Procerus muscle

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Procerus muscle
Procerus.png
Muscles of the head, face, and neck. (Procerus visible at upper left, at top of nose.)
Details
Origin From fascia over the lower part of the nasal bone
Insertion Into the skin of the lower part of the forehead between the eyebrows
Artery facial artery
Nerve temporal branch of the facial nerve
Actions Draws down the medial angle of the eyebrow giving expressions of frowning
Identifiers
Latin musculus procerus, pyramidalis nasi, depressor glabellae
TA98 A04.1.03.008
TA2 2061
FMA 46769
Anatomical terms of muscle

The procerus muscle (or pyramidalis nasi) is a small pyramidal slip of muscle deep to the superior orbital nerve, artery and vein. Procerus is Latin, meaning tall or extended.

Contents

Structure

The procerus muscle arises by tendinous fibers from the fascia covering the lower part of the nasal bone and upper part of the lateral nasal cartilage. It is inserted into the skin over the lower part of the forehead between the two eyebrows on either side of the midline, its fibers merging with those of the frontalis muscle. [1]

Nerve supply

The procerus muscle is supplied by the temporal branch of the facial nerve (VII). [2] It may also be supplied by other branches of the facial nerve, which can be varied, [2] including the lower zygomatic branches. A supply from its buccal branch has also been described. [3] Its contraction can produce transverse wrinkles.

Function

The procerus muscle helps to pull that part of the skin between the eyebrows downwards, which assists in flaring the nostrils. It can also contribute to an expression of anger.

Clinical significance

Procerus sign

Dystonia of the procerus muscle is involved in the procerus sign, which is indicative of progressive supranuclear palsy (PSP). [4]

Denervation

The procerus muscle may be denervated to reduce furrow lines around the glabella caused by frowning. [2] This may be for cosmetic purposes. Surgery can be used to transect the temporal branch of the facial nerve, although other branches of the facial nerve may also need to be cut. [2]

Additional images

Related Research Articles

<span class="mw-page-title-main">Facial nerve</span> Cranial nerve VII, for the face and tasting

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.

<span class="mw-page-title-main">Forehead</span> Area of the head between the eyebrows and the hairline

In human anatomy, the forehead is an area of the head bounded by three features, two of the skull and one of the scalp. The top of the forehead is marked by the hairline, the edge of the area where hair on the scalp grows. The bottom of the forehead is marked by the supraorbital ridge, the bone feature of the skull above the eyes. The two sides of the forehead are marked by the temporal ridge, a bone feature that links the supraorbital ridge to the coronal suture line and beyond. However, the eyebrows do not form part of the forehead.

<span class="mw-page-title-main">Facial nerve paralysis</span> Medical condition

Facial nerve paralysis is a common problem that involves the paralysis of any structures innervated by the facial nerve. The pathway of the facial nerve is long and relatively convoluted, so there are a number of causes that may result in facial nerve paralysis. The most common is Bell's palsy, a disease of unknown cause that may only be diagnosed by exclusion of identifiable serious causes.

<span class="mw-page-title-main">Platysma muscle</span> Human neck muscle

The platysma muscle is a superficial muscle of the human neck that overlaps the sternocleidomastoid. It covers the anterior surface of the neck superficially. When it contracts, it produces a slight wrinkling of the neck, and a "bowstring" effect on either side of the neck.

<span class="mw-page-title-main">Corrugator supercilii muscle</span> Muscle near the eye

The corrugator supercilii muscle is a small, narrow, pyramidal muscle of the face. It arises from the medial end of the superciliary arch; it inserts into the deep surface of the skin of the eyebrow.

<span class="mw-page-title-main">Depressor labii inferioris muscle</span> Facial muscle that helps to lower the bottom lip

The depressor labii inferioris is a facial muscle. It helps to lower the bottom lip.

<span class="mw-page-title-main">Nasalis muscle</span>

The nasalis muscle is a sphincter-like muscle of the nose. It has a transverse part and an alar part. It compresses the nasal cartilages, and can "flare" the nostrils. It can be used to test the facial nerve (VII), which supplies it.

<span class="mw-page-title-main">Orbicularis oculi muscle</span> Facial muscle that closes the eyelids

The orbicularis oculi is a muscle in the face that closes the eyelids. It arises from the nasal part of the frontal bone, from the frontal process of the maxilla in front of the lacrimal groove, and from the anterior surface and borders of a short fibrous band, the medial palpebral ligament.

<span class="mw-page-title-main">Frontalis muscle</span>

The frontalis muscle is a muscle which covers parts of the forehead of the skull. Some sources consider the frontalis muscle to be a distinct muscle. However, Terminologia Anatomica currently classifies it as part of the occipitofrontalis muscle along with the occipitalis muscle.

