MUSCLES OF THE LIPS AND CHEEKS

1. =Orbicularis oris.=—This is the sphincter muscle of the mouth; it is

continuous with the other muscles which converge to the lips. It lies

between the skin and the mucous membrane of the lips, and is intimately

adherent to the former. Most of the fibers run parallel to the free

edges of the lips and have no direct attachment to the skeleton.

_Action._—It closes the lips.

_Blood-supply._—Palato-labial, facial, and mental arteries.

_Nerve-supply._—Facial nerve.

[Illustration:

FIG. 172.—MUSCLES OF HEAD OF HORSE, LATERAL VIEW. THE PANNICULUS IS

REMOVED.

_a_, Levator labii superioris proprius; _b_, levator nasolabialis;

_c_, mastoido-humeralis; _d_, sterno-cephalicus; _d′_, tendon of

_d_; _e_, omo-hyoideus; _f_, dilatator naris lateralis; _g_,

zygomaticus; _h_, buccinator; _i_, depressor labii inferioris; _k_,

orbicularis oris; _l_, dilatator naris superior; _m_, masseter; _n_,

parotido-auricularis; _o_, zygomatico-auricularis; _p_,

interscutularis; _p′_, fronto-scutularis, pars temporalis; _q_,

cervico-auricularis profundus major; _r_, cervico-auricularis

superficialis; _s_, obliquus capitis anterior; _t_, splenius; v,

stylo-maxillaris; _y_, mastoid tendon of mastoido-humeralis; _2_,

posterior, _3_, anterior, border of external ear; _8_, scutiform

cartilage; _9_, zygomatic arch; _10_, depression behind supraorbital

process; _18_, temporo-mandibular articulation; _27_, facial crest;

_30′_, angle of jaw; _37_, external maxillary vein; _38_, jugular

vein; 39, facial vein; _40_, parotid duct; _41_, transverse facial

vein; _42_, masseteric vein; _43_, facial nerve; _44_, parotid

gland; _45_, chin; _x_, wing of atlas. (After Ellenberger-Baum,

Anat. für Künstler.)

]

2. =Levator nasolabialis= (Levator labii superioris alæque nasi).—This

thin muscle lies directly under the skin, and chiefly on the lateral

surface of the nasal region.

_Origin._—The frontal and nasal bones.

_Insertion._—(1) The upper lip and the outer wing of the nostril; (2)

the commissure of the lips.

_Action._—(1) To elevate the upper lip and the commissure; (2) to dilate

the nostril.

_Structure._—The muscle arises by a thin aponeurosis. The belly is also

thin, and divides into two branches, between which the lateral dilator

of the nostril passes. The dorsal branch reaches the nostril and upper

lip, blending with the lateral dilator; the ventral one is much smaller,

and blends at the labial commissure with the orbicularis and buccinator.

_Relations._—Superficially, the skin, fascia, and lateral dilator (in

part); deeply, the levator labii superioris proprius, lateral dilator

(in part), buccinator, branches of the facial vessels and nerve, and the

infraorbital artery and nerve.

_Blood-supply._—Facial and palato-labial arteries.

_Nerve-supply._—Facial nerve.

[Illustration:

FIG. 173.—MUSCLES OF HEAD OF HORSE, DORSAL VIEW. THE PANNICULUS IS

REMOVED.

_a_, Levator labii superioris proprius; _a′_, common tendon of a with

opposite muscle; _b_, levator nasolabialis; _f_, dilatator naris

lateralis; _g_, zygomaticus; _l_, dilatator naris superior; _n_,

parotido-auricularis; _o″_, scutulo-auricularis superficialis

superior; _p_, interscutularis; _p′_, fronto-scutularis, pars

temporalis; _r_, cervico-auricularis superficialis; _u_, corrugator

supercilii; _x_, transversus nasi; _2_, posterior, _3_, anterior,

border of external ear; _8_, scutiform cartilage; _9_, zygomatic

arch; _10_, supraorbital depression; _35_, inner wing of nostril,

containing lamina of alar cartilage; _39_, facial vein. (After

Ellenberger-Baum, Anat. für Künstler.)

]

3. =Levator labii superioris proprius.=—This lies on the dorso-lateral

aspect of the face, partly covered by the preceding muscle.

_Origin._—The lacrimal, malar, and maxillary bones at their junction.

_Insertion._—The upper lip, by a common tendon, with its fellow.

