Mylohyoid muscle | |
---|---|
Details | |
Origin | Mylohyoid line (mandible) |
Insertion | Body of hyoid bone and median ridge |
Artery | Mylohyoid branch of inferior alveolar artery and submental artery of facial artery |
Nerve | Mylohyoid nerve, from inferior alveolar branch of mandibular nerve |
Actions | Raises oral cavity floor, elevates hyoid, elevates tongue, depresses mandible |
Identifiers | |
Latin | musculus mylohyoideus |
TA98 | A04.2.03.006 |
TA2 | 2165 |
FMA | 46320 |
Anatomical terms of muscle |
The mylohyoid muscle or diaphragma oris is a paired muscle of the neck. It runs from the mandible to the hyoid bone, forming the floor of the oral cavity of the mouth. [1] It is named after its two attachments near the molar teeth. It forms the floor of the submental triangle. It elevates the hyoid bone and the tongue, important during swallowing and speaking.
The mylohyoid muscle is flat and triangular, and is situated immediately superior to the anterior belly of the digastric muscle. It is a pharyngeal muscle (derived from the first pharyngeal arch) and classified as one of the suprahyoid muscles. Together, the paired mylohyoid muscles form a muscular floor for the oral cavity of the mouth. [2]
The two mylohyoid muscles arise from the mandible at the mylohyoid line, which extends from the mandibular symphysis in front to the last molar tooth behind. The posterior fibers pass inferomedially and insert at anterior surface of the hyoid bone. The medial fibres of the two mylohyoid muscles unite in a midline raphe (where the two muscles intermesh). [3]
The mylohyoid muscle separates the sublingual space from the submandibular space, which communicate via a lateral gap between the mylohyoid and hyoglossus muscles at the posterior free margin of mylohyoid muscle. [4] The submandibular gland wraps around the edges of the mylohyoid, and is divided into superficial and deep lobes above and below the muscle. [5]
The mylohyoid muscle is supplied by a branch of the mandibular nerve, the inferior alveolar nerve. The mylohyoid nerve is a branch of the inferior alveolar nerve. The mylohyoid nerve emerges to give motor supply to the mylohyoid muscle. [1]
The mylohyoid muscles are derived from embryonic mesoderm, specifically the first pharyngeal arch.
The mylohyoid muscle may be united to or replaced by the anterior belly of the digastric muscle; accessory slips to other hyoid muscles are frequent. This median raphe is sometimes absent; the fibers of the two muscles are then continuous.[ citation needed ] Variations in the mylohyoid muscle itself are not common. [6] Accessory mylohyoid muscles have been seen in some people, which have the same attachments, nerve supply, and function. [6] The mylohyoid muscle may also be split into an anterior portion and a posterior portion, with the sublingual gland occupying the space between these portions. [7]
An area of herniation of the sublingual gland, blood vessels, or fat, may be present, with studies reporting this in 10-50% of people. [4]
The mylohyoid muscle elevates the hyoid bone and the tongue. This is particularly important during swallowing and speaking. Alternatively, if other muscles are used to keep the position of the hyoid bone fixed, then the mylohyoid muscle depresses the mandible. [1] It also functions as reinforcing the floor of mouth. [1]
The mylohyoid muscle may be imaged by CT or MRI. [4] The mylohyoid separates the submandibular space below from the sublingual space above. Around the posterior border of the mylohoid muscle, these spaces communicate. Infections, especially odontogenic infections can spread from one space to the other via this communication, or alternatively penetrate the mylohyoid muscle, which is a poor barrier to the spread of infection. Because the attachment of the mylohyoid muscle (the mylohoid line of the mandible) becomes more superior towards the posterior of the mandible, posterior infected teeth are more likely to drain into the submandibular space, and infected anterior teeth are more likely to drain into the sublingual space, since the apices of the teeth are more likely to be below and above the mylohoid line respectively (see diagram).
The mylohyoid muscle may also be known as the diaphragma oris muscle. [8] [9] It is named after its two attachments near the molar teeth ("mylo" comes from the Greek word for "molar"). [10]
The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of facial expression, and functions in the conveyance of taste sensations from the anterior two-thirds of the tongue. The nerve typically travels from the pons through the facial canal in the temporal bone and exits the skull at the stylomastoid foramen. It arises from the brainstem from an area posterior to the cranial nerve VI and anterior to cranial nerve VIII.
Articles related to anatomy include:
The suprahyoid muscles are four muscles located above the hyoid bone in the neck. They are the digastric, stylohyoid, geniohyoid, and mylohyoid muscles. They are all pharyngeal muscles, with the exception of the geniohyoid muscle. The digastric is uniquely named for its two bellies. Its posterior belly rises from the mastoid process of the cranium and slopes downward and forward. The anterior belly arises from the digastric fossa on the inner surface of the mandibular body, which slopes downward and backward. The two bellies connect at the intermediate tendon. The intermediate tendon passes through a connective tissue loop attached to the hyoid bone. The mylohyoid muscles are thin, flat muscles that form a sling inferior to the tongue supporting the floor of the mouth. The geniohyoids are short, narrow muscles that contact each other in the midline. The stylohyoids are long, thin muscles that are nearly parallel with the posterior belly of the digastric muscle.
