Tabla de musculos H&N

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Questions and Answers

What would be the most likely effect of damage to the temporal branch of the facial nerve (CN VII)?

  • Inability to retract the scalp and smooth forehead wrinkles.
  • Impaired ability to raise the eyebrows and wrinkle the forehead. (correct)
  • Difficulty depressing the nasal septum.
  • Difficulty pulling the ear anteriorly.

A patient presents with the inability to close their eyelids tightly. Which muscle is most likely affected?

  • Levator palpebrae superioris
  • Procerus
  • Corrugator supercilii
  • Orbicularis oculi (correct)

During a physical exam, a neurologist asks a patient to wrinkle their nose. Which muscle is being tested?

  • Corrugator supercilii
  • Levator labii superioris alaeque nasi
  • Nasalis
  • Procerus (correct)

A surgeon is performing a rhytidectomy (facelift) and needs to be cautious of the nerve supply to the risorius muscle to avoid paralysis of the muscle. Which of the following nerves should the surgeon be most careful to protect?

<p>Buccal branch of CN VII (B)</p> Signup and view all the answers

A patient has difficulty compressing their cheeks while playing a musical instrument. Which muscle is likely affected?

<p>Buccinator (A)</p> Signup and view all the answers

A patient is unable to tense the skin of their neck. Which of the following muscles is most likely affected?

<p>Platysma (B)</p> Signup and view all the answers

A lesion in the cervical plexus affects the ansa cervicalis. Which of the following muscles would be directly impacted by this lesion?

<p>Sternohyoid (A)</p> Signup and view all the answers

A patient is experiencing difficulty swallowing and imaging reveals damage to the glossopharyngeal nerve (CN IX). Which muscle is most likely affected, contributing to their swallowing difficulties?

<p>Stylopharyngeus (B)</p> Signup and view all the answers

During a surgical procedure, the external branch of the superior laryngeal nerve is inadvertently damaged. Which muscle's function will be most affected?

<p>Cricothyroid (A)</p> Signup and view all the answers

A stroke affects the hypoglossal nerve (CN XII). Which muscle of the tongue would be LEAST affected due to its different innervation?

<p>Palatoglossus (C)</p> Signup and view all the answers

A patient has difficulty opening their mouth and moving their jaw from side to side. Which muscle is most likely affected?

<p>Lateral pterygoid (D)</p> Signup and view all the answers

If a patient is experiencing difficulty in elevating the larynx although there is no evidence of nerve damage, which muscle could directly be the cause of this condition?

<p>Thyrohyoid (B)</p> Signup and view all the answers

A patient presents with the inability to adduct the eye. Which muscle could be affected?

<p>Medial rectus (D)</p> Signup and view all the answers

Which of the following muscles is innervated by the C1 fibers via the hypoglossal nerve (CN XII)?

<p>Geniohyoid (C)</p> Signup and view all the answers

A professional singer notices that they are unable to reach high vocal pitches, even after vocal rest. Which muscle is a likely cause for this inability?

<p>Cricothyroid (D)</p> Signup and view all the answers

What muscle is the only abductor of the vocal cords?

<p>Posterior cricoarytenoid (B)</p> Signup and view all the answers

A patient has an injury that affects the nerve responsible for tensing the soft palate and opening the auditory tube. Which of the following muscles is most likely affected by this injury?

<p>Tensor veli palatini (A)</p> Signup and view all the answers

A patient is diagnosed with damage to the nerve that stabilizes the stapes and dampens vibrations to the inner ear. Which muscle is most likely affected?

<p>Stapedius (D)</p> Signup and view all the answers

A person finds it difficult to extend their head at the atlanto-occipital joint. Which of the following muscles is most likely affected?

<p>Rectus capitis posterior minor (A)</p> Signup and view all the answers

A patient reports double vision and an inability to look downwards and to the side with one of their eyes. Which muscle is most likely affected?

<p>Superior oblique (A)</p> Signup and view all the answers

Which muscle is responsible for wrinkling the skin over the bridge of the nose?

<p>Procerus (A)</p> Signup and view all the answers

Which of the following arteries provides the primary blood supply to the levator labii superioris alaeque nasi muscle?

