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HEAD AND NECK TABLE OF MUSCLES

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Muscle Principle Group Innervation Origin Insertion Action Description / Clinical / Relationships
Stapedius Ear, Middle ear Facial N. (VII) Near the Eustachian Tube Stapes of middle ear Reflexively contracts with a loud sound, to protect middle and inner ear
Tensor Tympani Ear, Middle ear Trigeminal N. (V3), Mandibular Branch Posterior wall of tympanic cavity Malleus of middle ear Reflexively contracts with a loud sound, to protect middle and inner ear
Iliocostalis Erector Spinae Ilium Ribs, laterally Extend the spine and flex it laterally
Longissimus Erector Spinae Ilium Ribs, medially. Also inserts on transverse processes Extend the spine and flex it laterally
Spinalis Erector Spinae Ilium Spinous Processes Extend the spine and flex it laterally
Multifidus Erector Spinae, deep Sacral and Lumbar Arches Lumbar Spinous Processes, above origin Laterally flex and rotate lumbar spine
Rotatores Erector Spinae, deep Transverse Process Spinous Process of level above Rotate the spine
Semispinalis Erector Spinae, deep Transverse Processes Spinous Processes a couple of levels above origin Extend and rotate cervical and thoracic vertebrae
Levator Palpebrae Superioris Eye, eyelid Oculomotor N. (III), Superior Division Orbital part of frontal bone Superior Tarsus Raises the eyelid
Superior Tarsal Eye, eyelid Internal Carotid Plexus (sympathetic) Tarsal Plate of eyelid Aids Levator Palpebra Superioris in raising upper eyelid SMOOTH MUSCLE, not under voluntary control; PTOSIS (eyelid drooping) results if this sympathetic innervation is lost
Ciliary Muscle Eye, intrinsic Oculomotor N. (III), Inferior Division Zonular Fibers and lens ACCOMMODATION for near vision Decreases tension of zonular fibers ---> Increase natural curvature of lens ---> focus for near vision; This is SMOOTH muscle; Parasympathetic
Dilator Muscle Eye, intrinsic Internal Carotid Plexus (sympathetic) Iris Dilates the pupil Sympathetic innervation via the Long Ciliary; this is SMOOTH muscle
Sphincter Pupillae Eye, intrinsic Oculomotor (III), Inferior Division Iris Constricts the pupil Parasympathetic innervation by Oculomotor; this is SMOOTH muscle
Inferior Oblique Eye, oculomotor Oculomotor N. (III), inferior division Maxillary bone near front of orbit Sclera of eyeball Pulls the eyeball UP (NOT down!) on a MEDIALLY ROTATED eye. And, it ABDUCTS the eyeball.
Inferior Rectus Eye, oculomotor Oculomotor N. (III), inferior division Common Annular Tendon Sclera of eyeball Rotates the eyeball downward
Lateral Rectus Eye, oculomotor Abducens N. (VI) Common Annular Tendon Sclera of eyeball Abducts the eyeball
Medial Rectus Eye, oculomotor Oculomotor N. (III), Inferior Division Common Annular Tendon Sclera of eyeball Adducts the eyeball
Superior Oblique Eye, oculomotor Trochlear N. (IV) Outside the Common Annular Tendon Sclera of eyeball Pulls the eyeball DOWN (NOT up!) on a MEDIALLY ROTATED eye. And, it ABDUCTS the eyeball. Its tendon goes through a TROCHLEA, on the superoMEDIAL margin of the frontal bone. Then the tendon attaches to the underside of the eyeball, thus explaining its action.
