Muscles of the neck and face; Head and neck vasculature Flashcards
What one muscle of facial expression is not innervated by the facial nerve
levator palpebrae superioris
- this is innervated by cranial nerve 3
occipito frontalis
this muscle has two bellies
Frontal belly covers forehead; occipital belly covers posterior skull; Epicranial aponeurosis connects the bellies
action:
- Elevates eyebrows & wrinkles forehead horizontally
- Pulls the scalp posteriorly
emotion: surprise, curiosity
Corrugator supercilii
Small muscle in the medial eyebrow
action: Draw eyebrows inferomedially, creating vertical wrinkles above the nose
Emotion:Concern, skepticism
Orbicularis oculi
Thin, flat, sphincter of the eye, surrounds the orbit
action: Closes eyes
Emotion: Winking, blinking; squinting
Levator palpebrae superioris
Runs from the posterior orbit to the superior eyelid
this is the only muscle of the face not innervated by the facial nerve
action: Elevates superior eyelid to open the eye
Emotion: Contributes to surprise, curiosity
Procerus
Between the eyebrows over the nasal bone
action: Depresses medial eyebrow, wrinkles skin over the nose
Emotion: Dislike or disdain
Nasalis
Over cartilage of the nose
action: Compresses bridge and depresses tip of the nose, elevates corners of the nostrils
Emotion:Flares nostrils, as with anger
Buccinator
Thin, horizontal muscle in the cheek, deep to the masseter.
action: Compresses cheek; holds food between cheek and teeth when chewing
Emotion: Whistling, sucking
Depressor anguli oris
Runs from the angle of the mouth to the lateral chin
action: Draws the corner of the mouth inferiorly and laterally
Emotion: Frown
Depressor labii inferioris
Runs from lateral chin to the lower lip
action: Depresses the lower lip
Emotion:Frown
Levator anguli oris
Runs from the medial cheek to the angle of the lips
action: Widens the mouth, elevates the corners of the mouth
Emotion:Smiling
Levator labii superioris
Runs from the inferior orbit to the lateral upper lip
action: Elevates and furrows the upper lip
Emotion: Sadness;
Levator labii superioris alequae nasi
Runs alongside nose to medial upper lip, lateral to midline
action: Elevates the upper lip, dilates the nostrils
Emotion: elvis snarl
Zygomaticus major
Zygomatic arch to the corner of the mouth
action: Raises the corners of the mouth
Emotion:Smile
Zygomaticus minor
Zygomatic arch to the lateral upper lip
action: Raises the corner of the mouth/lateral upper lip
Emotion: smile
Orbicularis oris
Thin muscle surrounding the entrance to the oral cavity
Action: Closes the lips/mouth; purses and protrudes the lips
Emotion: Kissing, whistling
Risorius
Runs horizontally and laterally from the angle of the mouth
Action: Draws corner of lip laterally and down, tenses the lips
Emotion: Frustration, sadness
Mentalis
Anterior chin to the lower lip
Action: Elevates & wrinkles skin of the chin, protrudes the lower lip
Emotion: Pouting
Platysma
Thin muscle within skin of the neck that runs from the clavicular region to the lower mandible and mouth
Action: Tenses the skin of the inferior face and neck, depresses the jaw
sternocleidomastoid
this is deep to the platysma
- it originates at the manubrium and clavicle and inserts onto the mastoid process
action:
- bilaterally: it flexes the neck and brings the ear to the shoulder
- unilaterally: it causes lateral flexion, rotation of the head to the opposite side
innervation: accessory nerve (CN XI)
splenius capitis
Deep to the trapezius muscle
action:
Bilateral contraction: causes extension of the neck
Unilateral contraction: can cause either lateral flexion of the neck to the same side or rotation of the neck to the same side
scalene muscles
anterior, middle, and posterior muscles
deep to the sternocleidomastoid muscle
run from the cervical vertebrae to the first and second ribs
- these originate at the transverse process of the cervical vertebra and they insert onto the 1st and 2nd rib
- action: flexes the neck and elevates the 1st and 2nd ribs during forced inhalation
- innervation: cervical spinal nerves
suprahyoid muscles
- digastric
- geniohyoid
- stylohyoid
- mylohyoid
these all insert onto the hypoid
hyoid bone
inferior to the mandible within the neck
suspended within the neck by muscles and provides an important site of attachment for them.
- this bone divides the muscles of the neck based on their location to it
- is a horseshoe-shaped bone situated in the anterior midline of the neck between the chin and the thyroid cartilage
omohyoid
- runs from the scapula to the hyoid bone.
- has two muscle bellies
- has a short intermediate tendon between the superior and inferior muscle bellies.
