The retromandibular painful point (RPM) is the location of the opening in the palatine bone through which the cranial nerves of the 5th cranial nerve (trigeminal) pass. The BRM is the intersection of two foramina: the lateral condyle of the occipital bone and the sphenoid-ethmoid process. It is involved in maintaining the shape of the human body, is responsible for the position of the head, its movements, as well as chewing and pronunciation of sounds.
What causes pain
Painful transmandibular palsy manifests itself in the form of pain of significantly different severity, spreading along the lateral surface of the neck, occurring when turning the head and straining the neck muscles. According to some researchers, they occur when the facial branch of the trigeminal nerve is pinched (compressed) at the level of this sacrospinous foramen. Some researchers believe that the TBPP occurs due to the expansion of the lateral foramen (LPF) and the pathological movement of the skull bones, which narrow the canal and/or displace its contents (V.N. Shlemnikov, A.P. Ozerov, 1996, A.V. Golovko, 2002).
The exit points of the nerves involved in the formation of the BRM are indicated in Table 6. Table