_Action._—Acting with its fellow, to elevate the upper lip. This action,

if carried to the fullest extent, results in eversion. In unilateral

action the lip is drawn upward and to the side of the muscle acting.

_Structure._—The muscle has a short, thin tendon of origin. The belly is

at first flattened, but becomes narrower and thicker, then tapers over

the false nostril, to terminate in a tendon. The tendons of the two

muscles unite over the alar cartilages of the nostrils, forming an

expansion which spreads out in the substance of the upper lip.

_Relations._—Superficially, the skin, the levator nasolabialis, and the

angular vessels of the eye; deeply, the superior and transverse dilators

of the nostril and the infraorbital artery and nerve.

_Blood-supply._—Facial artery.

_Nerve-supply._—Facial nerve.

4. =Zygomaticus.=—This very thin muscle lies immediately under the skin

of the cheek.

_Origin._—The fascia covering the masseter muscle below the facial

crest.

_Insertion._—The commissure of the lips, blending with the buccinator.

_Action._—To retract and raise the angle of the mouth.

_Structure._—Fleshy, with a thin aponeurotic origin.

_Relations._—Superficially, the skin; deeply, the buccinator.

_Blood-supply._—Facial artery.

_Nerve-supply._—Facial nerve.

5. =Incisivus superior= (Depressor labii superioris).—This lies under

the mucous membrane of the upper lip.

_Origin._—The alveolar border of the premaxilla from the second incisor

to the first cheek tooth.

_Insertion._—The upper lip.

_Action._—To depress the upper lip.

6. =Incisivus inferior.=—This is arranged in the lower lip like the

preceding muscle in the upper one.

_Origin._—The alveolar border of the mandible from the second incisor to

a point near the first cheek tooth.

_Insertion._—The skin of the lower lip and the prominence of the chin.

_Action._—To raise the lower lip.

7. =Mentalis= (Levator menti).—This is situated in the prominence of the

chin. Its fibers arise from each side of the body of the mandible and

are inserted into the skin of the chin. It is mingled with fat and

strands of connective tissue, in which the roots of the tactile hairs

are embedded. It raises and corrugates the skin to which it is attached.

8. =Depressor labii inferioris.=—This muscle lies on the outer surface

of the ramus of the mandible, along the ventral border of the

buccinator.

_Origin._—The alveolar border of the mandible near the coronoid process

and the maxillary tuberosity, in common with the buccinator.

_Insertion._—The lower lip.

_Action._—To depress and retract the lower lip.

_Structure._—The tendon of origin and the belly are fused with the

buccinator as far forward as the first cheek tooth. From this point

forward the belly is distinct and rounded, terminating in a tendon which

spreads out in the lower lip, blending with the orbicularis and the

muscle of the opposite side.

_Relations._—Superficially, the skin, masseter, facial vessels, and

parotid duct; deeply, the mandible and inferior labial artery.

_Blood-supply._—Facial artery.

_Nerve-supply._—Facial nerve.

9. =Buccinator.=—This muscle lies in the lateral wall of the mouth,

extending from the angle of the mouth to the maxillary tuberosity.

_Origin._—The external surface of the maxilla above the interdental

space and the molar teeth; the alveolar border of the mandible at the

interdental space and also posteriorly where it turns upward to the

coronoid process; the pterygo-mandibular ligament.

_Insertion._—The angle of the mouth, blending with the orbicularis oris.

_Action._—To flatten the cheeks, thus pressing the food between the

teeth; also to retract the angle of the mouth.

_Structure._—Two layers may be recognized. The =superficial layer= (Pars

buccalis) extends from the angle of the mouth to the masseter. It is

incompletely pennate, having a longitudinal raphé on which most of the

muscle-fibers converge. The upper fibers are directed chiefly downward

and backward, the lower ones upward and backward. The =deep layer= (Pars

molaris) consists mainly of longitudinal fibers. It blends in part with

the superficial layer of the orbicularis; it has a small tendinous

attachment to the coronoid process behind, and is united below with the

depressor labii inferioris.

_Relations._—Superficially, the skin and fascia, the zygomaticus,

levator nasolabialis, lateral dilator of the nostril, the superior

buccal glands, the parotid duct, the facial vessels, and branches of the

facial nerve; deeply, the mucous membrane of the mouth and the inferior

buccal glands.

_Blood-supply._—Facial and buccinator arteries.

_Nerve-supply._—Facial nerve.

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