Depressor labii inferioris muscle

Depressor labii
Depressor labii
	Muscles of the head, face, and neck.
Details
Origin	Oblique line of the mandible, between the symphysis and the mental foramen
Insertion	Integument of the lower lip, orbicularis oris fibers, its fellow of the opposite side
Nerve	Marginal mandibular branch of the facial nerve
Actions	Depression of the lower lip
Antagonist	Orbicularis oris muscle
Identifiers
Latin	musculus depressor labii inferioris
TA98	A04.1.03.033
TA2	2083
FMA	46816
	Anatomical terms of muscle [edit on Wikidata]

The depressor labii inferioris (or quadratus labii inferioris) is a facial muscle. It helps to lower the bottom lip.

Structure

The depressor labii inferioris muscle arises from the lateral surface of the mandible.^[1] This is below the mental foramen, and the origin may be around 3 cm wide.^[1] It inserts on the skin of the lower lip, blending in with the orbicularis oris muscle around 2 cm wide.^[1] At its origin, depressor labii is continuous with the fibers of the platysma muscle. Some yellow fat is intermingled with the fibers.

Nerve supply

The depressor labii inferioris muscle is supplied by the marginal mandibular branch of the facial nerve.^[1]^[2]

Function

The depressor labii inferioris muscle helps to depress and everts the lower lip.^[1] It is the most important of the muscles of the lower lip for this function.^[1] It is an antagonist of the orbicularis oris muscle.^[1] It is needed to expose the mandibular (lower) teeth during smiling.^[1]

Clinical significance

Resection

The depressor labii inferioris muscle may be resected (cut and removed) using surgery to correct an asymmetry of the lower lip when smiling.^[1] This asymmetry can be caused by paralysis of the marginal mandibular branch of the facial nerve on one side, so the healthy side may be cut to create symmetry.^[1] Local anaesthesia may be used, such as by blocking the mental nerve.^[1] This operation tends to be successful.^[1]

History

The depressor labii inferioris muscle has also (mainly historically) been called the quadratus labii inferioris muscle.^[1] Note that in the 1918 edition of Gray's Anatomy illustration used here that its abbreviation is "Quad. labii inf." (sic).

Additional images

Position of depressor labii inferioris muscle (red).
Mandible. Outer surface. Side view.

References

This article incorporates text in the public domain from page 383 of the 20th edition of Gray's Anatomy (1918)

^ ^a ^b ^c ^d ^e ^f ^g ^h ⁱ ^j ^k ^l ^m Hussain, G; Manktelow, R.T; Tomat, L.R (September 2004). "Depressor labii inferioris resection: an effective treatment for marginal mandibular nerve paralysis". British Journal of Plastic Surgery. 57 (6): 502–510. doi:10.1016/j.bjps.2004.04.003. ISSN 0007-1226 – via ScienceDirect.
^ Tapiwa Mabvuure, Nigel; Pinto-Lopes, Rui; Bolton, Lauren; Tzafetta, Kallirroi (August 2021). "Lower lip depressor reanimation using anterior belly of digastric muscle transfer improves psychological wellbeing in facial palsy patients". British Journal of Oral and Maxillofacial Surgery. doi:10.1016/j.bjoms.2021.07.025. ISSN 0266-4356.

[:0-1] ^ ^a ^b ^c ^d ^e ^f ^g ^h ⁱ ^j ^k ^l ^m Hussain, G; Manktelow, R.T; Tomat, L.R (September 2004). "Depressor labii inferioris resection: an effective treatment for marginal mandibular nerve paralysis". British Journal of Plastic Surgery. 57 (6): 502–510. doi:10.1016/j.bjps.2004.04.003. ISSN 0007-1226 – via ScienceDirect.

[2] Tapiwa Mabvuure, Nigel; Pinto-Lopes, Rui; Bolton, Lauren; Tzafetta, Kallirroi (August 2021). "Lower lip depressor reanimation using anterior belly of digastric muscle transfer improves psychological wellbeing in facial palsy patients". British Journal of Oral and Maxillofacial Surgery. doi:10.1016/j.bjoms.2021.07.025. ISSN 0266-4356.

[1]

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