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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 .
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]
This article incorporates text in the public domain from page 390 of the 20th edition of Gray's Anatomy (1918) ^ a b c Standring, Susan (2020). Gray's Anatomy: The Anatomical Basis of Clinical Practice (42nd ed.).
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.
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]
The buccal space (also termed the buccinator space) is a fascial space of the head and neck (sometimes also termed fascial tissue spaces or tissue spaces). It is a potential space in the cheek, and is paired on each side.