Axial Muscles - NOVAK Flashcards
List the 21 muscles of Facial Expression:
(AAA BC DD PP ZZ OOO LLL NMR T)
Muscles of Facial Expression:
- Auricularis anterior
- Auricularis posterior
- Auricularis superior
- Buccinator
- Corrugator supercilii
- Depressor labii inferioris
- Depressor anguli oris
- Procerus
- Platysma
- Zygomaticus minor
- Zygomaticus major
- Obicularis oris
- Obicularis oculi
- Occipital belly of occipitofrontalis
- Levator labii superioris alaeque nasi
- Levator labii superioris
- Levator anguli oris
- Nasalis
- Mentalis
- Risorius
- Temporoparietalis
What cranial nerve are the muscles of facial expression innervated by?
CNVII (facial nerve)
Discuss the Buccinator muscle:
- What is the Origin and Insertion?
- What is its Action?
- What cranial nerve innervates it?
- Pierced by the ______.
Buccinator
O: Alveolar process of maxilla and mandible and pterygomandibular raphe
I: Blends into fibers of obicularis oris
A: compresses cheeks
N: CN VII
- Buccinator is pierced by parotid duct
What are the 4 muscles of mastication?
- Temporalis
- Masseter
- Medial pterygoid
- Lateral pterygoid
All of the following are muscles of mastication EXCEPT:
A. Temporalis
B. Masseter
C. Medial pterygoid
D. Lateral pterygoid
E. Buccinator
E. Buccinator
Discuss the Lateral Pterygoid:
- Origin and Insertion (superior and inferior head)
- Action
- Innervation
Lateral Pterygoid
Origin:
- Superior head = greater wing of sphenoid
- Inferior head = lateral surface of lateral pterygoid
Insertion:
- Superior head = Articular disc and capsule of TMJ
- Inferior head = Ramus (mandible)
Action:
- Protrudes and depresses
- Lateral excursion
- ONLY muscle of mastication that does NOT elevate the mandible
Innervation = CN V3
Which of the following is the ONLY muscle of mastication that does NOT elevate the mandible?
A. Temporalis
B. Masseter
C. Lateral pterygoid
D. Medial pterygoid
C. Lateral pterygoid
Discuss the Medial Pterygoid:
- Origin and Insertion (superficial and deep head)
- Actions
- Innervation
Medial Pterygoid
Origin:
- Superficial head = maxillary tuberosity
- Deep head = medial surface of lateral pterygoid, lateral surface of medial pterygoid and pterygoid fossa
Insertion:
- Inferomedial surface of ramus and angle of mandible
Actions:
- Elevates and protrudes mandible
- lateral excursion
Innervation = CN V3
Which of the following is the deepest muscle of mastication?
A. Temporalis
B. Masseter
C. Lateral pterygoid
D. Medial pterygoid
D. Medial pterygoid
Discuss the Masseter:
- Origin and Insertion (superficial and deep head)
- Actions:
- Innervation:
Masseter
Origin:
- Superficial head = anterior 2/3 of zygomatic arch
- Deep head = posterior 1/3 of zygomatic arch
Insertion:
- Superficial head = lateral surface of angle and ramus of mandible
- Deep head = Ramus and coronoid process
Actions:
- Elevate and protrude mandible
- lateral excursions
Innervation = CN V3
Which of the following muscles make up the masseteric sling?
A. Masseter/Medial pterygoid
B. Masseter/Lateral pterygoid
C. Masseter/Temporalis
D. Medial pterygoid/Lateral pterygoid
E. Lateral pterygoid/Temporalis
A. Masseter/Medial pterygoid
All of the following are correct about the Temporalis EXCEPT:
A. Anterior portion = vertical fibers
B. Middle portion = oblique fibers
C. Posterior portion = horizontal fibers
D. Anterior portion = horizontal fibers
D. Anterior portion = horizontal fibers
Discuss the Temporalis:
- Origin and Insertion
- Actions
- Innervation
Temporalis
Origin:
- Inferior temporal line
- Temporal fossa
- Temporal fascia
Insertion:
- Travels UNDER the zygomatic arch
- Coronoid process of mandible
- Anterior border of the ramus (mandible)
Actions:
- Anterior/vertical fibers = elevate mandible
- Retrudes mandible
- Lateral excursion
Innervation = CN V3
Which of the following muscles of mastication is the main postural muscle (maintains the mandible in rest position)?
A. Temporalis
B. Masseter
C. Later pterygoid
D. Medial pterygoid
A. Temporalis
What are the 4 Suprahyoid muscles?
- Digastric (2 belly muscle)
- Stylohyoid
- Mylohyoid
- Geniohyoid
Infrahyoid Muscles:
- Omohyoid
- Sternohyoid
- Sternothyroid
- Thyrohyoid
All of the following are Infrahyoid muscles EXCEPT:
A. Omohyoid
B. Sternohyoid
C. Sternothyroid
D. Geniohyoid
E. Thyrohyoid
D. Geniohyoid
Geniohyoid and Thyrohyoid = C1 via CNXII
All of the following infrahyoid muscles are innervated by the Ansa cervicalis EXCEPT:
A. Omohyoid
B. Sternohyoid
C. Sternothyroid
D. Geniohyoid
E. Thyrohyoid
E. Thyrohyoid
Careful: geniohyoid is a suprahyoid muscle
Which of the following is innervated by C1 via CNXII?
(select all that apply)
A. Omohyoid
B. Sternohyoid
C. Sternothyroid
D. Geniohyoid
E. Thyrohyoid
D. Geniohyoid
E. Thyrohyoid