5.25 EGP} OW s 4.25 EGP] Lecture 3 _infratemporal fossa — Head & Neck>s © Ayman Adel © For Dentistry 2026 students @,0) c tk Centre © Coursatk Cen Peae SUL) seus S39 Hugh Las Ube Glos Ga) gh gy le Ana) Ma Cage ayia Se ch ee Kal oath ely 3 A Rab hey oh aga Ga SAS danas! fo ALAA WS) Aaa! dab 69 OB 0 Bedi coves Me day CaS (ade UI wv a \ 8 GS Go Gee BD Baye AE ft OBA! YL Us Ags ogds 4 Vly § Gabel! OKI) BAS yud Mag pallteea 09 6a § temporal boneJ! > temporal fossa dein Gave fe 0? ball ( fossa daa! gor! sas lgogad Her liows Merl Jy! 109 oys1d dale ft OGall goer be le zygomatic JI Cos ypsiaws J! desl 03. ( gal yay) arch infratemporal fossa temporal J) inferioress 529792 405) p Ga inferior Yo Ye infra LAE Lyssnry ges EgDyall £ 55a)! Crag’. fossa HS lee AS ais allay 09 OKA Agi $09 OBall lag la il Godaw b > Berle 9B fe A g5) SUS Las. Sao ly Borla fe eats Url. Lgl J Ange 4 Sa C25 S335 lal Yline 09 SKall b B292-94 lateral . giel> Gee b E> Bygvall GL eal sheSlp mandible Jb 41,53\ ae Blas! Ss1.. greater winguly pterygoid plate | sa» ols) .. coronoidy}! Ye tha 5539 aes Us ye Aallb (G9 doled! Woe Cod ole pgi&e | Je Us0f ge neckuly headu! Wye .. da stale egies Be CSINS condyle process \geuie van Neck: Mandibular: foramen Anglo of the. mandible fomParel faba: = WS Posy ayes above z7temcheiarsi an? tearhaes bY Hn Port nes Z « hho 9, g wa Lempnr “lp loliy “OO| Benge te erie rn eead and Neck infrateMporal Fossa ) Boundaries | 13) ech EeNeHN He Deseo) he a Deeply E masseter muscle ayy (eae of KL ¢ Laterally ramus of the mandible ry) "Aan de OAL wt Mediatty °)> the(ateral wall of the pharynx oP MPL y ont fii). Css sian aa (gsae UU hs oa gee ESM WSI9 3! Ise Oe GAS gu decd! Gatw b 09 pharynx! gate « diudyle 09 Mun" Qstrs Te BS byadoul Je dual wy Contents | »A*. we Rook = nfra rier hea — i CH Dien IND Oe * Two muscles 2: medial.and lateral pterygoids gore’ erves 3 : mandibular, mékillary and chorda tympani © Two vessels 2 - Cimaxillary arte and pterygoid plexus of veins * One ganglion) — : ofie ganglion Mees “, sin § Wilks ale Eydlee Joais ules (50 fossau! 3 o229z se C48 UI J! dagall ole bd 4) ob VA, 4 ws Bley Btoly ais Lay MS .. Cle Id Uuaall gle ebn Go Ugo ye dake Ss Gee b Jit ong, pe i eA ist ye fue > There are four muscles of masticatios t = Masseter muscle ie = Temporalis muscle sear nr cL LY * Medial pterygoid muscle oo Z D&p* Lateral pterygoid muscle 2 Mera Paid,, (PS OL! od .. muscles of mastication dau! Azle lb} § basin ., asl! peAbesi Js! PEDLAS gy! gs Obes Lan «. 5US9 plalal dere § ors’ Lisl J} Ygeliy ASI EBs Grau SAU AEE Gabry .. GA wiWly deby oars ASG .. fe alae Restinwry 5S adil Jo 593 SUS... abe isl lg cgteaiy/(N! Ady judd. _-mandibular nerve 3 pais doadil pStia La! . 85)> abil sk Kony Ose Be ae Aner @)Head and Neck Pie eu BAS) Wpsolis ye eB pa Las glgnl oe WAY bey Lp ED gan 9 Brg clad J! Aldaadt a «hagas S gyi G Ge 35? Milde yy ebay e From mS lower border and inner surface of zygomatic arch. Bygeall Gb cub 99 3 darko Gullbd Gj dle uleld J iy! eholagaus!! Ngee Into outer surface of the ramus of the mandible Agglabl> CiS 2) douisall § ade ay Sew b 09 Nerve Sipe © Masseteric Branches from(anterior division of mandibular nerve. ao Js eniilal ae (geal WS Le 5 br — bs Elevation of the mandible to occlude the teeth in mastication? Or rotraction of the mandible (superficial fibers) *: sh * Retraction of the mandible (deep fibers) @ en YS otee raat ble thee cen tg ins ima mal] effect in side to side movement. ¥~ oe “Eleven