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Auriculotemporal Nerve
The auriculotemporal nerve is a sensory branch of the mandibular nerve (CN V3) that runs with the superficial temporal artery and vein, and provides sensory innervation to parts of the external ear, scalp, and temporomandibular joint. The nerve also conveys post-ganglionic parasympathetic fibres from the otic ganglion to the parotid gland. Structure Origin The auriculotemporal nerve arises from the posterior division of the mandibular nerve (CN V3) (which is itself a branch of the trigeminal nerve (CN V)). It arises by two roots that circle around either side of the middle meningeal artery before uniting to form a single nerve. Course Roots of the auriculotemporal nerve circle around both sides of the middle meningeal artery before uniting to form a single nerve. The nerve passes deep to the neck of the mandible - between it and the sphenomandibular ligament - and then courses deep to the lateral pterygoid muscle. It issues parotid branches and then turns superiorly, ...
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Maxillary Nerve
In neuroanatomy, the maxillary nerve (V) is one of the three branches or divisions of the trigeminal nerve, the fifth (CN V) cranial nerve. It comprises the principal functions of Sense, sensation from the maxilla, nasal cavity, Sinus (anatomy), 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.Illustrated Anatomy of the Head and Neck, Fehrenbach and Herring, Elsevier, 2012, page 180 Structure It begins at the middle of the trigeminal ganglion as a flattened plexiform band then it passes through the lateral wall of the cavernous sinus. It leaves the skull through the foramen rotundum, where it becomes more cylindrical in form, and firmer in texture. After leaving foramen rotundum it gives two branches to the pterygopalatine ganglion. It then crosses the pterygopalatine fossa, inclines lateralward on the back of the maxilla, and enters the orbit through the inferior orb ...
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Lateral Pterygoid Muscle
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. Structure The lateral pterygoid muscle has an upper head and a lower head. * The upper head originates on the infratemporal surface and infratemporal crest of the greater wing of the sphenoid bone. It inserts onto the articular disc and fibrous capsule of the temporomandibular joint. * The lower head originates on the lateral surface of the lateral pterygoid plate. It inserts onto the pterygoid fovea at the neck of the condyloid process of the mandible. It lies superior to the medial pterygoid muscle. Blood supply The lateral pterygoid muscle is supplied by pterygoid b ...
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Superficial Temporal Artery
In human anatomy, the superficial temporal artery is a major artery of the head. It arises from the external carotid artery when it splits into the superficial temporal artery and maxillary artery. Its pulse can be felt above the zygomatic arch, above and in front of the tragus of the ear. Structure The superficial temporal artery is the smaller of two end branches that split superiorly from the external carotid. Based on its direction, the superficial temporal artery appears to be a continuation of the external carotid. It begins within the parotid gland, behind the neck of the mandible, and passes superficially over the posterior root of the zygomatic process of the temporal bone; about 5 cm above this process it divides into two branches: ''a. frontal'', and ''a. parietal''. Branches The parietal branch of the superficial temporal artery (posterior temporal) is a small artery in the head. It is larger than the frontal branch and curves upward and backward on the si ...
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Great Auricular Nerve
The great auricular nerve is a Cutaneous nerve, cutaneous (sensory) nerve of the head. It originates from the second and third spinal nerve, cervical (spinal) nerves (C2-C3) of the cervical plexus. It provides sensory innervation to the skin over the parotid gland and the Mastoid part of the temporal bone, mastoid process, parts of the outer ear, and to the parotid gland and its parotid fascia, fascia. Pain resulting from parotitis is caused by an impingement on the great auricular nerve. Structure The great auricular nerve is the largest of the ascending branches of the cervical plexus. Origin It arises from the second and third cervical (spinal) nerves (C2-C3), with the predominant contribution coming from C2. Course and relations The great auricular nerve is a large trunk that ascends almost vertically over the sternocleidomastoid. It winds around the posterior border of the sternocleidomastoid muscle, then perforates the deep fascia before ascending alongside the exter ...
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Mumps
MUMPS ("Massachusetts General Hospital Utility Multi-Programming System"), or M, is an imperative, high-level programming language with an integrated transaction processing key–value database. It was originally developed at Massachusetts General Hospital for managing patient medical records and hospital laboratory information systems. MUMPS technology has since expanded as the predominant database for health information systems and electronic health records in the United States. MUMPS-based information systems, such as Epic Systems', provide health information services for over 78% of patients across the U.S. A unique feature of the MUMPS technology is its integrated Query language, database language, allowing direct, high-speed read-write access to permanent disk storage. History 1960s-1970s - Genesis MUMPS was developed by Neil Pappalardo, Robert A. Greenes, and Curt Marble in Dr. Octo Barnett's lab at the Massachusetts General Hospital (MGH) in Boston during 1966 ...
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Parotitis
Parotitis is an inflammation of one or both parotid glands, the major salivary glands located on either side of the face, in humans. The parotid gland is the salivary gland most commonly affected by inflammation. Etymology From Greek παρωτῖτις (νόσος), parōtĩtis (nósos) : (disease of the) parotid gland < παρωτίς (stem παρωτιδ-) : (gland) behind the ear < παρά - pará : behind, and οὖς - ous (stem ὠτ-, ōt-) : ear.


