Medial pterygoid nerve

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Medial pterygoid nerve
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Mandibular division of the trigeminus nerve. (Internal pterygoid nerve visible but not labeled.)
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Mandibular division of trifacial nerve, seen from the middle line. Nerve to medial pterygoid labeled at bottom.
Details
From Mandibular nerve
Innervates Medial pterygoid, tensor veli palatini, tensor tympani
Identifiers
Latin nervus pterygoideus internus,
nervus pterygoideus medialis
TA98 A14.2.01.066
TA2 6250
FMA 53056
Anatomical terms of neuroanatomy

The medial pterygoid nerve (nerve to medial pterygoid, [1] or internal pterygoid nerve[ citation needed ]) is a nerve of the head. It is a branch of the mandibular nerve (CN V3). It supplies the medial pterygoid muscle, the tensor veli palatini muscle, and the tensor tympani muscle.

Contents

Structure

Origin

The medial pterygoid nerve is a slender branch of the mandibular nerve (CN V3) (itself a branch of the trigeminal nerve (CN V)). [1]

Course

It passes through the otic ganglion (without synapsing). [2] [ better source needed ] It penetrates the deep surface of the medial pterygoid muscle. It issues 1-2 twigs which traverse the otic ganglion (without synapsing) to reach and innervate the tensor tympani muscle, and tensor veli palatini muscle. [1]

Distribution

The medial pterygoid nerve supplies the medial pterygoid muscle, tensor tympani muscle, and tensor veli palatini muscle (via the nerve to tensor veli palatini). [1]

The tensor veli palati muscle is the only of the five paired skeletal muscles to the soft palate not innervated by the pharyngeal plexus.[ citation needed ]

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The otic ganglion is a small parasympathetic ganglion located immediately below the foramen ovale in the infratemporal fossa and on the medial surface of the mandibular nerve. It is functionally associated with the glossopharyngeal nerve and innervates the parotid gland for salivation.

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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.

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The levator veli palatini is a muscle of the soft palate and Pharynx. It is innervated by the vagus nerve via its pharyngeal plexus. During swallowing, it contracts, elevating the soft palate to help prevent food from entering the nasopharynx.

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<span class="mw-page-title-main">Pterygoid processes of the sphenoid</span> Bone plates projecting from the sphenoid bone of the skull

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The infratemporal fossa is an irregularly shaped cavity that is a part of the skull. It is situated below and medial to the zygomatic arch. It is not fully enclosed by bone in all directions. It contains superficial muscles, including the lower part of the temporalis muscle, the lateral pterygoid muscle, and the medial pterygoid muscle. It also contains important blood vessels such as the middle meningeal artery, the pterygoid plexus, and the retromandibular vein, and nerves such as the mandibular nerve (CN V3) and its branches.

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The pharyngeal branch of the vagus nerve is the principal motor nerve of the pharynx. It represents the motor component of the pharyngeal plexus of vagus nerve and ultimately provides motor innervation to most of the muscles of the soft palate, and of the pharynx.

<span class="mw-page-title-main">Pharyngeal plexus of vagus nerve</span> Nerve fibers innervating most of the palate and pharynx

The pharyngeal plexus is a nerve plexus located upon the outer surface of the pharynx. It contains a motor component, a sensory component, and sympathetic component.

References

  1. 1 2 3 4 Standring, Susan (2020). Gray's Anatomy: The Anatomical Basis of Clinical Practice (42th ed.). New York. p. 680. ISBN   978-0-7020-7707-4. OCLC   1201341621.
  2. Barral, Jean-Pierre; Croibier, Alain (2009). "17 - Mandibular nerve". Manual Therapy for the Cranial Nerves. Churchill Livingstone. pp. 139–146. doi:10.1016/B978-0-7020-3100-7.50020-3. ISBN   978-0-7020-3100-7.