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Head & Neck - Muscles
Origin, Insertion, Innervation, Action, special notes
63
Anatomy
Professional
11/29/2013

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Term
platysma
Definition
origin: lower border of mandible
insert: fascia over pec region
nerve: facial nerve, cervical branch
action: draws corners of mouth inferiorly and laterally, draws skin of neck superiorly
muscle of facial expression1
Term
sternocleidomastoid
Definition
origin: mastoid process and superior nuchal line
insert: manubrium and medial clavicle
nerve: spinal accessory (CN XI)
action: (bilateral) flexion of neck and head; (unilateral) lateral flexion of neck and rotation of chin to opposite side
Term
trapezius
Definition
origin:
insert:
nerve:
action:
Term
omohyoid
Definition
origin: (inferior) superior broder of scapula; (superior) body of hyoid
insert: intermediate tendon
nerve: ansa cervicalis
action: depression of hyoid during swallowing
Term
sternohyoid
Definition
origin: manubrium
insert: body of hyoid
nerve: ansa cervicalis
action: depress hyoid during swallowing
Term
sternothyroid
Definition
origin: manubrium
insert: oblique line of thyroid cartilage
nerve: ansa cervicalis
action: depress hyoid during swallowing
Term
thyrohyoid
Definition
origin: oblique line of thyroid cartilage
insert: body of hyoid
nerve: ansa cervicalis
action: depress hyoid during swallowing, elevates larynx and pharynx
Term
stylohyoid
Definition
origin: styloid process
insert: body of hyoid
nerve: CN VII
action: elevate hyoid, larynx, pharynx during swallowing and phonation; assits in opening mouth
Term
digastric
Definition
origin: (posterior) inner surface of mastoid process; (anterior) digastric fossa of mandible
insert: intermediate tendon
nerve: (posterior) CN VII; (anterior) n. to mylohyoid
action: elevate hyoid, larynx and pharynx during swallowing and phonation; assist in opening mouth
Term
mylohyoid
Definition
origin: mylohyoid line of mandible
insert: midline raphe and body of hyoid
nerve: nerve to mylohyoid
action: elevate hyoid, larynx and pharynx during swallowing and phonation; assist in mouth opening
principal muscle of the floor of oral cavity
Term
geniohyoid
Definition
origin: inferior mental spines
insert: body of hyoid
nerve: C1 fibers
action: elevate hyoid, larynx and pharynx during swallowing and phonation; assist in mouth opening
Term
anterior scalene
Definition
origin: transverse processes C3-C6
insert: 1st rib
nerve: VPR C5, C6
action: (bilateral) flexion of neck, (unilateral) lateral flexion of neck
Term
middle scalene
Definition
origin: transverse processes C1-C7
insert: 1st rib
nerve: VPR C3-C8
action: lateral flexion of neck, elevate 1st rib
Term
posterior scalene
Definition
origin: transverse processes of C4-C6
insert: 2nd rib
nerve: VPR C6-C8
action: elevate 2nd rib, lateral flexion of neck
Term
orbicularis oculi
Definition
origin: frontal bone, lacrimal bone
insert: lateral palpebral raphe
nerve: temporal and zygomatic (CN VII)
action: closes eyelids
Term
orbicularis oris
Definition
origin: maxilla and mandible
insert: skin around lips
nerve: buccal branch (CN VII)
action: pucker lips
Term
levator labii superioris
Definition
origin: medial infra-orbital margin
insert: skin and muscle of upper lip
nerve: zygomatic branch (CN VII)
action: elevates upper lip
Term
zygomaticus major
Definition
origin: anterior zygomatic bone
insert: skin and muscles of mouth
nerve: zygomatic and buccal branches (CN VII)
action: draws angle of mouth superior and lateral
Term
levator anguli oris
Definition
origin: maxilla
insert: skin and muscles around mouth
nerve: buccal branch (CN VII)
action: smile (elevate angle of mouth)
Term
depressor anguli oris
Definition
origin: tubercle of mandible
insert: skin and muscles around mouth
nerve: mandibular branch (CN VII)
action: depress angles of mouth
Term
depressor labii inferioris
Definition
origin: oblique line of mandible
insert: skin of lower lip
nerve: mandibular branch (CN VII)
action: depress lower lip
Term
mentalis
Definition
origin: anterior mandible
