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Auriculotemporal
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, pos ...
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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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Otic Ganglion
The otic ganglion is a small parasympathetic ganglion located immediately below the foramen ovale in the infratemporal fossa and on the medial surface of the mandibular nerve. It is functionally associated with the glossopharyngeal nerve and innervates the parotid gland for salivation. It is one of four parasympathetic ganglia of the head and neck. The others are the ciliary ganglion, the submandibular ganglion and the pterygopalatine ganglion. Structure and relations The otic ganglion is a small (2–3 mm), oval shaped, flattened parasympathetic ganglion of a reddish-grey color, located immediately below the foramen ovale in the infratemporal fossa and on the medial surface of the mandibular nerve. It is in relation, laterally, with the trunk of the mandibular nerve at the point where the motor and sensory roots join; medially, with the cartilaginous part of the auditory tube, and the origin of the tensor veli palatini; posteriorly, with the middle meningeal artery ...
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Parotid Gland
The parotid gland is a major salivary gland in many animals. In humans, the two parotid glands are present on either side of the mouth and in front of both ears. They are the largest of the salivary glands. Each parotid is wrapped around the mandibular ramus, and secretes serous saliva through the parotid duct into the mouth, to facilitate mastication and swallowing and to begin the digestion of starches. There are also two other types of salivary glands; they are submandibular and sublingual glands. Sometimes accessory parotid glands are found close to the main parotid glands. The venom glands of snakes are a modification of the parotid salivary glands. Etymology The word ''parotid'' literally means "beside the ear". From Greek παρωτίς (stem παρωτιδ-) : (gland) behind the ear < παρά - pará : in front, and οὖς - ous (stem ὠτ-, ōt-) : ear.


Structure

The parotid glands are a pair of mainly
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Middle Meningeal Artery
The middle meningeal artery (') is typically the third branch of the maxillary artery#First portion, 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 (the outer meningeal layer) and the calvaria (skull), 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 anterior branch of the middle meningeal artery runs beneath the pterion. It is vulnerable to injury at this point, where the skull is thin. Rupture of the artery may give rise to an epidural hematoma. In the dry cranium, the middle meningeal, which runs within the dura mater surrounding the brain, makes a deep groove in the calvarium. The middle meningeal artery is intimately associated with the auriculotemporal nerve, which wraps around the artery making the two easi ...
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Temporomandibular Joint
In anatomy, the temporomandibular joints (TMJ) are the two joints connecting the jawbone to the skull. It is a bilateral Synovial joint, synovial articulation between the temporal bone of the skull above and the condylar process of mandible below; it is from these bones that its name is derived. The joints are unique in their bilateral function, being connected via the mandible. Structure The main components are the joint capsule, articular disc, mandibular condyles, articular surface of the temporal bone, temporomandibular ligament, stylomandibular ligament, sphenomandibular ligament, and lateral pterygoid muscle. Capsule The articular capsule (capsular ligament) is a thin, loose envelope, attached above to the circumference of the mandibular fossa and the articular tubercle immediately in front; below, to the neck of the condyle of the mandible. Its loose attachment to the neck of the mandible allows for free movement. Articular disc The unique feature of the temporomand ...
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Infratemporal Fossa
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. Structure Boundaries The boundaries of the infratemporal fossa occur: * ''anteriorly'', by the infratemporal surface of the maxilla, and the ridge which descends from its zygomatic process. This contains the alveolar canal. * ''posteriorly'', by the tympanic part of the temporal bone, and the spina angularis of the sphenoid. * ''superiorly'', by the greater wing of the sphenoid below the infratemporal crest, and by the under surface of the ...
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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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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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Mandibular Nerve
In neuroanatomy, the mandibular nerve (V) is the largest of the three divisions of the trigeminal nerve, the fifth Cranial nerves, cranial nerve (CN V). Unlike the other divisions of the trigeminal nerve (ophthalmic nerve, maxillary nerve) which contain only Afferent nerve fiber, afferent fibers, the mandibular nerve contains both afferent and Efferent nerve fiber, efferent fibers. These nerve fibers innervate structures of the lower jaw and face, such as the tongue, lower lip, and chin. The mandibular nerve also innervates the muscles of mastication. Structure Course The large sensory root of mandibular nerve emerges from the lateral part of the trigeminal ganglion and exits the cranial cavity through the Foramen ovale (skull), foramen ovale. The motor root (Latin: ''radix motoria'' s. ''portio minor''), the small motor root of the trigeminal nerve, passes under the trigeminal ganglion and through the Foramen ovale (skull), foramen ovale to unite with the sensory root just out ...
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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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Mandibular Nerve
In neuroanatomy, the mandibular nerve (V) is the largest of the three divisions of the trigeminal nerve, the fifth Cranial nerves, cranial nerve (CN V). Unlike the other divisions of the trigeminal nerve (ophthalmic nerve, maxillary nerve) which contain only Afferent nerve fiber, afferent fibers, the mandibular nerve contains both afferent and Efferent nerve fiber, efferent fibers. These nerve fibers innervate structures of the lower jaw and face, such as the tongue, lower lip, and chin. The mandibular nerve also innervates the muscles of mastication. Structure Course The large sensory root of mandibular nerve emerges from the lateral part of the trigeminal ganglion and exits the cranial cavity through the Foramen ovale (skull), foramen ovale. The motor root (Latin: ''radix motoria'' s. ''portio minor''), the small motor root of the trigeminal nerve, passes under the trigeminal ganglion and through the Foramen ovale (skull), foramen ovale to unite with the sensory root just out ...
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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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