open access

Ahead of Print
Case report
Submitted: 2023-05-24
Accepted: 2023-07-27
Published online: 2024-04-24
Get Citation

Pterygoideus proprius muscle: stuck between the greater wing and lateral pterygoid plate

Claire E. Stoudemire1, Brittney L. Link1, Faith M. Klein1, Caitlin N. Sachsenmeier1, Randy J. Kulesza1
Affiliations
  1. Department of Anatomy, Lake Erie College of Osteopathic Medicine, Erie, PA, United States

open access

Ahead of Print
CASE REPORTS
Submitted: 2023-05-24
Accepted: 2023-07-27
Published online: 2024-04-24

Abstract

The muscles of mastication derive from a common embryological source, and the presence of accessory muscles in the infratemporal fossa (ITF) is uncommon. Here, we present findings from postmortem dissection of the ITF revealing a unilaterally present muscle extending from the greater wing of the sphenoid to blend inferiorly with the medial and lateral pterygoid muscles before attaching to the lateral pterygoid plate. This muscle is most consistent with the pterygoideus proprius muscle initially described in 1858. Though the exact embryological origin and function of this muscle remain speculative, these topics are nonetheless worth investigating as it may provide insight regarding the ontogeny of muscles descending from the first pharyngeal arch. Additionally, presence of the pterygoideus proprius muscle may have clinical implications and impact surrounding structures such as the mandibular division of the trigeminal nerve, maxillary artery, pterygoid venous plexus, masticatory muscles, and temporomandibular joint (TMJ).

Abstract

The muscles of mastication derive from a common embryological source, and the presence of accessory muscles in the infratemporal fossa (ITF) is uncommon. Here, we present findings from postmortem dissection of the ITF revealing a unilaterally present muscle extending from the greater wing of the sphenoid to blend inferiorly with the medial and lateral pterygoid muscles before attaching to the lateral pterygoid plate. This muscle is most consistent with the pterygoideus proprius muscle initially described in 1858. Though the exact embryological origin and function of this muscle remain speculative, these topics are nonetheless worth investigating as it may provide insight regarding the ontogeny of muscles descending from the first pharyngeal arch. Additionally, presence of the pterygoideus proprius muscle may have clinical implications and impact surrounding structures such as the mandibular division of the trigeminal nerve, maxillary artery, pterygoid venous plexus, masticatory muscles, and temporomandibular joint (TMJ).

Get Citation

Keywords

muscles of mastication, dissection, infratemporal fossa, temporomandibular joint

About this article
Title

Pterygoideus proprius muscle: stuck between the greater wing and lateral pterygoid plate

Journal

Folia Morphologica

Issue

Ahead of Print

Article type

Case report

Published online

2024-04-24

Page views

13

Article views/downloads

13

Keywords

muscles of mastication
dissection
infratemporal fossa
temporomandibular joint

Authors

Claire E. Stoudemire
Brittney L. Link
Faith M. Klein
Caitlin N. Sachsenmeier
Randy J. Kulesza

References (10)
  1. Akita K, Shimokawa T, Sato T. Aberrant muscle between the temporalis and the lateral pterygoid muscles: M. pterygoideus proprius (Henle). Clin Anat. 2001; 14(4): 288–291.
  2. Barker BC. The pterygoideus proprius muscle. Aust Dent J. 1981; 26(5): 309–310.
  3. Bergman RA, Tubbs RS, Shoja MM. et al.. Facial muscles and muscles of mastication. In 's comprehensive encyclopedia of human anatomic variation (1st ed., pgs. 224-225). In: Tubbs RS, Shoja MM, Loukas M. ed. Bergman's comprehensive encyclopedia of human anatomic variation. John Wiley et Sons, Inc., Hoboken 2016.
  4. Henle J. Handbuch der systematischen Anatomie des Menschen. Friedrich Vieweg und Sohn, Braunschweig 1858: 161–164.
  5. Liu F, Steinkeler A. Epidemiology, diagnosis, and treatment of temporomandibular disorders. Dent Clin North Am. 2013; 57(3): 465–479.
  6. Penhall B, Townsend G, Tomo S, et al. The pterygoideus propius muscle revisited. Clin Anat. 1998; 11(5): 332–337, doi: 10.1002/(SICI)1098-2353(1998)11:5<332::AID-CA7>3.0.CO;2-R.
  7. Snoeck T, Provyn S, Balestra C, et al. The musculus pterygoïdeus proprius: an in-vivo approach with magnetic resonance imaging. J Anat. 2010; 217(6): 679–682.
  8. Tubbs R, Stetler W, Shoja M, et al. An unusual muscular variation of the infratemporal fossa. Folia Morphol. 2007; 66(3): 200–202.
  9. Valesan LF, Da-Cas CD, Réus JC, et al. Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis. Clin Oral Investig. 2021; 25(2): 441–453.
  10. Yu SK, Kim TH, Yang KY, et al. Morphology of the temporalis muscle focusing on the tendinous attachment onto the coronoid process. Anat Cell Biol. 2021; 54(3): 308–314.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., Grupa Via Medica, Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.: +48 58 320 94 94, faks: +48 58 320 94 60, e-mail: viamedica@viamedica.pl