insert: chin
nerve: mandibular branch (CN VII)
action: elevates and wrinkles chin, protrudes lower lip
Term
buccinator
Definition
origin: alveolar processes of maxilla and mandible, TMJ
insert: fibers of orbicularis oris
nerve: buccal branch (CN VII)
action: compress cheeks against teeth (blowing), mastication, suckle
Term
occipitofrontalis
Definition
origin: two occipital and two frontal bellies
insert: galea aponeruotica
nerve: facial nerve
action: raises eyebrows, wrinkles forehead
Term
masseter
Definition
origin: zygomatic arch
insert: lateral surface of ramus and angle of mandible
nerve: mandibular nerve (CN V3)
action: elevation of mandible
Term
temporalis
Definition
origin: temporal fossa and temporalis fascia
insert: coronoid process of mandible
nerve: mandibular nerve (CN V3)
action: elevate mandible, retract mandible
fan-shaped; broad proximally, narrows distally (wrt temporal bone)
Term
lateral pterygoid
Definition
origin: (superior) greater wing of sphenoid; (inferior) lateral surface of lateral pterygoid plate
insert: (superior) articular disc and capsule of TMJ; (inferior) fovea of mandible
nerve: mandibular (CN V3)
action: (bilateral) protrude mandible; (unilateral) deviates jaw to opposite side
Term
medial pterygoid
Definition
origin: medial surface of lateral pterygoid plate
insert: medial surface ramus and angle of mandible
nerve: mandibular (CN V3)
action: (bilateral) elevate mandible; (unilateral) deviate jaw to opposite side
Term
superior rectus
(no action)
Definition
origin: common ring tendon
insert: superior sclera of eye
nerve: superior division of oculomotor (CN III)
Term
medial rectus
Definition
origin: common ring tendon
insert: medial sclera of eye
nerve: inferior division of oculomotor (CN III)
action: adduct eye
Term
inferior rectus
(no action)
Definition
origin: common ring tendon
insert: inferior sclera of eye
nerve: inferior division of oculomotor (CN III)
Term
lateral rectus
Definition
origin: common ring tendon
insert: lateral sclera of eye
nerve: abducens (CN VI)
action: abduct eye
Term
superior oblique
(no action)
Definition
origin: body of sphenoid
insert: superolateral quadrant of posterior eye
nerve: trochlear nerve (CN IV)
passes on superior border of medial wall of oribit
tendon passes through fibrocartilaginous trochlea at medial wall
Term
inferior oblique
(no action)
Definition
origin: maxilla near floor and medial wall of oribt
insert: inferolateral quadrant of posterior eye
nerve: inferior division of oculomotor (CN III)
Term
levator palpebrae superioris
Definition
origin: lesser wing of sphenoid (above optic canal)
insert: tarsal plate of skin of upper eyelid
nerve: superior division of oculomotor (CN III)
action: elevates upper eyelid
contains smooth muscle fibers that are innervated by fibers from superior cervical ganglion
Term
abduction of eye
Definition
lateral rectus
Term
adduction of eye
Definition
medial rectus
Term
elevation of eye
Definition
superior rectus (abducted), inferior oblique (adducted)
Term
depression of eye
Definition
inferior rectus (abducted), superior oblique (adducted)
Term
ciliary muscle
Definition
smooth muscle that connects the zonular filaments and controls shape of lens
PS --> contract, reduce tension, more spherical lens, near vision
sympathetic --> relax, increase tension, more flat lens, distance vision
Term
sphincter papillae
Definition
circular fibers
PS axons
Term
dilator pupillae
Definition
radial fibers
sympathetic acons
Term
superior pharyngeal constrictor
Definition
origin: lower border and hamulus of medial pterygoid plate, pterygomandibular raphe
insert: pharyngeal tubercle, counter part along pharyngeal raphe
nerve: pharyngeal plexus of CN X
action: swallowing
Term
middle pharyngeal constrictor
Definition
origin: greater and lesser horns of hyoid and stylohyoid ligament
insert: midline pharyngeal raphe
nerve: pharyngeal plexus of CN X
action: swallowing
Term
inferior pharyngeal constrictor
Definition
origin: oblique line of thyroid cartilage and arch of cricoid cartilage
insert: pharyngeal raphe
nerve: pharyngeal plexus of CN X0
