply to the skin of the external acoustic meatus, and contributes arterial supply to the tympanic membrane, and (via a branch) the temporomandibular joint. Anatomy Origin It is a branch of the (mandibular part of) the maxillary artery. It often arises in common with the anterior tympanic artery. Course It ascends in the substance of the parotid gland, behind the temporomandibular articulation, and pierces the cartilaginous or bony wall of the external acoustic meatus to course between the cartilage and bone. Distribution It 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 joint, synovial articulation between the ...
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Inferior Alveolar Nerve
The inferior alveolar nerve (IAN) (also the inferior dental nerve) is a sensory branch of the mandibular nerve (CN V3) (which is itself the third branch of the trigeminal nerve (CN V)). The nerve provides sensory innervation to the lower/mandibular teeth and their corresponding gingiva as well as a small area of the face (via its mental nerve). Structure Origin The inferior alveolar nerve arises from the mandibular nerve. Course After branching from the mandibular nerve, the inferior alveolar nerve passes posterior to the lateral pterygoid muscle. It issues a branch (the mylohyoid nerve) before entering the mandibular foramen to come to pass in the mandibular canal within the mandible. Passing through the canal, it issues sensory branches for the molar and second premolar teeth; the branches first form the inferior dental plexus which then gives off small gingival and dental nerves to these teeth themselves. The nerve terminates distally/anteriorly (near the second ...
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Auriculotemporal Nerve
The auriculotemporal nerve is a sensory branch of the mandibular nerve (CN V3) that runs with the superficial temporal artery and vein, and provides sensory innervation to parts of the external ear, scalp, and temporomandibular joint. The nerve also conveys post-ganglionic parasympathetic fibres from the otic ganglion to the parotid gland. Structure Origin The auriculotemporal nerve arises from the posterior division of the mandibular nerve (CN V3) (which is itself a branch of the trigeminal nerve (CN V)). It arises by two roots that circle around either side of the middle meningeal artery before uniting to form a single nerve. Course Roots of the auriculotemporal nerve circle around both sides of the middle meningeal artery before uniting to form a single nerve. The nerve passes deep to the neck of the mandible - between it and the sphenomandibular ligament - and then courses deep to the lateral pterygoid muscle. It issues parotid branches and then turns superiorly, ...
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Pterygopalatine Ganglion
The pterygopalatine ganglion (aka Meckel's ganglion, nasal ganglion, or sphenopalatine ganglion) is a parasympathetic ganglion in the pterygopalatine fossa. It is one of four parasympathetic ganglia of the head and neck, (the others being the submandibular, otic, and ciliary ganglion). It is innervated by the Vidian nerve (formed by the greater superficial petrosal nerve branch of the facial nerve and deep petrosal nerve) and maxillary division of the trigeminal nerve. Its postsynaptic 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. 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 ...
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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, th ...
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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 an ...
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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 b ...
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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 tough,'flat, thin band. It broadens inferiorly, measuring about 12 mm in width on average at the point of its inferior attachment. It is derived from the perichondrium of Meckel's cartilage. Attachments Superiorly, the SML is attached to the spine of the sphenoid bone (spina angularis by a narrow attachment. Inferiorly, it is attached at to lingula of mandible and the inferior margin of the mandibular foramen. Anatomical relations The lateral pterygoid muscle, auriculotemporal nerve, and the maxillary artery and m ...
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Ramus Of The Mandible
In jawed vertebrates, the mandible (from the Latin ''mandibula'', 'for chewing'), lower jaw, or jawbone is a bone that makes up the lowerand typically more mobilecomponent of the mouth (the upper jaw being known as the maxilla). The jawbone is the skull's only movable, posable bone, sharing joints with the cranium's temporal bones. The mandible hosts the lower teeth (their depth delineated by the alveolar process). Many muscles attach to the bone, which also hosts nerves (some connecting to the teeth) and blood vessels. Amongst other functions, the jawbone is essential for chewing food. Owing to the Neolithic advent of agriculture (), human jaws evolved to be smaller. Although it is the strongest bone of the facial skeleton, the mandible tends to deform in old age; it is also subject to fracturing. Surgery allows for the removal of jawbone fragments (or its entirety) as well as regenerative methods. Additionally, the bone is of great forensic significance. Structure ...
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Parotid Gland
The parotid gland is a major salivary gland in many animals. In humans, the two parotid glands are present on either side of the mouth and in front of both ears. They are the largest of the salivary glands. Each parotid is wrapped around the mandibular ramus, and secretes serous saliva through the parotid duct into the mouth, to facilitate mastication and swallowing and to begin the digestion of starches. There are also two other types of salivary glands; they are submandibular and sublingual glands. Sometimes accessory parotid glands are found close to the main parotid glands. The venom glands of snakes are a modification of the parotid salivary glands. Etymology The word ''parotid'' literally means "beside the ear". From Greek παρωτίς (stem παρωτιδ-) : (gland) behind the ear < παρά - pará : in front, and οὖς - ous (stem ὠτ-, ōt-) : ear.


Structure

The parotid glands are a pair of mainly
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