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Lateral movements – Medial and lateral pterygoid (the ipsilateral temporalis and the pterygoid muscles of the contralateral side pull the mandible to the ipsilateral side). [36] Each lateral pterygoid muscle is composed of 2 heads, the upper or superior head and the lower or inferior head.
The pterygomandibular raphe (pterygomandibular fold [1] or pterygomandibular ligament) is a thin [2] tendinous band of buccopharyngeal fascia.It is attached superiorly to the pterygoid hamulus of the medial pterygoid plate, and inferiorly to the posterior end of the mylohyoid line of the mandible.
This also supplies the tensor tympani muscle and the tensor veli palatini muscle. The medial pterygoid nerve is a main trunk from the mandibular nerve, before the division of the trigeminal nerve - this is unlike the lateral pterygoid muscle, and all other muscles of mastication which are supplied by the anterior division of the mandibular nerve.
The mandible is moved primarily by the four muscles of mastication: the masseter, medial pterygoid, lateral pterygoid and the temporalis. These four muscles, all innervated by V 3, or the mandibular division of the trigeminal nerve, work in different groups to move the mandible in different directions. Contraction of the lateral pterygoid acts ...
The muscles of mastication (the temporalis muscle, masseter muscle, medial pterygoid muscle and lateral pterygoid muscle) are paired on either side and work together to move the mandible, which hinges and slides around its dual articulation with the skull at the temporomandibular joints. Some of the muscles work to elevate the mandible (close ...
Dental trismus is caused by an injury to the masticatory muscles, such as opening the jaw for an extended period of time or having a needle pass through a muscle. Typical dental anesthesia for the lower jaw involves inserting a needle into or through a muscle. In these cases it is usually the medial pterygoid or the buccinator muscles.
Diagram showing left medial and lateral pterygoid muscles. Part of the zygomatic arch and the ramus of the mandible have been cut away. The pterygomandibular space lies between the lateral surface of medial pterygoid and the medial surface of the mandibular ramus.
Anteromedial relations: The gland is situated posterolaterally to the mandibular ramus, masseter, and medial pterygoid muscles. A part of the gland may extend between the ramus and medial pterygoid, as the pterygoid process. Branches of the facial nerve and parotid duct emerge through this surface.