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The mylohyoid nerve (or nerve to mylohyoid) is a mixed nerve of the head. It is a branch of the inferior alveolar nerve . It provides motor innervation the mylohyoid muscle , and the anterior belly of the digastric muscle .
The mylohyoid line is a bony ridge on the internal surface of the body of the mandible. The mylohyoid line extends posterosuperiorly. The mylohyoid line continues as the mylohyoid groove on the internal surface of the ramus. The mylohyoid muscle originates from the anterior (front) part of the mylohyoid line. [1]
The margin of this opening is irregular; it presents in front a prominent ridge, surmounted by a sharp spine, the lingula of the mandible, which gives attachment to the sphenomandibular ligament; at its lower and back part is a notch from which the mylohyoid groove runs obliquely downward and forward, and lodges the mylohyoid vessels and nerve. [6]
In the head and neck, potential spaces are primarily defined by the complex attachment of muscles, especially mylohyoid, buccinator, masseter, medial pterygoid, superior constrictor and orbicularis oris. [6] Infections involving fascial spaces of the head and neck may give varying signs and symptoms depending upon the spaces involved.
Thus the facial artery can be used as an important landmark in locating the marginal mandibular nerve during surgical procedures. [2] Damage can cause paralysis of the three muscles it supplies, which can cause an asymmetrical smile due to lack of contraction of the depressor labii inferioris muscle . [ 3 ]
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.
During dental procedures, a local nerve block may be applied. Anaesthetic injected near the mandibular foramen to block the inferior alveolar nerve and the nearby lingual nerve (supplying the tongue). This causes loss of sensation on the same side as the block to: the teeth (inferior alveolar nerve block) the lower lip and chin (mental nerve block)
These four muscles have different actions, but in general assist in elevating the hyoid bone and widening the esophagus during swallowing.When the two bellies of the digastric contract, they pull upward on the hyoid bone; but if the hyoid is fixed from below, the digastric assists in extreme opening of the mouth such as yawning or taking a large bite of an apple. [1]