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Muscles of the head
and neck
Kemerovo State Medical University
Department of Anatomy
Senior Lecturer
Vladimir V. Kazimirov
Types of Muscles
Skeletal striated muscle
▪ voluntary somatic muscle
▪ make up the skeletal muscles
Cardiac striated muscle
▪ involuntary visceral muscle
▪ forms most of the walls of the heart
and adjacent parts of the great vessels
Smooth muscle (unstriated)
▪ involuntary visceral muscle
▪ forms part of the walls of most vessels
and hollow organs
Tendon - attachment site to
bones
▪ Origin - relatively fixed
during muscular contraction
(generally a more proximal
location)
▪ Insertion - moveable during
the contraction
Muscle structure and parts
Belly - fleshy portion of the muscle
in between attachment sites
Fascia
▪ layer of fibrous tissue that surrounds muscles, groups of
muscles, blood vessels and nerves, binding those structures
together
▪ allow the muscles to slide upon each other during movement
Muscle shapes
MUSCLES OF THE HEAD
AND NECK
Muscles of the Head
The muscles of the head are divided into the facial muscles and masticatory muscles.
THE MUSCLES OF THE FACE
The facial muscles are derived from the common mesenchyme primordium of the
second (hyoid) visceral arch, which is associated with the facial nerve.
The facial muscles are characterized by the following features:
➢small muscle bundles, which originate from the bones of the skull and insert into
the skin; during contraction, they exert force on the skin of the face, altering its
expressions;
➢the facial muscles group around the natural orifices either annularly (constrictors)
or radially (dilators);
➢the majority is devoid of fasciae.
Muscles of eye Origin Insertion Action Innervation
M. orbicularis oculi
pars palpebralis and
orbitalis
circularly around the orbit, is attached to
ligamentum palpebrale mediale
closing the eyelid
N.facialis
M. orbicularis oculi
pars lacrimalis
crista lacrimalis
posterior
margins of the eye-
lids
enlarges saccus
lacrimalis
M. corrugator
supercilii
sutura
nasofrontalis
middle and lateral
part of the eyebrows
vertical furrowing
over radix nasí
M. procerus radix nasi glabella
transversal skin folds
above radix nasí
VII CN
Muscles of the mouth Origin Insertion Action Innervation
M. orbicularis oris
juga alveolaria of
incisors, inferior part of
apertura piriformis
labial skin
mouth closing, labial
constriction, labial
puckering
N.facialis
M. levator labii
superioris
inferior edge of aditus
orbitae
labium superius elevation of upper lip
M. levator labii
superioris alaeque nasi
angulus medialis orbitae
et dorsum nasi
sulcus nasolabialis
elevation of upper lip
and enlargement of
nostril
M. levator anguli oris fossa canina angulus oris elevates angulus oris
M. zygomaticus
minor
os zygomaticum sulcus nasolabialis
pulls angulus oris
laterocranially
M. zygomaticus
major
os zygomaticum sulcus nasolabialis
pulls oral angle
laterocranially
VII CN
Muscles of the
mouth
Origin Insertion Action Innervation
M. risorius fascia masseterica angulus oris
traction of oral angle
laterocranially
N.facialis
M. buccinator
processus alveolaris
of the posterior teeth
et raphe
buccopharyngeum
angulus oris
compresses cheeks
againts molar teeth;
sucking and blowing
M. depressor
anguli oris
basis mandibulae angulus oris
traction of angulus
oris caudally
M. depressor
labii inferioris
basis mandibulae labium inferius
traction of lower lip
caudally
M. mentalis
juga alveolaria of
lower incisors
skin of the chin
pulls chin skin
cranially, protrudes
lower lip
VII CN
Nasal muscle Origin Insertion Action
M. nasalis
juga alveolaria of the
upper anterior teeth
ala nasi narrowing of nostril
Muscles of epicranium Origin Insertion Action
Innerv
ation
M. occipitofrontalis
venter occipitalis
linea nuchae suprema
galea
aponeurotica
traction of the head skin dorsally, and
erases forehead wrinkles
M. occipitofrontalis
venter frontalis
margo anterior of galea
aponeurotica
skin of forehead
and eyebrow
contraction causes transversal forehead
wrinkles, and elevation of palpebra superior
M. temporoparietalis galea aponeurotica auricular cartilage pulls auricula cranially
VII CN
Masticatory muscles Origin Insertion Action Innervation
M. temporalis
planum temporale (as far as
linea temporalis inf.) and internal
surface of temporal fascia
processus coronoideus
mandibulae
elevation and retrusion
N.trigeminus
M. masseter
pars superficialis
corpus ossis zygomatici et arcus
zygomaticus
(anterior ⅔)
tuberositas masseterica elevation and protrusion
M. masseter
pars profunda
arcus zygomaticus
(posterior ⅓)
external surface of ramus
mandibulae
retrusion
Masticatory muscles Origin Insertion Action Innervation
M. pterygoideus
medialis
fossa pterygoidea tuberositas pterygoidea elevation
M. pterygoideus
lateralis
pars superior
facies infratemporalis alae
majoris ossis sphenoidalis
discus articularis et
fovea pterygoidea
protrusion and
depression
M. pterygoideus
lateralis
pars inferior
lamina lateralis processus
pterygoidei
discus articularis et
fovea pterygoidea
V
CN
Muscles of the Neck
Muscles of the neck are divided into the superficial and deep
muscles according to their topography. Superficial muscles, in
turn, comprise the suprahyoid and infrahyoid muscles.
