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Juvenile Nasopharyngeal Angiofibroma (JNA) Anatomy: the Pterygopalatine Fossa

last modified on: Wed, 11/15/2023 - 15:23

return to: Juvenile Nasopharyngeal Angiofibroma

see also: Juvenile Angiofibroma - Rads

JNA tumors most commonly originate from the sphenopalatine foramen or vidian canal, which are located at the medial or posterior border of the pterygopalatine fossa, respectively. The pterygopalatine fossa can be conceptualized as a pyramid-shaped space posterior to the maxilla's infratemporal surface.

 

Borders of the Pterygopalatine Fossa

BORDER

BONY STRUCTURE

 OPENING

 COMMUNICATING SPACE

Lateral

open to pterygomaxillary fissure

 pterygomaxillary fissure

 infratemporal fossa

Medial

perpendicular plate of the palatine bone

 sphenopalatine foramen

nasal cavity 

Superior

inferior surface of the spenoid and the orbital plate of the palatine

 inferior orbital fissure

 orbit

Inferior

pyramidal process of the palatine

 palatine canal

 oral cavity

Posterior

pterygoid process of the sphenoid

1. foramen rotundum

2. pterygoid (vidian) canal

3. pharyngeal canal

1. middle cranial fossa

2. foramen lacerum

3. nasopharynx

Anterior

infratemoral process of maxilla

 none

 none

Foramens of the Pterygopalatine Fossa

(anterior-to-posterior view of left pterygopalatine fossa)

Structures contained in Pterygopalatine Fossa

(anterior-to-posterior view of left pterygopalatine fossa)