<p>Angular artery branch of facial artery (B)</p> Signup and view all the answers

Which nerve innervates the zygomaticus major muscle?

<p>Buccal branch of CN VII and zygomatic branches (D)</p> Signup and view all the answers

A patient presents with difficulty protruding their lower lip and wrinkling their chin. Which muscle is most likely affected?

<p>Mentalis (D)</p> Signup and view all the answers

Which nerve provides motor innervation to the buccinator muscle?

<p>Buccal branch of the facial nerve (CN VII) (C)</p> Signup and view all the answers

Which of the following muscles is innervated by the ansa cervicalis?

<p>Sternothyroid (B)</p> Signup and view all the answers

Damage to the external branch of the superior laryngeal nerve would directly affect which muscle?

<p>Cricothyroid (A)</p> Signup and view all the answers

Which of the following muscles is innervated by the glossopharyngeal nerve (CN IX)?

<p>Stylopharyngeus (C)</p> Signup and view all the answers

A patient exhibits an inability to abduct the eye. Which cranial nerve is most likely affected?

<p>Abducens nerve (CN VI) (B)</p> Signup and view all the answers

Which muscle is responsible for elevating and retracting the hyoid bone?

<p>Stylohyoid (D)</p> Signup and view all the answers

The transverse and oblique arytenoid muscles are innervated by which nerve?

<p>Recurrent laryngeal nerve (C)</p> Signup and view all the answers

During a surgical procedure near the larynx, a surgeon inadvertently damages a nerve, leading to the patient's inability to tense their vocal cords properly. Which of the following nerves was most likely damaged?

<p>External Branch of the Superior Laryngeal Nerve (C)</p> Signup and view all the answers

A patient presents with difficulty elevating the soft palate during speech and swallowing. Which of the following muscles is MOST likely affected?

<p>Levator veli palatini (D)</p> Signup and view all the answers

A patient is diagnosed with damage to cranial nerve XII, affecting most of the tongue muscles. Which action would be MOST affected by this damage?

<p>Depressing and retracting the tongue (D)</p> Signup and view all the answers

A patient has suffered damage to the nerve that provides sensory innervation to the skin over the occipital region of the scalp, and also affects the retraction of the scalp. Which nerve is most likely affected?

<p>Posterior auricular branch of CN VII (D)</p> Signup and view all the answers

A surgeon is performing a delicate procedure near the middle ear. To prevent potential hearing dysfunction, the surgeon must carefully avoid damaging the nerve to which of the following muscles?

<p>Stapedius (A)</p> Signup and view all the answers

A patient is undergoing treatment for dysphagia. During the diagnostic workup, it's determined that the cricopharyngeus muscle is not relaxing properly. Failure of this muscle to relax would directly impair:

<p>The passage of food from the pharynx to the esophagus (D)</p> Signup and view all the answers

A 62-year-old patient who had a laryngectomy due to laryngeal cancer is now experiencing difficulties with phonation post-surgery. During examination, it's found that they cannot modulate their vocal pitch effectively. Which of the following muscles is MOST likely responsible for this condition?

<p>Vocalis Muscle (A)</p> Signup and view all the answers

A medical student is studying the muscles of facial expression and their innervations. They are particularly interested in the muscles that contribute to specific emotional expressions. Which muscle is primarily responsible for the 'grimace' expression, characterized by drawing the corner of the mouth laterally?

<p>Risorius (B)</p> Signup and view all the answers

A researcher is studying the intricate control of tongue movements during speech. They use electromyography (EMG) to monitor muscle activity. During a task that requires the subject to protrude the tongue while keeping it depressed, which muscle would show the MOST significant activity?

<p>Hyoglossus and Genioglossus (D)</p> Signup and view all the answers

The ______ muscle retracts the scalp and smooths forehead wrinkles.

<p>occipitalis</p> Signup and view all the answers

The ______ muscle is responsible for depressing the nasal septum and helps in flaring the nostrils.

<p>depressor septi nasi</p> Signup and view all the answers

The ______ muscle closes the eyelids, with the palpebral part for gentle closure and the orbital part for forceful closure.

