Infratemporal fossa

Last updated
Infratemporal fossa
Gray189.png
Left infratemporal fossa.
Details
Part of Skull
Identifiers
Latin fossa infratemporalis
MeSH D000080884
TA98 A02.1.00.024
TA2 428
FMA 75308
Anatomical terminology

The infratemporal fossa is an irregularly shaped cavity that is a part of the skull. It is situated below and medial to the zygomatic arch. It is not fully enclosed by bone in all directions. It contains superficial muscles, including the lower part of the temporalis muscle, the lateral pterygoid muscle, and the medial pterygoid muscle. It also contains important blood vessels such as the middle meningeal artery, the pterygoid plexus, and the retromandibular vein, and nerves such as the mandibular nerve (CN V3) and its branches.

Contents

Structure

Boundaries

The boundaries of the infratemporal fossa occur:

Contents

Muscles

Arteries

Infratemporal fossa Basilar process and palatine process.jpg
Infratemporal fossa

The infratemporal fossa contains the maxillary artery (originating from the external carotid artery). [1] It also contains some of its branches, including the:

Veins

The infratemporal fossa contains the pterygoid plexus, [1] and the retromandibular vein.

Nerves

The infratemporal fossa contains the mandibular nerve, the inferior alveolar nerve, the lingual nerve, the buccal nerve, the chorda tympani nerve, and the otic ganglion. [2]

Mandibular nerve

The mandibular nerve, the third branch of the trigeminal nerve (CN V3), also known as the "inferior maxillary nerve", enters infratemporal fossa from the middle cranial fossa through the foramen ovale of the sphenoid bone. [3]

The mandibular nerve gives off four nerves to the four muscles of mastication in the infratemporal fossa. These are the masseteric nerve to masseter muscle, the deep temporal nerve to temporalis muscle, the lateral pterygoid nerve to lateral pterygoid muscle, and the medial pterygoid nerve to medial pterygoid muscle. It also gives branches to mylohyoid muscle, the anterior belly of digastric muscle, the tensor veli palatini muscle, and tensor tympani muscle.

The mandibular nerve also gives off many sensory branches, including:

Communications

The infratemporal fossa is connected to other spaces in the skull. It is connected to the middle cranial fossa by the foramen ovale and the foramen spinosum. It is connected to the temporal fossa, which lies deep to zygomatic arch. It is connected to the pterygopalatine fossa through the pterygomaxillary fissure. It is connected to the orbit through the inferior orbital fissure. It is also connected to the parapharyngeal space. The inferior orbital fissure and the pterygomaxillary fissure form a T shape together.

Clinical significance

Certain neoplasms can spread into the infratemporal fossa. [4] [5] This can be surgically removed through the middle cranial fossa. [4] The infratemporal fossa can also be used to approach other parts of the skull. [6] The infratemporal fossa can be imaged using a CT scan. [5]

Additional images

Related Research Articles

<span class="mw-page-title-main">Temporomandibular joint</span> Joints connecting the jawbone to the skull

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 its name is derived. This joint is unique in that it is a bilateral joint that functions as one unit. Since the TMJ is connected to the mandible, the right and left joints must function together and therefore are not independent of each other.

Articles related to anatomy include:

<span class="mw-page-title-main">Zygomatic bone</span> Facial bone

In the human skull, the zygomatic bone, also called cheekbone or malar bone, is a paired irregular bone which articulates with the maxilla, the temporal bone, the sphenoid bone and the frontal bone. It is situated at the upper and lateral part of the face and forms the prominence of the cheek, part of the lateral wall and floor of the orbit, and parts of the temporal fossa and the infratemporal fossa. It presents a malar and a temporal surface; four processes, and four borders.

<span class="mw-page-title-main">Mandibular nerve</span> Branch of the trigeminal nerve responsible for the lower face and jaw

In neuroanatomy, the mandibular nerve (V3) is the largest of the three divisions of the trigeminal nerve, the fifth cranial nerve (CN V). Unlike the other divisions of the trigeminal nerve (ophthalmic nerve, maxillary nerve) which contain only afferent fibers, the mandibular nerve contains both afferent and efferent fibers. These nerve fibers innervate structures of the lower jaw and face, such as the tongue, lower lip, and chin. The mandibular nerve also innervates the muscles of mastication.

<span class="mw-page-title-main">Sphenoid bone</span> Bone at the front of the skull

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.

<span class="mw-page-title-main">Orbit (anatomy)</span> Cavity or socket of the skull in which the eye and its appendages are situated

In anatomy, the orbit is the cavity or socket of the skull in which the eye and its appendages are situated. "Orbit" can refer to the bony socket, or it can also be used to imply the contents. In the adult human, the volume of the orbit is 30 millilitres, of which the eye occupies 6.5 ml. The orbital contents comprise the eye, the orbital and retrobulbar fascia, extraocular muscles, cranial nerves II, III, IV, V, and VI, blood vessels, fat, the lacrimal gland with its sac and duct, the eyelids, medial and lateral palpebral ligaments, cheek ligaments, the suspensory ligament, septum, ciliary ganglion and short ciliary nerves.

