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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.
The pterygomandibular space is a fascial space of the head and neck (sometimes also termed fascial spaces or tissue spaces). It is a potential space in the head and is paired on each side. It is located between the medial pterygoid muscle and the medial surface of the ramus of the mandible .
After piercing the mandibular tissue on the medial border of the mandibular ramus within the pterygomandibular space and then contacting medial surface of the alveolar bone as well as being lateral to the pterygomandibular fold and the sphenomandibular ligament, the injection is given. [3]
A Temporalis muscle, B Masseter muscle, C Lateral pterygoid muscle, D Medial ptaerygoid muscle, E Superficial temporal space, F Deep temporal space, G Submasseteric space, H Pterygomandibular space, I Approximate location of infratemporal space
This term is sometimes used, and is a collective name for the submasseteric (masseteric), pterygomandibular, superficial temporal and deep temporal spaces. The infratemporal space is the inferior portion of the deep temporal space. The superficial temporal and the deep temporal spaces are sometimes together called the temporal spaces.
The sites of origin of the muscles collectively are the pterygoid hamulus (and occasionally the adjoining posterior margin of the medial pterygoid plate) anteriorly, (the posterior margin of) the pterygomandibular raphe, the posterior extremity of the mylohyoid line of mandible, and (negligibly) the side of the tongue.
It is the site of origin of the mylohyoid muscle, the superior pharyngeal constrictor muscle, and the pterygomandibular raphe. Structure The ...
It attaches to the basilar part of occipital bone, the petrous part of the temporal bone (medial to the pharyngotympanic tube), the (posterior border of the) medial pterygoid plate, and the pterygomandibular raphe. It diminishes in thickness inferiorly. Posteriorly, it is reinforced by the pharyngeal raphe. [1]