<p>orbicularis oculi</p> Signup and view all the answers

The risorius muscle draws the corner of the mouth laterally, creating a ______.

<p>grimace</p> Signup and view all the answers

The ______ muscle compresses the cheek, aiding in chewing, blowing, and sucking.

<p>buccinator</p> Signup and view all the answers

The ______ muscle tenses the skin of the neck and depresses the mandible.

<p>platysma</p> Signup and view all the answers

The ______ muscle rotates the head to the opposite side and flexes the neck.

<p>sternocleidomastoid</p> Signup and view all the answers

The ______ muscle elevates and retracts the hyoid during swallowing.

<p>stylohyoid</p> Signup and view all the answers

The ______ muscle elevates the floor of the mouth and the hyoid bone.

<p>mylohyoid</p> Signup and view all the answers

The ______ muscle elevates the larynx and depresses the hyoid bone.

<p>thyrohyoid</p> Signup and view all the answers

The ______ muscle tenses the vocal cords and raises pitch.

<p>cricothyroid</p> Signup and view all the answers

The anterior scalene muscle elevates the first rib and aids in lateral ______ flexion.

<p>neck</p> Signup and view all the answers

The ______ muscle elevates the scapula and rotates it downward.

<p>levator scapulae</p> Signup and view all the answers

The ______ muscle extends, laterally flexes, and rotates the head.

<p>splenius capitis</p> Signup and view all the answers

The ______ muscle elevates, retracts, and rotates the scapula.

<p>trapezius</p> Signup and view all the answers

The ______ muscle elevates the mandible, closing the jaw.

<p>masseter</p> Signup and view all the answers

The ______ muscle protrudes the mandible, opens the jaw, and facilitates side-to-side movements.

<p>lateral pterygoid</p> Signup and view all the answers

The ______ muscle acts as the sole abductor of vocal cords uniquely opening the rima glottidis.

<p>posterior cricoarytenoid</p> Signup and view all the answers

Uniquely innervated, unlike its lingual counterparts, via the pharyngeal plexus of CN X rather than CN XII, what muscle elevates the posterior tongue, contributing to the narrowing of the oropharyngeal isthmus?

<p>palatoglossus</p> Signup and view all the answers

Which muscle, innervated by the trochlear nerve (CN IV), uniquely depresses, abducts, and rotates the eye medially, distinguishing its function from other extraocular muscles?

<p>superior oblique</p> Signup and view all the answers

Flashcards

Frontalis Muscle Function

Raises eyebrows and wrinkles the forehead.

Occipitalis Muscle Function

Retracts the scalp and smooths the forehead wrinkles.

Corrugator Supercilii Function

Draws the eyebrows medially and downward, creating a frown.

Orbicularis Oculi Function

Closes the eyelids.

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Nasalis Function

Compresses the nasal cartilage and flares the nostrils.

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Levator Labii Superioris Function

Elevates the upper lip.

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Risorius Muscle Function

Draws the corner of the mouth laterally, creating a grimace.

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Zygomaticus Major Function

Elevates the angle of the mouth (smile).

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Zygomaticus Minor Function

Elevates the upper lip.

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Buccinator Function

Compresses the cheek.

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Depressor Anguli Oris Function

Depresses angle of the mouth (frown).

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Depressor Labii Inferioris Function

Depresses lower lip.

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Mentalis Function

Protrudes the lower lip and wrinkles the chin.

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Platysma Function

Tenses the skin of the neck and depresses the mandible.

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Thyrohyoid Function

Elevates larynx and depresses hyoid.

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Cricothyroid Function

Tenses vocal cords and raises pitch.

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Posterior Cricoarytenoid Function

Only abductor of the vocal cords and opens the rima glottidis.

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Lateral Cricoarytenoid Function

Adducts vocal cords and closes the rima glottidis.

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Genioglossus Function

Protrudes tongue and depresses center.

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Levator Veli Palatini Function

Elevates soft palate during swallowing and yawning.

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Auricularis Anterior Function

Pulls the ear anteriorly.

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Auricularis Superior Function

Elevates the ear.

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Auricularis Posterior Function

Pulls the ear posteriorly.

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Depressor Septi Nasi Function

Depresses nasal septum; helps flare nostrils.

