superficial temporal branch
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In human anatomy, the superficial temporal artery is a major
artery An artery (plural arteries) () is a blood vessel in humans and most animals that takes blood away from the heart to one or more parts of the body (tissues, lungs, brain etc.). Most arteries carry oxygenated blood; the two exceptions are the pu ...
of the head. It arises from the external carotid artery when it splits into the superficial temporal artery and
maxillary artery The maxillary artery supplies deep structures of the face. It branches from the external carotid artery just deep to the neck of the mandible. Structure The maxillary artery, the larger of the two terminal branches of the external carotid artery, ...
. Its
pulse In medicine, a pulse represents the tactile arterial palpation of the cardiac cycle (heartbeat) by trained fingertips. The pulse may be palpated in any place that allows an artery to be compressed near the surface of the body, such as at the n ...
can be felt above the
zygomatic arch In anatomy, the zygomatic arch, or cheek bone, is a part of the skull formed by the zygomatic process of the temporal bone (a bone extending forward from the side of the skull, over the opening of the ear) and the temporal process of the zygo ...
, 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 The external carotid artery is a major artery of the head and neck. It arises from the common carotid artery when it splits into the external and internal carotid artery. External carotid artery supplies blood to the face and neck. Structure Th ...
. Based on its direction, the superficial temporal artery appears to be a continuation of the external carotid. It begins within the
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 ma ...
, behind the neck of the
mandible In anatomy, the mandible, lower jaw or jawbone is the largest, strongest and lowest bone in the human facial skeleton. It forms the lower jaw and holds the lower teeth in place. The mandible sits beneath the maxilla. It is the only movable bone ...
, and passes superficially over the posterior root of the
zygomatic process The zygomatic processes are three processes (protrusions) from other bones of the skull which each articulate with the zygomatic bone. The three processes are: * Zygomatic process of frontal bone from the frontal bone * Zygomatic process of max ...
of the
temporal bone The temporal bones are situated at the sides and base of the skull, and lateral to the temporal lobes of the cerebral cortex. The temporal bones are overlaid by the sides of the head known as the temples, and house the structures of the ears. ...
; 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 side of the head, lying superficial to the
temporal fascia The temporal fascia covers the temporalis muscle. It is a strong, fibrous investment, covered, laterally, by the auricularis anterior and superior, by the galea aponeurotica, and by part of the orbicularis oculi. The superficial temporal vesse ...
; it joins with its fellow of the opposite side, and with the posterior auricular and
occipital arteries The occipital artery arises from the external carotid artery opposite the facial artery. Its path is below the posterior belly of digastric to the occipital region. This artery supplies blood to the back of the scalp and sternocleidomastoid musc ...
. The frontal branch of the superficial temporal artery (anterior temporal) runs tortuously upward and forward to the forehead, supplying the muscles, skin, and
pericranium The periosteum is a membrane that covers the outer surface of all bones, except at the articular surfaces (i.e. the parts within a joint space) of long bones. Endosteum lines the inner surface of the medullary cavity of all long bones. Structure ...
in this region, and anastomosing with the supraorbital and
frontal arteries Front may refer to: Arts, entertainment, and media Films * ''The Front'' (1943 film), a 1943 Soviet drama film * ''The Front'', 1976 film Music * The Front (band), an American rock band signed to Columbia Records and active in the 1980s and e ...
. In an estimate of the path of the nerve in the soft tissue of the temporal frontal branch using landmarks by Pitanguy, he describes a line starting from a point 0.5 cm below the tragus in the direction of the eyebrow, passing 1.5 cm above the lateral extremity of the eyebrow.


Relations

As it crosses the zygomatic process, it is covered by the
auricularis anterior The anterior auricular muscle, the smallest of the three auricular muscles, is thin and fan-shaped, and its fibers are pale and indistinct. It arises from the lateral edge of the epicranial aponeurosis, and its fibers converge to be inserted into ...
muscle and by a dense fascia; it is crossed by the temporal and zygomatic branches of the
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 ...
and one or two veins, and is accompanied by the
auriculotemporal nerve The auriculotemporal nerve is a branch of the mandibular nerve (CN V3) that runs with the superficial temporal artery and vein, and provides sensory innervation to various regions on the side of the head. Structure Origin The auriculotempor ...
, which lies immediately behind it. The superficial temporal artery joins () with, among others, the
supraorbital artery The supraorbital artery is a branch of the ophthalmic artery. It passes anteriorly within the orbit to exit the orbit through the supraorbital foramen or notch alongside the supraorbital nerve, splitting into two terminal branches which go on to f ...
of the internal carotid artery.


Clinical significance

The superficial temporal artery is often affected in
giant-cell arteritis Giant cell arteritis (GCA), also called temporal arteritis, is an inflammatory autoimmune disease of large blood vessels. Symptoms may include headache, pain over the temples, flu-like symptoms, double vision, and difficulty opening the mouth. ...
and biopsied if the diagnosis is suspected.


Additional images

Gray1200.png, Outline of side of face, showing chief surface markings. (Superficial temporal a. visible at center, to left of ear.) Gray508.png, The arteries of the face and scalp
(frontal branch labeled at upper right)


References


External links

* (, )
Angiogram of the superficial temporal artery

Diagram at stchas.edu
* http://www.dartmouth.edu/~humananatomy/figures/chapter_47/47-2.HTM {{Authority control Arteries of the head and neck