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Head 7.1

Skull, Anterior View

4 5

Grants
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Skull, Anterior View

1. superciliary arch
2. nasal bone
3. zygomatic bone
4. maxilla
5. infraorbital foramen
6. intermaxillary suture

A blow to the superciliary arch may cause a laceration and a

black eye.

Malar flush refers to the redness of the skin over the zygo-
matic prominence. It is associated with fever.

The three common maxillary fractures as described by Le Fort

are numbered I, II, and III.

II III

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2008 Lippincott Williams & Wilkins

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Head 7.30

Temporomandibular Joint

3
2

Grants
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Temporomandibular Joint
1. capsule of temporomandibular joint
2. articular tubercle
3. lateral pterygoid muscle
4. auriculotemporal nerve
5. superficial temporal artery
6. sphenomandibular ligament
7. medial pterygoid
8. buccinator

The temporomandibular joint dislocates during excessive open-

ing of the jaw or as a result of trauma. Most dislocations occur
anteriorly because of the pull of the lateral pterygoid and the
strength of the lateral ligament and postglenoid tubercle.

The temporomandibular joint may become arthritic, leading to

problems with dental occlusion and joint clicking (crepitus).

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2008 Lippincott Williams & Wilkins

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Head 7.35

Hard Palate

2
3

Grants
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Hard Palate
1. incisive fossa
2. palatine process of the maxilla
3. intermaxillary suture
4. greater and lesser palatine foramen
5. horizontal plate of the palatine bone
6. vomer

The nasopalatine nerves can be blocked bilaterally by injec-

tion into the incisive fossa. The greater palatine nerve can be
blocked by injection into the greater palatine foramen.

Cleft palate occurs when the lateral palatine processes fail to

fuse with each other and/or the nasal septum. It is often asso-
ciated with a cleft lip.

COA

2008 Lippincott Williams & Wilkins