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Nasalis Action

Compresses nasal cartilage; flares nostrils.

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Levator Labii Superioris Alaeque Nasi Function

Elevates upper lip and flares nostrils.

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Levator Anguli Oris Function

Elevates angle of the mouth (smile).

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Orbicularis Oris Function

Closes, protrudes, and compresses the lips.

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Sternocleidomastoid Function

Rotates head to opposite side; flexes neck.

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Stylohyoid Function

Elevates and retracts hyoid during swallowing.

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Digastric (anterior belly) Function

Depresses mandible; elevates hyoid.

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Digastric (posterior belly) Function

Elevates hyoid.

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Mylohyoid Function

Elevates floor of mouth, hyoid.

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Geniohyoid Function

Pulls hyoid anteriorly and superiorly.

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Omohyoid (superior belly) Function

Depresses hyoid and stabilizes it.

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Omohyoid (inferior belly) Function

Depresses and stabilizes hyoid.

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Sternothyroid Function

Depresses thyroid cartilage.

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Anterior Scalene Function

Elevates 1st rib; lateral neck flexion

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Levator Scapulae Function

Elevates scapula, rotates it downward.

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Splenius Capitis Function

Extends, laterally flexes, rotates head

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Hyoglossus Function

Depresses and retracts tongue

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Transverse & Oblique Arytenoids Function

Adduct arytenoid cartilages and closes posterior glottis.

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Longissimus Capitis Function

Extends and rotates head to same side.

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Temporalis Function

Elevates and retracts mandible

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Rectus Capitis Posterior Minor Function

Extends head at atlanto-occipital joint.

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Rectus Capitis Posterior Major Function

Extends and rotates head to same side.

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Splenius Cervicis Function

Extends and rotates neck

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Tensor Veli Palatini Function

Tenses soft palate; opens auditory tube

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Tensor Tympani Function

Tenses tympanic membrane (dampens loud sounds).

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Stylopharyngeus Function

Elevates larynx and pharynx during swallowing

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Palatopharyngeus Function

Elevates pharynx and closes nasopharynx during swallowing

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Stapedius Function

Stabilizes stapes; dampens vibration to inner ear

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Study Notes

Frontalis

  • Arterial Supply: Supratrochlear and supraorbital arteries (branches of ophthalmic artery, from ICA)
  • Innervation: Temporal branch of CN VII
  • Function: Raises eyebrows and wrinkles forehead

Occipitalis

  • Arterial Supply: Occipital artery from external carotid
  • Innervation: Posterior auricular branch of CN VII
  • Function: Retracts scalp; smooths forehead wrinkles

Auricularis Anterior

  • Arterial Supply: Superficial temporal artery
  • Innervation: Temporal branch of CN VII
  • Function: Pulls ear anteriorly

Auricularis Superior

  • Arterial Supply: Superficial temporal artery
  • Innervation: Temporal branch of CN VII
  • Function: Elevates ear

Auricularis Posterior

  • Arterial Supply: Posterior auricular artery
  • Innervation: Posterior auricular branch of CN VII
  • Function: Pulls ear posteriorly

Depressor Septi Nasi

  • Arterial Supply: Superior labial artery branch of facial artery
  • Innervation: Buccal branch of CN VII
  • Function: Depresses nasal septum and helps flare nostrils

Corrugator Supercilii

  • Arterial Supply: Supratrochlear artery from ophthalmic artery
  • Innervation: Temporal branch of CN VII
  • Function: Draws eyebrows medially and downward (frown)

Orbicularis Oculi

  • Arterial Supply: Superficial temporal and Facial artery
  • Innervation: Temporal and zygomatic branches of CN VII
  • Function: Closes eyelids (gentle = palpebral, forceful = orbital part)

Procerus

  • Arterial Supply: Angular artery from Facial artery and ophthalmic artery
  • Innervation: Temporal branch of CN VII
  • Function: Wrinkles skin over bridge of nose

Nasalis

  • Arterial Supply: Superior labial artery from facial artery
  • Innervation: Buccal branch of CN VII
  • Function: Compresses nasal cartilage; flares nostrils

