Miologia_Greya
.pdfHEADANDNECK• Tables
Intrinsic muscles of the eye
Muscle |
|
Location |
Innervation |
Function |
Ciliary |
1 |
Muscle fibers in the ciliary body |
Parasympathetics from the |
Constricts ciliary body, relaxes tension on |
|
|
|
oculomotor nerve [III] |
lens, lens become more rounded |
Sphincter |
2 |
Circularly arranged fibers in the iris |
Parasympathetics from the |
Constricts pupil |
pupillae |
|
|
oculomotor nerve [III] |
|
Dilator pupillae |
3 |
Radially arranged fibers in the iris |
Sympathetics from the superior |
Dilates pupil |
|
|
|
cervical ganglion (T1) |
|
|
|
|
|
|
Muscles of the middle ear
Muscle |
|
Origin |
Insertion |
Innervation |
Function |
Tensor tympani |
1 |
Cartilaginous part of |
Upper part of handle |
Branch from mandibular |
Contraction pulls handle of |
|
|
pharyngotympanic tube, greater |
of malleus |
nerve [V3] |
malleus medially, tensing |
|
|
wing of sphenoid, its own bony |
|
|
tympanic membrane |
|
|
canal |
|
|
|
Stapedius |
2 |
Attached to inside of pyramidal |
Neck of stapes |
Branch of facial nerve [VII] |
Contraction pulls stapes |
|
|
eminence |
|
|
posteriorly, preventing |
|
|
|
|
|
excessive oscillation |
|
|
|
|
|
|
1 |
1 |
|
3
2
2
594
Tables 8
Muscles of mastication
Muscle |
Origin |
Insertion |
Innervation |
Function |
|
|
|
|
|
Masseter |
1 Zygomatic arch and maxillary |
|
process of the zygomatic bone |
Lateral surface of ramus of mandible
Masseteric nerve from the |
Elevation of |
anterior trunk of the |
mandible |
mandibular nerve [V3] |
|
Temporalis 2 Bone of temporal fossa and temporal fascia
Coronoid process of mandible and anterior margin of ramus of mandible almost to last molar tooth
Deep temporal nerves |
Elevation and |
from the anterior trunk of |
retraction of |
the mandibular nerve [V3] |
mandible |
Medial |
3 Deep head—medial surface of |
Medial surface of mandible |
Nerve to medial pterygoid |
Elevation and |
pterygoid |
lateral plate of pterygoid process |
near angle |
from the mandibular nerve |
side-to-side |
|
and pyramidal process of palatine |
|
[V3]. |
movements of the |
|
bone; superficial head—tuberosity |
|
|
mandible |
|
of the maxilla and pyramidal |
|
|
|
|
process of palatine bone |
|
|
|
Lateral |
4 Upper head—roof of infratemporal |
pterygoid |
fossa; lower head—lateral surface |
|
of lateral plate of the pterygoid |
|
process |
Capsule of temporomandibular joint in the region of attachment to the articular disc and to the pterygoid fovea on the neck of mandible
Nerve to lateral pterygoid |
Protrusion and |
directly from the anterior |
side-to-side |
trunk of the mandibular |
movements of the |
nerve [V3] or from the |
mandible |
buccal branch |
|
1
2
3 |
4 |
595
HEADANDNECK• Tables
Anterior triangle of neck (suprahyoid and infrahyoid muscles)
Muscle |
|
Origin |
Insertion |
Innervation |
Function |
Stylohyoid |
1 Base of styloid process |
Lateral area of body of |
Facial nerve [VII] |
Pulls hyoid bone upward in |
|
|
|
|
hyoid bone |
|
a posterosuperior direction |
Digastric |
2 Digastric fossa on lower |
—Anterior belly |
inside of mandible |
Attachment of tendon between two bellies to body of hyoid bone
Mylohyoid nerve from |
Opens mouth by lowering |
inferior alveolar branch of |
mandible; raises hyoid |
mandibular nerve [V3] |
bone |
—Posterior belly 3 Mastoid notch on medial |
Facial nerve [VII] |
Pulls hyoid bone upward |
side of mastoid process |
|
and back |
of temporal bone |
|
|
Mylohyoid |
4 Mylohyoid line on |
Body of hyoid bone and |
|
mandible |
fibers from muscle on |
|
|
opposite side |
