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CHAPTER 10

PTERYGOPALATINE FOSSA

Overview and Topographic Anatomy

Borders and Openings

Contents of the Pterygopalatine Fossa

Imaging

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Questions

Overview and Topographic Anatomy

GENERAL INFORMATION

Pyramid-shaped fossa on the lateral aspect of the skull between the maxilla’s infratemporal surface and the pterygoid process of the sphenoid

Contains major nerves and blood vessels that supply the nasal cavity, upper jaw, hard palate, and soft palate: the maxillary division of the trigeminal nerve, pterygopalatine (sphenopalatine, Meckel’s) ganglion, and 3rd portion of the maxillary artery

Allows the infratemporal fossa, middle cranial fossa, foramen lacerum, nasopharynx, nasal cavity, orbital cavity, and oral cavity to communicate

7 foramina/fissures allow passage of nerves and vessels

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Borders and Openings

BORDERS

Border

Structures

Anterior wall

Infratemporal surface of the maxilla

Posterior wall

Pterygoid process of the sphenoid

Medial wall

Perpendicular plate of the palatine

Lateral wall

None (open to the pterygomaxillary fissure)

Superior wall

Inferior surface of the sphenoid and the orbital plate of the palatine bone

Inferior wall

Pyramidal process of the palatine

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OPENINGS

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Contents of the Pterygopalatine Fossa

VASCULAR SUPPLY

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NERVE SUPPLY

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Imaging

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