Procerus 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.
| Procerus muscle | |
|---|---|
 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 | |
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]
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.
Procerus is supplied by temporal and lower zygomatic branches from the facial nerve. A supply from its buccal branch has also been described.[3] Its contraction can produce transverse wrinkles.
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]
References
This article incorporates text in the public domain from page 382 of the 20th edition of Gray's Anatomy (1918)
- "eye, human."Encyclopædia Britannica from Encyclopædia Britannica 2006 Ultimate Reference Suite DVD 2009
- 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.
- "Nose, nasal cavity and paranasal sinuses" CHAPTER 32. Gray's Anatomy
- 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.
Additional Images
Procerus muscle (red).