Levator Labii Superioris Alaeque Nasi

  • Arterial Supply: Angular artery branch of facial artery
  • Innervation: Buccal branch of CN VII
  • Function: Elevates upper lip and flares nostrils

Levator Anguli Oris

  • Arterial Supply: Superior labial and angular arteries from facial artery
  • Innervation: Buccal branch of CN VII
  • Function: Elevates angle of mouth (smile)

Levator Labii Superioris

  • Arterial Supply: Superior labial artery from facial artery
  • Innervation: Buccal branch of CN VII
  • Function: Elevates upper lip

Risorius

  • Arterial Supply: Transverse facial artery from superficial temporal artery and branches of facial artery
  • Innervation: Buccal branch of CN VII
  • Function: Draws corner of mouth laterally (grimace)

Zygomaticus Major

  • Arterial Supply: Transverse facial and facial arteries
  • Innervation: Zygomatic and buccal branches of CN VII
  • Function: Elevates angle of mouth (smile)

Zygomaticus Minor

  • Arterial Supply: Superior labial artery from facial artery
  • Innervation: Buccal branch of CN VII
  • Function: Elevates upper lip

Buccinator

  • Arterial Supply: Buccal artery (from maxillary artery); facial and transverse facial arteries
  • Innervation: Buccal branch of CN VII
  • Function: Compresses cheek (aids chewing, blowing, sucking)

Orbicularis Oris

  • Arterial Supply: Superior and inferior labial arteries (from facial artery)
  • Innervation: Buccal branch of CN VII
  • Function: Closes, protrudes, and compresses lips

Depressor Anguli Oris

  • Arterial Supply: Inferior labial artery (from facial artery)
  • Innervation: Mandibular (marginal) branch of CN VII
  • Function: Depresses angle of mouth (frown)

Depressor Labii Inferioris

  • Arterial Supply: Inferior labial artery (from facial artery)
  • Innervation: Mandibular (marginal) branch of CN VII
  • Function: Depresses lower lip

Mentalis

  • Arterial Supply: Inferior labial artery (from facial artery)
  • Innervation: Mandibular (marginal) branch of CN VII
  • Function: Protrudes lower lip; wrinkles chin

Platysma

  • Arterial Supply: Submental branch of facial artery; suprascapular artery (from thyrocervical trunk)
  • Innervation: Cervical branch of Facial Nerve (CN VII, motor)
  • Function: Tenses skin of neck, depresses mandible

Sternocleidomastoid

  • Arterial Supply: Sternocleidomastoid branch of occipital artery, superior thyroid artery, suprascapular artery
  • Innervation: Motor: Spinal Accessory Nerve (CN XI); Sensory: C2–C3 via cervical plexus
  • Function: Rotates head to opposite side; flexes neck

Stylohyoid

  • Arterial Supply: Supra-hyoid branch of facial artery
  • Innervation: Stylohyoid branch of Facial Nerve (CN VII, motor)
  • Function: Elevates and retracts hyoid during swallowing

Digastric (Anterior Belly)

  • Arterial Supply: Submental artery (branch of facial artery)
  • Innervation: Mylohyoid nerve (branch of inferior alveolar nerve, from CN V3)
  • Function: Depresses mandible; elevates hyoid

Digastric (Posterior Belly)

  • Arterial Supply: Muscular branch of occipital artery, posterior auricular artery
  • Innervation: Digastric branch of CN VII (motor)
  • Function: Elevates hyoid

Mylohyoid

  • Arterial Supply: Mylohyoid branch of inferior alveolar artery, submental artery
  • Innervation: Mylohyoid nerve (branch of CN V3)
  • Function: Elevates floor of mouth, hyoid

Geniohyoid

  • Arterial Supply: Sublingual artery (branch of lingual artery)
  • Innervation: C1 fibers via hypoglossal nerve (CN XII) (motor)
  • Function: Pulls hyoid anteriorly and superiorly

Sternohyoid

  • Arterial Supply: Superior thyroid artery, sternocleidomastoid branch of occipital artery
  • Innervation: Ansa cervicalis (C1–C3) from cervical plexus
  • Function: Depresses hyoid

Omohyoid (Superior Belly)