Rar sqery een Pesce sts Pees aaa Loe 4yl Jandy dbae SSS age dew b 00» de ASI Epedgall Gohia Lalita! GI .. dole Sas vpally Lbuadill 09 pK Lud Cptdkee Go... TMJ! 3e cas hae Seal Ge (59 «ast Abaall Yo 393 alike La Yortie ie Bo 83S Clady) 9) by Uplands CSI Jl USS! garb BG siauoll O! Byaid G2 Sod}. Leng Sly Clg (ule Size aud J! pterygoid muscle J} 92 wis Ste g Gab FT AS cl > 5 merceand Neck ee oral Fossa ‘ + Wye Clagheall Fy ASLD «gl Byguall G WA. BAT BryS Alyse Sea FPG? Origin’ | . fen tts =f - ¢ From the floor of temporal | fossa and the temporal fascia _ : alls ass Ble batt J! temporal fossau! 92 yobs cn)! Inse be ee ir oN @ iiss gears and |inner surface of coronoid roid process of teh Ud ole OC oars 236 it SE jpg: eke oe label lg gl sen fia ° temporal nerves from anterior division of mandibular nerve. Se ai a Bp Vy nsslall yey gael LS Le Actiol s : — NWO, gabyrror iors D ‘ Elevation ofthe’ ‘mandible and so closes the mouth Pee (? ea + fibers yrefraet the gmepailigates ithas been protruded > The muscle also contributes to side to side grinding movement . petra en of the mandible is achieved by the po: posterior fibers of temporalis. ‘Sawee protraction S54 4 Was) Se fusilall G SI les Lealal aaa! a per Os and padiror Hibs pew y as (i a) noid proces: Fe STe sie Bk cone de A from the tuberosity ool? Me PP Deep head: from the mediahsurface of lateral pterygoid plate. = =— 1 pSiann ce cbapke les osx 49 O19 pterygoidul es g 454" sygeall 3 DDG! Ans? : ago ggubelal gs fimaxilladl oe ale rb woe G9 OS GY OF cya dalle sae Bd ¢ 2 pi) dnteall 3 Bpoleall dal B Wiglla> Ge b > lateral pterygoid plate. © Superficial head: Insertion | ir ‘ face ofthe ramus 60) ASIC of He Pratl Le No SV wh ¢ 182 py Snell yoy Ugdas GE ramUse) ae Overs e in inner sur’ Nerve supp! aoe Boe = Lee = enciwntnrs Branch from thé trunk i ar nerve. 2 wwe we Action oe Action Jaa A Lip iP vA’ e Elevation of the fnasdible» Protraction of the mandible ie a york 22? Oe wen ears i } cote iterate unilateral con) action Tthas a small effect in side to side movement ° dees ZI Ca! Gb AY Se gall « Be Ailases Buoly AS > (gegiad olie Go OB eal de U9 temporomandibular joinETM Ut Mi sl infratemporal Fossa Origin) ao ~ » @ © Upper head: from the infratemporal surface of greater wing) of sphenoid and ee —~ face of greater a <@.infratemporal ) eu.pP C20 © Lower head: from the lateral surface of lateral pterygoid plate greater wing of sphenoid go > dy) 4i> gye dalle yuh IS «creel GF UE Po D352 BSA) B Ss Yade LaKS} 03 G09 lateral pterygoid plate 45W) .. dxte BEd 0992 Yale Byd Yale lS JI inte Jt a) oat ~e into the pterygoid fovea widl J 546 «+ of the mandible capsule and articular disc of temporomandibular joint : temporomandibularu! 3 44s .p 538 Sygaall 5) g> Ades! . Seas b temporomandibularJ! 1 Cody G3 Sr MI Game b 9 ‘ ihe Nerve supply | ee Brgnch from the ahterior division of the mandibular nerve, Action | fed) Be Ue «Pung e Z JEM Ue «Rueess => 4 muscles of both sides opens the mouth by pulling the bead of the mandi e anteriorly (protraction and depressiom of the mandible; A Alternate unilateral contraction produce chewing movement tbl 5b Bed Game b BGS seal! Uslalle (go ay 2,518 Ihe Be nwt Sat SinsPa ies =U =e Lt ball Be sts is ts pleall .. gay Sat 5 989 Gh CLES Aa cpa Solera eS Kay gpa fen §2 Bolen Mes tg lb a pli Oy iD any gr al OS fea al as ( USUI ftom le! PII) «pat spall J Ba la gros dole a gtd were j Y ot . f jeardtucSanh FT: Introduction Ophthaimic zone AKA Ul dy) Gryhind Sag US! § 09 Uigiall JED te Sle JI OS He gid padi Lie Nhe age Aig. dele 9 09 MEFVEU! Aotaall ya eqdjle Lo! le Gj Vg! -. a5 $ opie Ly ge. cranial nervesd! 