Muscles of the Head, Scalp, and Face

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Questions and Answers

What anatomical landmark demarks the superior boundary of the neck, thereby defining the inferior limit of the head?

  • Inferior border of the neck (correct)
  • Mastoid process
  • Superior nuchal line
  • Inferior border of the mandible

What functional characteristic distinguishes the muscles of the face from other muscle groups in the head?

  • The direct movement of skin relative to underlying bone. (correct)
  • Their primary role in speech articulation.
  • Their provision of structural support to the orbits.
  • The control of the posterior openings of the nasal and oral cavities.

Considering the innervation patterns of facial muscles, what cranial nerve lesion would most likely result in the paralysis of the Orbicularis oculi, Nasalis, and Orbicularis oris?

  • Trigeminal nerve (CN V)
  • Facial nerve (CN VII) (correct)
  • Hypoglossal nerve (CN XII)
  • Oculomotor nerve (CN III)

During a surgical procedure, a surgeon identifies a muscle originating from the medial end of the superciliary arch of the frontal bone and inserts into the skin of the medial half of the eyebrow, which muscle is the surgeon most likely observing?

<p>Corrugator supercilii muscle (C)</p>
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A patient presents with difficulty in compressing their nasal aperture, which specific muscle is most likely affected?

<p>The transverse part of the nasalis (C)</p>
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What muscle is primarily responsible for pulling the nose inferiorly, aiding the alar part of the nasalis in opening the nares, and where does it originate?

<p>Depressor septi nasi, originating from the maxilla (B)</p>
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Which of the following muscles, critical for facial expression, is innervated by the facial nerve (CN-VII) and acts to draw the corner of the mouth downward and laterally, expressing sadness?

<p>Depressor anguli oris (A)</p>
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A patient exhibits an inability to raise and protrude the lower lip resulting in the wrinkling of the skin of the chin, which facial muscle is most likely compromised?

<p>Mentalis (C)</p>
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A cosmetic surgeon aims to enhance a patient's smile by surgically modifying a muscle that inserts at the corner of the mouth and overlies the masseter; which muscle is the target of this intervention?

<p>Risorius (D)</p>
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What diagnostic criterion differentiates the zygomaticus minor muscle from the zygomaticus major muscle, specifically regarding their insertions?

<p>The zygomaticus minor inserts into the upper lip, while the zygomaticus major inserts into the skin at the corner of the mouth. (B)</p>
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During a neurological examination, a patient is asked to raise their upper lip and is unable to deepen the nasolabial furrow on one side of their face, this deficit primarily implicates which muscle?

<p>Levator labii superioris (C)</p>
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What functional impairment would most likely result from damage to the levator labii superioris alaeque nasi muscle?

<p>Impaired ability to elevate the upper lip and flare the nostril. (B)</p>
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What specific action is attributed to the levator anguli oris muscle, and what structural feature is highlighted by its contraction?

<p>Raises the corner of the mouth; helps form the nasolabial furrow. (C)</p>
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How does the buccinator muscle contribute to effective chewing, and what anatomical characteristic supports this function?

<p>By compressing distended cheeks; inserts into the orbicularis oris. (D)</p>
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Following trauma to the face, a patient exhibits paralysis of the platysma muscle, what functional deficits would be most expected?

<p>Inability to tense the skin of the neck and move the lower lip downwards. (A)</p>
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Given its functions, how would paralysis of the anterior auricular muscle most noticeably manifest?

<p>Compromised ability to draw the ear upward and forward. (C)</p>
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A lesion affecting the superior auricular muscle would primarily compromise which action?

<p>Elevation of the auricle. (B)</p>
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An individual with damage to the posterior auricular muscle would most likely exhibit difficulty with what specific movement?

<p>Drawing the ear upward and backward. (B)</p>
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During a physical examination, a neurologist tests the function of the occipitofrontalis muscle. What specific actions is the neurologist assessing when asking the patient to wrinkle their forehead and raise their eyebrows?