Mylohyoid nerve from inferior alveolar branch of mandibular nerve [V3]
Support and elevation of floor of mouth; elevation of hyoid
Geniohyoid |
5 Inferior mental spine on |
|
inner surface of mandible |
Anterior surface of body of hyoid bone
Branch from anterior ramus of C1 (carried along the hypoglossal nerve
[XII])
Fixed mandible elevates and pulls hyoid bone forward; fixed hyoid bone pulls mandible downward and inward
Sternohyoid |
6 Posterior aspect of |
Body of hyoid bone medial |
|
sternoclavicular joint and |
to attachment of omohyoid |
|
adjacent manubrium of |
muscle |
|
sternum |
|
Anterior rami of C1 to C3 |
Depresses hyoid bone |
through the ansa |
after swallowing |
cervicalis |
|
Omohyoid |
7 Superior border of |
|
scapula medial to |
|
suprascapular notch |
Lower border of body of hyoid bone just lateral to attachment of sternohyoid
Anterior rami of C1 to C3 |
Depresses and fixes hyoid |
through the ansa |
bone |
cervicalis |
|
Thyrohyoid |
8 Oblique line on lamina of |
|
thyroid cartilage |
Greater horn and adjacent aspect of body of hyoid bone
Fibers from anterior ramus of C1 carried along hypoglossal nerve [XII]
Depresses hyoid bone, but when hyoid bone is fixed raises larynx
Sternothyroid |
9 Posterior surface of |
Oblique line on lamina of |
|
manubrium of sternum |
thyroid cartilage |
Anterior rami of C1 to C3 |
Draws larynx (thyroid |
through the ansa |
cartilage) downward |
cervicalis |
|
596
Tables 8
4 5
|
3 |
|
1 |
|
8 |
2 |
9 |
|
6 |
7 |
|
597
Tables 8
Subdivisions of the anterior triangle of the neck—a regional approach
Subdivision |
Boundaries |
Contents |
|
|
|
Submental triangle |
1 |
Mandibular symphysis; anterior belly of digastric |
(unpaired) |
|
muscle; body of hyoid bone |
Submental lymph nodes; tributaries forming the anterior jugular vein
Submandibular triangle |
2 |
Lower border of mandible; anterior belly of digastric |
(paired) |
|
muscle; posterior belly of digastric muscle |
Submandibular gland; submandibular lymph nodes; hypoglossal nerve [XII]; mylohyoid nerve; facial artery and vein
Carotid triangle (paired) 3 Posterior belly of digastric muscle; superior belly of omohyoid muscle; anterior border of sternocleidomastoid muscle
Tributaries to common facial vein; cervical branch of facial nerve [VII]; common carotid artery; external and internal carotid arteries; superior thyroid; ascending pharyngeal; lingual, facial, and occipital arteries; internal jugular vein; vagus [X], accessory [XI], and hypoglossal [XII] nerves; superior and inferior roots of ansa cervicalis; transverse cervical nerve
Muscular triangle |
4 |
Midline of neck; superior belly of omohyoid muscle; |
(paired) |
|
anterior border of sternocleidomastoid muscle |
Sternohyoid, omohyoid, sternohyoid, and thyrohyoid muscles; thyroid and parathyroid glands; pharynx
2
3
1
4
599
HEADANDNECK• Tables
Muscles associated with the posterior triangle of the neck
Parentheses indicate possible involvement
Muscle |
Origin |
Insertion |
Innervation |
Function |
|
|
|
|
|
Sternocleidomastoid |
1 Upper part of anterior |
Lateral one half of |
Accessory nerve [XI] and |
—Sternal head |
surface of manubrium of |
superior nuchal line |
branches from anterior |
|
sternum |
|
rami of C2 to C3 (C4) |
Individually, will tilt head toward shoulder on same side rotating head to turn face to opposite side; acting together, draw head forward
—Clavicular head |
2 Superior surface of medial |
Lateral surface of mastoid |
|
|
|
one third of clavicle |
process |
|
|
Trapezius |
3 Superior nuchal line; |
Lateral one third of |
Motor—accessory nerve |
