AnatoMemory

Muscle

Medial pterygoid

Inner partner of the jaw-closing sling

Head & neckMuscular system

High-yield

Its motor nerve comes from the main trunk of V3, before that trunk divides. This differs from the mainly anterior-division supply of the other principal chewing muscles.

Overview

Medial pterygoid reaches the inner mandibular angle from the skull base. Together with masseter on the outer surface, it forms a muscular sling that raises the jaw. Unequal activity between sides contributes to chewing movements.

Reference facts

Origin
Medial surface of the lateral pterygoid plate and palatine pyramidal process; a superficial head arises from the maxillary tuberosity
Insertion
Inner surface of the mandibular ramus and angle
Action
Raises and advances the jaw; coordinated activity contributes to lateral chewing movements
Innervation
Nerve to medial pterygoid from the main trunk of V3
Blood supply
Pterygoid branches of the maxillary artery, with contributions from facial arterial branches

Clinical correlation

Trauma or bleeding involving medial pterygoid after a dental injection can contribute to trismus, meaning restricted mouth opening. The duration varies with the cause and severity.

Frequently asked questions

What does the medial pterygoid do?

Raises and advances the jaw; coordinated activity contributes to lateral chewing movements.

What nerve innervates the medial pterygoid?

The medial pterygoid is innervated by the nerve to medial pterygoid from the main trunk of V3.

Where does the medial pterygoid attach?

Origin: Medial surface of the lateral pterygoid plate and palatine pyramidal process; a superficial head arises from the maxillary tuberosity. Insertion: Inner surface of the mandibular ramus and angle.

What is the blood supply of the medial pterygoid?

The medial pterygoid is supplied by the pterygoid branches of the maxillary artery, with contributions from facial arterial branches.