<p>The function of the frontal belly only. (D)</p>
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Relating to the muscles of the head and scalp, which anatomical feature is correctly describes the Occipitofrontalis muscle?

<p>Has both a frontal and occipital belly; Connects to the Galea aponeurotica. (C)</p>
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A patient reports exclusive difficulty elevating the mandible. Assuming that only one muscle is affected, it is most likely the:

<p>Medial pterygoid. (D)</p>
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During the planning of a surgical procedure involving the infratemporal fossa, which muscle must a surgeon consider as it is lateral to the infratemporal fossa?

<p>Masseter (D)</p>
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What functional outcome would be most noticeably affected by a lesion impacting the temporalis muscle?

<p>Difficulty in elevating and retracting the mandible. (B)</p>
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Which of the following statements accurately contrasts the attachments and functions of the lateral and medial pterygoid muscles?

<p>The lateral pterygoid attaches to the mandibular condyle and protrudes the mandible, while the medial pterygoid attaches to the internal surface of the mandibular angle and elevates the mandible. (D)</p>
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A patient has difficulty protruding their mandible, which two mastication muscles are likely affected?

<p>Lateral and medial pterygoid (B)</p>
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What distinguishes the medial and lateral pterygoid muscles’ innervation compared to other muscles involved in movements surrounding the head and neck region, specifically considering the source and type of nerve fibers?

<p>They are innervated by the mandibular nerve (CN V3) carrying motor fibers, which is typical for muscles of mastication. (C)</p>
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What layer of the scalp is critical for allowing movement and how would this contribute to medical treatments?

<p>Loose connective tissue - Allows for movement that is needed when performing scalp reductions for hair transplants. (C)</p>
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In the context of facial and scalp anatomy what is the composition order of the SCA layers, starting from the most superficial?

<p>Skin, Connective, Aponeurotic (A)</p>
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Bell’s Palsy is a loss of facial movements due to facial nerve damage. What is true about this particular condition?

<p>Bell’s Palsy is a loss of facial movements. (A)</p>
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From which structure do the muscles of mastication derive?

<p>First pharyngeal arch (C)</p>
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With respect to the Orbicularis oculi muscle, what describes the palpebral part of orbicularis oculi m.?

<p>Closes the eyelids gently (C)</p>
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What functional outcome is primarily associated with the contraction of the orbital part of the orbicularis oculi muscle?

<p>Closing the eyelids forcefully (C)</p>
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During an ophthalmological assessment, direct stimulation of which muscle would result in the greatest resistance to passive eyelid opening?

<p>Orbital part of orbicularis oculi (B)</p>
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What action is specifically inhibited by damage to the corrugator supercilii?

<p>Drawing the eyebrows medially and downward (B)</p>
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A patient unable to express disgust due to impaired nasal muscle action likely has damage affecting which specific muscle:

<p>Procerus (B)</p>
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A comprehensive neurological exam reveals that a patient has motor control of the lower lip but not sensory, which single nerve may be damaged?

<p>Mental nerve (A)</p>
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A patient presents with limited facial expression due to a condition affecting the superficial fascia of the face. Which characteristic of facial muscles is directly compromised?

<p>Attaching directly to the superficial fascia. (B)</p>
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Following reconstructive surgery, a patient experiences a reduced ability to tightly close their eyelids affecting tear distribution. Which specific structure has been most likely altered or affected?

<p>The palpebral part of the orbicularis oculi muscle. (D)</p>
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A patient exhibits an inability to compress the nares during forceful expiration, which complicates activities such as blowing the nose. Which discrete function of the transverse part of the nasalis muscle has been compromised?

<p>Compression of the nasal aperture. (D)</p>
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A patient who has undergone nasal surgery reports difficulty in widening their nostrils during deep inhalation. Which of the following muscles is most likely affected?

<p>Alar part of nasalis. (D)</p>
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During a facial reconstruction, a surgeon must carefully consider the position of the muscles that influence the nasolabial fold. Which muscle contributes to deepening this fold, especially during expressions of sadness or concentration?

