The infratemporal fossa is an irregularly shaped cavity that is a part of the

skull The skull, or cranium, is typically a bony enclosure around the brain of a vertebrate. In some fish, and amphibians, the skull is of cartilage. The skull is at the head end of the vertebrate. In the human, the skull comprises two prominent ...

. It is situated below and medial to the

zygomatic arch In anatomy, the zygomatic arch (colloquially known as the cheek bone), is a part of the skull formed by the zygomatic process of temporal bone, zygomatic process of the temporal bone (a bone extending forward from the side of the skull, over the ...

. It is not fully enclosed by bone in all directions. It contains superficial muscles, including the lower part of the

temporalis muscle In anatomy, the temporalis muscle, also known as the temporal muscle, is one of the muscles of mastication (chewing). It is a broad, fan-shaped convergent muscle on each side of the head that fills the temporal fossa, superior to the zygomatic a ...

, the

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 n ...

, and the

medial pterygoid muscle The medial pterygoid muscle (or internal pterygoid muscle) is a thick, quadrilateral muscle of the face. It is supplied by the mandibular branch of the trigeminal nerve (V). It is important in mastication (chewing). Structure The medial pter ...

. It also contains important blood vessels such as the

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 t ...

, the

pterygoid plexus The pterygoid plexus (;Entry "pterygoid"
in

, and the

retromandibular vein The retromandibular vein (temporomaxillary vein, posterior facial vein) is a major vein of the face. It is formed within the parotid gland by the confluence of the maxillary vein, and superficial temporal vein. It descends in the gland and split ...

, and nerves such as the

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 ...

(CN V₃) and its branches.

Structure

Boundaries

The boundaries of the infratemporal fossa occur: * ''anteriorly'', by the infratemporal surface of the

maxilla In vertebrates, the maxilla (: maxillae ) is the upper fixed (not fixed in Neopterygii) bone of the jaw formed from the fusion of two maxillary bones. In humans, the upper jaw includes the hard palate in the front of the mouth. The two maxil ...

, and the ridge which descends from its

zygomatic process The zygomatic processes (aka. malar) 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 ...

. This contains the alveolar canal. * ''posteriorly'', by the

tympanic part The tympanic part of the temporal bone is a curved plate of bone lying below the squamous part of the temporal bone, in front of the mastoid process, and surrounding the external part of the ear canal. It originates as a separate bone (tympanic ...

of the

temporal bone The temporal bone is a paired bone situated at the sides and base of the skull, lateral to the temporal lobe of the cerebral cortex. The temporal bones are overlaid by the sides of the head known as the temples where four of the cranial bone ...

, and the spina angularis of the sphenoid. * ''superiorly'', by the greater wing of the sphenoid below the

infratemporal crest The lateral surface of the greater wing of the sphenoid is convex, and divided by a transverse ridge, the infratemporal crest, into two portions. The superior or temporal portion, convex from above downward, concave from before backward, forms ...

, and by the under surface of the temporal squama, containing the foramen ovale, which transmits the mandibular branch of the

trigeminal nerve In neuroanatomy, the trigeminal nerve (literal translation, lit. ''triplet'' nerve), also known as the fifth cranial nerve, cranial nerve V, or simply CN V, is a cranial nerve responsible for Sense, sensation in the face and motor functions ...

, and the

foramen spinosum The foramen spinosum is a Foramen, small open hole in the greater wing of the sphenoid bone that gives passage to the middle meningeal artery and vein, and the meningeal branch of the mandibular nerve (sometimes it passes through the Foramen ova ...

, which transmits the

. * ''inferiorly'', by the

attaching to the mandible. * ''medially'', by the

lateral pterygoid plate The pterygoid processes of the sphenoid (from Greek ''pteryx'', ''pterygos'', "wing"), one on either side, descend perpendicularly from the regions where the body and the greater wings of the sphenoid bone unite. Each process consists of a me ...

. * ''laterally'', by the

ramus of mandible In jawed vertebrates, the mandible (from the Latin ''mandibula'', 'for chewing'), lower jaw, or jawbone is a bone that makes up the lowerand typically more mobilecomponent of the mouth (the upper jaw being known as the maxilla). The jawbone ...

. This contains the

mandibular foramen The mandibular foramen is an opening on the internal surface of the ramus of the mandible. It allows for divisions of the mandibular nerve and blood vessels to pass through. Structure The mandibular foramen is an opening on the internal surfac ...