Superficial muscles Origin Insertion Action
M. platysma fascia pectoralis et deltoidea
skin over basis
mandibulae
stretches cervical skin
M.
sternocleidomastoideus
manubrium sterni et
clavicula (medial ⅓ )
processus
mastoideus et linea
nuchae superior
bilateral: dorsiflexion of the head and
neck; unilateral: lateroflexion of the
head and neck; auxiliary inspiratory m.
THE SUPERFICIAL MUSCLES OF THE NECK
Suprahyoid muscles Origin Insertion Action
M. mylohyoideus linea mylohyoidea
corpus ossis hyoidei et
raphe mylohyoidea
mandibular depression; fixed mandible: elevates the
hyoid bone
M. digastricus
venter posterior
incisura mastoidea os hyoideum fixed mandible: elevation of the hyoid bone
M. digastricus
venter anterior
os hyoideum fossa digastrica
fixed hyoid bone: mandibular depression; fixed mandible:
elevation of the hyoid bone
M. stylohyoideus processus styloideus os hyoideum elevates the hyoid bone and pulls it dorsally
M. geniohyoideus spina mandibulae os hyoideum
mandibular depression; fixed mandible: elevation of the
hyoid bone
Infrahyoid muscles Origin Insertion Action
M. sternohyoideus
manubrium sterni et
art. sternoclavicularis
os hyoideum
depresses of hyoid bone
and larynx
M. sternothyroideus
manubrium sterni et
first rib
cartilago thyroidea (linea
obliqua)
depresses larynx
M. thyrohyoideus
cartilago thyroidea
(linea obliqua)
lateral part of body and greater
horn of hyoid bone
depresses of hyoid bone
M. omohyoideus
venter inferior
margo superior scapulae (area nearby
ligamentum transversum scapulae)
intermediate tendon
depresses of hyoid bone
and larynx
M. omohyoideus
venter superior
intermediate tendon os hyoideum
Scalene muscles Origin Insertion Action
M. scalenus anterior
and medius
processus transversi of cervical
vertebrae
first rib unilateral: lateroflexion and rotation of
neck; bilateral: flexes neck; auxiliary
inspiratory muscles
M. scalenus posterior
processus transversi of cervical
vertebrae
second rib
THE DEEP MUSCLES OF THE NECK
Prevertebral muscles Origin Insertion Action
M. longus colli
The muscle is located in front of body and transverse processes of
cervical vertebrae
unilateral: lateroflexion of the head and neck;
bilateral: flexes head and neck
M. longus capitis
processus transversi of cervical
vertebrae
pars basilaris ossis occipitalis
unilateral: lateroflexion of the head and neck;
bilateral: flexes head and neck
M. rectus capitis anterior processus transversi of atlas pars basilaris ossis occipitalis
unilateral: lateroflexion of the head and neck;
bilateral: flexes head and neck
M. rectus capitis lateralis processus transversi of atlas pars basilaris ossis occipitalis
unilateral: lateroflexion of the head and neck;
bilateral: flexes head and neck
Cervical Fascias
▪ Superficial fascia
immediately deep to the skin
▪ Deep cervical fascia
deep investing fascia
visceral (pretracheal) fascia
prevertebral fascia
alar fascia

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1) Muscles of the head and neck.pdf

  • 1. Muscles of the head and neck Kemerovo State Medical University Department of Anatomy Senior Lecturer Vladimir V. Kazimirov
  • 2. Types of Muscles Skeletal striated muscle ▪ voluntary somatic muscle ▪ make up the skeletal muscles Cardiac striated muscle ▪ involuntary visceral muscle ▪ forms most of the walls of the heart and adjacent parts of the great vessels Smooth muscle (unstriated) ▪ involuntary visceral muscle ▪ forms part of the walls of most vessels and hollow organs
  • 3.
