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Muscles Test

Head & Neck Anatomy
     Dr. Shean
    Oct 21, 2011
Muscles of Facial Expression
• Origin of most is on bones
• Innervation of all from CN VII Facial
  – Exits skull via stylomastoid foramen
Sternocleidomastoid
Sternocleidomastoid
Sternocleidomastoid
Trapezius
Trapezius
Trapezius
Trapezius
Frontalis
Frontalis
OrbicularisOculi
OrbicularisOculi
Zygomaticus Major
Zygomaticus Major
Insertion of Zygomaticus Major
•   Origin: Zygomatic bone
•   Insertion: blends with muscles
    at the angle of the mouth
•   Action: Elevation of corner of
    mouth (smile)
Zygomaticus Minor
Origin of Zygomaticus Minor
•   Origin: Zygomatic Bone
•   Insertion: Blends with orbicularisoris
    muscle
•   Action: Elevation of upper lip, produce
    nasolabial furrow
LevatorAnguliOris
LevatorAnguliOris
Origin of LevatorAnguliOris
•   Origin: Maxilla
•   Insertion: Blends with muscles at angle of
    mouth.
•   Action: Elevation of angle of mouth
    (smile).
Risorius
Risorius
LevatorLabiiSuperioris

              LevatorLabiiSuperiorisalaequenasi
LevatorLabiiSuperioris
Origin LevatorLabiiSuperioris
•   Origin: Zygomatic bone, Maxilla
•   Insertion: Blends with muscles of upper lip
•   Action: Elevates upper lip (sneer)
LevatorLabiiSuperiorisalaequenasi
LevatorLabiiSuperiorisalaequenasi
Origin of
      LevatorLabiiSuperiorisalaequenasi
•   Origin: Maxilla
•   Insertion: Alar cartilage of nose, blends with
    muscles of upper lip
•   Action: Elevation of upper lip, dilation of nostril
OrbicularisOris
OrbicularisOris
Depressor AnguliOris
Depressor AnguliOris
Origin of Depressor AnguliOris
•   Origin: Mandible (body)
•   Insertion: Blends with muscles at
    angle of the mouth
•   Action: Depression of angle of the
    mouth (grimace)
Depressor LabiiInferioris
Depressor LabiiInferioris
Origin of Depressor LabiiInferioris
•   Origin: Mandible (body)
•   Insertion: Blends with muscles of lower
    lip
•   Action: Depression of lower lip (pout)
Mentalis
Origin of Mentalis
•   Origin: Mandible
•   Insertion: Skin of chin
•   Action: Wrinkles skin of chin, raises and
    protrudes upper lip
Buccinator
Buccinator
Origin of Buccinator
•   Origin: PterygomandicularRaphe,
    Maxilla (lateral aspect), Mandible
    (lateral body)
•   Insertion: Blends with muscles at
    angle of mouth
•   Action: Compression of cheek
    (inflating a balloon, playing a wind
    musical instrument)
•   Innervation: CN VII Facial Nerve
Platysma
Platysma
Insertion of Platysma
•   Origin: Fascia of Thorax & upper neck
•   Insertion: Mandible (lower border), skin &
    fascia of lower face, blends with muscles of
    lower lip & angle of mouth.
•   Action: Elevates & creases skin of neck (look
    of “horror”), depression of lower lip & angle
    of mouth
Muscles of Mastication
• All work on TMJ
• Mandibular movements =
  elevation/depression, protrusion/retraction,
  lateral deviation
• All innervated by CN V (3rd branch) :
  Mandibular branch of the Trigeminal Nerve
Masseter
Origin of Masseter
•   Origin: Zygomatic Arch
•   Insertion: Mandible (External surface of
    Angle &Ramus)
•   Action: Elevation of Mandible (closing
    mouth)
Insertion of Massetter
•   Origin: Zygomatic Arch
•   Insertion: Mandible (External
    surface of Angle &Ramus)
•   Action: Elevation of Mandible
    (closing mouth)
Temporalis
Origin of Temporalis
•   Origin: Temporal Fossa
•   Insertion: Mandible (Coronoid process
    &Ramus)
•   Action: Elevation of Mandible (close
    mouth)
Insertion of Temporalis
•   Origin: Temporal Fossa
•   Insertion: Mandible (Coronoid process
    &Ramus)
•   Action: Elevation of Mandible (close mouth)
Medial Pterygoid
Origin of Medial Pterygoid
•   Origin: Sphenoid bone (lateral Pterygoid
    plate)
•   Insertion: Mandible (medial surface of angle
    &Ramus)
•   Action: Elevation of Mandible (closing
    mouth)
Origin of Medial Pterygoid
•   Origin: Sphenoid bone (lateral Pterygoid
    plate)
