LO 3 Flashcards
Describe the origin and insertion of a muscle
- Origin - end of the muscle attached to the least moveable structure
- Insertion - end of the muscle attached to the more moveable structure
- Generally, the insertion of the muscle moves toward the origin where the muscle arises when the muscle is contracted.
Why should a DH know the muscles of the head and neck?
- Patient examination - This information is important because the placement of many other structures such as bones, blood vessels, nerves, and lymph nodes is related to the location of these skeletal muscles.
What are the 6 main groups of muscles?
1.Cervical muscles
2.Muscles of facial expression
3.Muscles of mastication
4. Hyoid muscles
5.Muscles of the tongue
6.Muscles of the pharynx.
Describe the cervical muscles
- Two cervical muscles - sternocleidomastoid; trapezius muscles
- Both are superficially located on the neck
- Serve to hold and stabilize the head
- Position the head in relation to the rest of the body.
Describe the sternocleidomastoid muscle (SCM)
- One of the largest and most superficial cervical muscles
- Paired, thick
- Serves as a primary muscular landmark of the neck during an extraoral examination of a patient
- Divides the neck region into anterior and posterior cervical triangles.
What is the origin of the sternocleidomastoid muscle (SCM)
Clavicle and the sternum’s superior and lateral surfaces
What is the insertion of the sternocleidomastoid muscle (SCM)
- The mastoid process of the temporal bone
- This insertion is just posterior and inferior to the external acoustic meatus
Describe the action of the sternocleidomastoid muscle (SCM)
- If one side contracts, the head and
neck bend to the ipsilateral(same) side, and the face and neck rotate to the contralateral side - Easily palpated when the client moves the
head to the contralateral side
Where is the innervation of the sternocleidomastoid muscle (SCM)
CN XI (accessory nerve)
Where are the origin and insertion of the trapezius muscle?
- Origin - external surface of the occipital bone and posterior midline of the cervical and thoracic regions
- Insertion - lateral part of the clavicle and parts of the scapula
What is the action of the trapezius muscle?
- lift the clavicle and scapula(as when the shoulders are shrugged)
Where is the trapezius innervated?
CN XI (accessory nerve) and the 3 rd and 4th cervical nerves
Describe the muscles of facial expressions
- The muscles of facial expression are
paired muscles. - When they contract, the skin moves- and they can also cause wrinkles
- The use of these muscles is noted during the EOE
- All the muscles of facial expression
originate from the surface of the
skull bone (rarely the fascia) and
insert on the dermis of the skin
Fascia
_________ is a band of connective tissue under the skin that attaches, stabilizes, encloses, and separates muscles and other internal structures
Fascia
What are the 3 groups of muscles of facial expression?
- Scalp region
- Eye region
- Mouth region
Where are the muscles of facial expression innervated?
- All the muscles of facial expression are innervated by the seventh cranial nerve
(CN VII /facial nerve) - each nerve serves only one side of the face
Damage to the facial nerve results in _________ of the muscles of facial expression on the involved side
facial paralysis
Describe the epicranial muscle (epicranius) - Muscles of Facial Expression – Scalp Region
- This muscle has two bellies
- frontal belly - Origin: the epicranial aponeurosis; Insertion: skin tissue of the eyebrow and root of the nose.
- occipital belly - Origin: occipital bone and mastoid process of the temporal bone; Insertion: epicranial aponeurosis
- The bellies are separated by the epicranial aponeurosis – a large, broad scalpal tendon located over the most superior portion of the skull.
- Both bellies of the epicranial muscle raise the eyebrows and scalp, as when a person shows surprise. However, the two bellies can also act independently of each other during certain facial expressions.
Describe the Orbicularis Oculi Muscle - Muscles of Facial Expression – Eye Region
- Origin - orbital rim, nasal process of the frontal bone, and frontal process of the maxilla.
- Insertion - Most of the fibers insert in the skin tissue at the lateral region of the eye
- some of the inner fibers completely encircle the eye
- Encircles the orbit
- This muscle has important functions in protecting and moistening the eye, as well as in facial expression. Thus loss of its use can possibly damage the eye(s) due to the subsequent dryness.
- The muscle closes the eyelid.
- If all fibers are active, the eye can be squinted, and wrinkles or “crow’s feet” form at the lateral canthus; these lines become especially defined with aging.
Describe the Corrugator Supercilii Muscle - Muscles of Facial Expression – Eye Region
- The corrugator supercilii muscle is
located deep to the superior portion
of the orbicularis oculi muscle. - Origin - frontal bone in the supraorbital region (then passes superiorly and laterally)
- Insertion - in the skin tissue of the eyebrow
- It draws the skin tissue of the eyebrow medially and inferiorly toward the nose.
- This movement causes vertical wrinkles in the glabella area of the forehead and horizontal wrinkles at the bridge of the nose, as when a person frowns.
- The muscle works in concert with the muscles of the nasal region.
Describe the Orbicularis Oris Muscle - Muscles of Facial Expression – Mouth Region
- This muscle acts to shape and control the size of the mouth opening and is important for creating lip positions and movements during speech.
- This muscle encircles the mouth
- Insertion - in the skin tissue at the angle of the mouth/In the upper lip, fibres also insert on the ridges of the philtrum.