  • 4. Tendon - attachment site to bones ▪ Origin - relatively fixed during muscular contraction (generally a more proximal location) ▪ Insertion - moveable during the contraction Muscle structure and parts Belly - fleshy portion of the muscle in between attachment sites
  • 5.
  • 6. Fascia ▪ layer of fibrous tissue that surrounds muscles, groups of muscles, blood vessels and nerves, binding those structures together ▪ allow the muscles to slide upon each other during movement
  • 8. MUSCLES OF THE HEAD AND NECK
  • 9. Muscles of the Head The muscles of the head are divided into the facial muscles and masticatory muscles. THE MUSCLES OF THE FACE The facial muscles are derived from the common mesenchyme primordium of the second (hyoid) visceral arch, which is associated with the facial nerve. The facial muscles are characterized by the following features: ➢small muscle bundles, which originate from the bones of the skull and insert into the skin; during contraction, they exert force on the skin of the face, altering its expressions; ➢the facial muscles group around the natural orifices either annularly (constrictors) or radially (dilators); ➢the majority is devoid of fasciae.
  • 10. Muscles of eye Origin Insertion Action Innervation M. orbicularis oculi pars palpebralis and orbitalis circularly around the orbit, is attached to ligamentum palpebrale mediale closing the eyelid N.facialis M. orbicularis oculi pars lacrimalis crista lacrimalis posterior margins of the eye- lids enlarges saccus lacrimalis M. corrugator supercilii sutura nasofrontalis middle and lateral part of the eyebrows vertical furrowing over radix nasí M. procerus radix nasi glabella transversal skin folds above radix nasí VII CN
  • 11. Muscles of the mouth Origin Insertion Action Innervation M. orbicularis oris juga alveolaria of incisors, inferior part of apertura piriformis labial skin mouth closing, labial constriction, labial puckering N.facialis M. levator labii superioris inferior edge of aditus orbitae labium superius elevation of upper lip M. levator labii superioris alaeque nasi angulus medialis orbitae et dorsum nasi sulcus nasolabialis elevation of upper lip and enlargement of nostril M. levator anguli oris fossa canina angulus oris elevates angulus oris M. zygomaticus minor os zygomaticum sulcus nasolabialis pulls angulus oris laterocranially M. zygomaticus major os zygomaticum sulcus nasolabialis pulls oral angle laterocranially VII CN
  • 12. Muscles of the mouth Origin Insertion Action Innervation M. risorius fascia masseterica angulus oris traction of oral angle laterocranially N.facialis M. buccinator processus alveolaris of the posterior teeth et raphe buccopharyngeum angulus oris compresses cheeks againts molar teeth; sucking and blowing M. depressor anguli oris basis mandibulae angulus oris traction of angulus oris caudally M. depressor labii inferioris basis mandibulae labium inferius traction of lower lip caudally M. mentalis juga alveolaria of lower incisors skin of the chin pulls chin skin cranially, protrudes lower lip VII CN Nasal muscle Origin Insertion Action M. nasalis juga alveolaria of the upper anterior teeth ala nasi narrowing of nostril
  • 13. Muscles of epicranium Origin Insertion Action Innerv ation M. occipitofrontalis venter occipitalis linea nuchae suprema galea aponeurotica traction of the head skin dorsally, and erases forehead wrinkles M. occipitofrontalis venter frontalis margo anterior of galea aponeurotica skin of forehead and eyebrow contraction causes transversal forehead wrinkles, and elevation of palpebra superior M. temporoparietalis galea aponeurotica auricular cartilage pulls auricula cranially VII CN
  • 14. Masticatory muscles Origin Insertion Action Innervation M. temporalis planum temporale (as far as linea temporalis inf.) and internal surface of temporal fascia processus coronoideus mandibulae elevation and retrusion N.trigeminus M. masseter pars superficialis corpus ossis zygomatici et arcus zygomaticus (anterior ⅔) tuberositas masseterica elevation and protrusion M. masseter pars profunda arcus zygomaticus (posterior ⅓) external surface of ramus mandibulae retrusion
  • 15. Masticatory muscles Origin Insertion Action Innervation M. pterygoideus medialis fossa pterygoidea tuberositas pterygoidea elevation M. pterygoideus lateralis pars superior facies infratemporalis alae majoris ossis sphenoidalis discus articularis et fovea pterygoidea protrusion and depression M. pterygoideus lateralis pars inferior lamina lateralis processus pterygoidei discus articularis et fovea pterygoidea V CN
  • 16. Muscles of the Neck Muscles of the neck are divided into the superficial and deep muscles according to their topography. Superficial muscles, in turn, comprise the suprahyoid and infrahyoid muscles.
