61.下列何者與顳顎關節(temporomandibular joint)的血液供應無關?
(A)前鼓室動脈(anterior tympanic artery)
(B)深耳動脈(deep auricular artery)
(C)上顎動脈(maxillary artery)
(D)淺顳動脈(superficial temporal artery)
統計: A(180), B(137), C(624), D(147), E(0) #1037447
詳解 (共 5 筆)
動脈
Ten Cate, 8thed:
淺顳、深耳、鼓前、深咽動脈
口解:
淺顳、上顎、深顳、咬肌、外翼肌終末分支
兩派說法。超靠杯是不能統一喔= =+
補充
支配顳顎關節神經: 耳顳、深顳、咬肌、V3
神經部分口解跟口胚就蠻統一的..
先排除(D) 淺顳動脈(superficial temporal artery),
(C)上顎動脈(maxillary artery)是 (A) 前鼓室動脈(anterior tympanic artery)跟(B)深耳動脈(deep auricular artery)的上游,因此(C)相較比較不適合,雖然口解說有...
*補充
TMJ 神經:CN5-3 下顎神經(mandibular nerve)
耳顳神經(auriculotemporal nerve):內、外、後側(沒有前側)
深顳神經(deep temporal nerve):內側
咬肌神經(masseteric nerve):前側

TMJ 動脈
主要 其他
外頸動脈 → 終末支 → 淺顳動脈(superficial temporal artery):後側 → 橫面動脈(transverse facial artery):外側
外頸動脈 → 終末支 → 上顎動脈(maxillary artery) → 2nd翼顎支 → 後深顳動脈(posterior deep temporal artery):前側、咬肌動脈(masseteric artery):下側
外頸動脈 → 終末支 → 上顎動脈(maxillary artery)→ 1st下顎支 → 深耳動脈(Deep auricular artery)、前鼓室動脈(Anterior tympanic artery):內側、中腦膜動脈(middle meningeal artery):內側
外頸動脈 → 內側支 → 升咽動脈(ascending pharyngeal artery)

TMJ 靜脈
靜脈血管分佈情形(venous pattern)較為擴散(diffuse)
淺顳動脈(superficial temporal vein) → 上顎動脈(maxillary vein) → 下頜後靜脈(retromandibular vein) → 面總靜脈(common facial vein) → 內頸靜脈(internal jugular vein)
參考資料:
Nicol, P., Uhl, J. F., Bertolus, C., & Vacher, C. (2019). The transverse facial artery and the mandibular condylar process: An anatomic and radiologic study. Journal of Stomatology, Oral and Maxillofacial Surgery, 120(4), 341-346.
Cuccia, A. M., Caradonna, C., Caradonna, D., Anastasi, G., Milardi, D., Favaloro, A., ... & Cutroneo, G. (2013). The arterial blood supply of the temporomandibular joint: an anatomical study and clinical implications. Imaging science in dentistry, 43(1), 37-44.