4+ vast! E40) 43 slie J) 64S EU Sg! G9 Hprall Ge yas trigeminal aul 54S 4a 4! _ntia 02 trigeminal ws Anaad Ups Su dole uae io ls ganglia SN 4. " tri" dal Wy E81 CI onto le 5) Epa Sensi ors, ae? Ophthalmic nerve - Maxillary nerve - [Mandibular nerve pa $ et preter SENSOTY J! L>5!1 gS yJg,2dslall lel . Lad quem 8) U4] Iplro gad gay yd SENSOTY Ica Jg9 Ext Js! Osrrs Aags Alaa dle S99 OdLaal cane MOLOT he 85> 43 Gy 2252 a, senor) ve maxillaryJ} gs eKze Syl i okas Gp to! pS a or Dyas Maxillary nerve “471” ©! J la a ister Beg) yne of the three divisions of trigeminal nerve PE Itis pure sensory nerve. —— > It behind the neck of mandible, within the substance of the parotid gland & "9 Posse I re. Seyeh Woy of UMS Sines Epa aleng B18 Ulan 5) Cab. Syne PIE 4d Gly Usblle ug gh bas eu! 09 OBall .. 62 trigeminalJ! ganglia 43 J) Oba! GL Ys! .. goedgall IE 1 By adte indole 3} 09 OSall yo alls ZH 5 cavernous sinus, foramen eu! foramen J+ 42 4ey8!! Oo middle cranial fossa “palatine Fossa yeu! Ast dog 45 450 cpalygill tay Ie anh gb. rotundum Pit aloe Usl g2 sea) isle nl. pterygoidu dlane 4 515 J lgle Ea GS Vea Bl Haast fine BIS tary pale BIO cesT Su G3 Ayal Y « Waaie Sa Io Haya GO go ine ly .. yidyle 509 infratemporal fossa sue gua ly inferior orbital fissured! ue yf Leys CIE... coy OLS, DE face eller ones infraorbital canal j gine oeiag 029 OLS, fore esata 8.5 le pars 1, .. infraorbital foramen 3. Wen [bores "the miadle cvarcay fossa Petri bs arin Une Phere proding 2 errs My = Mandibylar zone Trigeminal 7 nerve2ad and Neck Clie ose eee) AMMA Je SG oyigle «Jb gale WaBl JI lanes CWI igl9 aga 1-pterigopalatine fossa > It will give: @ a * Meningeal branch : supplying dura mater ofthe middle cranial fossa. eT i Hew gwasign greet Meamnonalin sneion os eehes Ugo. dura mater of the middle cranial fossad! Gay Uolay ry 545 dau! “yo 09 Ol saall ot lal Loline agate Giw b Go. sphenopalatine gangliond! !six |g~syu-. agaul Ma aces gal aly Ege gall. Aaswslt 5 Lim 29 1 i) Led clg9 (nI IKe .. QsS uy. abilels > 2-Infratemporal fossa > It will give: _ * Zygomatic nerve): It passes through the inferior orbital fissure, it is ce iivided into zygomaticofacial and zygomaticotemporal nerves which quae goiey inferior orbital fissured! UE shaw Bygrall Gg Fe 22! OUS yu Bae Gd fd the skin of the face and the sealp respectively: J supply !s2sx Jos -. oda) Be, POst.JI4 pSy9 4690 sla) ol ly ZYZ.UI3 eh) B dpa G Gola! = jb Cures Jordy Mmrng Mr Pry. moxie frssurd po LC yer th wt jnprelen@ ome passe mnperin varBoe and Neck infrateMmporal Fos© aoe orbital fissure UG Witl pass through infraorbital canal and will give rise to: = Middle superior alveolar nerve = Anterior superior alveolar nerve = Terminal branches (palpebral, nasal, labial) 1BuS wile AS Ye digs gS Lgl... infraorbital canal + Gut Yio # dole 3! Middle superior alveolar nerve © Will supply ma xillary sinus,- upper premolar teeth - associated gums ‘ eae JlU! p Jl go gumsuls ... premolar JI Je 55 Ar eal Anterior superior alveolar nerve ° Will supply : canines and incisors of upper jaw - associated gums aes os pelg> Gl Al 029. GLISIg ablgall Go La Go ee nasal, labial) ° Will supply : ee skin of the middle area of face isi aa Te Pp 7 ede al teriord! 