  • 17. Superficial muscles Origin Insertion Action M. platysma fascia pectoralis et deltoidea skin over basis mandibulae stretches cervical skin M. sternocleidomastoideus manubrium sterni et clavicula (medial ⅓ ) processus mastoideus et linea nuchae superior bilateral: dorsiflexion of the head and neck; unilateral: lateroflexion of the head and neck; auxiliary inspiratory m. THE SUPERFICIAL MUSCLES OF THE NECK
  • 18. Suprahyoid muscles Origin Insertion Action M. mylohyoideus linea mylohyoidea corpus ossis hyoidei et raphe mylohyoidea mandibular depression; fixed mandible: elevates the hyoid bone M. digastricus venter posterior incisura mastoidea os hyoideum fixed mandible: elevation of the hyoid bone M. digastricus venter anterior os hyoideum fossa digastrica fixed hyoid bone: mandibular depression; fixed mandible: elevation of the hyoid bone M. stylohyoideus processus styloideus os hyoideum elevates the hyoid bone and pulls it dorsally M. geniohyoideus spina mandibulae os hyoideum mandibular depression; fixed mandible: elevation of the hyoid bone
  • 19. Infrahyoid muscles Origin Insertion Action M. sternohyoideus manubrium sterni et art. sternoclavicularis os hyoideum depresses of hyoid bone and larynx M. sternothyroideus manubrium sterni et first rib cartilago thyroidea (linea obliqua) depresses larynx M. thyrohyoideus cartilago thyroidea (linea obliqua) lateral part of body and greater horn of hyoid bone depresses of hyoid bone M. omohyoideus venter inferior margo superior scapulae (area nearby ligamentum transversum scapulae) intermediate tendon depresses of hyoid bone and larynx M. omohyoideus venter superior intermediate tendon os hyoideum
  • 20. Scalene muscles Origin Insertion Action M. scalenus anterior and medius processus transversi of cervical vertebrae first rib unilateral: lateroflexion and rotation of neck; bilateral: flexes neck; auxiliary inspiratory muscles M. scalenus posterior processus transversi of cervical vertebrae second rib THE DEEP MUSCLES OF THE NECK
  • 21. Prevertebral muscles Origin Insertion Action M. longus colli The muscle is located in front of body and transverse processes of cervical vertebrae unilateral: lateroflexion of the head and neck; bilateral: flexes head and neck M. longus capitis processus transversi of cervical vertebrae pars basilaris ossis occipitalis unilateral: lateroflexion of the head and neck; bilateral: flexes head and neck M. rectus capitis anterior processus transversi of atlas pars basilaris ossis occipitalis unilateral: lateroflexion of the head and neck; bilateral: flexes head and neck M. rectus capitis lateralis processus transversi of atlas pars basilaris ossis occipitalis unilateral: lateroflexion of the head and neck; bilateral: flexes head and neck
  • 23. ▪ Superficial fascia immediately deep to the skin ▪ Deep cervical fascia deep investing fascia visceral (pretracheal) fascia prevertebral fascia alar fascia