Masseter
• Quadrilateral muscle
• covers the lateral surface of ramus of mandible
Origin
1. Superficial Layer: anterior 2/3 of lower border of zygomatic arch
2. Deep layer: deep surface of zygomatic arch
3. Middle Layer: posterior 1/3 of lower border of zygomatic arch
Insertion
Superficial layer into lower part of lateral surface of ramus of mandible
Deep Layer into rest of the ramus Middle layer into central part of ramus
Nerve supply: Masseteric Nerve, branch of anterior division of mandibular Nerve
Action:
- Elevation of mandible
- Superficial fibres cause protrusion
Temporalis
- fan shaped muscle
- fills the temporal fossa
Origin:
- temporal fossa including zygomatic bone
- temporal fascia
Insertion:
- Margins & deep surface of coronoid process of mandible
- anterior border of ramus of mandible
Nerve Supply: Two deep temporal nerve from anterior division of mandibular nerve
Action:
- elevate the mandible
- helps in side to side grinding movements
- retracts the protruded mandible
Lateral Pterygoid
Origin:
Upper head - from infra temporal surface and crest of greater wing of sphenoid
Lower head - from lateral surface of lateral pterygoid plate
Insertion:
- pterygoid fovea on the anterior surface of neck of the mandible
- anterior margin of the articular disc & capsule of temporomandibular joint
Nerve supply: branch from anterior division of mandibular nerve
Action:
- depression of mandible
- lateral & medial pterygoids protrudes the mandible
- right lateral & medial pterygoids turn the chin to left side, as a part of grinding movement
RELATIONS OF LATERAL PTERYGOID
The lateral pterygoid may be regarded as the key
muscle of this region because its relations provide a fair
idea about the layout of structures in the infratemporal
fossa.
The relations are as follows:
Superficial
1. Masseter
2. Ramus of the mandible
3. Tendon of the temporalis
4. The maxillary artery
Deep
1. Mandibular nerve
2. Middle meningeal artery.
3. Sphenomandibular ligament
4. Deep head of the medial pterygoid.
Structures Emerging at the Upper Border
1. Deep temporal nerves
2. Masseteric nerve.
Structures Emerging at the lower Border
1. Lingual nerve
2. Inferior alveolar nerve
3. The middle meningeal artery passes upwards deep
to it
Structures Passing through the Gap Between the
Two Heads
1. The maxillary artery enters the gap
2. The buccal branch of the mandibular nerve comes
out through the gap
✦The pterygoid plexus of veins surrounds the lateral
pterygoid.
Medial Pterygoid Origin
Superficial head: from tuberosity of maxilla & adjoining bone
Deep head: from medial surface of lateral pterygoid plate & adjoining process of palatine bone
Insertion: roughened area on the medial surface of the angle & adjoining ramus of mandible
Nerve Supply: Nerve to medial pterygoid, a branch from the main trunk of mandibular nerve
Action:
- elevation of mandible protrusion of mandible
- right medial & right lateral pterygoid moves the chin to left side
RELATIONS OF MEDIAL PTERYGOID
The superficial and deep heads of medial
pterygoid enclose the lower head of lateral
pterygoid muscle
Superficial Relations
The upper part of the muscle is separated from the
lateral pterygoid muscle by:
- 1. The lateral pterygoid plate
- 2. The lingual nerve
- 3. The inferior alveolar nerve.
Lower down the muscle is separated from the
ramus of the mandible by
- 1. the lingual and inferior alveolar nerves,
- 2. the maxillary artery, and
- 3. the sphenomandibular ligament.
The relations are:
- 1. Tensor veli palatini
- 2. Superior constrictor of pharynx
- 3. Styloglossus
- 4. Stylopharyngeus attached to the styloid process
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