This tendon is held to the clavicle by a fascial sling
- this is an infrahyoid muscle
action: depresses the hyoid
sternohyoid:
- runs from the sternum to the hyoid.
- this is an infrahyoid muscle
origin: sternum (manubrium)
action: depresses hyoid
thyrohyoid
- this is an infrahyoid muscle
origin: thyroid cartilage
action: depresses hyoid,
elevates thyroid cartilage
sternothyoid
- this is an infrahyoid muscle
- *this doesn’t insert on the hyoid but it inserts on the thyroid which in turn depresses the thyroid
- origin: posterior surface of the manubrium
- insertion: thyroid cartilage
- action: depresses the thyroid cartilage
what divides the neck into the posterior and the anterior triangles
the sternocleidomastoid
what is the “danger space”
the way the fascia are layered can create really easy pathways for an infection in the mouth or oral cavity for example to jump down to the mediastinum
- there are spaces that connect down to the mediastinum so that is super dangerous because an infection in the oral cavity could then begin to affect the heart and potentially infect the heart
infrahyoid muscles
omohyoid
sternohyoid
thyrohyoid
sternothyroid
these all insert onto the hyoid bone
stylohyoid
- a suprahyoid muscle
- Superior to the posterior belly of the digastric
travels from the styloid process of the temporal bone to the hyoid.
- this originates at the stylohyoid of the temporal bone
action: elevates the hyoid
mylohyoid:
- a suprahyoid muscle
- this muscle makes up most of what is below the tongue
can be seen just inferior and medial to the mandible.
This muscle runs from the mandible to the hyoid and forms the anterior floor of the mouth.
action: elevates hyoid, melevates the floor of the mouth
geniohyoid
runs from the mandible to the hyoid bone, but it is smaller and sits deep to the mylohyoid
- a suprahyoid muscle
action: elevates hyoid
diagastric
- two muscle bellies
- a suprahyoid muscle
- runs from the mandible to the hyoid bone and runs from the hyoid bone to the temporal bone (near the mastoid process
- action: depresses mandible, elevates hyoid
common carotid artery
- this is the middle branch of the aortic arch and this is the left common carotid because of the way the aortic arch is slanted to the left side of the body
- the right common carotid will branch out of the brachiocephalic branch off of the aortic arch
- the two common carotid arteries (left and right) will branch into the internal carotid and the external carotid
internal carotid artery
this goes into the skull and eventUally connects with the circle of willis
superior thyroid artery
this is a branch of the external carotid and it travels to the thyroid
lingual artery
this is a branch of the external carotid and it goes to the tongue
facial artery
this is a branch of the external carotid and it travels and supplies the face
just superior to the lingual artery.
travels along the inferior aspect of the mandible and then wraps around the middle portion of the mandible and ascends through the face
occipital artery
this is a branch of the external carotid and it travels to the posterior scalp
posterior auricular artery
this is a branch of the external carotid and this supplies the region behind the ear
arises just superior to the occipital artery. It ascends just anterior to the mastoid process of the temporal bone and posterior to the ear
maxillary artery
this is a branch of the external carotid and it runs deep and goes to the cheek region
- this supplies the muscles for mastication, teeth, nasal cavity
- this is a large artery
superficial temporal artery
this is a branch of the external carotid and this goes to and supplies the superficial lateral scalp
vertebral artery
this branches off the subclavian arteries
- these run superiorly and travel through the transverse foramen of the cervical vertebra
- these will supply a portion of the circle of willis
subclavian artery
- we have a left and right subclavian
- the left subclavian artery is the most posterior branch off of the aortic arch and these feed into the upper extremities
- the right subclavian artery going to be a branch off of the brachiocephalic trunk due to the left angle of the aortic arch
internal jugular vein
this drains everything from the dural sinuses within the brain
- this will merge with the subclavian vein to form the brachiocephalic vein
brachiocephalic vein
the internal jugular vein and the subclavian vein merge to form this
- there is one on both sides of the body which is different than the arteries
- the left and right then merge to form the superior vena cava
external jugular vein
drains blood from the superficial structures of the cranium and the deep portions of the face
subclavian vein
this receives blood from the axillary vein and external jugular vein and drains into the brachiocephalic vein
external carotid artery
this is a large vessel that has many branches and supplies the majority of the head o Superior thyroid artery o Lingual artery o Facial artery o Occipital artery o Maxillary artery o Superficial temporal artery
angular artery
This terminal branch of the facial artery runs along the nose to the medial corner of the eye.
epicranial aponeurosis
this is the connection of the two muscle bellies of the occipitofrontalis