action: swallowing
superior portion is cricopharyngeus
Term
cricopharyngeus
Definition
superior portion of inferior pharyngeal constrictor
upper esophageal sphincter
normally closed, except when swallowing (relaxes to allow food to enter esophagus)
Term
stylopharyngeus
Definition
origin: styloid process
insert: superior border of thyroid cartilage (merge with palatopharyngeus)
nerve: glossopharyngeal (CN IX)
action: elevate larynx and pharynx, swallowing
passes between superior and middle constrictors to reach thyroid cartilage
Term
palatopharyngeus
Definition
origin: lateral margin of soft palate
insert: blends with fibers of stylopharyngeus
nerve: pharyngeal plexus of CN X
action: pulls pharynx and larynx upward
Term
salpingopharyngeus
Definition
origin: cartilage of auditory tube (at torus tubarius)
insert: merge with fibers of palatopharyngeus
nerve: CN X
action: elevate pharynx, pulls on torus tubarius to pressure equalize middle ear
Term
levator veli palatini
Definition
origin: undersurface of apex of petrous portion and medial auditory tube cartilage
insert: upper surface of soft palate
nerve: pharyngeal plexus of CN X
action: elevates soft palate
Term
tensor veli palatini
Definition
origin: scaphoid fossa and lateral aspect of auditory tube cartilage
insert: tendon wraps around hamulus to the soft palate aponeurosis
nerve: mandibular nerve (CN V3)
action: tenses soft palate and opens auditory tube to allow pressure equalizing
Term
musculus uvulae
Definition
origin: posterior nasal spine of hard palate
insert: uvula
nerve: pharyngeal branch of CN X
action: elevate uvula
Term
palatoglossus
Definition
origin: lateral margin of tongue
insert: side of tongue at junction of anterior 2/3 and posterior 1/3
nerve: pharyngeal plexus of CN X
action: depresses soft palate, elevates tongue to seal oral cavity from oropharynx (chewing or swallow prep)
Term
intrinsic muscles of tongue
Definition
transverse, vertical, superior and inferior longitudinal
no bony connections
alter shape of tongue
Term
genioglossus
Definition
origin: superior mental spines
insert: entire length of tongue, posterior fibers to body of hyoid
nerve: hypoglossal (CN XII)
action: (bilateral) protrude tongue; (unilateral) deviate tongue to opposite side
Term
hyoglossus
Definition
origin: body and greater horn of hyoid
insert: posterolateral tongue
nerve: hypoglossal (CN XII)
action: depress tongue
Term
styloglossus
Definition
origin: styloid process
insert: posterior lateral tongue
nerve: hypoglossal (CN XII)
action: elevate and retract tongue
Term
cricothyroid
Definition
origin: upper lateral surface of cricoid cartilage
insert: inferior border and horn of thyroid cartilage
nerve: external superior laryngeal (CN X)
action: increases tension of vocal cords by tilting thyroid cartilage forward toward cricoid
Term
lateral cricoarytenoid
Definition
origin: upper posterolateral surface of cricoid cartilage
insert: muscular process of arytenoid cartilage
nerve: recurrent laryngeal
action: adducts vocal cords (draw muscular processes medially)
Term
posterior cricoarytenoid
Definition
origin: posterior cricoid lamina
insert: muscular process of arytenoid
nerve: recurrent laryngeal
action: sole abductor of vocal cords (draw muscular processes laterally)
Term
transverse arytenoid
Definition
origin: posterior surface of arytenoid
insert: posterior surface of opposite arytenoid
nerve: recurrent laryngeal
action: slide toward each other along superior border of cricoid lamina
Term
stapedius
Definition
origin: pyramidal eminence
insert: neck of stapes
nerve: stapedial branch (CN VII)
action: pulls neck of stapes posteriorly to reduce oscillations across oval window, reflex to loud noises to protect inner ear structures
Term
tensor tympani
Definition
origin: semicanal on anterior wall of tympanic cavity
insert: medial surface of manubrium of malleus
nerve: mandibular (CN V3)
action: draws malleus and tympanic membrane medially, increase tension on membrane and decrease its vibration; reflex to loud sounds
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