Assists in rotating the |
|
external occipital |
clavicle; acromion; spine |
[XI]; proprioception—C3 |
scapula during abduction |
|
protuberance; |
of scapula |
and C4 |
of humerus above |
|
ligamentum nuchae; |
|
|
horizontal; |
|
spinous processes of |
|
|
upper fibers—elevate, |
|
vertebrae CVII to TXII |
|
|
middle fibers—adduct, |
|
|
|
|
lower fibers—depress |
|
|
|
|
scapula |
Splenius capitis |
4 Lower half of ligamentum |
|
nuchae; spinous |
|
processes of vertebrae |
|
CVII to TIV |
Mastoid process, skull |
Posterior rami of middle |
Together, draw head |
below lateral one third of |
cervical nerves |
backward; individually, |
superior nuchal line |
|
draw and rotate head to |
|
|
one side (turn face to |
|
|
same side) |
Levator scapulae |
5 |
Transverse processes of |
Upper part of medial |
C3, C4; and dorsal |
Elevates scapula |
|
|
CI to CIV |
border of scapula |
scapular nerve (C4, C5) |
|
Posterior scalene |
6 |
Posterior tubercles of |
Upper surface of rib II |
Anterior rami of C5 to C7 |
Elevation of rib II |
|
|
transverse processes of |
|
|
|
|
|
vertebrae CIV to CVI |
|
|
|
Middle scalene |
7 |
Transverse processes of |
Upper surface of rib I |
Anterior rami of C3 to C7 |
Elevation of rib I |
|
|
vertebrae CII to CVII |
posterior to the groove for |
|
|
|
|
|
the subclavian artery |
|
|
Anterior scalene |
8 |
Anterior tubercles of the |
Scalene tubercle and |
Anterior rami of C4 to C7 |
Elevation of rib I |
|
|
transverse processes of |
upper surface of rib I |
|
|
|
|
vertebrae CIII to CVI |
|
|
|
Omohyoid |
9 Superior border of |
|
scapula medial to |
|
scapular notch |
Inferior border of body of |
Ansa cervicalis; anterior |
Depress the hyoid bone |
hyoid bone |
rami of C1 to C3 |
|
600
Tables 8
3 |
4 |
|
|
5 |
1 |
|
2 |
7 6
9 8
601
HEADANDNECK• Tables
Prevertebral and lateral muscles
Muscle |
|
Origin |
Insertion |
Innervation |
Function |
Rectus capitis |
1 |
Anterior surface of lateral |
Inferior surface of basilar |
Branches from anterior rami |
Flexes head at |
anterior |
|
part of atlas and its |
part of occipital bone |
of C1, C2 |
atlanto-occipital joint |
|
|
transverse process |
|
|
|
Rectus capitis |
2 |
Superior surface of |
Inferior surface of jugular |
Branches from anterior rami |
Flexes head laterally to |
lateralis |
|
transverse process of atlas |
process of occipital bone |
of C1, C2 |
same side |
Longus colli |
3 |
Anterior tubercles of |
Tubercle of anterior arch of |
Branches from anterior rami |
Flexes neck anteriorly |
—Superior |
|
transverse processes of |
atlas |
of C2 to C6 |
and laterally and slight |
oblique part |
|
vertebrae CIII to CV |
|
|
rotation to opposite side |
—Inferior |
4 Anterior surface of bodies of |
oblique part |
vertebrae TI, TII, and maybe |
|
TIII |
Anterior tubercles of transverse processes of vertebrae CV and CVI
—Vertical part |
5 |
Anterior surface of bodies of |
Anterior surface of bodies of |
|
|
|
TI to TIII and CV to CVII |
vertebrae CII to CIV |
|
Longus capitis |
6 |
Tendinous slips to |
Inferior surface of basilar |
Branches from anterior rami Flexes the head |
|
|
transverse processes of |
part of occipital bone |
of C1 to C3 |
|
|
vertebrae CIII to CVI |
|
|
2
6
1
3
5
4
602
Tables 8
Constrictor muscles of the pharynx
Muscle |
|
Posterior attachment |
Anterior attachment |
Innervation |
Function |
Superior constrictor |
1 |
Pharyngeal raphe |
Pterygomandibular raphe |
Vagus nerve [X] |
Constriction of pharynx |
|
|
|
and adjacent bone on the |
|
|
|
|
|
mandible and pterygoid |
|
|
|
|
|
hamulus |
|
|
Middle constrictor |
2 |
Pharyngeal raphe |