Superior Rectus Eye, oculomotor Oculomotor N. (III), Superior Division Common Annular Tendon Sclera of eyeball Rotates the eyeball upward
Mentalis Facial Expression, chin Facial N. (VII) Skin and superficial fascia of chin Provides character to the chin
Anterior Auricular Facial Expression, ear Skin and superficial fascia in temporalis region
Posterior Auricular Facial Expression, ear Skin and superficial fascia in temporalis region
Superior Auricular Facial Expression, ear Skin and superficial fascia in temporalis region
Corrugator Supercilii Facial Expression, eye Facial N. (VII) Supraorbital ridge Skin and superficial fascia of eyebrow Expression of eyebrows
Orbicularis Oculi Facial Expression, eye Facial N. (VII), Temporal and Zygomatic Branches Tarsus of eyelid (palpebral) and skin surrounding orbit (orbital) Orbital Part: Squints the eye; Palpebral Part: Lightly closes the eyelid Malfunction ---> dries out the CORNEA ---> necrosis of cornea ---> ulceration results
Epicranius Facial Expression, head Facial N. (VII), Temporal Branch (Frontalis), and Posterior Auricular Branch (Occipitalis) Frontalis: Frontal Bone; Occipitalis: Occipital Protuberance Galea Aponeurotica This muscle has two heads of origin: FRONTALIS in front and OCCIPITALIS in back
Buccinator Facial Expression, mouth Facial N. (VII), Buccal Branch Pterygomandibular Raphe Skin and superficial fascia of cheek Overlies the buccal fat pad; The PAROTID DUCT pierces it.
Depressor Anguli Oris Facial Expression, mouth Skin and superficial fascia at angle of mouth Lowers the angle of the mouth Opposes the Levator Anguli Oris
Depressor Labii Inferioris Facial Expression, mouth Facial N. (VII), Mandibular Branch Skin and superficial fascia of face Depress the lower lip
Levator Anguli Oris Facial Expression, mouth Facial N. (VII) Skin and superficial fascia at angle of mouth Elevates the angle of the mouth The mouth will droop if this muscle is malfunctioning; Opposes depressor anguli oris
Levator Labii Superioris Facial Expression, mouth Facial N. (VII) Maxilla Skin and superficial fascia of upper lip Raise the upper lip
Orbicularis Oris Facial Expression, mouth Facial N. (VII), Buccal Branch Skin and superficial fascia of lips Facial expression around mouth
Risorius Facial Expression, mouth Facial N. (VII) Skin and superficial fascia at angle of mouth Pulls the angle of the mouth laterally
Zygomaticus Major Facial Expression, mouth Facial N. (VII), Buccal Branch Skin and superficial fascia at angle of mouth Pull the angle of the mouth outward
Zygomaticus Minor Facial Expression, mouth Facial N. (VII), Buccal Branch Skin and superficial fascia at angle of mouth Pull the angle of the mouth outward
Platysma Facial Expression, neck Facial N. (VII), Cervical Branch Skin and superficial fascia of neck No important function in humans
Levator Labii Superiores Aleque Nasi Facial Expression, nose Facial N. (VII) Helps Nasalis in opening Nares during breathing
Nasalis Facial Expression, nose Facial N. (VII) Lateral crus of Great Alar cartilages Open the nares during breathing, slightly.