•   Insertion: Mandible (medial surface of angle
    &Ramus)
•   Action: Elevation of Mandible (closing
    mouth)
Origin of Medial Pterygoid
•   Origin: Sphenoid bone (lateral Pterygoid
    plate)
•   Insertion: Mandible (medial surface of angle
    &Ramus)
•   Action: Elevation of Mandible (closing
    mouth)
Insertion of Medial Pterygoid
•   Origin: Sphenoid bone (lateral Pterygoid
    plate)
•   Insertion: Mandible (medial surface of
    angle &Ramus)
•   Action: Elevation of Mandible (closing
    mouth)
Lateral Pterygoid
Origin of Lateral Pterygoid
•   Origin: Spehoid bone (Greater wing &
    lateral Pterygoid plate)
•   Insertion: Mandible (neck) &Articular disc
    of TMJ
•   Action: Protrusion of Mandible
Origin of Lateral Pterygoid
•   Origin: Spehoid bone (Greater wing & lateral
    Pterygoid plate)
•   Insertion: Mandible (neck) &Articular disc of TMJ
•   Action: Protrusion of Mandible
Insertion of Lateral Pterygoid
•   Origin: Spehoid bone (Greater wing & lateral
    Pterygoid plate)
•   Insertion: Mandible (neck) &Articular disc of
    TMJ
•   Action: Protrusion of Mandible
• REMEMBER THAT THE LATERAL PTERYGOID
  HAS 2 HEADS: SUPERIOR & INFERIOR HEAD
  (SEE NOTES)
Hyoid Muscles
• Origins & insertions can be derived mostly
  from the names
Mylohyoid
•   SUPRAHYOID
•   Origin: Mandible (inner aspect of
    body)
•   Insertion: Hyoid bone
•   Action: Elevation of floor of
    mouth
•   Innervation: Mylohyoid nerve
    (branch of Mandibular branch of
    Trigeminal Nerve CN V 3rd
    branch)
Insertion of Mylohyoid
•   SUPRAHYOID
•   Origin: Mandible (inner aspect of
    body)
•   Insertion: Hyoid bone
•   Action: Elevation of floor of
    mouth
•   Innervation: Mylohyoid nerve
    (branch of Mandibular branch of
    Trigeminal Nerve CN V 3rd
    branch)
Digastric Muscle
•   SUPRAHYOID
•   Innervation Ant. Belly:
    Mylohyoid Nerve ( branch of
    Mandibular Branch of
    Trigeminal Nerve)
•   Innervation Posterior Belly:
    Facial Nerve CN VII
Stylohyoid
•   SUPRAHYOID
•   Innervation: Facial Nerve CN VII
Geniohyoid
•   SUPRAHYOID
•   Origin: Genial tubercles inside of
    mandible (mental region)
Sternohyoid
Omohyoid
•   Infrahyoid
•   Muscle has 2 bellies (superior &
    inferior) joined by intermediate
    tendon attached to clavicle by fascia
•   Innervation (EX CREDIT): Ventral
    Rami of C 1-3 spinal nerves (cervical
    nerves/plexus)
Omohyoid
Sternohyoid
•   Infrahyoid
•   Innervation (EX CRED): ventral
    rami C 1-3 (Cervical
    nerves/plexus)
Thyrohyoid
•   Infrahyoid
•   Innervation (EX CRED): Ventral
    Ramus of C1 Spinal Nerve
    (Cervical nerves/plexus)
Thryohyoid
Tongue Muscles
• Origins & Insertions mostly obvious from
  names
• ALL innervated by CN XII Hypoglossal Nerve
• Intrinsic vs Extrinsic Tongue Muscles
Intrinsic Tongue Muscles
•   Longitudinal
•   Transverse
•   Vertical
Styloglossus
Genioglossus
Genioglossus
Hyoglossus
Stylopharyngeus
•   Innervation: Gossopharyngeal CN IX
Superior/Middle/Inferior Pharyngeal
               Constrictor
•   Innervation: Pharyngeal Plexus
     –   VAGUS NERVE??? CN X ???
•   Action: Produce a wave of
    contraction (peristalsis) during
    swallowing
•   Origin:
     –   PterygomandibularRaphe (Sup.)
     –   Hyoid bone (Mid.)
     –   Thyroid &Cricoid cartilages of Larynx
         (Inf.)
•   Insertion: Post. Midline
    Raphe, Base of skull (sup.
    Constrictor)
Palatoglossus
•   Action: Elevates & Arches
    tongue, depressing soft
    palate toward tongue
•   If you found a good pic
    besides one out of the book
    (don’t have a scanner) then
    feel free to share! 
•   OR Label this pic right here,
    I’m not sure which part it is.
Palatopharyngeus
•   Action: Moves palate posteroinferiorly&
    posterior pharyngeal wall
    anterosuperiorly
Levatorvelipalatini
•   Raies soft palate to contact the psoterior
    pharyngeal wall
Tensor velipalatini
•   Tenses & slightly lowers soft palate

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