<p>Levator labii superioris. (C)</p>
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In planning a cosmetic procedure to reduce the appearance of a 'gummy smile' (excessive gingival display), a surgeon is considering modifying the action of a muscle that elevates the upper lip. Which of the following muscles is the MOST likely target?

<p>Levator labii superioris. (B)</p>
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A patient exhibits a flattened nasolabial fold and slight drooping of the upper lip on the left side of their face following a surgical procedure. Which muscle is MOST likely affected?

<p>Levator labii superioris alaeque nasi. (A)</p>
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After a dental procedure, a patient complains of being unable to effectively remove food from their cheek during chewing. Which muscle is MOST likely affected?

<p>Buccinator. (D)</p>
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A patient presents with difficulty in expressing emotions associated with the lower lip, particularly drawing the corner of the mouth downward and laterally. Which discrete muscle is primarily affected?

<p>Depressor anguli oris. (A)</p>
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A patient who recently underwent cosmetic surgery reports difficulty protruding and wrinkling their chin. Which facial muscle has MOST likely been affected?

<p>Mentalis. (C)</p>
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A neurologist is assessing a patient with possible facial nerve damage. In testing the function of the risorius muscle, what specific action would the neurologist observe?

<p>Retraction of the corner of the mouth. (B)</p>
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During a physical examination, a doctor asks a patient to smile to test the function of a particular facial muscle. If the patient is unable to pull the corners of their mouth upward and outward, which muscle is MOST likely compromised?

<p>Zygomaticus major. (D)</p>
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A patient is referred to a physical therapist due to impaired facial expressions. During assessment, the patient can elevate the upper lip but presents with a more subtle smile and minimal nasolabial fold change. Which muscle is likely affected?

<p>Zygomaticus minor. (D)</p>
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A patient exhibits limited ability to produce a surprised expression, specifically an impaired capacity to raise the eyebrows, and wrinkle the forehead. Which muscle group is MOST likely dysfunctional?

<p>Frontal belly of the occipitofrontalis. (D)</p>
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Following a head injury, a patient is unable to tense the skin of their neck, which complicates certain movements of the lower lip and corners of the mouth. This deficit primarily involves which muscle?

<p>Platysma. (D)</p>
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A patient is diagnosed with damage to the auriculotemporal nerve, a branch of the mandibular nerve (CN V3). Which of the following muscles would NOT be directly affected by this condition?

<p>Buccinator. (D)</p>
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In a patient assessment, a physician notes that the patient's masseter muscle is significantly hypertrophied. This condition would MOST directly affect which action?

<p>Elevation of the mandible. (D)</p>
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During surgical intervention within the infratemporal fossa, care must be taken to protect the muscles of mastication. Which of the following muscles is MOST critical to consider laterally within the infratemporal fossa?

<p>Lateral Pterygoid. (A)</p>
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A patient presents with difficulty retracting the mandible. Damage to which muscles is most likely responsible?

<p>Temporalis and digastric muscles. (B)</p>
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A patient is unable to move their mandible from side to side without deviation or pain. Which set of muscles is likely impaired?

<p>Medial and lateral pterygoids. (A)</p>
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A patient is diagnosed with a condition that selectively impairs motor function but preserves sensory function in the head. Which muscle would MOST likely retain its ability to contract?

<p>Masseter. (B)</p>
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A researcher discovers a new paralytic agent that selectively targets the aponeurotic layer of the scalp (galea aponeurotica). What direct effect would this agent have?

<p>Limit the movement of the frontalis and occipitalis muscles. (C)</p>
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Considering that the scalp's layers, especially the SCA, are tightly bound and can move as a single unit, what clinical risk is MOST directly related to this anatomical arrangement following a traumatic injury?

<p>Potential for avulsion injuries where scalp layers detach from the pericranium. (B)</p>
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A patient complains of their face drooping on one side. Which of the following factors would confirm that the diagnosis is Bell's Palsy?