Procerus Facial Expression, nose Facial N. (VII) Skin and superficial fascia above the nose Wrinkles the nose
Omohyoid Larynx, extrinsic, infrahyoid (Strap) Ansa Cervicales, Inferior Root (C2,C3) Scapula Hyoid Bone Helps raise the thyroid cartilage (i.e. lower hyoid bone) during talking and swallowing It goes through a tendinous sheath (similar to Trochlea); passes through both anterior and posterior triangles; Superior Belly borders CAROTID TRIANGLE and MUSCULAR TRIANGLE
Sternohyoid Larynx, extrinsic, infrahyoid (Strap) Ansa Cervicales, Inferior Root (C2,C3) Sternum Hyoid Bone Helps raise the thyroid cartilage (i.e. lower hyoid bone) during talking and swallowing Found in the MUSCULAR TRIANGLE of the anterior neck
Sternothyroid Larynx, extrinsic, infrahyoid (Strap) Ansa Cervicales, Inferior Root (C2,C3) Sternum Oblique line of Thyroid Cartilage Helps raise the thyroid cartilage (i.e. lower hyoid bone) during talking and swallowing Found in the MUSCULAR TRIANGLE of the anterior neck
Thyrohyoid Larynx, extrinsic, infrahyoid (Strap) Ansa Cervicales, Superior Root (C1,C2) Oblique line of Thyroid Cartilage Hyoid Bone Helps raise the thyroid cartilage (i.e. lower hyoid bone) during talking and swallowing Found in the MUSCULAR TRIANGLE of the anterior neck
Digastric Larynx, extrinsic, suprahyoid Trigeminal N. (V3), Mandibular Branch (Anterior Belly); Facial N. (VII) (Posterior Belly) Hyoid Bone Raise the Hyoid bone (both bellies contract); Move Hyoid anteriorly or posteriorly (one belly contracts) Facial N. innervation occurs just as Facial N. exist Stylomastoid Foramen; Posterior Belly borders CAROTID TRIANGLE; Two bellies separated by tendinous pulley; Anterior Belly helps form the floor of the mouth
Geniohyoid Larynx, extrinsic, suprahyoid Ansa Cervicales, Superior Root (C1) Mental region of mandible Hyoid bone Stick tongue out
Mylohyoid Larynx, extrinsic, suprahyoid Trigeminal N. (V3), Mandibular Branch Mylohyoid Line of Mandible Hyoid Bone "Inverted tent-like floor of the mouth"; SUBMANDIBULAR GLAND lies partly above it and partly below it; The SUBLINGUAL GLAND is superior to it.
Stylohyoid Larynx, extrinsic, suprahyoid Facial N. (VII) Styloid process of mandible Hyoid bone Innervation occurs just as Facial N. leaves the STYLOMASTOID FORAMEN
Cricothyroid Larynx, intrinsic, anterior Vagus N. (X), Superior Laryngeal, External Laryngeal N. Cricoid Cartilage Thyroid Cartilage Makes the inferior part of thyroid cartilage bend anteriorly, tensing the vocal cords and increasing their length
Aryepiglottic Larynx, intrinsic, lateral Vagus. N (X), Recurrent Laryngeal N. Arytenoid Cartilage Epiglottis Helps close the vestibule of the larynx during swallowing Continuous with oblique Arytenoid Muscle from the Aryepiglottic folds
Lateral Cricoarytenoid Larynx, intrinsic, lateral Vagus. N (X), Recurrent Laryngeal N. Cricoid Cartilage Arytenoid Cartilage Adducts (brings together) the vocal cords
Thyroarytenoid Larynx, intrinsic, lateral Vagus. N (X), Recurrent Laryngeal N. Shortens the vocal cords
Thyroepiglottic Larynx, intrinsic, lateral Vagus. N (X), Recurrent Laryngeal N. Thyroid Cartilage Medial surface of Quadrangular Membrane of epiglottis Helps close the vestibule of the larynx
Vocalis Larynx, intrinsic, lateral Vagus. N (X), Recurrent Laryngeal N. Shortens the vocal cords Runs along the lateral side of the vocal ligaments and helps to form part of the vocal cords themselves
Oblique Arytenoid Larynx, intrinsic, posterior Vagus. N (X), Recurrent Laryngeal N. Helps close the vestibule of the larynx during swallowing Extends into Aryepiglottic folds, where it is continuous with Aryepiglotticus muscle
Posterior Cricoarytenoid Larynx, intrinsic, posterior Vagus. N (X), Recurrent Laryngeal N. Cricoid Cartilage Arytenoid Cartilage Abducts the vocal cords -- opens the tracheal airway during inspiration Most Important of laryngeal muscles -- the ONLY muscle responsible for opening the vocal cords for inspiration; Paralysis of this muscle may require TRACHEOSTOMY to allow air into lungs
Transverse Arytenoid Larynx, intrinsic, posterior Vagus. N (X), Recurrent Laryngeal N. Arytenoid Cartilage Adducts (brings together) the vocal cords by pulling on arytenoid cartilages
Lateral Pterygoid Mastication Trigeminal N. (V3), Mandibular Branch Superior Head: Greater wing of Sphenoid; Inferior Head: Lateral Pterygoid Plate Joint capsule of Condylar Process Protrusion of the jaw. The only muscle of the masticators to protrude the jaw.
