Lateral pterygoid muscle

Musculus pterygoideus lateralis

  • Latin synonym: Musculus pterygoideus externus
  • Related terms: Lateral pterygoid

Definition

Muhammad A. Javaid

Lateral pterygoid muscle

Origin

Great wing of sphenoid and lateral pterygoid plate

Insertion

pterygoid fovea, capsule of TMJ and intra-articular disc

Blood supply

Pterygoid branches of maxillary artery

Innervation

Nerve to lateral pterygoid (from anterior division of mandibular nerve CN V3)

Action

Protrudes the jaw

The lateral pterygoid is a short, thick, triangular muscle situated in the infratemporal fossa. It is one of the four muscles of mastication.

Anatomical details

1. Origin

The muscle has two heads — superior and inferior — arising from distinct bony parts:

Head

Origin

Superior (upper) head

Infratemporal surface and infratemporal crest of the greater wing of the sphenoid bone

Inferior (lower) head

Lateral surface of the lateral pterygoid plate of the sphenoid bone

2. Insertion

Fibres from both heads converge to insert into:

Innervation

Actions

  • Bilateral contraction of the lateral pterygoid pulls the mandibular head and articular disc forward bringing it under the articular tubercle, producing protrusion and opening of the jaw.

  • Unilateral contraction moves the mandible toward the opposite side, enabling the side-to-side grinding movements of mastication.

Clinical correlate

  • Jaw Deviation: Lesion of the mandibular nerve (CN V3) or paralysis of the lateral pterygoid → jaw deviates toward the affected side when opening (due to unopposed action of the opposite or healthy side).

References

  • Basit H, Tariq MA, Siccardi MA. Anatomy, Head and Neck, Mastication Muscles. [Updated 2023 Jun 5]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK541027/

  • Gray, H. (2016) Gray’s Anatomy: The Anatomical Basis of Clinical Practice. 41st edn. Edited by S. Standring. New York: Elsevier. Chapter 32: Infratemporal and pterygopalatine fossae and temporomandibular joint, pp. 546-548.

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