<p>Bell's Palsy is normally present just on one side of the face. (D)</p>
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A genetic study reveals that a patient has a mutation affecting the development of the first pharyngeal arch. Which set of muscles would be MOST directly affected by this genetic anomaly?

<p>Muscles of mastication. (C)</p>
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A patient presents with facial paralysis affecting the palpebral part of the orbicularis oculi muscle. Which specific function is MOST likely impaired?

<p>Gently closing the eyelids. (D)</p>
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What distinct functional outcome is primarily associated with the contraction of the orbital part of the orbicularis oculi muscle?

<p>Forcefully closing the eyelids. (C)</p>
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A patient cannot draw the eyebrows down and medially to protect his eyes from excessive sunlight, which means the patient is struggling to express concern. Which muscle is likely damaged?

<p>Corrugator supercilii. (A)</p>
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A patient demonstrates an impaired ability to pull the nose inferiorly, limiting assistance to the alar part of the nasalis. Action of which muscle is likely weakened or paralyzed?

<p>Depressor septi nasi. (C)</p>
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During an aesthetic assessment, it’s noted that a patient has an atypical nasolabial fold structure. What structure's function would you check?

<p>Levator labii superioris alaeque nasi. (A)</p>
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During a comprehensive neurological exam, motor control of the lower lip is found to be primarily affected in a patient. If sensation remains intact, which specific nerve branch is MOST likely damaged?

<p>Marginal mandibular branch of the facial nerve. (B)</p>
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During facial surgery, precise muscle identification is crucial. What insertion point offers the clearest distinction when differentiating the zygomaticus major from the zygomaticus minor muscle?

<p>The skin at the corner of the mouth (A)</p>
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During lower lip depressor muscle repair, surgeons must know what nerve also runs near these muscles. Repair on which muscle would warrant the MOST accurate knowledge?

<p>Mentalis muscle (B)</p>
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What is the main function of the temporalis muscle in mastication?

<p>Facilitating the elevation, retraction and some side-to-side movement of the mandible (D)</p>
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Comparing the functional differences between the medial and lateral pterygoid muscles, what action is uniquely attributed to the lateral pterygoid, differentiating it from the medial pterygoid?

<p>Protrusion of the mandible (B)</p>
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What unique aspect is true regarding the innervation of the medial and lateral pterygoid muscles compared to other muscles in the head and neck region?

<p>They are innervated by the mandibular nerve branch of the trigeminal nerve (CN V3). (B)</p>
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Why is the loose connective tissue layer of the scalp particularly critical to treatments that involve flaps?

<p>This layer allows the superficial layers of the scalp to move freely over the pericranium. (A)</p>
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A surgeon is preparing to perform a delicate procedure near the superior nuchal line. An in-depth knowledge of what specific landmark in relation to the head and neck is crucial for minimizing iatrogenic injury?

<p>The inferior extent of the head, demarcated by the superior border of the neck. (A)</p>
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A patient presents with a lesion affecting the superficial fascia of the face. Considering the arrangement of facial muscles within this layer, which of the following complications would be MOST anticipated?

<p>Difficulty in moving the skin relative to underlying bone. (D)</p>
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A patient reports the inability to wrinkle the skin on their forehead after a cosmetic procedure and an EMG confirms nerve damage. Given that the facial nerve innervates most facial muscles, which specific branch is MOST likely affected, considering the function that is lost?

<p>The temporalis branch, responsible for eyebrow elevation. (C)</p>
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A surgeon needs to distinguish between the transverse and alar parts of the nasalis muscle during nasal reconstruction. What is the crucial anatomical reference point that allows for this differentiation?

<p>The transverse part attaches to the aponeurosis across the dorsum of the nose. (A)</p>
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A patient presents with a weakened ability to draw the eyebrows medially, resulting in an altered emotional expression during clinical interviews. This deficit is MOST likely related to the impaired function of which muscle, and how does this impairment specifically manifest?

