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Temporal Fossa: DR V.O Ukwenya

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TEMPORAL FOSSA

DR V.O UKWENYA
• The space bounded by the temporal
lines, the zygomatic arch, and the
frontal process of the zygomatic bone
is the temporal fossa.
• It is a shallow depression on the side
of the head.
Boundaries
• Anterior: Posterior surface of the
frontal process of the zygomatic bone
and the posterior surface of the
zygomatic process of the frontal bone.
(Frontal and Zygomatic bone)
• Lateral: Zygomatic arch
• Medial: frontal, parietal, temporal,
sphenoidal, occipital bones.
• Superior: superior and inferior
temporal lines
• Inferior : infratemporal crest
• Roof : temporal fascia
CONTENTS
• Temporalis muscle
• Deep temporal arteries
• Deep temporal nerves
• Superficial temporal artery
• Auriculotemporal nerve
Infratemporal Fossa
 It is an irregular space deep and
inferior to the zygomatic arch, deep to
the ramus of the mandible, and
posterior to the maxilla.
 It communicates with the temporal
fossa deep to the zygomatic arch and
the pterygopalatine fossa through the
pterygomaxillary fissure.
• The infratemporal fossa has
 a roof, and
 lateral and medial walls,
 and is open to the neck
posteroinferiorly, i.e. the fossa has no
anatomical floor
The Roof
The roof is formed by the
 infratemporal surfaces of the temporal
bone and
 of the greater wing of the sphenoid.
 it contains the foramena ovale and
spinosum and the petrotympanic
fissure.
 it is open superiorly to the temporal
fossa
Medial wall
The medial wall is formed
 anteriorly by the lateral pterygoid plate of the
pterygoid process of the sphenoid
 postero-medially by the pharynx and tensor and
levator veli palatini.
 It contains the pterygomaxillary fissure across
which structures pass between the infratemporal
and pterygopalatine fossae (Fig. 31.1).
Lateral Wall
The lateral wall is formed by the medial
surface of the ramus of the mandible.
Contents
 lateral and medial pterygoid muscles,
 the mandibular division of the
trigeminal nerve,
 the chorda tympani branch of the
facial nerve,
 the otic parasympathetic ganglion,
 the maxillary artery and
 the pterygoid venous plexus
The Pterygoid Muscles
The pterygoid muscles are muscles of
mastication. They arise from the two
sides of the lateral pterygoid plate and
insert onto the mandible
The deeper and larger medial pterygoid
muscle courses from the medial side of
the plate to the angle of the mandible. It
acts to pull the mandible up and
forward during chewing.
• The lateral pterygoid courses from the
lateral side of the plate to the condylar
process of the mandible. It has two
heads. The larger oblique head acts
much as the medial pterygoid muscle.
The smaller horizontal head pulls the
mandibular condyle forward during
jaw opening.
The maxillary artery
 This is the main arterial supply to the
infratemporal fossa.
  This is the largest terminal branch of
the external carotid artery
 It arises just posterior to the neck of
the mandible in the substance of the
parotid gland and courses through the
fossa to end in the pterygomaxillary
fissure. 
 It usually lies lateral (superficially to the
lateral pterygoid muscle, but it can sometimes
lie on the deep side of the muscles
 Its branches are:
i) The middle meningeal artery,
ii) The inferior alveolar artery
iii) deep temporal artery
iv) buccal artery
v) sphenopalatine artery.
Pterygoid Plexus
 Veins corresponding to the branches of the
maxillary artery form a plexus on the lateral
and medial surfaces of the lateral pterygoid
muscle called the pterygoid plexus . The
pterygoid plexus has anumber of connections.
 The pterygoid plexus communicates directly
with the internal jugular venous system, via
the retromandibular vein,
 it also with the facial vein, via a deep facial
vein,

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