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The geniohyoid muscle is innervated by fibres from the first cervical spinal nerve travelling alongside the hypoglossal nerve. [2] [4] [5] Although the first three cervical nerves give rise to the ansa cervicalis, the geniohyoid muscle is said to be innervated by the first cervical nerve, as some of its efferent fibers do not contribute to ansa cervicalis.
The four classical muscles of mastication elevate the mandible (closing the jaw) and move it forward/backward and laterally, facilitating biting and chewing. Other muscles are responsible for opening the jaw, namely the geniohyoid, mylohyoid, and digastric muscles (the lateral pterygoid may play a role).
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The cervical spinal nerve 1 (C1) is a spinal nerve of the cervical segment. [1] C1 carries predominantly motor fibres, but also a small meningeal branch that supplies sensation to parts of the dura around the foramen magnum (via dorsal rami). It originates from the spinal column from above the cervical vertebra 1 (C1). [2]
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The digastric muscle (also digastricus) (named digastric as it has two 'bellies') is a bilaterally paired suprahyoid muscle located under the jaw.Its posterior belly is attached to the mastoid notch of temporal bone, and its anterior belly is attached to the digastric fossa of mandible; the two bellies are united by an intermediate tendon which is held in a loop that attaches to the hyoid bone.
The mylohyoid muscle is flat and triangular, and is situated immediately superior to the anterior belly of the digastric muscle. It is a pharyngeal muscle (derived from the first pharyngeal arch) and classified as one of the suprahyoid muscles. Together, the paired mylohyoid muscles form a muscular floor for the oral cavity of the mouth. [2]
These four muscles have different actions, but in general assist in elevating the hyoid bone and widening the esophagus during swallowing.When the two bellies of the digastric contract, they pull upward on the hyoid bone; but if the hyoid is fixed from below, the digastric assists in extreme opening of the mouth such as yawning or taking a large bite of an apple. [1]
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