<p>Corrugator supercilii, shown by a decreased ability to create vertical wrinkles above the nose. (A)</p>
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A patient, following a surgical procedure, exhibits difficulty in elevating and everting the lower lip, which primarily affects their ability to express doubt or disdain. Which muscle is MOST likely to have been compromised, and how does its dysfunction lead to this specific expressive deficit?

<p>Mentalis, leading to a reduced ability to wrinkle the skin on the chin. (A)</p>
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During facial reconstructive surgery, a surgeon needs to preserve the modiolus to maintain facial expression integrity. Injury to what intersecting muscles MOST directly threatens the structural and functional integrity of the modiolus?

<p>Orbicularis oris, buccinator, and depressor anguli oris. (C)</p>
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A professional trumpet player seeks medical advice because they are experiencing increased difficulty maintaining cheek inflation while playing which affects his ability to produce consistent tones. Dysfunction in which muscles is MOST likely responsible for this clinical presentation?

<p>Buccinator, impacting his ability to compress the cheeks. (C)</p>
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Anatomy students are using a head model with removable muscles of facial expression and mastication. When the temporalis muscle is removed, what crucial anatomical information about its attachment site is MOST clearly revealed?

<p>The coronoid process and anterior margin of the ramus of mandible where it inserts. (D)</p>
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During an otolaryngology rotation, a medical student is assigned to study the lateral pterygoid muscle. What unique functional consideration must the student understand to fully appreciate this muscle's role in mastication compared to other muscles of mastication?

<p>The lateral pterygoid protrudes the mandible as a major part of mastication. (A)</p>
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Flashcards

Head

The region superior to the superior border of the neck.

Face

The anterior aspect of the head containing muscles that move the skin and control openings.

Scalp

Covers the superior, posterior, and lateral regions of the head.

Boundaries of Face

Superciliary arches superiorly, the lower edge of the mandible inferiorly, and the ears on either side.

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Muscles of the Face

Muscles that control facial expressions, located in the superficial fascia and innervated by the facial nerve (CN VII).

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Facial Muscle Development

Develop from the second pharyngeal arch and are grouped as orbital, nasal, oral, and others.

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Orbital Group

Group of muscles associated with the eye socket, includes orbicularis oculi and corrugator supercilii.

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Orbicularis Oculi m.

Muscle with palpebral (inner) and orbital (outer) parts, originating at the palpebra (eyelid).

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Palpebral Part Function

Part of the orbicularis oculi muscle that closes the eyelids gently.

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Orbital Part Function

Part of the orbicularis oculi m. encircling the orbital orifice's broad ring. Closes the eyelids forcefully.

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Corrugator Supercilii Function

Draws the eyebrows medially and downward, creating vertical wrinkles above the nose (frowning).

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Nasal Group

Group of facial muscles associated with the nose, such as nasalis, procerus, and depressor septi nasi.

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Nasalis m.

Largest nasal muscle, with transverse (compressor naris) and alar parts.

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Transverse Part Function

Part of the nasalis that compresses the nasal aperture.

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Alar Part Function

Part of nasalis that draws the alar cartilage downward and laterally, opening the nostrils (dilator naris).

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Procerus m. Function

Draws down the medial angle of the eyebrows, producing transverse wrinkles over the bridge of the nose (frowning).

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Depressor Septi Nasi Action

Pulls the nose inferiorly, assisting the alar part when opening the nares.

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Oral Group

A group of facial muscles around the mouth, including orbicularis oris, buccinator and others.

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Modiolus

Fibrous tissue where oral muscles intersect, important for moving the mouth and facial expressions.

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Depressor Anguli Oris m. Function

Draws the corner of the mouth downward and laterally (sadness).

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Depressor Labii Inferioris m. Function

Draws the lower lip downward and laterally.

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Mentalis m. Action

Raises and protrudes the lower lip, wrinkling the skin on the chin, and helps position it when drinking from a cup.

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Risorius m. Action

Retracts corner of the mouth (grin).