  • Arterial Supply: Superior thyroid artery
  • Innervation: Ansa cervicalis (C1–C3)
  • Function: Depresses hyoid and stabilizes it

Omohyoid (Inferior Belly)

  • Arterial Supply: Transverse cervical artery (branch of thyrocervical trunk)
  • Innervation: Ansa cervicalis (C1–C3)
  • Function: Depresses and stabilizes hyoid

Thyrohyoid

  • Arterial Supply: Superior thyroid artery, possibly lingual artery
  • Innervation: C1 fibers via CN XII (motor)
  • Function: Elevates larynx; depresses hyoid

Sternothyroid

  • Arterial Supply: Cricothyroid branch of superior thyroid artery
  • Innervation: Ansa cervicalis (C1–C3)
  • Function: Depresses thyroid cartilage

Cricothyroid

  • Arterial Supply: Cricothyroid branch of superior thyroid artery (from external carotid)
  • Innervation: External branch of superior laryngeal nerve (from CN X)
  • Function: Tenses vocal cords, raises pitch

Anterior Scalene

  • Arterial Supply: Ascending cervical artery (from inferior thyroid artery)
  • Innervation: Ventral rami of C4–C6 (direct muscular branches)
  • Function: Elevates 1st rib; lateral neck flexion

Middle Scalene

  • Arterial Supply: Ascending cervical artery, cervical dorsal branches
  • Innervation: Ventral rami of C3–C8
  • Function: Elevates 1st rib; lateral flexion

Posterior Scalene

  • Arterial Supply: Ascending cervical artery, suprascapular artery
  • Innervation: Ventral rami of C6–C8
  • Function: Elevates 2nd rib; lateral flexion

Levator Scapulae

  • Arterial Supply: Dorsal scapular artery (from subclavian), transverse cervical artery
  • Innervation: Dorsal scapular nerve (C5) + C3, C4 (sensory/motor branches)
  • Function: Elevates scapula, rotates it downward

Splenius Capitis

  • Arterial Supply: Descending branch of occipital artery, deep cervical artery
  • Innervation: Dorsal rami of C3–C5 spinal nerves
  • Function: Extends, laterally flexes, rotates head

Trapezius

  • Arterial Supply: Transverse cervical artery, occipital artery, dorsal scapular artery
  • Innervation: Motor: Spinal accessory nerve (CN XI); Sensory: C3–C4
  • Function: Elevates, retracts, rotates scapula

Occipitalis

  • Arterial Supply: Occipital artery (from external carotid)
  • Innervation: Posterior auricular branch of CN VII (motor)
  • Function: Retracts scalp

Splenius Cervicis

  • Arterial Supply: Transverse cervical artery, descending occipital artery
  • Innervation: Dorsal rami of lower cervical spinal nerves
  • Function: Extends and rotates neck

Semispinalis Capitis

  • Arterial Supply: Deep cervical artery (from costocervical trunk), occipital artery
  • Innervation: Dorsal rami of cervical spinal nerves
  • Function: Extends head and rotates contralaterally

Longissimus Capitis

  • Arterial Supply: Deep cervical artery (from costocervical trunk), occipital artery
  • Innervation: Dorsal rami of spinal nerves (C3–C6)
  • Function: Extends and rotates head to same side

Rectus Capitis Posterior Minor

  • Arterial Supply: Vertebral artery, deep cervical artery
  • Innervation: Suboccipital nerve (C1 dorsal ramus)
  • Function: Extends head at atlanto-occipital joint

Rectus Capitis Posterior Major

  • Arterial Supply: Vertebral artery, deep cervical artery
  • Innervation: Suboccipital nerve (C1 dorsal ramus)
  • Function: Extends and rotates head to same side

Obliquus Capitis Superior

  • Arterial Supply: Vertebral artery, occipital artery
  • Innervation: Suboccipital nerve (C1 dorsal ramus)
  • Function: Extends and laterally flexes head

Obliquus Capitis Inferior

  • Arterial Supply: Vertebral artery, deep cervical artery
  • Innervation: Suboccipital nerve (C1 dorsal ramus)
  • Function: Rotates atlas (C1) on axis (C2)

