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Temporalis muscle
Temporalis muscle
	The temporalis muscle; the zygomatic arch and masseter have been removed.
Details
Origin	Temporal lines on the parietal bone of the skull and the superior temporal surface of the sphenoid bone
Insertion	Coronoid process of the mandible and retromolar fossa
Artery	Deep temporal arteries
Nerve	Deep temporal nerves, branches of the anterior division of the mandibular nerve (V3)
Actions	Elevation and retraction of mandible
Antagonist	Platysma muscle
Identifiers
Latin	musculus temporalis
MeSH	D013703
TA98	A04.1.04.005
TA2	2108
FMA	49006
	Anatomical terms of muscle [edit on Wikidata]

In anatomy, the temporalis muscle, also known as the temporal muscle, is one of the muscles of mastication (chewing). It is a broad, fan-shaped convergent muscle on each side of the head that fills the temporal fossa, superior to the zygomatic arch so it covers much of the temporal bone.^[1] Temporal refers to the head's temples.

Structure

In humans, the temporalis muscle arises from the temporal fossa and the deep part of temporal fascia. This is a very broad area of attachment.^[2] It passes medial to the zygomatic arch. It forms a tendon which inserts onto the coronoid process of the mandible, with its insertion extending into the retromolar fossa posterior to the most distal mandibular molar.^[3] In other mammals, the muscle usually spans the dorsal part of the skull all the way up to the medial line. There, it may be attached to a sagittal crest, as can be seen in early hominins such as Paranthropus aethiopicus.

The temporalis muscle is covered by the temporal fascia, also known as the temporal aponeurosis. This fascia is commonly used in tympanoplasty, or surgical reconstruction of the eardrum.

The temporalis muscle is accessible on the temples, and can be seen and felt contracting while the jaw is clenching and unclenching.

Blood supply

The muscle receives its blood supply from the deep temporal arteries which anastomose with the middle temporal artery.

Nerve supply

As with the other muscles of mastication, control of the temporal muscle comes from the third (mandibular) branch of the trigeminal nerve. Specifically, the muscle is supplied by the deep temporal nerves. At least 6 smaller branches recruit muscle fibres the most when each has the maximal leverage.^[4]

Development

The temporalis muscle is derived from the first pharyngeal arch in development.

Variation

The temporalis muscle has a complex structure.^[2] Sarcomeres are a consistent length, but larger muscle fibres vary in length in the muscle and between people.^[2]

Function

The temporalis muscle is the most powerful muscle of the temporomandibular joint. The temporalis muscle can be divided into two functional parts; anterior and posterior. The anterior portion runs vertically and its contraction results in elevation of the mandible (closing the mouth). The posterior portion has fibers which run horizontally and contraction of this portion results in retrusion of the mandible. The middle portion which fibers run in an oblique direction towards inferior and anterior are used for both elevation and retraction of the mandible and in a unilateral contraction provoke lateral movement of the mandible.^[5] Motor units are recruited the most when they have the maximal leverage, maximising contractile strength.^[4]

When lower dentures are fitted, they should not extend into the retromolar fossa to prevent trauma of the mucosa due to the contraction of the temporalis muscle.^[3]

Clinical significance

The temporalis muscle is likely to be involved in jaw pain and headaches. Bruxism, the habitual grinding of teeth typically while sleeping, and clenching of the jaw while stressed can lead to overwork of the temporalis muscle and results in pain.^[6]

Seizure

A myotendinous rupture of the temporalis muscle can occur during a seizure due to extreme clenching of the jaw. During a seizure, the contralateral temporalis muscle can enter spastic paralysis, this clenching in extreme cases can lead to a rupture specifically on the myotendinous insertion at the coronoid process of the mandible.^[7]

Surgery

The temporalis muscle may be used in reconstructive surgery of the mouth.^[8]

During pterional craniotomy, incisions are often chosen based on the ease of reattaching the temporalis muscle after the bone fragment is replaced.^[9]

Additional images

Temporal muscle (red).
Muscles of head and neck
Temporal muscle. Deep dissection. Mummification process.

References

^ Illustrated Anatomy of the Head and Neck, Fehrenbach and Herring, Elsevier, 2012, page 98
^ ^a ^b ^c Eijden, Theo M. G. J. van; Koolstra, Jan Harm; Brugman, Peter (1996). "Three-dimensional structure of the human temporalis muscle". The Anatomical Record. 246 (4): 565–572. doi:10.1002/(SICI)1097-0185(199612)246:4<565::AID-AR17>3.0.CO;2-M. ISSN 1097-0185. PMID 8955797.
^ ^a ^b Human Anatomy, Jacobs, Elsevier, 2008, page 194
^ ^a ^b Blanksma, N.G.; Van Eijden, T.M.G.J. (1990-10-01). "Electromyographic Heterogeneity in the Human Temporalis Muscle". Journal of Dental Research. 69 (10): 1686–1690. doi:10.1177/00220345900690101101. ISSN 0022-0345. PMID 2212214. S2CID 38536878.
^ Scheid, R. C., Woelfel, J. B., & Woelfel, J. B. (2007). Woelfel's dental anatomy: Its relevance to dentistry. Philadelphia: Lippincott Williams & Wilkins. pg 41.
^ Schoenen, J.; Jamart, B.; Gerard, P.; Lenarduzzi, P.; Delwaide, P. J. (1987-12-01). "Exteroceptive suppression of temporalis muscle activity in chronic headache". Neurology. 37 (12): 1834–1836. doi:10.1212/WNL.37.12.1834. ISSN 0028-3878. PMID 3683873. S2CID 26581556.
^ Naffa, Lena; Yasmeen, Tandon; Rubin, Michael (2014). "Myotendinous rupture of temporalis muscle: A rare injury following seizure". World Journal of Radiology. 6 (6): 388–391. doi:10.4329/wjr.v6.i6.388. PMC 4072824. PMID 24976940.
^ Bradley, Paul; Brockbank, James (1981-01-01). "The temporalis muscle flap in oral reconstruction: A cadaveric, animal and clinical study". Journal of Maxillofacial Surgery. 9 (3): 139–145. doi:10.1016/S0301-0503(81)80034-3. ISSN 0301-0503. PMID 6944416.
^ Spetzler, Robert F.; Lee, K. Stuart (1990-10-01). "Reconstruction of the temporalis muscle for the pterional craniotomy: Technical note". Journal of Neurosurgery. 73 (4): 636–637. doi:10.3171/jns.1990.73.4.0636. PMID 2398396.

External links

Anatomy photo:27:04-0100 at the SUNY Downstate Medical Center - "Infratemporal Fossa: The Temporalis Muscle"
Kadri, Paulo A. S.; Al-Mefty, Ossama (March 2004). "The anatomical basis for surgical preservation of temporal muscle". Journal of Neurosurgery. 100 (3): 517–522. doi:10.3171/jns.2004.100.3.0517. PMID 15035289.
Temporalis Muscle Transfer, The Methodist Hospital System, Houston, TX, at http://www.methodistfacialparalysis.com/temporalis/