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Zygomaticus Major m. Function

Draws the corner of the mouth upward and laterally (smile).

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Zygomaticus Minor m. Function

Draws the upper lip upward (slight smile).

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Levator Labii Superioris Action

Raises the upper lip and deepens the nasolabial furrow (sadness).

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Levator Labii Superioris Alaeque Nasi Action

Raises the upper lip and opens the nostril.

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Levator Anguli Oris Action

Raises corner of the mouth and helps form the nasolabial furrow (sadness).

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Orbicularis Oris Function

Closes and protrudes the lips (whistling).

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Buccinator m. Description

Forms muscular cheek component.

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Buccinator m. Function

Presses the cheek against the teeth and compresses distended cheeks (mastication).

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Platysma m.

In the superficial fascia of the neck, tenses the skin and moves the lower lip and corners of the mouth.

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Anterior Auricular m. Function

Draws the ear upward and forward.

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Superior Auricular m. Function

Elevates the ear.

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Posterior Auricular m. Function

Draws the ear upward and backward.

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Occipitofrontalis (epicranius) m.

Has frontal and occipital bellies connected by an aponeurotic tendon. Wrinkle forehead, raise eyebrows.

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Scalp

Extends from the superciliary arches extends to the external occipital protuberance and superior nuchal lines.

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Connective Tissue (Dense)

Layer anchored to the underlying aponeurotic layer containing arteries, veins, and nerves.

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Aponeurotic Layer

Contains occipitofrontalis muscle and its tendon (galea aponeurotica, epicranial aponeurosis).

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Loose Connective Tissue

Separates the aponeurotic layer from the pericranium and allows SCA layers to move the periostium.

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Muscles of Mastication

Move the lower jaw at the temporomandibular joint. Innervated by mandibular nerve (CN-V3). Develop from the first pharyngeal arch

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Masseter m.

Powerful elevator of the mandible; has superficial and deep parts.

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Temporalis m.

Muscle that fills the temporal fossa and is fan-shaped.

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Temporalis m. Action

Function includes powerful elevation of the mandible, retraction, and side-to-side movements.

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Temporal Fascia

Covers temporalis and temporal fossa.

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Masseter m. Function

Elevates the mandible.

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Medial Pterygoid m.

Located in the infratemporal fossa with deep and superficial heads. Nerve to medial pterygoid.

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Lateral Pterygoid m.

Located in the infratemporal fossa and has upper and lower heads.

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Movements Involved

Mainly by lateral pterygoid; medial pterygoid assists retraction involves geniohyoid, digastric, fibers of temporalis, and fibers of masseter.

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Depression

Digastric, geniohyoid, and mylohyoid.

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Forward Movement

Lateral Pterygoid.

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Innervation

All muscles are innervated by the mandibular nerve (V3) Except the geniohyoid, innervated by the C1 spinal nerve.

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Study Notes

  • Muscles of the Head and Scalp
  • The head is located superior to the neck's border.

Superior Border of the Neck

  • The neck's border is defined by the mandible's inferior margins.
  • This border also has bone features on the posterior skull.

Face

  • The face is the head's anterior aspect
  • Contains muscles that move skin and control orbits/ nasal/ oral openings.

Scalp

  • The scalp covers the superior, posterior, and lateral head areas.

Face Boundaries

  • Superciliary arches form the upper boundary
  • The lower mandible edge and ears form other boundaries.

