Found 903118732 4683
Found 903118732 4683
Found 903118732 4683
bone and antero-medial to the sphenoidal spine. It transmits the meningeal branch of the
mandibular division of the trigeminal nerve and the middle meningeal vessels. Anterior and
medial to the foramen ovale is the sphenoidal emissary foramen (of Vesalius). Both the
sphenoidal emissary foramen and foramen spinosum link the middle cranial fossa and the
infratemporal fossa (see below). The sphenoidal emissary foramen is often absent but, when
present, it transmits an emissary vein from the cavernous sinus to the pterygoid plexus.
Infratemporal Fossae
The infratemporal fossa is the space located deep to the ramus of the mandible.
The fossa is bounded anteriorly by the posterior surface of the maxilla and posteriorly by the
styloid apparatus, carotid sheath and deep part of the parotid gland. Medially, the lateral pterygoid
plate and the superior constrictor muscle of the pharynx can be found. Laterally lies the ramus of
the mandible. The roof is formed by the infratemporal surface of the greater wing of the sphenoid.
The infratemporal fossa has no anatomical floor; it is continuous with tissue spaces in the neck.
The infratemporal fossa communicates with the temporal fossa, deep to the zygomatic arch, and
communicates with the pterygopalatine fossa through the pterygomaxillary fissure. At the base of
the cranium, the foramen ovale and foramen spinosum enter the fossa through the sphenoid
bone. The foramen lacerum and the petrotympanic, squamotympanic and petrosquamous
fissures are also found close to the infratemporal fossa. On the medial surface of the ramus of the
mandible is the mandibular foramen.
The key to understanding the relationships of structures within the infratemporal fossa is the
lateral pterygoid muscle. This lies in the roof of the fossa, running antero-posteriorly in a
horizontal plane from the region of the pterygoid plates to the mandibular condyle. It consists of
two heads, an upper head and a lower head. Deep to the muscle arise the branches of the
mandibular nerve and the main origin of the medial pterygoid muscle. Superficially lies the
maxillary artery. The buccal branch of the mandibular nerve passes between the two heads of the
lateral pterygoid muscle. The medial pterygoid muscle and the lingual and inferior alveolar nerves
emerge below the inferior border of the lateral pterygoid muscle. The deep temporal nerves
emerge from the superior border of the lateral pterygoid muscle. At the upper border emerge the
deep temporal nerves and vessels. Concentrated around and within the lateral pterygoid muscle
lies a venous network, the pterygoid venous plexus.
The cranial cavity is the interior of the skull that accommodates the brain and associated
structures. Many of the contents are located near the floor of the cranial cavity, and this region
can be divided into three distinct fossae; the anterior, middle and posterior cranial fossae. The
fossae have a marked step-like appearance, such that the floor of the anterior cranial fossa is at
the highest level and the floor of the posterior cranial fossa is lowest.
The middle cranial fossa consists of a central part formed by the body of the sphenoid bone and
the right and left lateral parts are each formed by the greater wings of the sphenoid bone and the
squamous and petrous parts of the temporal bones. The central part is occupied mainly by the
pituitary gland. The lateral parts contain the temporal lobes of the cerebral hemispheres of the
brain.