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Orbicularis Oris:
Innervation
Fascial Nerve (CN VII)
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Obicularis Oris:
Actions
Tonus closes oral fissure; phasic contraction compresses and protrudes lips (kissing) or resists distension (when blowing)
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Zygomaticus Major:
Innervation
Fascial Nerve (CN VII)
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Zygomaticus Major:
Action
Part of dilators of mouth; elevate labial commissure-bilaterally to smile (happiness); unilaterally to sneer (disdain)
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Levator Labii Superioris: Innervation
Fascial Nerve (CN VII)
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Levator Labii Superioris: Action
Part of dilators of mouth; retract (elevate) and/or evert upper lip; deepen nasolabial sulcus (showing sadness)
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Orbicularis Oculi: Innervation
Fascial Nerve (CN VII)
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Orbicularis Oculi: Actions
Closes eyelids; palpebral part does so gently; orbital part tightly (winking)
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Depressor Anguli Oris: Innervation
Fascial Nerve (CN VII)
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Depressor Anguli Oris: Action
Part of dilators of mouth; depresses labial commissure bilaterally to frown (sadness)
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Depressor Labii Inferioris: Innervation
Fascial Nerve (CN VII)
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Depressor Labii Inferioris: Action
Part dilators of mouth; retracts (depresses) and/or exerts lower lip (pouting, sadness)
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Buccinator: Innervation
Fascial Nerve (CN VII)
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Buccinator: Action
Presses cheek against molar teeth; works with tongue to keep food between occlusal surfaces and out of oral vestibule; resists distension (when blowing)
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Mentalis: Innervation
Fascial Nerve (CN VII)
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Mentalis: Action
Elevates and protrudes lower lip; elevates skin of chin (showing doubt)
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Platysma: Innveration
Fascial Nerve (CN VII)
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Platysma: Action
Depresses mandible (against resistance); tenses skin of inferior face and neck (conveying tension and stress)
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Temporalis: Proximal Attachments
Triangular muscle with broad attachment to floor of temporal fossa and deep surface of temporal fascia
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Temporalis: Distal
Narrow attachment to tip and medial surface of coronoid process and anterior border of ramus of mandible
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Temporalis: Innervation
Anterior trunk of mandibular nerve (CN V3)
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Temporalis: Action
Elevates mandible, closing jaws; posterior, more horizontal fibers are 1st restractors of mandible
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Masseter: Proximal Attachment
Quadrate muscle attaching to inferior border and medial surface of maxillary process of zygomatic bone and the zygomatic arch
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Masseter: Distal Attachment
Angle and lateral surface of ramus of mandible
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Masseter: Innervation
Anterior trunk of mandibular nerve (CN V3)
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Masseter: Actions
Elevates mandible, closing jaws; superficial fibers make limited contribution to protrusion of mandible
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Lateral Pterygoids: Proximal
Triangular two-headed muscle from 1) infratemporal surface and crest of greater wing of sphenoid and 2) lateral surface of lateral pterygoid plate
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Lateral Pterygoids: Distal Attachments
Upper head attachments primarily to joint capsule and articular disc of TMJ; inferior head attaches primarily to pterygoid fovea on anteromedial aspect of neck and condyloid process of madible
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Lateral Pterygoids: Innervation
Anterior trunk of mandibular nerve (CN V3)
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Lateral Pterygoids: Action
Acting bilaterally, protracts mandible and depresses chin; acting unilaterally, swings jaw toward contralateral side; alternate unilateral contraction produces larger lateral chewing movements
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Medial Pterygoids: Proximal Attachment
Quadrangular two-headed muscle from 1) medial surface of lateral pterygoid plate and pyramidal process of palatine bone and 2) tuberosity of maxilla
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Medial Pterygoids: Distal Attachment
Medial surface of ramus of mandible, inferior to mandibular foramen;
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Medial Pterygoids: Innervation
Anterior trunk of mandibular nerve (CN V3), via medial pterygoid nerve
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Medial Pterygoids: Action
Acts synergistically with masseter to elevate mandible; contributes to protrusion; alternate unilateral activity produces smaller grinding movements
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Sternocleidomastoid: Proximal
Lateral Surface of mastoid process of temporal bone and lateral half of superior nuchal line
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Sternocleidomastoid: Distal
Sternal Head: Anterior surface of manubrium of sternum; Clavicular Head: Superior surface of medial thrid of clavicle
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Sternocleidomastoid: Innervations
Spinal Accessory Nerve (CN XI, motor); C2 and C3 nerves (pain and proprioception)
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Sternocleidomastoid: Action
Unilateral Contraction: Tilts head to same side and rotates it so face is turned superiorly toward opposite side. Bilateral Contraction: 1) Extends neck at atlanto-occipital joints; 2) flexes cervical vertebrae so that chin approaches manubrim; 3) Extends superior cervical vertebrae so chin is thrust forward with head kept level; With cervical vertebrae fixed, may elevate manubrim and medial ends of clavicle, assisting in pump-hanle action of deep respiration (That's a whole lot of crap!)
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Posterior Scalene: Proximal
Posterior tubercles of transverse processes of C5-C7;
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Posterior Scalene: Distal
External Border of 2nd rib
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Posterior Scalene: Innervations
Anterior Rami of cervical spinal nerves C7 and C8
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Posterior Scalene: Action
Flexes neck laterally; elevates 2nd rib during forced inspiration
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Middle Scalene: Proximal
Posterior tubercles of transverse processes of C5-C7;
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Middle Scalene: Distal
Superior surface of 1st rib, posterior to groove for sublcavian artery
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Middle Scalene: Innervation
Anterior Rami of cervical spinal nerves
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Middle Scalene: Action
Flexes neck laterally; elevates 1st rib during forced inspiration
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Anterior Scalene: Proximal
Transverse processes of C3-C6
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Anterior Scalene: Distal
1st rib
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Anterior Scalene: Innervation
Cervial spinal nerves C4-C6
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Anterior Scalene: Action
Flexes head
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Omohyoid, Inferior Belly: Proximal
Superior border of scapula near suprascapular notch
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Omohyoid, Inferior Belly: Distal
Inferior border of hyoid
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Omohyoid, Inferior Belly: Innervation
C1 - C3, by a branch of ansa cervicalis
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Omohyoid, Inferior Belly: Action
Depresses, retracts and steadies hyoid
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