, leading to the

mandibular canal In human anatomy, the mandibular canal is a canal within the mandible that contains the inferior alveolar nerve, inferior alveolar artery, and inferior alveolar vein. It runs obliquely downward and forward in the ramus, and then horizontally ...

through which the

inferior alveolar nerve The inferior alveolar nerve (IAN) (also the inferior dental nerve) is a sensory branch of the mandibular nerve (CN V3) (which is itself the third branch of the trigeminal nerve (CN V)). The nerve provides sensory innervation to the lower/mandibu ...

passes. This also contains the lingula, a triangular piece of bone that overlies the mandibular foramen antero-medially. Finally, the mylohyoid groove descends obliquely transmitting the

mylohyoid nerve The mylohyoid nerve (or nerve to mylohyoid) is a mixed nerve of the head. It is a branch of the inferior alveolar nerve. It provides motor innervation the mylohyoid muscle, and the anterior belly of the digastric muscle. It provides sensory inn ...

the only motor branch of the posterior division of the

Muscles

* Lower part of the

and

masseter muscle In anatomy, the masseter is one of the muscles of mastication. Found only in mammals, it is particularly powerful in herbivores to facilitate chewing of plant matter. The most obvious muscle of mastication is the masseter muscle, since it is the ...

(origin of masseter muscle:lower margin of the inner surface of zygomatic bone insertion : outer surface of the ramus of the mandible) *

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 n ...

and

Arteries

The infratemporal fossa contains the

maxillary artery The maxillary artery (eg, internal 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 ...

(originating from the

external carotid artery The external carotid artery is the major artery of the head and upper neck. It arises from the common carotid artery. It terminates by splitting into the superficial temporal and maxillary artery within the parotid gland. Structure Origin T ...

). It also contains some of its branches, including the: *

inferior alveolar artery The inferior alveolar artery (inferior dental artery) is an artery of the head. It is a branch of (the first part of) the maxillary artery. It descends through the infratemporal fossa as part of a neurovascular bundle with the inferior alveolar ne ...

* deep temporal artery * buccal artery

Veins

The infratemporal fossa contains the

pterygoid plexus The pterygoid plexus (;Entry "pterygoid"
in

, and the

Nerves

The infratemporal fossa contains the

, the

lingual nerve The lingual nerve carries sensory innervation from the anterior two-thirds of the tongue. It contains fibres from both the mandibular division of the trigeminal nerve (CN V) and from the facial nerve (CN VII). The fibres from the trigeminal nerve ...

, the

buccal nerve The buccal nerve (long buccal nerve) is a sensory nerve of the face arising from the mandibular nerve (CN V3) (which is itself a branch of the trigeminal nerve). It conveys sensory information from the skin of the cheek, and parts of the oral mu ...

, the

chorda tympani nerve Chorda tympani is a branch of the facial nerve that carries gustatory (taste) sensory innervation from the front of the tongue and parasympathetic ( secretomotor) innervation to the submandibular and sublingual salivary glands. Chorda tympani ...

, and the

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 i ...

= Mandibular nerve

= The

, the third branch of the

(CN V₃), also known as the "inferior maxillary nerve", enters infratemporal fossa from the

middle cranial fossa The middle cranial fossa is formed by the sphenoid bones, and the temporal bones. It lodges the temporal lobes, and the pituitary gland. It is deeper than the anterior cranial fossa, is narrow medially and widens laterally to the sides of the skull ...

through the foramen ovale of the

sphenoid bone The sphenoid bone is an unpaired bone of the neurocranium. It is situated in the middle of the skull towards the front, in front of the basilar part of occipital bone, basilar part of the occipital bone. The sphenoid bone is one of the seven bon ...

. The mandibular nerve gives off four nerves to the four

muscles of mastication The four classical muscles of mastication elevate the mandible (closing the jaw) and move it forward/backward and laterally, facilitating biting and chewing. Other muscles are responsible for opening the jaw, namely the geniohyoid, mylohyoid, an ...

in the infratemporal fossa. These are the

masseteric nerve The masseteric nerve is a nerve of the face. It is a branch of the mandibular nerve (CN V3). It passes through the mandibular notch to reach masseter muscle. It provides motor innervation the masseter muscle, and sensory innervation to the tempo ...

, the deep temporal nerve to

, the

lateral pterygoid nerve The lateral pterygoid nerve (or external pterygoid nerve) is a branch of the anterior division of the mandibular nerve. It usually originates as two separate branches that travel near the buccal nerve, and enter the deep surfaces of the superior a ...

, and the

medial pterygoid nerve The medial pterygoid nerve (nerve to medial pterygoid, or internal pterygoid nerve) is a nerve of the head. It is a branch of the mandibular nerve (CN V3). It supplies the medial pterygoid muscle, the tensor veli palatini muscle, and the tensor ...

