Atlas of Human Anatomy by Netter

(Darren Dugan) #1
Mental nerve-to skin of chin and lower lip
Facial nerve
Sole motor supply to muscles of facial expression
Has five main branches
Temporal
Zygomatic
Buccal
Mandibular
Cervical
Names refer to areas they supply

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Other muscles associated with the face: Muscles of mastication


The muscles of mastication include four pairs of muscles (left and right side) that attach to the mandible, are embryological derivatives of the first
pharyngeal arch, are all innervated by the mandibular division of the trigeminal nerve (CN V 3 ), and are important in biting and chewing food.


All attach to mandible
Responsible for biting and chewing (movements at the temporomandibular joint [TMJ])
All innervated by branches of the mandibular nerve (CN V 3 )
All supplied by branches of the maxillary artery
Group of four muscles
Temporalis
Large, fan-shaped
Covers most of the side of the head
Inserts on coronoid process of mandible
Masseter
Deep to parotid gland and crossed by parotid duct
Inserts on entire lateral surface of ramus of mandible except for condylar process
Lateral pterygoid
Deep to temporal muscle
Runs horizontally backwards from infratemporal fossa and lateral pterygoid plate to insert on mandible
Covered with dense pterygoid plexus of veins
Medial pterygoid
Covered by inferior fibers of lateral pterygoid
Runs from inner surface of lateral pterygoid plate inferiorly to inner surface of ramus of mandible

Muscle Origin Insertion Main Actions Nerve Supply Blood Supply
TemporalisFloor of temporal fossa
and deep temporal fascia

Coronoid
process and
ramus of
mandible

Elevates mandible; posterior
fibers retrude mandible

Mandibular
nerve (V 3 )-deep
temporal nerves

Superficial temporal and
maxillary arteries, middle,
anterior, and posterior
deep temporal arteries
Masseter Zygomatic arch Ramus of
mandible
and coronoid
process

Elevates and protrudes
mandible; deep fibers retrude it

Mandibular
nerve (V 3 )-
masseteric
nerve

Transverses facial artery;
masseteric branch of
maxillary and facial
arteries

Medial
pterygoid

Superior head:
infratemporal surface of
greater wing of sphenoid
Inferior head: lateral
pterygoid plate

Neck of
mandible,
articular disc,
and capsule
of TMJ

Acting together, protrude
mandible and depress chin;
acting alone and alternately,
produces side-to-side
movements

Mandibular
nerve (V 3 )-nerve
to medial
pterygoid

Facial and maxillary
arteries

Lateral
pterygoid

Infratemporal surface of
greater wing of sphenoid
and lateral surface of
lateral plate of pterygoid
plate

Pterygoid
fovea,
capsule of
TMJ and
articular disk

Together, protrude mandible,
depress chin
Alone and alternately, side to
side grinding

Mandibular
nerve (V 3 )-
muscular
branches from
anterior division

Maxillary artery-muscular
branches
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