Pterygopalatine fossa
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Boundaries
It has the following boundaries:
- anterior: superomedial part of the infratemporal surface of maxilla
- posterior: root of the pterygoid process and adjoining anterior surface of the greater wing of sphenoid bone
- medial: perpendicular plate of the palatine bone and its orbital and sphenoidal processes
- lateral: pterygomaxillary fissure
- inferior: part of the floor is formed by the pyramidal process of the palatine bone.
Passages
The following passages connect the fossa with other parts of the skull:
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Functions
The pterygopalatine fossa contains
- the pterygopalatine ganglion suspended by nerve roots from the maxillary nerve
- the terminal third of the maxillary artery
- the maxillary nerve (CN V2, the second division of the trigeminal nerve), with which is the nerve of the pterygoid canal, a combination of the greater petrosal nerve (preganglionic parasympathetic) and the deep petrosal nerve (postganglionic sympathetic). To obtain block anesthesia of the entire second division of the trigeminal nerve, an intraoral injection can be administered into this area.
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