What are the 4 distinct movements of the Orbicularis Oris Muscle - Muscles of Facial Expression – Mouth Region
- a pressing together (closing the lips)
- a tightening and thinning (pursing the lips)
- a rolling inwards between the teeth(grimacing)
- a thrusting outwards (pouting and kissing
Describe the Buccinator Muscle - Muscles of Facial Expression – Mouth Region
- Forms the anterior portion of the cheek
(i.e., the lateral wall of the oral cavity) - Origin: 3 areas - alveolar process of the maxilla; alveolar process of the mandible; the pterygomandibular raphe (a fibrous structure)
- Insertion - runs horizontally to insert into the skin tissue at the angle of the mouth
- Thus, the muscle has different fiber groups - deep vertical fibers between the alveolar processes and superficial horizontal fibers from the raphe to the corner of the mouth
- pulls the angle of the mouth laterally and shortens the cheek both vertically and horizontally
- This action keeps food pushed back on the occlusal surface of teeth, as when a person chews.
- In infants, the muscle provides suction for suckling. In addition, because of its importance in expelling air through pursed lips, blowpipes, or wind instruments, it has been called the trumpet muscle
Describe the Risorius Muscle - Muscles of Facial Expression – Mouth Region
- Origin - fascia superficial to the masseter muscle
- Insertion - passes anteriorly to insert in the skin tissue at the angle of the mouth
- Action - It acts to stretch the lips laterally, retracting the labial commissures and widening the oral cavity.
- It was erroneously thought to produce “grinning” or “smiling“, but it really produces more of a grimace
- It has a connection with the platysma in that it often contracts with it.
Describe the Levator Labii Superioris Muscle - Muscles of Facial Expression – Mouth Region
- A broad, flat muscle of facial expression in the mouth region
- Origin - infraorbital rim of the maxilla
- Passes inferiorly to insert in the skin tissue of the upper lip
- Function - elevates the upper lip
Describe the Levator Labii Superioris
Alaeque Nasi Muscle - Muscles of Facial Expression – Mouth Region
- Origin - frontal process of the maxilla
- Insertion - passes inferiorly to insert into two areas: skin tissue of the ala of the nose; the upper lip
- Action - Elevates the upper lip
and ala of the nose, thus also dilating the nostrils; a sneering expression
Describe the Zygomaticus Major Muscle - Muscles of Facial Expression – Mouth Region
- Origin - zygomatic bone, lateral to the zygomaticus minor muscle
- Insertion - passes anteriorly and inferiorly to insert in the skin tissue at the angle of the mouth
- Function - It elevates the angle of the upper lip and pulls it laterally, as when a person smiles.
- Some research suggests that the difference between a genuine smile and a perfunctory (or lying) smile is that when a person truly feels happy, the zygomatic major muscle contracts together with orbicularis oculi muscle.
Describe the Zygomaticus Minor Muscle - Muscles of Facial Expression – Mouth Region
- Origin - on the body of the zygomatic bone
- Insertion - inserts in the skin tissue of the upper lip, adjacent to the insertion of the levator labii superioris muscle
- Function - elevates the upper lip, assisting in smiling
Describe the Levator Anguli Oris
Muscle - Muscles of Facial Expression – Mouth Region
- Located deep to both the zygomaticus major and zygomaticus minor muscles
- Origin - on the canine fossa of the maxilla,usually superior to the maxillary canine root
- Insertion - passes inferiorly to insert in skin tissues at the angle of the mouth
- Function - elevates the angle of the mouth, as when a person smiles
Describe the Depressor Anguli Oris Muscle - Muscles of Facial Expression – Mouth Region
- The triangular muscle of facial expression in the lower mouth region
- Origin - on the lower border of the mandible
- Insertion - passes superiorly to insert in the skin tissue at the angle of the mouth
- Function - depresses the angle of the mouth, as when a person frowns
Describe the Depressor Labii Inferioris Muscle - Muscles of Facial Expression – Mouth Region
- located deep to the depressor anguli oris muscle
- Origin - Also originates on the lower border of the mandible
- Insertion - passes superiorly to insert in the skin tissue of the lower lip
- Function - Depresses the lower lip, exposing the mandibular incisors
Describe the Mentalis Muscle- Muscles of Facial Expression – Mouth Region
- a short, thick muscle of facial expression superior and medial to the mental nerve in the mouth region
- Origin - on the mandible near the midline
- Insertion - into the skin tissue of the chin
- Function - raises the chin, causing the displaced lower lip to protrude and narrowing the oral vestibule.
- When active, these fibers may dislodge a
complete denture in an edentulous client who has lost alveolar ridge height. - The mentalis is so named because it is associated with thinking or concentration; it also has been said to express doubt
Describe the Platysma Muscle- Muscles of Facial Expression – Mouth Region
- Runs from the neck all the way to the mouth, covering the anterior cervical triangle - looks like a scarf
- Origin - in the skin tissue superficial to the clavicle and shoulder
- Insertion - passes anteriorly to insert on the lower border of the mandible and the muscles surrounding the mouth
- Function - It raises the skin of the neck to form noticeable vertical and horizontal ridges and depressions.
- It can also can pull the corner of the mouth down, as when a person grimaces.
Describe the muscles of the nasal region
- The three muscles associated with the nasal region are the: nasalis, procerus, and depressor septi nasi.
- The largest and best developed of the group is the nasalis, which is active when the nares are flared.
What are the 4 pairs of muscles of mastication and what are they attached to?
- The masseter
- Temporalis
- Medial pterygoid
- Lateral pterygoid muscles
Where are the origin and insertion points for the muscles of mastication
- Origin - cranium
- Insertion - mandible
Where are the muscles of mastication innervated?
All the muscles of mastication are innervated by the mandibular division of the fifth cranial nerve (trigeminal, nerve).
Describe the actions of the muscles of mastication
- Work with the temporomandibular joint to accomplish these movements of the mandible: Depression, Elevation, Protrusion, Retraction, Lateral deviation
- closing the jaw
- moving the lower jaw forward or backward
- shifting the lower jaw to one side.