Temporalis

  • Arterial Supply: Deep temporal arteries (from maxillary artery)
  • Innervation: Deep temporal nerves (branches of CN V3)
  • Function: Elevates and retracts mandible

Masseter

  • Arterial Supply: Masseteric artery (from maxillary artery)
  • Innervation: Masseteric nerve (branch of CN V3)
  • Function: Elevates mandible (closes jaw)

Lateral Pterygoid

  • Arterial Supply: Pterygoid branches of maxillary artery
  • Innervation: Lateral pterygoid nerve (from CN V3)
  • Function: Protrudes mandible; opens jaw; side-to-side movements

Medial Pterygoid

  • Arterial Supply: Pterygoid branches of facial and maxillary arteries
  • Innervation: Medial pterygoid nerve (from CN V3)
  • Function: Elevates and protrudes mandible; grinding motion

Superior Constrictor

  • Arterial Supply: Ascending pharyngeal artery, facial artery, lingual artery
  • Innervation: Pharyngeal plexus (CN X) via pharyngeal branch of vagus with CN XI fibers
  • Function: Constricts upper pharynx during swallowing

Middle Constrictor

  • Arterial Supply: Ascending pharyngeal, facial, and lingual arteries
  • Innervation: Pharyngeal plexus (CN X)
  • Function: Constricts middle pharynx

Inferior Constrictor

  • Arterial Supply: Superior and inferior thyroid arteries
  • Innervation: Pharyngeal plexus (CN X) + external & recurrent laryngeal nerves (CN X)
  • Function: Constricts lower pharynx

Cricopharyngeus (UES)

  • Arterial Supply: Inferior thyroid artery (from thyrocervical trunk)
  • Innervation: Recurrent laryngeal nerve (CN X) and external laryngeal nerve (CN X)
  • Function: Forms upper esophageal sphincter (UES), relaxes to allow bolus passage

Salpingopharyngeus

  • Arterial Supply: Ascending pharyngeal artery, facial artery
  • Innervation: Pharyngeal plexus (CN X)
  • Function: Elevates pharynx; opens auditory tube during swallowing

Stylopharyngeus

  • Arterial Supply: Ascending pharyngeal artery, facial artery
  • Innervation: Glossopharyngeal nerve (CN IX) (motor)
  • Function: Elevates pharynx and larynx during swallowing

Palatopharyngeus

  • Arterial Supply: Ascending palatine artery, ascending pharyngeal artery
  • Innervation: Pharyngeal plexus (CN X) via cranial root of CN XI
  • Function: Elevates pharynx; closes nasopharynx during swallowing

Palatoglossus

  • Arterial Supply: Ascending palatine artery (from facial artery)
  • Innervation: Pharyngeal plexus via CN X (only tongue muscle not by CN XII)
  • Function: Elevates posterior tongue; narrows oropharyngeal isthmus

Posterior Cricoarytenoid

  • Arterial Supply: Inferior laryngeal artery (from inferior thyroid artery)
  • Innervation: Recurrent laryngeal nerve (CN X)
  • Function: Only abductor of vocal cords (opens rima glottidis)

Lateral Cricoarytenoid

  • Arterial Supply: Inferior laryngeal artery
  • Innervation: Recurrent laryngeal nerve (CN X)
  • Function: Adducts vocal cords (closes rima glottidis)

Transverse & Oblique Arytenoids

  • Arterial Supply: Inferior laryngeal artery
  • Innervation: Recurrent laryngeal nerve (CN X)
  • Function: Adduct arytenoid cartilages, closes posterior glottis

Aryepiglottic

  • Arterial Supply: Superior laryngeal artery
  • Innervation: Recurrent laryngeal nerve (CN X)
  • Function: Draws epiglottis over laryngeal inlet (closes airway during swallowing)

Thyroarytenoid

  • Arterial Supply: Inferior laryngeal artery
  • Innervation: Recurrent laryngeal nerve (CN X)
  • Function: Relaxes vocal folds; lowers pitch

Vocalis

  • Arterial Supply: Inferior laryngeal artery
  • Innervation: Recurrent laryngeal nerve (CN X)
  • Function: Fine-tunes vocal cord tension (modulates pitch)

