Mentalis muscle

Last revised by Daniel J Bell on 17 Apr 2022

The mentalis muscles (TA: musculus mentalis) are paired muscles, one on each side of the mouth, important as elevators of the chin and lower lip; the muscles are one of the facial muscles

  • origin: incisive fossa of the mandible
  • insertion: skin of the chin
  • innervationfacial nerve
  • action: raises skin of chin and elevates lower lip

The mentalis muscle is a slight cone-shaped muscle which originates from the incisive fossa of the mandible. These superior fibres of mentalis are intertwined with inferior fibres of the orbicularis oris muscle. The more lateral superior fibres of the mentalis are also mixed in with fibres of the incisivus labii inferioris muscle 5.

The incisive fossa is a small depression in the body of the mandible lying just below the lateral and central incisor teeth on each side. The fibres then pass anteroinferiorly, deep to the oral mucosa of the vestibule of the mouth, on either side of the midline labial frenulum 1-3,5

The mentalis muscle fibres insert into the skin of the chin 1-3,5. These fibres are best further considered as medial and lateral groups 5:

  • medial fibres from each side pass forwards and cross their counterpart fibres from the other side before inserting into the contralateral aspect of the skin of the chin
  • lateral fibres run downwards with a medial orientation in most (in a small percentage of individuals they bend laterally), intertwining with fibres of the depressor labii inferioris muscle before inserting into skin of the chin ipsilaterally
  • raises skin of the mental region (chin) effecting wrinkling +/- dimpling, and may be important for the expression of doubt
  • elevation and protrusion of the lower lip
  • superior mentalis muscle fibres, merge with the orbicularis oris muscle, forming a contiguous muscular structure, and acts to strengthen orbicularis oris as it moves the lower lip 5

The mentalis muscle may be seen on high resolution ultrasound of the chin as a consistently identifiable hypoechoic structure in the mental region 4.

Mentalis is from the word 'mentum' which is Latin for chin 6.

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