Face Muscles

  • These muscles control facial expressions
  • They are known as 'muscles of the facial expression.'
  • They are innervated by facial nerve branches (CN VII)
  • These muscles are located on the superficial fascia (subcutaneous layer)
  • They originate from a bone or fascia and create expressions
  • Developing from the second pharyngeal arch (not somites), they form groups:
    • Orbital
    • Nasal
    • Oral
    • Other groups

Orbital Group

  • Two muscles connect to the orbital group:
    • Orbicularis oculi
    • Corrugator supercilii

Orbicularis Oculi

  • Has palpebral (inner) and orbital (outer) parts

Palpebral Part of Orbicularis Oculi

  • Palpebra is Latin for eyelid
    • Originates at the medial palpebral ligament
    • Inserts at the lateral palpebral ligament
    • Innervated by the facial nerve (CN-VII)
  • Function is to close the eyelids gently

Orbital Part of Orbicularis Oculi

  • Broad ring encircles the orbital orifice
    • Origin: Frontal bone, maxilla, and medial palpebral ligament
    • Insertion: Fibers form an ellipse around the orbit
    • Innervation: Facial nerve (CN-VII)
  • Functions to close eyelids forcefully and wrinkle the forehead

Extra Orbicularis Oculi Info

  • The orbicularis oculi has a small lacrimal part that's deep, medial, and fixed to the bone behind the lacrimal sac.

Corrugator Supercilii

  • Deep to the eyebrows and orbicularis oculi muscle.
    • Originates at the medial end of the superciliary arch (frontal bone)
    • Inserts into the medial eyebrow skin
    • Innervated by the facial nerve (CN-VII)
  • Function: Draws brows down, creating frowning and vertical nose wrinkles

Nasal Group Muscles

  • Three muscles connect to the nasal group:
    • Nasalis
    • Procerus
    • Depressor septi nasi

Nasalis Muscle

  • Nasalis has transverse and alar parts
  • It is the nasal group's largest and best-developed muscle

Transverse Part of Nasalis

  • (Compressor Naris)
    • Origin: Maxilla
    • Insertion: Aponeurosis across the nose's dorsum.
    • Innervation: Facial nerve (CN-VII)
  • Compresses the nasal aperture

Alar Part of Nasalis

  • (Dilator Naris)
    • Origin: Maxilla
    • Insertion: Alar cartilage of the nose
    • Innervation: Facial nerve (CN-VII)
  • It draws the alar cartilage down and opens the nostrils

Procerus Muscle

- Origin: Nasal bone and lateral nasal cartilage
- Insertion: Skin between the eyebrows, continuous with the occipitofrontalis muscle's frontal belly
- Innervation: Facial nerve (CN-VII)
  • Draws down the medial eyebrow angle
  • This creates transverse nose bridge wrinkles (frowning)

Depressor Septi Nasi Muscle

- Origin: Maxilla (above the central incisor)
- Insertion: Mobile nasal septum part
- Innervation: Facial nerve (CN-VII)
  • Pulls the nose down and helps the alar nasalis open nares

Oral Group Muscles

  • The oral group has these muscles:
    • Orbicularis oris
    • Buccinator
    • Depressor anguli oris
    • Depressor labii inferioris
    • Mentalis
    • Risorius
    • Zygomaticus major
    • Zygomaticus minor
    • Levator labii superioris
    • Levator labii superioris alaeque nasi
    • Levator anguli oris

Oral Group General Info

  • The oral group muscles join just lateral to the corner of the mouth at the modiolus (facial muscle chiasma).
  • The modiolus is fibrous tissue, which is important for movement in the mouth, expressions, and dentistry

Depressor Anguli Oris Muscle

  • (Triangularis) -Origin: Oblique mandible line -Insertion: Skin at the mouth corner -Innervation: Facial nerve (CN-VII)
  • Draws the mouth corner down laterally

Depressor Labii Inferioris Muscle

 -Origin: Oblique mandible line.
 -Insertion: Lower lip.
 -Innervation: Facial nerve (CN-VII)
  • It pulls the lower lip down and laterally

Mentalis Muscle

- Deepest oral muscle group
-Origin: Mandible
-Insertion: Chin skin
-Innervation: Facial nerve (CN-VII)
  • Raises and protrudes lower lip, wrinkles chin skin and positions lip for drinking.