Cricothyroid

  • Arterial Supply: Cricothyroid branch of superior thyroid artery
  • Innervation: External branch of superior laryngeal nerve (CN X)
  • Function: Tenses vocal cords (increases pitch)

Genioglossus

  • Arterial Supply: Deep lingual artery (from lingual artery)
  • Innervation: Hypoglossal nerve (CN XII)
  • Function: Protrudes tongue; depresses center

Hyoglossus

  • Arterial Supply: Sublingual artery and deep lingual artery
  • Innervation: Hypoglossal nerve (CN XII)
  • Function: Depresses and retracts tongue

Styloglossus

  • Arterial Supply: Sublingual and deep lingual arteries
  • Innervation: Hypoglossal nerve (CN XII)
  • Function: Retracts and elevates tongue sides

Superior Longitudinal

  • Arterial Supply: Deep lingual artery (from lingual artery)
  • Innervation: Hypoglossal nerve (CN XII)
  • Function: Elevates tip and sides of tongue; shortens tongue

Inferior Longitudinal

  • Arterial Supply: Deep lingual artery
  • Innervation: Hypoglossal nerve (CN XII)
  • Function: Depresses tip of tongue; shortens tongue

Transverse

  • Arterial Supply: Deep lingual artery
  • Innervation: Hypoglossal nerve (CN XII)
  • Function: Narrows and elongates tongue

Vertical

  • Arterial Supply: Deep lingual artery
  • Innervation: Hypoglossal nerve (CN XII)
  • Function: Flattens and broadens tongue

Levator Veli Palatini

  • Arterial Supply: Ascending palatine artery (from facial artery), ascending pharyngeal artery
  • Innervation: Pharyngeal plexus via CN X (cranial root of CN XI)
  • Function: Elevates soft palate during swallowing & yawning

Tensor Veli Palatini

  • Arterial Supply: Descending palatine artery (from maxillary artery)
  • Innervation: Medial pterygoid nerve (branch of CN V3)
  • Function: Tenses soft palate; opens auditory tube

Musculus Uvulae

  • Arterial Supply: Ascending palatine and ascending pharyngeal arteries
  • Innervation: Pharyngeal plexus via CN X
  • Function: Elevates and retracts uvula

Tensor Tympani

  • Arterial Supply: Superior tympanic branch (from middle meningeal artery, via maxillary artery)
  • Innervation: Medial pterygoid nerve (from CN V3)
  • Function: Tenses tympanic membrane (dampens loud sounds)

Stapedius

  • Arterial Supply: Posterior auricular artery (from external carotid), stapedial artery (fetal in humans)
  • Innervation: Nerve to stapedius (from CN VII)
  • Function: Stabilizes stapes; dampens vibration to inner ear

Superior Rectus

  • Arterial Supply: Ophthalmic artery → muscular branches
  • Innervation: Oculomotor nerve (CN III), superior division
  • Function: Elevates, adducts, and medially rotates the eye

Inferior Rectus

  • Arterial Supply: Ophthalmic artery → muscular branches
  • Innervation: Oculomotor nerve (CN III), inferior division
  • Function: Depresses, adducts, and laterally rotates the eye

Medial Rectus

  • Arterial Supply: Ophthalmic artery → muscular branches
  • Innervation: Oculomotor nerve (CN III), inferior division
  • Function: Adducts eye

Lateral Rectus

  • Arterial Supply: Ophthalmic artery → muscular branches
  • Innervation: Abducens nerve (CN VI)
  • Function: Abducts eye

Superior Oblique

  • Arterial Supply: Ophthalmic artery → muscular branches
  • Innervation: Trochlear nerve (CN IV)
  • Function: Depresses, abducts, and medially rotates eye

Inferior Oblique

  • Arterial Supply: Ophthalmic artery → muscular branches
  • Innervation: Oculomotor nerve (CN III), inferior division
  • Function: Elevates, abducts, and laterally rotates eye

Levator Palpebrae Superioris

  • Arterial Supply: Ophthalmic artery → lacrimal and supraorbital branches
  • Innervation: CN III (superior division) for skeletal portion, and sympathetics (superior cervical ganglion) for tarsal part
  • Function: Elevates upper eyelid (main elevator)

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