Upper margin of greater horn |
Vagus nerve [X] |
Constriction of pharynx |
|
|
|
of hyoid bone and adjacent |
|
|
|
|
|
margins of lesser horn and |
|
|
|
|
|
stylohyoid ligament |
|
|
Inferior constrictor |
3 |
Pharyngeal raphe |
Cricoid cartilage, oblique line |
Vagus nerve [X] |
Constriction of pharynx |
|
|
|
of thyroid cartilage, and a |
|
|
|
|
|
ligament that spans between |
|
|
|
|
|
these attachments and |
|
|
|
|
|
crosses the cricothyroid |
|
|
|
|
|
muscle |
|
|
|
|
|
|
|
|
1
2
3
603
HEADANDNECK• Tables
Longitudinal muscles of the pharynx
Muscle |
|
Origin |
Insertion |
Innervation |
Function |
Stylopharyngeus |
1 |
Medial side of base of |
Pharyngeal wall |
Glossopharyngeal |
Elevation of the pharynx |
|
|
styloid process |
|
nerve [IX] |
|
Salpingopharyngeus |
2 |
Inferior aspect of |
Pharyngeal wall |
Vagus nerve [X] |
Elevation of the pharynx |
|
|
pharyngeal end of |
|
|
|
|
|
pharyngotympanic tube |
|
|
|
Palatopharyngeus |
3 |
Upper surface of |
Pharyngeal wall |
Vagus nerve [X] |
Elevation of the pharynx; |
|
|
palatine aponeurosis |
|
|
closure of the oropharyngeal |
|
|
|
|
|
isthmus |
|
|
|
|
|
|
Intrinsic muscles of the larynx
Muscle |
|
Origin |
Insertion |
Innervation |
Function |
Cricothyroid |
1 |
Anterolateral aspect of |
Oblique part—inferior horn |
External branch of |
Forward and downward |
|
|
arch of cricoid cartilage |
of the thyroid cartilage; |
superior laryngeal |
rotation of the thyroid cartilage |
|
|
|
straight part—inferior |
nerve from the vagus |
at the cricothyroid joint |
|
|
|
margin of thyroid cartilage |
nerve [X] |
|
Posterior crico- |
2 |
Oval depression on |
Posterior surface of |
Recurrent laryngeal |
Abduction and external |
arytenoid |
|
posterior surface of |
muscular process of |
branch of the vagus |
rotation of the arytenoid |
|
|
lamina of cricoid |
arytenoid cartilage |
nerve [X] |
cartilage. The posterior |
|
|
cartilage |
|
|
crico-arytenoid muscles are |
|
|
|
|
|
the primary abductors of the |
|
|
|
|
|
vocal folds. In other words, |
|
|
|
|
|
they are the primary openers |
|
|
|
|
|
of the rima glottidis. |
Lateral crico- |
3 |
Superior surface of arch |
Anterior surface of |
Recurrent laryngeal |
Internal rotation of the |
arytenoid |
|
of cricoid cartilage |
muscular process of |
branch of the vagus |
arytenoid cartilage and |
|
|
|
arytenoid cartilage |
nerve [X] |
adduction of vocal folds |
Transverse arytenoid |
4 |
Lateral border of |
Lateral border of posterior |
Recurrent laryngeal |
Adduction of arytenoid |
|
|
posterior surface of |
surface of opposite |
branch of the vagus |
cartilages |
|
|
arytenoid cartilage |
arytenoid cartilage |
nerve [X] |
|
Oblique arytenoid |
5 |
Posterior surface of |
Posterior surface of apex |
Recurrent laryngeal |
Sphincter of the laryngeal inlet |
|
|
muscular process of |
of adjacent arytenoid |
branch of the vagus |
|
|
|
arytenoid cartilage |
cartilage; extends into |
nerve [X] |
|
|
|
|
ary-epiglottic fold |
|
|
Thyro-arytenoid |
6 |
Thyroid angle and |
Anterolateral surface of |
Recurrent laryngeal |
Sphincter of vestibule and of |
|
|
adjacent cricothyroid |
arytenoid cartilage; |
branch of the vagus |
laryngeal inlet |
|
|
ligament |
some fibers continue in |
nerve [X] |
|
|
|
|
ary-epiglottic folds to the |
|
|
|
|
|
lateral margin of the |
|
|
|
|
|
epiglottis |
|
|
Vocalis |
7 |
Lateral surface of vocal |
Vocal ligament and thyroid |
Recurrent laryngeal |
Adjusts tension in vocal folds |
|
|
process of arytenoid |
angle |
branch of the vagus |
|
|
|
cartilage |
|
nerve [X] |
|
|
|
|
|
|
|
604