_Relations._—Externally, the temporo-maxillary articulation and the
temporalis muscle; internally, the internal pterygoid and tensor palati
muscles. The internal maxillary artery crosses the lower face of the
muscle and dips in between it and the tensor palati. The mandibular
nerve lies on the ventral surface, and the buccinator nerve perforates
the origin of the muscle.
_Blood-supply._—Internal maxillary and inferior alveolar arteries.
_Nerve-supply._—Mandibular nerve.
5. =Stylo-maxillaris= (s.-mandibularis) (M. jugulomandibularis).—This is
a short muscle extending from the paramastoid or styloid process of the
occipital bone to the posterior border of the lower jaw; it is covered
by the parotid gland.
_Origin._—The paramastoid or styloid process of the occipital bone, in
common with the posterior belly of the digastricus.
_Insertion._—The posterior border of the ramus of the mandible.
_Action._—To depress the lower jaw and open the mouth.
_Structure._—The muscle contains a good deal of tendinous tissue. It
blends with the posterior belly of the digastricus.
_Relations._—Superficially, the parotid gland, the tendon of the
sterno-cephalicus, and the fibrous expansion which connects it with the
tendon of the mastoido-humeralis; deeply, the guttural pouch, the
external carotid artery, the ninth and twelfth nerves, the pharynx, and
the submaxillary gland.
_Blood-supply._—External carotid artery.
_Nerve-supply._—Facial nerve.
6. =Digastricus.=—This muscle is composed of two fusiform, flattened
bellies, united by a round tendon.
_Origin._—The paramastoid or styloid process of the occipital bone, in
common with the preceding muscle.
_Insertion._—The inner surface of the lower border of the mandible
behind the symphysis.
_Action._—It assists in depressing the lower jaw and opening the mouth.
If the mandible be fixed and both bellies contract, the hyoid bone and
the base of the tongue are raised, as in the first phase of deglutition.
_Structure._—The posterior belly has the appearance of a branch detached
from the inner surface of the stylo-maxillaris. It passes downward and
forward, and is succeeded by a small rounded tendon. The latter
perforates the tendon of insertion of the stylo-hyoideus, and is
provided with a =synovial sheath=. The anterior belly is larger and
terminates by thin tendinous bundles.
_Relations._—The posterior belly has practically the same relations as
the stylo-maxillaris. The intermediate tendon is in contact externally
with the internal pterygoid muscle, the submaxillary gland and duct, and
the external maxillary artery. The anterior belly lies in the
submaxillary space between the ramus of the jaw and the mylo-hyoideus
muscle; the sublingual vessels run along its upper border.
_Blood-supply._—External carotid and sublingual arteries.
_Nerve-supply._—Facial and mandibular nerves.
THE HYOID MUSCLES
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