Pterygomandibular raphe

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Pterygomandibular raphe
medial pterygoid plate
Insertionmylohyoid line of the mandible
Identifiers
Latinraphe pterygomandibularis
TA98A05.3.01.102
TA22178
FMA55618
Anatomical terminology]

The pterygomandibular raphe (pterygomandibular fold

mandible. It gives attachment to the buccinator muscle (in front), and the superior pharyngeal constrictor muscle
(behind).

Structure

Open mouth, view from front. The pterygomandibular ligaments are marked with arrows. Note that in this mouth the lower wisdom teeth have been removed, slightly changing the shape of the pterygomandibular ligaments that usually curve and attach to the mandible around them.

The pterygomandibular

mandible.[2][3]

Relations

The pterygomandibular raphe is the common meeting point of the superior pharyngeal constrictor muscle and the buccinator muscle. This common attachment makes the raphe a junction of the oral cavity, oropharynx, and nasopharynx.[3]

The inferior alveolar nerve passes lateral to the raphe; the raphe is therefore a landmark for a nerve block of this nerve.[2]

The general location of the raphe is indicated by the pterygomandibular fold.[3]

Attachments

The pterygomandibular raphe gives attachment to the central portion of the buccinator muscle anteriorly, and to the superior pharyngeal constrictor muscle posteriorly.[2]

Variation

In

ethnic group.[4]

Clinical significance

When the mandible is splinted for gradual realignment (such as to treat sleep apnea), the pterygomandibular ligament slightly resists the realignment.[5]

The raphe is a landmark for administration of inferior alveolar nerve blocks.[2][3][1]

History

The pterygomandibular ligament was first noted in 1784.[3]

See also

References

External links