<span class="mw-page-title-main">Facial artery</span>

The facial artery is a branch of the external carotid artery that supplies structures of the superficial face.

<span class="mw-page-title-main">Superficial temporal artery</span> Major artery of the head

In human anatomy, the superficial temporal artery is a major artery of the head. It arises from the external carotid artery when it splits into the superficial temporal artery and maxillary artery.

<span class="mw-page-title-main">Ophthalmic nerve</span> Sensory nerve of the face

The ophthalmic nerve (CN V1) is a sensory nerve of the head. It is one of three divisions of the trigeminal nerve (CN V), a cranial nerve. It has three major branches which provide sensory innervation to the eye, and the skin of the upper face and anterior scalp, as well as other structures of the head.

<span class="mw-page-title-main">Occipitofrontalis muscle</span> Facial muscle helping to create facial expressions

The occipitofrontalis muscle is a muscle which covers parts of the skull. It consists of two parts or bellies: the occipital belly, near the occipital bone, and the frontal belly, near the frontal bone. It is supplied by the supraorbital artery, the supratrochlear artery, and the occipital artery. It is innervated by the facial nerve. In humans, the occipitofrontalis helps to create facial expressions.

<span class="mw-page-title-main">Facial motor nucleus</span>

The facial motor nucleus is a collection of neurons in the brainstem that belong to the facial nerve. These lower motor neurons innervate the muscles of facial expression and the stapedius.

<span class="mw-page-title-main">Angular artery</span> Artery of the face

The angular artery is an artery of the face. It is the terminal part of the facial artery. It ascends to the medial angle of the eye's orbit. It is accompanied by the angular vein. It ends by anastomosing with the dorsal nasal branch of the ophthalmic artery. It supplies the lacrimal sac, the orbicularis oculi muscle, and the outer side of the nose.

<span class="mw-page-title-main">Temporal branches of the facial nerve</span>

The temporal branches of the facial nerve crosses the zygomatic arch to the temporal region, supplying the auriculares anterior and superior, and joining with the zygomaticotemporal branch of the maxillary nerve, and with the auriculotemporal branch of the mandibular nerve.

<span class="mw-page-title-main">Facial muscles</span> Muscles of the face

The facial muscles are a group of striated skeletal muscles supplied by the facial nerve that, among other things, control facial expression. These muscles are also called mimetic muscles. They are only found in mammals, although they derive from neural crest cells found in all vertebrates. They are the only muscles that attach to the dermis.

<span class="mw-page-title-main">Human nose</span> Feature of the human face

The human nose is the most protruding part of the human face. It bears the nostrils and is the first organ of the respiratory system. It is also the principal organ in the olfactory system. The shape of the nose is determined by the nasal bones and the nasal cartilages, including the nasal septum which separates the nostrils and divides the nasal cavity into two.

<span class="mw-page-title-main">Anterior auricular muscle</span> Muscle connectingthe epicranial aponeurosis to the helix of the ear

The anterior auricular muscle, the smallest of the three auricular muscles, is thin and fan-shaped, and its fibers are pale and indistinct. It arises from the lateral edge of the epicranial aponeurosis, and its fibers converge to be inserted into a projection on the front of the helix.

The procerus sign is a medical sign consisting of vertical forehead wrinkling around the bridge of the nose and the glabella. This can be seen in neurodegenerative diseases such as progressive supranuclear palsy.

References

PD-icon.svgThis article incorporates text in the public domain from page 382 of the 20th edition of Gray's Anatomy (1918)

  1. "eye, human."Encyclopædia Britannica from Encyclopædia Britannica 2006 Ultimate Reference Suite DVD 2009
  2. 1 2 3 4 Caminer, D.M.; Newman, M.I.; Boyd, J.B. (2006-04-01). "Angular nerve: New insights on innervation of the corrugator supercilii and procerus muscles". Journal of Plastic, Reconstructive & Aesthetic Surgery. 59 (4): 366–372. doi:10.1016/j.bjps.2005.09.011. ISSN   1748-6815. PMID   16756251.
  3. "Nose, nasal cavity and paranasal sinuses" CHAPTER 32. Gray's Anatomy
  4. Batla, Amit; Nehru, Ravi; Vijay, Tarun (2010-11-15). "Vertical wrinkling of the forehead or Procerus sign in Progressive Supranuclear Palsy". Journal of the Neurological Sciences . 298 (1–2): 148–149. doi:10.1016/j.jns.2010.08.010. ISSN   0022-510X. PMID   20810128. S2CID   42867971 via ScienceDirect.