The paired submandibular glands are major salivary glands located beneath the floor of the mouth. In adult humans, they each weigh about 15 grams and contribute some 60–67% of unstimulated saliva secretion; on stimulation their contribution decreases in proportion as parotid gland secretion rises to 50%. The average length of the normal adult human submandibular salivary gland is approximately 27 mm, while the average width is approximately 14.3 mm.
The digastric muscle is a bilaterally paired suprahyoid muscle located under the jaw. Its posterior belly is attached to the mastoid notch of temporal bone, and its anterior belly is attached to the digastric fossa of mandible; the two bellies are united by an intermediate tendon which is held in a loop that attaches to the hyoid bone. The anterior belly is innervated via the mandibular nerve, and the posterior belly is innervated via the facial nerve. It may act to depress the mandible or elevate the hyoid bone.
The sublingual gland is a seromucous polystomatic exocrine gland. Located underneath the oral diaphragm, the sublingual gland is the smallest and most diffuse of the three major salivary glands of the oral cavity, with the other two being the submandibular and parotid. The sublingual gland provides approximately 3-5% of the total salivary volume.
The genioglossus is one of the paired extrinsic muscles of the tongue. It is a fan-shaped muscle that comprises the bulk of the body of the tongue. It arises from the mental spine of the mandible; it inserts onto the hyoid bone, and the bottom of the tongue. It is innervated by the hypoglossal nerve. The genioglossus is the major muscle responsible for protruding the tongue.
The hyoglossus is a thin and quadrilateral extrinsic muscle of the tongue. It originates from the hyoid bone; it inserts onto the side of the tongue. It is innervated by the hypoglossal nerve. It acts to depress and retract the tongue.
The pharyngeal arches, also known as visceral arches, are structures seen in the embryonic development of vertebrates that are recognisable precursors for many structures. In fish, the arches are known as the branchial arches, or gill arches.
The mylohyoid line is a bony ridge on the internal surface of the mandible. It runs posterosuperiorly. It is the site of origin of the mylohyoid muscle, the superior pharyngeal constrictor muscle, and the pterygomandibular raphe.
The mylohyoid nerve is a mixed nerve of the head. It is a branch of the inferior alveolar nerve. It provides motor innervation the mylohyoid muscle, and the anterior belly of the digastric muscle. It provides sensory innervation to part of the submental area, and sometimes also the mandibular (lower) molar teeth, requiring local anaesthesia for some oral procedures.
The anterior triangle is a region of the neck.
The deep cervical fascia lies under cover of the platysma, and invests the muscles of the neck; it also forms sheaths for the carotid vessels, and for the structures situated in front of the vertebral column. Its attachment to the hyoid bone prevents the formation of a dewlap.
The submental lymph nodes are 2-3 lymph nodes situated in the submental triangle, between the anterior bellies of the digastric muscle and the hyoid bone.
The following outline is provided as an overview of and topical guide to human anatomy:
The sublingual space is a fascial space of the head and neck. It is a potential space located below the mouth and above the mylohyoid muscle, and is part of the suprahyoid group of fascial spaces.
In jawed vertebrates, the mandible, lower jaw, or jawbone is a bone that makes up the lower – and typically more mobile – component of the mouth.
The submandibular space is a fascial space of the head and neck. It is a potential space, and is paired on either side, located on the superficial surface of the mylohyoid muscle between the anterior and posterior bellies of the digastric muscle. The space corresponds to the anatomic region termed the submandibular triangle, part of the anterior triangle of the neck.
The submental space is a fascial space of the head and neck. It is a potential space located between the mylohyoid muscle superiorly, the platysma muscle inferiorly, under the chin in the midline. The space coincides with the anatomic region termed the submental triangle, part of the anterior triangle of the neck.
Fascial spaces are potential spaces that exist between the fasciae and underlying organs and other tissues. In health, these spaces do not exist; they are only created by pathology, e.g. the spread of pus or cellulitis in an infection. The fascial spaces can also be opened during the dissection of a cadaver. The fascial spaces are different from the fasciae themselves, which are bands of connective tissue that surround structures, e.g. muscles. The opening of fascial spaces may be facilitated by pathogenic bacterial release of enzymes which cause tissue lysis. The spaces filled with loose areolar connective tissue may also be termed clefts. Other contents such as salivary glands, blood vessels, nerves and lymph nodes are dependent upon the location of the space. Those containing neurovascular tissue may also be termed compartments.