92 69 middled) 32 5 3) BUS Ga terminal brunchu! SN Mnemonics vs 8339 Adsl) Alas Ge ba Men Gangs Are Maximum In Southern Zone 1.men : meningeal 2. gangs : gangliar to sphenopalatine ganglion 3.maximum : maxillary —_4.in : infra-orbital 5,southern : superior alveolar=posterior, middle & anterior 6.Zone : zygomatic 4] dalinFrakemporal Fossa ‘ » Maxillary artery) OF Sy JS Jai maxillaryu) Pe By Ul ay CU ay Ins Ut. Seg; as : i Sm debt Grote ale LARS JI extemal carotlddl CUSby Oar 08 09 Sia ue sb bala al ca dd ey ala gg pale Gh Maxillary artery Course & relation > Itis divided by the lateral pterygoid muscle into three parts. » The first Part : It runs horizontally deep to the neck of the mandible, below the tendon of to the lateral pterygoid muscle. » The second part : It runs on the lateral pterygoid muscle (usually superficial to the muscle). » The third part : It passes between the two heads of lateral pterygoid muscle to reach the pterygopalatine fosse. dele oS Ly OLS». cig BS dopo dug .. Gu b 09 90 o deaitlly $ dete coursed) oF Us¥! eG lyue behind the neck of Sga!l 3 cult be gj ly 5a Isl 0 345 parotid glandJ! &>% ws mandible O09 Obl We Gaay lateral pterygoidu! dtac cpl © AlLtse 52 Aiea 5 agall .. Gale akg b aaliS L Adds .. BAS pail shel dd 05 Obl! euudiin BAS ane Gs Bygral yo neck of the mandibleW horizontally guae 65% dsl © diy lateral pterygoidub 5,2 Aw J! sz3bS° {ed Gu two heads of lateral J! ge Gow 32 oe © os ey pterygiod ~—_—muscle lgegite délaie G29 pterygopalatine fossa.J! J eS 3) GUS, skull! jt en eS aa ok © co) Gas wheal 401 9p 54 aby coursed!inFratem lee mos Poems GBS fo that witty dans Ld egy Say aia tall Jf lel Uy op SIA feat The first part “bonny branches” Deep auricular artery; it supplies the external feounls meatus > Anterior tympanic artery: supplies tympanic cavity and tympanic membrane * Middle meningeal artery: enters the cranial cavity by passing through foramen spinosum * Inferior alveolar artery: passes through mandibular foramen of the mandible, It follows the course and distribution of the inferior alveolar nerve. * Accessory meningeal artery: enters the cranial cavity by passing through foramen ovate vine 2b Boar» 5:55 ple Guide phalle idtae am bonny esl ge 5551 ya 9 4) LU gkD Gey AS88 ONs . SKUTU! Yt lal AS109 ADU gine Lil doy Wyden. Aas Ante 6 2 4 LSS 433 vis allay Jouty Gbasly (wl tll Aamacnll § 515 a} (55 py foramen 45 DAMIA (358 taa.> mnemonicu! ai (Gans WS Cleat Sy 50 450 shel CA 509 Ud Ga Spe External carotidIELTS infratern The second part “muscular branches” © Masseteric branches to the masseter muscle, * Deep temporal branches to the temporalis muscle © Pterygoid branches to the pterygoid muscles yi” © Buccal branch to the buccinator muscle, ~ sete Odaal) yl LAs,» Ugo oY F 4. mnemonic Go relent Lisa Slory (Sos! clot fy go Pa BAOS asl Alger BU dlyae aul daly Sp (gle afl Lin! i cal the third part © Greater palatine artery Artery of pterygoid canal © Pharyngeal branch © Posterior superior alveolar artery ¢ Spheno-palatine artery e infraorbital artery pgbbes See BS ole . PUI > 48 Loyd eed Joly ol Las 5! Aida} mnemonic 4J 09 a ISL loge Llp tela 34 Je aur ghien® tis 09 Luss 5*P Masseteric artery Deep temporal arteries Pharyngeal artery — Artery of pterygoid canal Accessory middle meningeal arcer Sphenopalatine arte Middle meningeal artery »phenopal ry Deep auricular artery Posterior superior alveolar artery Anterior tympanic artery Gas eee Lesser palatine arteries Inferior alveolar artery. Ps ee Buccal artery Lingual branch — Incisive branches Mental artery