Muscles of the head Flashcards

1
Q

What do muscles of facial expression originate from?

A

Bone or fascia

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2
Q

What do muscles of facial expression insert into?

A

Skin

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3
Q

Where are muscles of facial expression located in terms of the tissue surrounding them?

A

In the subcutaneous tissue

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4
Q

How do muscles of facial expression exert their effects?

A

By pulling on the skin

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5
Q

What are the groups of muscles of the head?

A

Muscles of facial expression

Muscles of mastication

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6
Q

What are the muscles of facial expression?

A

Occipitofrontalis

Orbicularis oculi

Oribicularis oris

Buccinator

Zygomaticus, risorius

(platysma, even though it is in the neck)

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7
Q

What is the structure of occipitofrontalis?

A

Two bellies

  • occipital
  • frontal
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8
Q

Where is the frontal belly of occipitofrontalis located?

A

Above the eyebrows on the forehead

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9
Q

Where is the occpital belly of occipitofrontalis located?

A

Back of head over occipital bone

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10
Q

What innervates the frontal belly of occipitofrontalis?

A

Facial nerve - termporal branch

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11
Q

What innervates the occipital belly of occipitofrontalis?

A

Facial nerve - posterior auricular branch

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12
Q

What is the action of occipitofrontalis?

A

Elevates eyebrows

Wrinkles skin of forehead

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13
Q

How is occipitofrontalis examined?

A

Hold patient’s eyebrows down

ask them to raise there eyebrows against resistance

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14
Q

What is the structure of orbicularis oculi?

A

Two parts

  • orbital part
  • palpebral part
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15
Q

Where is the palpebral part of orbicularis oculi located?

A

Immediately around the eye

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16
Q

Where is the orbital part of orbicularis oculi located?

A

Around the palpebral part

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17
Q

What innervates orbicularis oculi?

A

Facial nerve - temporal and zygomatic branches

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18
Q

What is the action of the palpebral part of orbicularis oculi?

A

Close the eyes gently e.g. when blinking, sleeping

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19
Q

What is the action of the orbital part of orbicularis oculi?

A

Close the eyes tightly

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20
Q

How is orbicularis oculi examined?

A

Hold patient’s eyes open

Ask them to close their eyes against that resistance

21
Q

Where is orbicularis oris located?

A

Around the opening of the mouth

22
Q

What innervates orbicularis oris?

A

Facial nerve - buccal branch

23
Q

What is the action of the oribularis oris?

A

Closes the mouth

Puckers the lips

24
Q

How is orbicularis oris examined?

A

Inspect the mouth for drooping angle

if drooping, means the muscle isn’t working

25
Where is buccinator located?
Deep cheek
26
What is the innervation of buccinator?
Facial nerve - buccal branch
27
What is the action of buccinator?
Flattens cheek, holding cheek close to teeth | so food doesn't pool between them
28
How is buccinator examined?
Ask patient to blow out cheeks then apply pressure to them Cheeks should resist expulsion of air
29
Where are zygomaticus and risorius located?
Superficial cheek
30
What is the innervation of zygomaticus and risorius?
Facial nerve - buccal branch
31
What is the action of zygomaticus and risorius?
Dilate the lips e.g. when smiling, frowning
32
How many muscles of mastication are there?
4
33
What are the muscles of mastication?
Temporalis Masseter Pterygoids - medial, lateral
34
Where is temporalis located?
On the side of the head, over the temporal bone
35
What innervates temporalis?
Trigeminal nerve - mandibular branch
36
What is the action of temporalis?
Elevates mandible Retracts mandible
37
How is temporalis examined?
Ask patient to clench their jaw palpate the side of their head should be tense
38
Where is masseter located?
Above the back of the jaw
39
What innervates masseter?
Trigeminal nerve - mandibular branch
40
What is the action of masseter?
Elevates mandible
41
How is masseter examined?
Ask patient to clench their jaw palpate above the back of their jaw should be tense
42
Where are the medial and lateral pterygoids located?
Very deep in the cheek
43
What is the action of the medial pterygoid?
Elevates mandible Assists lateral pterygoid in moving jaw to one side
44
What is the action of the lateral pterygoid?
Unilateral contraction - moves jaw to that side Bilateral contraction - depress mandible protract mandible
45
How are the pterygoids examined?
Hold patients mouth closed ask them to open their mouth against the resistance Ask them to move their jaw from side to side
46
What innervates the medial and lateral pterygoids?
Trigeminal nerve - mandibular branch
47
What joint do the muscles of mastication move?
Tempero-mandibular joint
48
What is special about the temporo-mandibular joint?
Only movable joint in the skull