Mentalis muscle
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View Daniel J Bell's current disclosures- Mentalis muscles
- Musculus mentalis
- Levator menti
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.
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Summary
- origin: incisive fossa of the mandible
- insertion: skin of the chin
- innervation: facial nerve
- action: raises skin of chin and elevates lower lip
Gross anatomy
Origin
The mentalis muscle is a slight cone-shaped muscle which originates from the incisive fossa of the mandible. These superior fibers of mentalis are intertwined with inferior fibers of the orbicularis oris muscle. The more lateral superior fibers of the mentalis are also mixed in with fibers 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 fibers 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.
Insertion
The mentalis muscle fibers insert into the skin of the chin 1-3,5. These fibers are best further considered as medial and lateral groups 5:
- medial fibers from each side pass forwards and cross their counterpart fibers from the other side before inserting into the contralateral aspect of the skin of the chin
- lateral fibers run downwards with a medial orientation in most (in a small percentage of individuals they bend laterally), intertwining with fibers of the depressor labii inferioris muscle before inserting into skin of the chin ipsilaterally
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Arterial supply
Venous drainage
Innervation
- marginal mandibular nerve, branch of facial nerve (VII)
Action
- 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 fibers, merge with the orbicularis oris muscle, forming a contiguous muscular structure, and acts to strengthen orbicularis oris as it moves the lower lip 5
Radiographic features
The mentalis muscle may be seen on high resolution ultrasound of the chin as a consistently identifiable hypoechoic structure in the mental region 4.
History and etymology
Mentalis is from the word 'mentum' which is Latin for chin 6.
References
- 1. Last, R. J. (Raymond Jack). Last's Anatomy: Regional and Applied. (2011) ISBN: 9780702033940
- 2. Gray, H. Anatomy of the Human Body. Philadelphia: Lea & Febiger, 1918; Bartleby.com, 2000. www.bartleby.com/107/
- 3. Hur M, Kim H, Choi B, Hu K, Kim H, Lee K. Morphology of the Mentalis Muscle and Its Relationship With the Orbicularis Oris and Incisivus Labii Inferioris Muscles. J Craniofac Surg. 2013;24(2):602-4. doi:10.1097/scs.0b013e318267bcc5
- 4. Alfen N, Gilhuis H, Keijzers J, Pillen S, Van Dijk J. Quantitative Facial Muscle Ultrasound: Feasibility and Reproducibility. Muscle Nerve. 2013;48(3):375-80. doi:10.1002/mus.23769
- 5. Iwanaga J, Watanabe K, Kusukawa J, Oskouian R, Tubbs R. Intraoral Dissection of the Mimetic Muscles: Application to Dentistry and Oral Surgery. Cureus. 2017;9(12). doi:10.7759/cureus.1939
- 6. John C. Traupman. The Bantam New College Latin & English Dictionary. (2007) ISBN: 9780553590128
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