Genioglossus

From Wikipedia, the free encyclopedia
  (Redirected from Genioglossus muscle)
Jump to: navigation, search
Genioglossus
Genioglossus.png
Extrinsic muscles of the tongue. Left side.
Slide1ww.JPG
Muscles of the tongue from below, with genioglossus visible at top
Details
Origin Superior part of mental spine of mandible (symphysis menti)
Insertion Underside of tongue and body of hyoid
Artery Lingual artery
Nerve Hypoglossal nerve
Actions Inferior fibers protrude the tongue, middle fibers depress the tongue, and its superior fibers draw the tip back and down
Identifiers
Latin musculus genioglossus
Dorlands
/Elsevier
m_22/12549183
TA A05.1.04.101
FMA 46690
Anatomical terms of muscle

The genioglossus is one of the paired extrinsic muscles of the tongue. The genioglossus is the major muscle responsible for protruding (or sticking out) the tongue.

Structure[edit]

Genioglossus is the fan-shaped extrinsic tongue muscle that forms the majority of the body of the tongue. Its arises from the mental spine of the mandible and its insertions are the hyoid bone and the bottom of the tongue.[1][2]

The genioglossus is innervated by the hypoglossal nerve,[1] as are all muscles of the tongue except for the palatoglossus.[3] Blood is supplied to the sublingual branch of the lingual artery, a branch of the external carotid artery.[1][4]

The canine genioglossus muscle has been divided into horizontal and oblique compartments.[5]

Function[edit]

The left and right genioglossus muscles protruding the tongue and deviate it towards the opposite side. When acting together, the muscles depress the centre of the tongue at its back.[1]

Clinical significance[edit]

Contraction of the genioglossus stabilizes and enlarges the portion of the upper airway that is most vulnerable to collapse. Relaxation of the genioglossus and geniohyoideus muscles, especially during REM sleep, is implicated in obstructive sleep apnea.[6] Given this connection, the mandible can be pulled forward to maximise the airway space, and prevent the tongue from sinking backwards under anaesthesia and obstructing the airway. [1]

The genioglossus is often used as a proxy to test the function of the hypoglossal nerve, by asking a patient to stick out their tongue. Peripheral damage to the hypoglossal nerve can result in deviation of the tongue to the damaged side. [4]

History[edit]

The name derives from Greek roots: genion (Greek: γένειον) meaning chin, and glossa (Greek: γλῶσσα ) meaning tongue. The earliest recorded mention is by Helkiah Crooke in the early seventeenth century.[7]

References[edit]

  1. ^ a b c d e Susan Standring; Neil R. Borley; et al., eds. (2008). Gray's anatomy : the anatomical basis of clinical practice (40th ed.). London: Churchill Livingstone. pp. 503–5. ISBN 978-0-8089-2371-8. 
  2. ^ Singh, Inderbir (2009). Essentials of anatomy (2nd ed.). New Delhi: Jaypee Bros. p. 348. ISBN 978-81-8448-461-8. 
  3. ^ M. J. T. Fitzgerald; Gregory Gruener; Estomih Mtui (2012). Clinical Neuroanatomy and Neuroscience. Saunders/Elsevier. p. 216. ISBN 978-0-7020-4042-9. 
  4. ^ a b Drake, Richard L.; Vogl, Wayne; Tibbitts, Adam W.M. Mitchell (2005). Gray's anatomy for students. Philadelphia: Elsevier/Churchill Livingstone. pp. 991–2. ISBN 978-0-443-06612-2. 
  5. ^ Mu, Liancai; Sanders, Ira (2000). "Neuromuscular specializations of the pharyngeal dilator muscles: II. Compartmentalization of the canine genioglossus muscle". The Anatomical Record. 260 (3): 308–25. doi:10.1002/1097-0185(20001101)260:3<308::aid-ar70>3.0.co;2-n. PMID 11066041. 
  6. ^ den Herder, Cindy; Schmeck, Joachim; Appelboom, Dick J K; de Vries, Nico (2004). "Risks of general anaesthesia in people with obstructive sleep apnoea". BMJ. 329 (7472): 955–9. doi:10.1136/bmj.329.7472.955. PMC 524108Freely accessible. PMID 15499112. 
  7. ^ "genioglossus - definition of genioglossus in English | Oxford Dictionaries". Oxford Dictionaries | English. Retrieved 2017-03-26. 

External links[edit]