Mylohyoid nerve | |
---|---|
Details | |
From | inferior alveolar nerve |
Innervates | mylohyoid muscle, anterior belly of digastric muscle |
Identifiers | |
Latin | nervus mylohyoideus |
TA98 | A14.2.01.090 |
TA2 | 6275 |
FMA | 53247 |
Anatomical terms of neuroanatomy |
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. It provides sensory innervation to part of the submental area, and sometimes also the mandibular (lower) molar teeth, requiring local anaesthesia for some oral procedures.
The mylohyoid nerve is a mixed (motor-sensory) [1] branch of the inferior alveolar nerve (which is a branch of the mandibular nerve (CN V3) that is itself a branch of the trigeminal nerve (CN V)). [2] [1] It arises just before it enters the mandibular foramen. [1]
It pierces the sphenomandibular ligament. [3] It descends in a groove on the deep surface of the ramus of the mandible. When it reaches the under surface of the mylohyoid muscle, it gives branches to the mylohyoid muscle and the anterior belly of the digastric muscle. [1]
The mylohyoid nerve supplies the mylohyoid muscle and the anterior belly of the digastric muscle. [2] [1]
It provides sensory innervation to the skin of the centre of the submental area. [4] It may also provide some sensory innervation to the mandibular (lower) molar teeth. [5]
The mylohyoid nerve needs to be blocked during local anaesthesia of the mandibular (lower) teeth to prevent pain during oral procedures. [5] [6] It may not be anaesthetised during a block of the inferior alveolar nerve, causing pain. [1]
In anatomy, the temporomandibular joints (TMJ) are the two joints connecting the jawbone to the skull. It is a bilateral synovial articulation between the temporal bone of the skull above and the mandible below; it is from these bones that its name is derived. This joint is unique in that it is a bilateral joint that functions as one unit. Since the TMJ is connected to the mandible, the right and left joints must function together and therefore are not independent of each other.
The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of facial expression, and functions in the conveyance of taste sensations from the anterior two-thirds of the tongue. The nerve typically travels from the pons through the facial canal in the temporal bone and exits the skull at the stylomastoid foramen. It arises from the brainstem from an area posterior to the cranial nerve VI and anterior to cranial nerve VIII.
In neuroanatomy, the mandibular nerve (V3) is the largest of the three divisions of the trigeminal nerve, the fifth cranial nerve (CN V). Unlike the other divisions of the trigeminal nerve (ophthalmic nerve, maxillary nerve) which contain only afferent fibers, the mandibular nerve contains both afferent and efferent fibers. These nerve fibers innervate structures of the lower jaw and face, such as the tongue, lower lip, and chin. The mandibular nerve also innervates the muscles of mastication.
The digastric muscle is a small muscle located under the jaw. The term "digastric muscle" refers to this specific muscle. However, other muscles that have two separate muscle bellies include the suspensory muscle of duodenum, omohyoid, occipitofrontalis.
The mandibular foramen is an opening on the internal surface of the ramus of the mandible. It allows for divisions of the mandibular nerve and blood vessels to pass through.
The inferior alveolar nerve(IAN) (also the inferior dental nerve) is a branch of the mandibular nerve, which is itself the third branch of the trigeminal nerve. The inferior alveolar nerves supply sensation to the lower teeth.
The auriculotemporal nerve is a sensory branch of the mandibular nerve (CN V3) that runs with the superficial temporal artery and vein, and provides sensory innervation to parts of the external ear, scalp, and temporomandibular joint. The nerve also conveys post-ganglionic parasympathetic fibres from the otic ganglion to the parotid gland.
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.
The mylohyoid muscle or diaphragma oris is a paired muscle of the neck. It runs from the mandible to the hyoid bone, forming the floor of the oral cavity of the mouth. It is named after its two attachments near the molar teeth. It forms the floor of the submental triangle. It elevates the hyoid bone and the tongue, important during swallowing and speaking.
The buccal nerve is a sensory nerve of the face arising from the mandibular nerve. It conveys sensory information from the skin of the cheek, and parts of the oral mucosa, periodontium, and gingiva.
The lingual nerve carries sensory innervation from the anterior two-thirds of the tongue. It contains fibres from both the mandibular division of the trigeminal nerve (CN V3) and from the facial nerve (CN VII). The fibres from the trigeminal nerve are for touch, pain and temperature (general sensation), and the ones from the facial nerve are for taste (special sensation).
The inferior alveolar artery is an artery of the face. It is a branch of the first portion of the maxillary artery. It descends as part of a neurovascular bundle with the inferior alveolar nerve and vein to the mandibular foramen where it enters and passes anterior-ward inside the mandible, suplying the body of mandible and the dental pulp of lower molar and premolar teeth. Its mental branch exits the mandibula anteriorly through the mental foramen to supply adjacent lip and skin.
The maxillary artery supplies deep structures of the face. It branches from the external carotid artery just deep to the neck of the mandible.
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.
The anterior triangle is a region of the neck.
The infraorbital nerve is a branch of the maxillary nerve. It arises in the pterygopalatine fossa. It passes through the inferior orbital fissure to enter the orbit. It travels through the orbit, then enters and traverses the infraorbital canal, exiting the canal at the infraorbital foramen to reach the face. It provides sensory innervation to the skin and mucous membranes around the middle of the face.
The submental artery is a branch of the facial artery that runs on the underside of the chin.
In anatomy, the mandible, lower jaw or jawbone is the largest, strongest and lowest bone in the human facial skeleton. It forms the lower jaw and holds the lower teeth in place. The mandible sits beneath the maxilla. It is the only movable bone of the skull. It is connected to the temporal bones by the temporomandibular joints.
The submandibular space is a fascial space of the head and neck. It is a potential space, and is paired on either side, located on the superficial surface of the mylohyoid muscle between the anterior and posterior bellies of the digastric muscle. The space corresponds to the anatomic region termed the submandibular triangle, part of the anterior triangle of the neck.
The submental space is a fascial space of the head and neck. It is a potential space located between the mylohyoid muscle superiorly, the platysma muscle inferiorly, under the chin in the midline. The space coincides with the anatomic region termed the submental triangle, part of the anterior triangle of the neck.
This article incorporates text in the public domain from page 896 of the 20th edition of Gray's Anatomy (1918)