Page 122 - Edited - Webster HEAD AND NECK - part 1
P. 122

HN 100
                                 THE PRIMARY MUSCLES OF MASTICATION - 2

                  A. POSTERIOR ASPECT - BONES
                                                 NASAL
                                 KEW             CAVITY                    NOTES (i) COMPARE WITH SI
                 LEFT                                         CONDYLE OF
                 MAXILLA                                      MANDIBLE
                                                           LATERAL &      (ii) THE SPHENOID BONE HAS TWO
                                                           MEDIAL         VERTICAL PLATES ON EACH SIDE,
                ANTERIOR                                   PTERYGOLD      CORRECTLY KNOWN AS THE
                MARGIN                                     PLATES         MEDIAL & LATERAL PTERYGOID
                OF                                         (SPHENOID)     (pron. “TERRY GOYED” - it means
                PHARYNX                                                   “WING”) PLATES.
                (c.f.SI 36)
                                                        ANGLE OF          THE MEDIAL PLATES FORM THE
                                                        MANDIBLE          SKELETON OF THE CONTINUITY
                                 BODY OF MANDIBLE
                                                                          NASAL CAVITY->NASO-
                   PHARYNX (c.f. SI36,37) & IT IS TO THESE THAT THE PHARYNX MUST BE ATTACHED: THE MEDIAL
                   PTERYGOLD PLATES ∴ HAVE NOTHING TO DO WITH THE PTERYGOID mm.
                B. POSTERIOR ASPECT-MASTICATORY
                  MUSCLES                                            K.E.W.
                (i) THE MEDIAL PTERYGOLD MM.
                ATTACHED TO THE MEDIAL ASPECT OF
                LATERAL PTERYGOLD PLATES & TO THE                                            THESE
                MEDIAL ASPECTS OF ANGLES OF                                                  MUSCLES
                MANDIBLE. ACTING TOGETHER, THEY                                              ARE
                CLOSE THE JAUS, BUT INDIVIDUALLY                                             IMPALPABLE
                THEY DISPLACE THE MANDIBLE TO THE
                                                                                            ANGLE OF
                OPPOSITE SIDE. NERVE SUPPLY: V3.
                                                                                               MANDIBLE

                                 K.E.W.
                                                             (ii) THE LATERAL PTERYGOID MM.
                                                             ATTACHED TO THE LATERAL
              NERVE                                          ASPECT OF THE LATERAL
              SUPPLY V 3                                     PTERYGOID PLATE AND TO THE
                                                             HEAD OF THE MANDIBLE, EACH IS
                                                             CAPABLE OF MOVING THE
                                                             MANDIBLE TO THE OPPOSITE SIDE.
                                                             ACTING TOGETHER, THE
                                                             LATERAL PTERYGOID MUSCLES
                                                             OPEN THE JAWS (SEE C., below):
                 THIS IS A POWERFUL MOVEMENT, CAPABLE OF SUPPORTING BODY WEIGHT FOR A BRIEF
                 TIME. IF ONE TRIGEMINAL NERVE (V3) IS PARALYZED, ATTEMPTS TO OPEN THE MOUTH PULL
                 THE MANDIBLE TO THE SIDE OF THE PARALYZED NERVE BECAUSE ACTIVE MEDIAL &
                 LATERAL PTERYGOID MUSCLES PULL THE MANDIBLE TO THE OPPOSITE SIDE.


           C. LATERAL ASPECT                                                    LATERAL PTERYGOID
                                                                                            MUSCLE
                THIS VIEW SHOWS WHY
                THE MEDIAL PTERYGOID
                MM. CLOSE THE
                MANDIBLE ON THE
                MAXILLA, WHEREAS THE
                LATERAL PTERYGOID MM.                                               MEDIAL
                (i) OPEN THE JAWS &                                                 PTERYGOID MUSCLE
                (ii) ALSO PROTRACT THE
                MANDIBLE, SO THE CHIN                           K.E.W.       OUTLINE OF MANDIBLE
                PROTRUDES c.f. TEMPORALIS
                M. (SII 66).
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