Mentalis

Mentalis
Muscles of the head, face, and neck.
Details
Originanterior mandible
Insertionchin
Nervemandibular branch of facial nerve
Actionselevates and wrinkles skin of chin, protrudes lower lip
Identifiers
Latinmusculus mentalis
TA98A04.1.03.037
TA22087
FMA46825
Anatomical terms of muscle

The mentalis muscle is a paired central muscle of the lower lip, situated at the tip of the chin.[1] It originates from the mentum of the mandible, and inserts into the soft tissue of the chin. It is sometimes referred to as the "pouting muscle" due to it raising the lower lip and causing chin wrinkles.

Structure

The mentalis muscle originates from the mental protuberance of the mandible near the midline.[2][3] It inserts into the soft tissue and skin of the chin.[2][3]

Function

The mentalis muscle causes a weak upward-inward movement of the soft tissue complex of the chin.[2] This raises the central portion of the lower lip.[2] In the setting of lip incompetence (the upper and lower lips do not touch each other at rest), the mentalis muscle contraction can bring temporary but strained oral competence.

In conjunction with the orbicularis oris muscle (for the upper lip), the mentalis muscle allows the lips to "pout". Externally, the mentalis muscle contraction causes wrinkling and dimpling of the skin on the chin, as used in expressions of doubt or displeasure.[4]

Clinical significance

The mentalis muscle can be easily assessed using ultrasound.[5]

Geniospasm

Geniospasm is a genetic movement disorder of the mentalis muscle.[6] It involves repetitive contraction of the muscle, with episodes lasting between seconds and hours.[6] Certain medications may be used to treat it, such as haloperidol and benzodiazepines.[6] Injection of botulinum toxin (permanently paralysing the muscle) may be more effective.[6]

Cosmetics

The mentalis muscle may be partially paralysed using botulinum toxin to reduce wrinkling of the skin of the chin.[4] This may be done for cosmetic purposes.[4]

Additional images

References

  1. ↑ Lips and Perioral Region Anatomy at eMedicine
  2. 1 2 3 4 "Depressor labii inferioris resection: an effective treatment for marginal mandibular nerve paralysis". British Journal of Plastic Surgery. 57 (6): 502–510. 2004-09-01. doi:10.1016/j.bjps.2004.04.003. ISSN 0007-1226.
  3. 1 2 Zide, Barry M. (March 2000). "The Mentalis Muscle: An Essential Component of Chin and Lower Lip Position". Plastic and Reconstructive Surgery. 105 (3): 1213–1215. ISSN 0032-1052.
  4. 1 2 3 Glaser, Dee Anna (2009). "26 - Botulinum Neurotoxin for Dermatologic and Cosmetic Disorders". Botulinum toxin: therapeutic clinical practice and science. Philadelphia: Saunders. pp. 324–338. doi:10.1016/B978-1-4160-4928-9.00026-3. ISBN 978-1-4377-1119-6. OCLC 460883288.
  5. ↑ Volk, Gerd Fabian; Wystub, Nadja; Pohlmann, Martin; Finkensieper, Mira; Chalmers, Heather J.; Guntinas-Lichius, Orlando (2013). "Quantitative ultrasonography of facial muscles". Muscle & Nerve. 47 (6): 878–883. doi:10.1002/mus.23693. ISSN 1097-4598.
  6. 1 2 3 4 Deuschl, Günther; Fasano, Alfonso (2009). "29 - Essential Tremor and Other Tremors". Movement Disorders 4 (1st ed.). Philadelphia: Saunders / Elsevier. pp. 506–557. doi:10.1016/B978-1-4160-6641-5.00029-5. ISBN 978-1-4160-6641-5. OCLC 460904302.
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