Sunday, 20-May-2012 02:01:24 EDT

Re: Temporal Fossa, Temporomandibular Joint, and Infratemporal Fossa

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Posted by lae2 on October 20, 2011 at 22:07:17:

In Reply to: Re: Temporal Fossa, Temporomandibular Joint, and Infratemporal Fossa posted by CB on October 08, 2011 at 15:43:18:

:
: : 1. The lesser superficial petrosal nerve is part of a somatic plexus whereas the buccal nerve is part of an autonomic trunk. False- LSPN is pre-ganglionic parasympathetics. Autonomic.
Agree.

: : 2. The masseteric nerve passes through the mandibular notch. True.
Agree.

: : 3. The posterior superior alveolar nerve branches from the maxillary nerve within the pterygopalatine fossa and enters the infratemporal fossa through the pterygomaxillary fissure. True. The artery does NOT do this.
Agree.

: : 4. The buccal nerve passes the lateral aspect of the masseter muscle. False- this would be the buccal branch of the VII.
Agree.

: : 5. The chorda tympani joins onto the inferior alveolar nerve before distributing to the anterior 2/3 of the tongue. False. Try lingual.
Agree.

: : 6. Postganglionic fibers from the otic ganglion join onto; first the chorda tympani, and then the lingual nerve. False- auriculotemporal then facial according to lecture.
Agree.

: : 7. A lesion of the chorda tympani within the infratemporal fossa is expected to decrease sensitivity of touch to the posterior 1/3 of the tongue as well as decrease lacrimation. False. (Posterior 2/3 would be glossopharyngeal, lacrimation is GSPN).
Agree. Posterior 1/3.

: : 8. A lesion of the lingual nerve within the floor of the mouth is expected to disrupt both taste and touch to the anterior 2/3 of the tongue. True- as it is carrying SVA and GSA at this location.
Agree.

: : 9. The mouth is apt to be stuck open if the condyle of the mandible slips forward to the articular tubercle. True- masseter acts as a depressor (jaw opener).
Agree.

: : 10. The left body of the mandible is one on the most commonly broken bones in males. True.
Agree.

: : 11. The inferior alveolar nerve contributes to the inferior dental plexus and then continues onto the face as the mental nerve. True- all GSA.
Agree.

: : 12. The nerve to the mylohyoid conveys GSE fibers to the mylohyoid muscle and SVE fibers to the anterior belly of the digastric. False- SVE to both.
Agree.

: : 13. The buccal nerve conveys SVE and GSA fibers to the buccinator muscle. False- only GSA.
Agree.

: : 14. The inferior alveolar nerve encircles the middle meningeal artery. False- auriculotemporal.
Agree.

: : 15. The posterior superior alveolar artery does not enter the pterygopalatine fossa despite that the nerve of the same name is within this fossa. True. The nerve is off V2.
Agree.

: : 16. The medial pterygoid muscle arises from the medial pterygoid plate whereas the lateral pterygoid muscle arises from the lateral pterygoid plate. False.
Agree.

: : 17. The hamulus is an inferior extension of the lateral pterygoid plate. False- medial plate- gives rise to pterygomandibular raphe. (lecture #1)
Agree.

: : 18. The maxillary artery passes from the infratemporal fossa to the pterygopalatine fossa whereas the maxillary nerve does not enter the infratemporal fossa. True- it divides within the PPF.
Agree.

: : 19. The lingula of the mandible is a site of attachment for the pterygomandibular raphe. False- attaches to mylohyoid line
Agree.

: : 20. The hamulus of the medial pterygoid plate is a site of attachment for the sphenomandibular ligament. False- arises from the spine of sphenoid.
Agree.

: : 21. The groove for the mylohyoid nerve proceeds inferior and anterior from the mandibular foramen. True
Agree.

: : 22. A lesion of the lesser superficial petrosal nerve is expected to cause ipsilateral salivatory deficits. True- parotid gland will lose parasympathetics.
Agree.

: : 23. A lesion of the lingual nerve at the foramen ovale is expected to disrupt touch (GSA) but not taste (SVA) to the anterior 2/3 of the tongue. True.
Agree.

: : 24. A lesion of the auriculotemporal nerve just medial to the neck of the mandible is expected to cause a salivatory deficit. True- it is carrying GVE to the parotid gland (post-ganglionics at this point)
Agree.

: : 25. The sympathetic root of the otic ganglion is derived from the external carotid plexus (middle meningeal plexus). True.
Agree.





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