Risorius Muscle

  • Is a thin and superficial muscle -Origin: Fascia over masseter muscle -Insertion: Skin at the corner of the mouth -Innervation: Facial nerve (CN-VII)
  • It retracts the mouth corner and produces a grin

Zygomaticus Major Muscle

- The origin is the zygomatic bone
- The insertion is the skin at the mouth corners
- The innervation is the facial nerve (CN-VII)
  • Draws the corner up and laterally to smile

Zygomaticus Minor Muscle

- Origin: Zygomatic bone
- Insertion: Upper lip
- Innervation: Facial nerve (CN-VII)
  • Draws the upper lip up to produces a smile

Minor Muscles

  • Includes the zygomaticus minor, zygomaticus major and risorius muscles

Levator Labii Superioris

 - The origin is the maxilla
- The insertion is the skin of the upper lip.
- The innervation is the facial nerve (CN-VII).
  • Raises upper lip and deepens the nasolabial furrow (fold) when sad

Levator Labii Superioris Alaeque Nasi Muscle

-Origin: Maxilla
-Insertion: Alar cartilage of the nose and upper lip
-Innervation: Facial nerve (CN-VII)
  • Raises upper lip and opens nostrils

Levator Anguli Oris Muscle

     - Deepest of the oral muscles
    - The origin is the maxilla
    - The insertion is the skin at the corner of the mouth
    - The innervation is the facial nerve (CN-VII)
  • It raises mouth corners and forms the nasolabial furrow in times of sadness

Orbicularis Oris Muscle

- Origin: From other muscles (area), maxilla, and mandible.
- Insertion: Ellipse around the mouth – Some fibers merge into both skin and lips.
- Innervation: Facial nerve (CN-VII)
  • Closes/ protrudes lips during whistling

Buccinator Muscle

 - Creates the part of cheek that's muscular.
 - Its located further from facial muscles of area.
      -Origin is the maxilla, mandible, and pterygomandibular raphe
     The insertion blends in with *orbicularis oris muscle*

Buccinator Muscle & Parotid Duct

  • The parotid duct pierces the buccinator muscle in order drain in the mouth's oral cavity The buccinator:
    • Has a origin a tendinous band located between the muscles The insertion blends with orbicularis oris muscle The front fibers go inside bottom while other side the lower lip
    • Facia is located near face (facial nerves)

Buccinator Muscle

Forms muscular component of cheek Located near facial muscular region

Buccinator Function

Compresses cheeks and teeth (with assistance to mastication)

Face Muscle Listing

  • This includes orbicularis oris, buccinator, depressor anguli oris, depressor labii, mentalis, risorius, zygomaticus major/minor, and levator labii etc.

Muscles connected in face

  • Platysma
  • Anterior auricular
  • Superior auricular
  • Posterior auricular Occipitofrontalis Occipital belly

Platysma Muscle

  • Inside face its located near muscles Derived from the 2nd pharyngeal area Larges and thinly built The upper part of thorax makes this muscle occur The front ends attach some areas other muscles/around mouth

Platysma Innervation and Function

      - Innervated by the Facial nerve (CN-VII)
       - Moves lips, corners up and down while tensing a muscle.

Auricular Muscles

Includes anterior auricular, as well as superior/posterior portion

  • The fascia starts in the temporal then is fixed to your ear then by Facial nerve-7. Pulls up the backward side for the front part of your air ( facial nerve #7)

Occipitofrontalis m.

  • Has frontal and occipital bellies.
  • It has a epicranial region
  • origin starts around the eyebrows then by galea,facial and 7N
  • The posterior of frontis facial nerves located from around bones (occipital, temp).
  • Then a the skin galea area occurs near the occipital area Move/change shape when face is moved and it help hold scalp backwards too.

Facial Palsy

  • Occurs from loss of strength when moving muscles within facial (inflamed or swollen) in some place .

Some of the Symptoms of Palsy

  • The symptoms include drooling, facial dryness , not tasting sensation/ feeling sound side way, inability , trouble with closing those smile parts.

SCALP

  • Extends to superciliary arches (front area) then to bump point near brain too.
  • There's 5 structures multilayer (ex:sking and some loose connecting bits also)

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