A patient has mandibular nerve neuralgia with herpes zoster infection
within mandibular division of left trigeminal nerve. Patient has difficulty on
protrusion and on protrusion mandible deviates to left side. Which muscle is
most probably affected:
1) LP on left side
2) LP on right side
3) MP on left and LP on left
4) MP on right and LP on left
๐ Explanation:
The lateral pterygoid (LP) muscle on the left side is the most probable muscle affected. The trigeminal nerve innervates the muscles of mastication, including the lateral pterygoid. When the left lateral pterygoid is paralyzed due to the nerve lesion, the functioning right lateral pterygoid muscle pulls the mandible to the right during protrusion attempts, causing the jaw to deviate to the affected (left) side upon opening or protrusion.