Lateral pterygoid muscle

Lateral pterygoid muscle
Lateral pterygoid muscle
	The Pterygoidei; the zygomatic arch and a portion of the ramus of the mandible have been removed (labeled as "pterygoideus externus", visible in pink at center)
	Sagittal section of the temporomandibular joint (labeled as "pterygoideus externus", visible in gray at bottom right)
Details
Origin	Superior head: infratemporal surface of sphenoid bone. Inferior head: lateral pterygoid plate
Insertion	Superior head: anterior side of the condyle. Inferior head: pterygoid fovea
Artery	pterygoid branches of maxillary artery
Nerve	lateral pterygoid nerve from mandibular nerve
Actions	depresses and protrudes mandible, side to side movement of mandible
Identifiers
Latin	Musculus pterygoideus lateralis,; musculus pterygoideus externus
TA98	A04.1.04.006
TA2	2109
FMA	49015
	Anatomical terms of muscle

The lateral pterygoid muscle (or external pterygoid muscle) is a muscle of mastication. It has two heads. It lies superior to the medial pterygoid muscle. It is supplied by pterygoid branches of the maxillary artery, and the lateral pterygoid nerve (from the mandibular nerve, CN V₃). It depresses and protrudes the mandible. When each muscle works independently, they can move the mandible side to side.

Structure

The lateral pterygoid muscle has an upper head and a lower head.^[1]^[2]

The upper head originates on the infratemporal surface and infratemporal crest of the greater wing of the sphenoid bone. It inserts onto the articular disc and fibrous capsule of the temporomandibular joint.
The lower head originates on the lateral surface of the lateral pterygoid plate. It inserts onto the neck of condyloid process of the mandible.

It lies superior to the medial pterygoid muscle.

Blood supply

The lateral pterygoid muscle is supplied by pterygoid branches of the maxillary artery.

Nerve supply

The lateral pterygoid muscle is supplied by the lateral pterygoid nerve, a branch of the mandibular nerve (CN V₃), itself a branch of the trigeminal nerve (CN V).

Function

The primary function of the lateral pterygoid muscle is to pull the head of the condyle out of the mandibular fossa along the articular eminence to protrude the mandible.^[2] A concerted effort of the lateral pterygoid muscles helps in lowering the mandible and opening the jaw. Unilateral action of a lateral pterygoid muscle causes contralateral excursion (a form of mastication), usually performed in concert with the medial pterygoids. When they work independently, they can move the mandible side to side.^[2]

Unlike the other three muscles of mastication, the lateral pterygoid alone can assist in depressing the mandible (opening the jaw). At the beginning of this action it is assisted by the digastric, mylohyoid and geniohyoid muscles.

Clinical significance

The lateral pterygoid muscle may be involved in temporomandibular joint dysfunction.^[1]^[2]

Additional images

Sphenoid bone. Anterior and inferior surfaces.
Mandible. Inner surface. Side view.
Plan of branches of internal maxillary artery.
Distribution of the maxillary and mandibular nerves, and the submaxillary ganglion.

References

1 2 Murray, Greg M.; Bhutada, Manish; Peck, Christopher C.; Phanachet, Intira; Sae-Lee, Daraporn; Whittle, Terry (1 April 2007). "The human lateral pterygoid muscle". Archives of Oral Biology. Special Issue: International Mastication Symposium, Brisbane, June 2006. 52 (4): 377–380. doi:10.1016/j.archoralbio.2006.10.002. ISSN 0003-9969.
1 2 3 4 Murray, G. M.; Phanachet, I.; Uchida, S.; Whittle, T. (2004). "The human lateral pterygoid muscle: A review of some experimental aspects and possible clinical relevance". Australian Dental Journal. 49 (1): 2–8. doi:10.1111/j.1834-7819.2004.tb00042.x. ISSN 1834-7819.

External links

lesson4 at The Anatomy Lesson by Wesley Norman (Georgetown University) (musclesofmastication2)
MedicalMnemonics.com: 70
"Anatomy diagram: 25420.000-1". Roche Lexicon - illustrated navigator. Elsevier. Archived from the original on 2015-02-26.
Cross section at tufts.edu

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[:0-1] 1 2 Murray, Greg M.; Bhutada, Manish; Peck, Christopher C.; Phanachet, Intira; Sae-Lee, Daraporn; Whittle, Terry (1 April 2007). "The human lateral pterygoid muscle". Archives of Oral Biology. Special Issue: International Mastication Symposium, Brisbane, June 2006. 52 (4): 377–380. doi:10.1016/j.archoralbio.2006.10.002. ISSN 0003-9969.

[:1-2] 1 2 3 4 Murray, G. M.; Phanachet, I.; Uchida, S.; Whittle, T. (2004). "The human lateral pterygoid muscle: A review of some experimental aspects and possible clinical relevance". Australian Dental Journal. 49 (1): 2–8. doi:10.1111/j.1834-7819.2004.tb00042.x. ISSN 1834-7819.

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