Masseter Mastication Trigeminal N. (V3), Mandibular Branch Zygomatic Arch of Temporalis Angle of Mandible Closes (elevates) the jaw
Medial Pterygoid Mastication Trigeminal N. (V3), Mandibular Branch Medial surface of Lateral Pterygoid Plate Medial aspect of the angle of the mandible Closes (elevates) the jaw Fibers run almost parallel to those of the Masseter.
Temporalis Mastication Trigeminal N. (V3), Mandibular Branch Temporal Fossa of Temporalis and Sphenoid Coronoid Process of Mandible Anterior Fibers: closes (elevates) jaw; Middle + Posterior fibers: Retract mandible (open jaw)
Sternocleidomastoid Neck Spinal Accessory (XI), Spinal Root Mastoid Process of Temporalis Bone Sternum and Clavicle It's a BRANCHIAL muscle, innervated by SVE fibers; Divides anterior and posterior triangles of neck
Trapezius Neck Spinal Accessory (XI), Spinal Root Superior Nuchal Line and Spinous Processes of Vertebrae C7-T12 Clavicle, Acromion, Scapula Raise the shoulders It's a BRANCHIAL muscle, innervated by SVE fibers
Inferior Pharyngeal Constrictor Pharynx, Constrictor Vagus N. (X), Superior Laryngeal, External Laryngeal N. Oblique line of Thyroid cartilage Median Raphe of the Pharynx Constrict the Pharynx Internal Laryngeal Nerve and Laryngeal Artery both pass superiorly, i.e. between the Middle and Inferior Constrictors; Recurrent Laryngeal N. and Inferior Laryngeal A. both pass inferiorly.
Middle Pharyngeal Constrictor Pharynx, Constrictor Vagus N. (X), Pharyngeal Branch Hyoid bone, Stylohyoid ligament Median Raphe of the Pharynx Constrict the Pharynx Lingual Artery and Stylopharyngeus Muscle pass superiorly, i.e. between the superior and middle constrictors
Superior Pharyngeal Constrictor Pharynx, Constrictor Vagus N. (X), Pharyngeal Branch Pterygomandibular Raphe Median Raphe of the Pharynx Constrict the Pharynx Ascending Palatine Arteries, Auditory Tube, and Levator and Tensor Palati all pass through the gap SUPERIOR TO this muscle
Salpingopharyngeus Pharynx, Elevator Vagus N. (X), Pharyngeal Branch The end of the Auditory Tube, Torus Tubarius Side of Pharynx, posterior of thyroid cartilage Opens the auditory tube during swallowing, to equilibrate air pressure SWALLOWING contracts this muscle ---> open auditory tube ---> equilibrate air pressure in middle ear
Stylopharyngeus Pharynx, Elevator Glossopharyngeal N. (IX) Styloid process Side of Pharynx, posterior of thyroid cartilage Passes between the Superior Constrictor and Middle Constrictor of Pharynx
Levator Veli Palati Pharynx, Soft Palate Vagus N. (X), Pharyngeal Branch Near Auditory Tube Aponeurosis of soft palate Elevates the Soft Palate, sealing off Oropharynx from Nasopharynx, during swallowing Passes superior to the Superior Pharyngeal Constrictor
Musculus Uvulae Pharynx, Soft Palate No important function, other than diagnosis of Vagus Nerve lesions: The Uvula leans toward the UNAFFECTED (intact) side.