. It also gives branches to

mylohyoid muscle The mylohyoid muscle or diaphragma oris is a paired muscle of the neck. It runs from the Human mandible, mandible to the hyoid bone, forming the floor of the oral cavity of the human mouth, mouth. It is named after its two attachments near the mo ...

, the anterior belly of

digastric muscle The digastric muscle (also digastricus) (named ''digastric'' as it has two 'bellies') is a bilaterally paired suprahyoid muscle located under the jaw. Its posterior belly is attached to the mastoid notch of temporal bone, and its anterior belly ...

, the

tensor veli palatini muscle The tensor veli palatini muscle (tensor palati or tensor muscle of the velum palatinum) is a thin, triangular muscle of the head that tenses the soft palate and opens the Eustachian tube to equalise pressure in the middle ear. Structure The ten ...

, and

tensor tympani muscle The tensor tympani is a muscle within the middle ear, located in the bony canal above the bony part of the auditory tube, and connects to the malleus bone. Its role is to dampen loud sounds, such as those produced from chewing, shouting, or thund ...

. The mandibular nerve also gives off many sensory branches, including: * meningeal nerve *

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 a ...

* auricle *

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. Str ...

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 pressur ...

* temporal region *

cheek The cheeks () constitute the area of the face below the eyes and between the nose and the left or right ear. ''Buccal'' means relating to the cheek. In humans, the region is innervated by the buccal nerve. The area between the inside of th ...

* skin overlying the

mandible In jawed vertebrates, the mandible (from the Latin ''mandibula'', 'for chewing'), lower jaw, or jawbone is a bone that makes up the lowerand typically more mobilecomponent of the mouth (the upper jaw being known as the maxilla). The jawbone i ...

(except at the

angle of the mandible __NOTOC__ The angle of the mandible (a.k.a. gonial angle, Masseteric Tuberosity, and Masseteric Insertion) is located at the posterior border at the junction of the lower border of the ramus of the mandible. The angle of the mandible, which may ...

) * floor of mouth * lower teeth *

gingiva The gums or gingiva (: gingivae) consist of the mucosal tissue that lies over the mandible and maxilla inside the mouth. Gum health and disease can have an effect on general health. Structure The gums are part of the soft tissue lining of the ...

Communications

The infratemporal fossa is connected to other spaces in the

. It is connected to the

by the foramen ovale and the

. It is connected to the

temporal fossa The temporal fossa is a fossa (shallow depression) on the side of the skull bounded by the temporal lines above, and the zygomatic arch below. Its floor is formed by the outer surfaces of four bones of the skull. The fossa is filled by the te ...

, which lies deep to

. It is connected to the

pterygopalatine fossa In human anatomy, the pterygopalatine fossa (sphenopalatine fossa) is a fossa in the skull. A human skull contains two pterygopalatine fossae—one on the left side, and another on the right side. Each fossa is a cone-shaped paired depression dee ...

through the

pterygomaxillary fissure The pterygomaxillary fissure is a fissure of the human skull. It is vertical, and descends at right angles from the medial end of the inferior orbital fissure. It is a triangular interval, formed by the divergence of the maxilla from the pterygoi ...

. It is connected to the

orbit In celestial mechanics, an orbit (also known as orbital revolution) is the curved trajectory of an object such as the trajectory of a planet around a star, or of a natural satellite around a planet, or of an artificial satellite around an ...

through the

inferior orbital fissure The inferior orbital fissure is a gap between the Greater wing of sphenoid bone, greater wing of sphenoid bone, and the maxilla. It connects the Orbit (anatomy), orbit (anteriorly) with the infratemporal fossa and pterygopalatine fossa (posterio ...

. It is also connected to the parapharyngeal space. The inferior orbital fissure and the pterygomaxillary fissure form a T shape together.

Clinical significance

Certain

neoplasm A neoplasm () is a type of abnormal and excessive growth of tissue. The process that occurs to form or produce a neoplasm is called neoplasia. The growth of a neoplasm is uncoordinated with that of the normal surrounding tissue, and persists ...

s can spread into the infratemporal fossa. This can be surgically removed through the

. The infratemporal fossa can also be used to approach other parts of the skull. The infratemporal fossa can be imaged using a

CT scan A computed tomography scan (CT scan), formerly called computed axial tomography scan (CAT scan), is a medical imaging technique used to obtain detailed internal images of the body. The personnel that perform CT scans are called radiographers or ...

Additional images

File:Slide4dddd.JPG, Infratemporal fossa File:Slide7cece.JPG, Infratemporal fossa. Lingual and inferior alveolar nerve. Deep dissection. Anterolateral view

References

External links

{{Authority control Skull

Structure

Boundaries

Contents

Muscles

Arteries

Veins

Nerves

= Mandibular nerve

Communications

Clinical significance

Additional images

References

External links