Causes


Dehydration

''Dehydration:'' This is a common, non-infectious cause of parotitis. It may occur in elderly or after surgery.


Infectious

''Acute bacterial parotitis:'' is most often caused by a bacterial infection of but may be caused by any

Frey's Syndrome
Frey's syndrome (also known as Baillarger's syndrome, Dupuy's syndrome, auriculotemporal syndrome, or Frey-Baillarger syndrome) is a rare neurological disorder resulting from damage to or near the parotid glands responsible for making saliva, and from damage to the auriculotemporal nerve often from surgery. The symptoms of Frey's syndrome are redness and sweating on the cheek area adjacent to the ear (see focal hyperhidrosis). They can appear when the affected person eats, sees, dreams, thinks about, or talks about certain kinds of food which produce strong salivation. Observing sweating in the region after eating a lemon wedge may be diagnostic. Signs and symptoms Signs and symptoms include erythema (redness or flushing) and sweating in the cutaneous distribution of the auriculotemporal nerve, usually in response to gustatory stimuli. There is sometimes pain in the same area, often burning in nature. Between attacks of pain, there may be numbness or other altered sensations (a ...
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Paresthesia
Paresthesia is a sensation of the skin that may feel like numbness (''hypoesthesia''), tingling, pricking, chilling, or burning. It can be temporary or Chronic condition, chronic and has many possible underlying causes. Paresthesia is usually painless and can occur anywhere on the body, but most commonly in the arms and legs. The most familiar kind of paresthesia is the sensation known as ''pins and needles'' after having a limb "fall asleep" (''obdormition''). A less common kind is formication, the sensation of insects crawling on the skin. Causes Transient Paresthesias of the hands, feet, legs, and arms are common transient symptoms. The briefest electric shock type of paresthesia can be caused by tweaking the ulnar nerve near the elbow; this phenomenon is colloquially known as bumping one's "funny bone". Similar brief shocks can be experienced when any other nerve is tweaked (e.g. a pinched neck nerve may cause a brief shock-like paresthesia toward the scalp). In the older a ...
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Tympanic Membrane
In the anatomy of humans and various other tetrapods, the eardrum, also called the tympanic membrane or myringa, is a thin, cone-shaped membrane that separates the external ear from the middle ear. Its function is to transmit changes in pressure of sound from the air to the ossicles inside the middle ear, and thence to the oval window in the fluid-filled cochlea. The ear thereby converts and amplifies vibration in the air to vibration in cochlear fluid. The malleus bone bridges the gap between the eardrum and the other ossicles. Rupture or perforation of the eardrum can lead to conductive hearing loss. Collapse or retraction of the eardrum can cause conductive hearing loss or cholesteatoma. Structure Orientation and relations The tympanic membrane is oriented obliquely in the anteroposterior, mediolateral, and superoinferior planes. Consequently, its superoposterior end lies lateral to its anteroinferior end. Anatomically, it relates superiorly to the middle cranial fos ...
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External Acoustic Meatus
The ear canal (external acoustic meatus, external auditory meatus, EAM) is a pathway running from the outer ear to the middle ear. The adult human ear canal extends from the auricle to the eardrum and is about in length and in diameter. Structure The human ear canal is divided into two parts. The elastic cartilage part forms the outer third of the canal; its anterior and lower wall are cartilaginous, whereas its superior and back wall are fibrous. The cartilage is the continuation of the cartilage framework of auricle. The cartilaginous portion of the ear canal contains small hairs and specialized sweat glands, called apocrine glands, which produce cerumen ( ear wax). The bony part forms the inner two thirds. The bony part is much shorter in children and is only a ring (''annulus tympanicus'') in the newborn. The layer of epithelium encompassing the bony portion of the ear canal is much thinner and therefore, more sensitive in comparison to the cartilaginous portion. Size a ...
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Facial Nerve
The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of facial expression, and functions in the conveyance of taste sensations from the anterior two-thirds of the tongue. The nerve typically travels from the pons through the facial canal in the temporal bone and exits the skull at the stylomastoid foramen. It arises from the brainstem from an area posterior to the cranial nerve VI (abducens nerve) and anterior to cranial nerve VIII (vestibulocochlear nerve). The facial nerve also supplies preganglionic parasympathetic fibers to several head and neck ganglia. The facial and intermediate nerves can be collectively referred to as the nervus intermediofacialis. The path of the facial nerve can be divided into six segments: # intracranial (cisternal) segment (from brainstem pons to internal auditory canal) # meatal (canalicular) segment (with ...
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Sphenomandibular Ligament
The sphenomandibular ligament (internal lateral 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. The SML is derived from Meckel's cartilage. Anatomy The SML is a tough,'flat, thin band. It broadens inferiorly, measuring about 12 mm in width on average at the point of its inferior attachment. It is derived from the perichondrium of Meckel's cartilage. Attachments Superiorly, the SML is attached to the spine of the sphenoid bone (spina angularis by a narrow attachment. Inferiorly, it is attached at to lingula of mandible and the inferior margin of the mandibular foramen. Anatomical relations The lateral pterygoid muscle, auriculotemporal nerve, and the maxillary artery and m ...
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