Medial pterygoid nerve

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Medial Pterygoid Nerve

The Medial Pterygoid Nerve is a branch of the Mandibular Nerve, which is the third division of the Trigeminal Nerve. It is primarily responsible for the innervation of the Medial Pterygoid Muscle, a muscle of mastication.

Etymology

The term "Pterygoid" is derived from the Greek words "pteryx" and "eidos", meaning "wing" and "form" respectively. This is in reference to the wing-like shape of the pterygoid process, where the medial pterygoid muscle and consequently the medial pterygoid nerve are located.

Anatomy

The medial pterygoid nerve branches off from the mandibular nerve, near the Foramen Ovale. It then travels to the medial pterygoid muscle, providing motor innervation. In addition to the medial pterygoid muscle, the nerve also supplies the Tensor Veli Palatini and the Tensor Tympani, muscles involved in the function of the Eustachian Tube and the Middle Ear respectively.

Clinical Significance

Damage to the medial pterygoid nerve can result in difficulty in chewing and swallowing, due to the impaired function of the medial pterygoid muscle and the tensor veli palatini. This can be a result of trauma, surgical complications, or pathological conditions such as Trigeminal Neuralgia.

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Contributors: Prab R. Tumpati, MD