Palatoglossus Pharynx, Soft Palate Vagus N. (X), Pharyngeal Branch Aponeurosis of soft palate Lowers the soft palate and raises the tongue Forms part of the Palatopharyngeal Arch
Palatopharyngeus Pharynx, Soft Palate Vagus N. (X), Pharyngeal Branch Hard and soft palate Side of Pharynx, posterior of thyroid cartilage Lowers the soft palate and elevates the pharynx Forms part of the PALATOPHARYNGEAL ARCH; PALATINE TONSILS may be found in that arch
Tensor Veli Palati Pharynx, Soft Palate Trigeminal (V3), Mandibular Branch Base of Pterygoid Plates Aponeurosis of soft palate Tenses the Soft Palate, to stretch it and keep it taut; closes off nasopharynx; useful in singing; aids salpingopharyngeus in opening eustachian tubes Hooks around the Hamulus of the Sphenoid; Passes superior to the Superior Pharyngeal Constrictor and then blends in with the Pharynx; GLOSSOPHARYNGEAL NERVE (IX) is plastered to the back of this muscle. Associated with the medial pterygoid plate.
Obliquus Capitis Inferior and Superior Suboccipital, Deep C1 Spinal Nerve Atlas (Superior) and Axis (Inferior) Occipital Bone (Inferior) and Atlas (Superior) Extend the head to raise the chin
Rectus Capitis Posterior Major and Minor Suboccipital, Deep C1 Spinal Nerve Atlas (Minor) and Axis (Major) Occipital Bone, with Major lateral to Minor Extend the head to raise the chin
Semispinalis Capitis Suboccipital, Deep C1 Spinal Nerve Transverse Processes, cervical Occipital Bone
Longissimus Capitis Suboccipital, Intermediate Transverse Processes, thoracic Occipital Bone near Mastoid Process
Longissimus Cervicis Suboccipital, Intermediate Transverse Processes, thoracic Transverse Processes of C2-C6
Anterior Scalene Suboccipital, prevertebral Cervical Vertebrae, transverse processes 1st rib PHRENIC NERVE is found on surface; BRACHIAL PLEXUS passes directly anterior; it separates the SUBCLAVIAN vein (anteriorly) from artery (posteriorly)
Middle Scalene Suboccipital, prevertebral Cervical Vertebrae, transverse processes 1st rib Brachial Plexus passes directly posterior
Posterior Scalene Suboccipital, prevertebral Cervical Vertebrae, transverse processes 2nd rib
Splenius Capitus Suboccipital, Superficial Cervical Spinal Nerves Ligamentum Nuchae, Spinous Processes C7-T3 Occipital Bone near Mastoid Process
Splenius Cervicis Suboccipital, Superficial Cervical Spinal Nerves Ligamentum Nuchae, Thoracic Spinous Processes Transverse Processes of C2-C4
Genioglossus Tongue, extrinsic Hypoglossal N. (XII) Mental spines of Mandible, Hyoid Bone Tongue Protrude (stick out) tongue
Hyoglossus Tongue, extrinsic Hypoglossal N. (XII) Hyoid Bone Tongue, Lateral surface Retract and depress tongue
Palatoglossus Tongue, extrinsic Vagus N. (X), Pharyngeal Plexus Palatine / Soft Palate Tongue Elevate posterior part of tongue Forms part of the soft palate. Underlying structure of the PALATOGLOSSAL ARCH; PALATINE TONSILS may be found in that arch
Styloglossus Tongue, extrinsic Hypoglossal N. (XII) Styloid Process of Temporalis Tongue, lateral surface Retract and elevate tongue; used during swallowing
Inferior Longitudinal Tongue, intrinsic Hypoglossal N. (XII) Anterior part of tongue moves up and forward (out)
Superior Longitudinal Tongue, intrinsic Hypoglossal N. (XII) Muscle remains relaxed when you stick your tongue out
Transverse Tongue, intrinsic Hypoglossal N. (XII) Changes shape of tongue; they are contracted when you stick your tongue out
Vertical Tongue, intrinsic Hypoglossal N. (XII) Changes shape of tongue; they are contracted when you stick your tongue out


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