Pterygomaxillary fissure | |
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Details | |
Identifiers | |
Latin | fissura pterygomaxillaris |
TA98 | A02.1.00.026 |
TA2 | 430 |
FMA | 76627 |
Anatomical terminology |
The pterygomaxillary fissure is a fissure of the human skull. It is vertical, and descends at right angles from the medial end of the inferior orbital fissure. It is a triangular interval, formed by the divergence of the maxilla from the pterygoid process of the sphenoid.
It connects the infratemporal with the pterygopalatine fossa, and transmits the terminal part of the maxillary artery. The posterior superior alveolar nerve of the maxillary nerve goes from the pterygopalatine fossa to the infratemporal region via this fissure. The pterygopalatine plates are separated laterally from the posterior surface of the body of the maxilla by the pterygomaxillary fissure.
In older texts, the pterygomaxillary fissure is sometimes called the pterygopalatine fissure.
The maxilla in vertebrates is the upper fixed bone of the jaw formed from the fusion of two maxillary bones. In humans, the upper jaw includes the hard palate in the front of the mouth. The two maxillary bones are fused at the intermaxillary suture, forming the anterior nasal spine. This is similar to the mandible, which is also a fusion of two mandibular bones at the mandibular symphysis. The mandible is the movable part of the jaw.
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.
In anatomy, the palatine bones are two irregular bones of the facial skeleton in many animal species, located above the uvula in the throat. Together with the maxillae, they comprise the hard palate.
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.
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.
The pyramid-shaped maxillary sinus is the largest of the paranasal sinuses, located in the maxilla. It drains into the middle meatus of the nose through the semilunar hiatus. It is located to the side of the nasal cavity, and below the orbit.
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.
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.
The pterygoid processes of the sphenoid, one on either side, descend perpendicularly from the regions where the body and the greater wings of the sphenoid bone unite.
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.
The inferior orbital fissure is formed by the sphenoid bone and the maxilla. It is located posteriorly along the boundary of the floor and lateral wall of the orbit. It transmits a number of structures, including:
The maxillary artery supplies deep structures of the face. It branches from the external carotid artery just deep to the neck of the mandible.
The sphenopalatine foramen is a fissure of the skull that connects the nasal cavity and the pterygopalatine fossa. It gives passage to the sphenopalatine artery, nasopalatine nerve, and the superior nasal nerve.
The posterior superior alveolar artery is a branch of the maxillary artery. It is one of two or three superior alveolar arteries. It provides arterial suply to the molar and premolar teeth, maxillary sinus and adjacent bone, and the gingiva.
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.
The posterior superior alveolar nerves arise from the trunk of the maxillary nerve just before it enters the infraorbital groove; they are generally two in number, but sometimes arise by a single trunk.
The orbital process of the palatine bone is placed on a higher level than the sphenoidal, and is directed upward and lateralward from the front of the vertical part, to which it is connected by a constricted neck. It presents five surfaces, which enclose an air cell. Of these surfaces, three are articular and two non-articular.
The perpendicular plate of palatine bone is the vertical part of the palatine bone, and is thin, of an oblong form, and presents two surfaces and four borders.
The infraorbital nerve is a branch of the maxillary nerve. It arises in the pterygopalatine fossa. It passes through the inferior orbital fissure to enter the orbit. It travels through the orbit, then enters and traverses the infraorbital canal, exiting the canal at the infraorbital foramen to reach the face. It provides sensory innervation to the skin and mucous membranes around the middle of the face.
The greater palatine canal is a passage in the skull that transmits the descending palatine artery, vein, and greater and lesser palatine nerves between the pterygopalatine fossa and the oral cavity.
This article incorporates text in the public domain from page 185 of the 20th edition of Gray's Anatomy (1918)