<span class="mw-page-title-main">Middle meningeal artery</span> Artery supplying the meninges

The middle meningeal artery is typically the third branch of the first portion of the maxillary artery. After branching off the maxillary artery in the infratemporal fossa, it runs through the foramen spinosum to supply the dura mater and the calvaria. The middle meningeal artery is the largest of the three (paired) arteries that supply the meninges, the others being the anterior meningeal artery and the posterior meningeal artery.

<span class="mw-page-title-main">Masseter muscle</span> One of the masticatory muscles in mammals

In human anatomy, the masseter is one of the muscles of mastication. Found only in mammals, it is particularly powerful in herbivores to facilitate chewing of plant matter. The most obvious muscle of mastication is the masseter muscle, since it is the most superficial and one of the strongest.

<span class="mw-page-title-main">Medial pterygoid muscle</span> Muscle involved in chewing

The medial 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).

<span class="mw-page-title-main">Lateral pterygoid muscle</span> Muscle of mastication

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.

<span class="mw-page-title-main">Maxillary nerve</span> Branch of the trigeminal nerve responsible for the mid-face

In neuroanatomy, the maxillary nerve (V2) is one of the three branches or divisions of the trigeminal nerve, the fifth (CN V) cranial nerve. It comprises the principal functions of sensation from the maxilla, nasal cavity, sinuses, the palate and subsequently that of the mid-face, and is intermediate, both in position and size, between the ophthalmic nerve and the mandibular nerve.

<span class="mw-page-title-main">Pterygopalatine fossa</span>

In human anatomy, the pterygopalatine 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.

<span class="mw-page-title-main">Sphenomandibular ligament</span>

The sphenomandibular 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.

<span class="mw-page-title-main">Greater wing of sphenoid bone</span> Large part of the skull front behind the eye socket

The greater wing of the sphenoid bone, or alisphenoid, is a bony process of the sphenoid bone; there is one on each side, extending from the side of the body of the sphenoid and curving upward, laterally, and backward.

<span class="mw-page-title-main">Maxillary artery</span> Artery supplying face structures in humans

The maxillary artery supplies deep structures of the face. It branches from the external carotid artery just deep to the neck of the mandible.

<span class="mw-page-title-main">Squamous part of temporal bone</span> Front and upper part of the sides of the skull base

The squamous part of temporal bone, or temporal squama, forms the front and upper part of the temporal bone, and is scale-like, thin, and translucent.

<span class="mw-page-title-main">Middle cranial fossa</span>

The middle cranial fossa is formed by the sphenoid bones, and the temporal bones. It lodges the temporal lobes, and the pituitary gland. It is deeper than the anterior cranial fossa, is narrow medially and widens laterally to the sides of the skull. It is separated from the posterior fossa by the clivus and the petrous crest.

<span class="mw-page-title-main">Deep cervical fascia</span>

The deep cervical fascia lies under cover of the platysma, and invests the muscles of the neck; it also forms sheaths for the carotid vessels, and for the structures situated in front of the vertebral column. Its attachment to the hyoid bone prevents the formation of a dewlap.

<span class="mw-page-title-main">Outline of human anatomy</span> Overview of and topical guide to human anatomy

The following outline is provided as an overview of and topical guide to human anatomy:

<span class="mw-page-title-main">Mandible</span> Lower jaw bone

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. It is connected to the temporal bones by the temporomandibular joints.

References

PD-icon.svgThis article incorporates text in the public domain from page 184 of the 20th edition of Gray's Anatomy (1918)

  1. 1 2 3 4 5 6 7 Joo, Wonil; Funaki, Takeshi; Yoshioka, Fumitaka; Rhoton, Albert L. (2013). "Microsurgical anatomy of the infratemporal fossa". Clinical Anatomy . 26 (4): 455–469. doi:10.1002/ca.22202. ISSN   1098-2353. PMID   23355316. S2CID   38434579.
  2. Moore, Keith L & Dalley, Arthur (2006). Clinically oriented anatomy (5th ed.), Lippincott Williams & Wilkins.
  3. Rea, Paul (2016). "2 - Head". Essential Clinically Applied Anatomy of the Peripheral Nervous System in the Head and Neck. Academic Press. pp. 21–130. doi:10.1016/B978-0-12-803633-4.00002-8. ISBN   978-0-12-803633-4.
  4. 1 2 Kawase, Takeshi (2012). "39 - Surgery for Trigeminal Neurinomas". Schmidek and Sweet Operative Neurosurgical Techniques (6th ed.). Saunders. pp. 468–472. doi:10.1016/B978-1-4160-6839-6.10039-5. ISBN   978-1-4160-6839-6.
  5. 1 2 Guinto, Gerardo (2012). "36 - Surgical Management of Sphenoid Wing Meningiomas". Schmidek and Sweet Operative Neurosurgical Techniques (6th ed.). Saunders. pp. 435–443. doi:10.1016/B978-1-4160-6839-6.10036-X. ISBN   978-1-4160-6839-6.
  6. Fisch, Ugo (1983). "The infratemporal fossa approach for nasopharyngeal tumors". The Laryngoscope . 93 (1): 36–44. doi:10.1288/00005537-198301000-00007. ISSN   1531-4995. PMID   6185810. S2CID   12548018.