DOI QR코드

DOI QR Code

Variant muscle fibers connecting the orbicularis oculi to the orbicularis oris: case report

  • Norio Kitagawa (Oral Medicine Research Center) ;
  • Joe Iwanaga (Department of Oral and Maxillofacial Anatomy, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University) ;
  • R.Shane Tubbs (Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine) ;
  • Hongtae Kim (Department of Anatomy, Daegu Catholic University School of Medicine) ;
  • Yong-Suk Moon (Department of Anatomy, Daegu Catholic University School of Medicine) ;
  • Mi-Sun Hur (Department of Anatomy, Daegu Catholic University School of Medicine)
  • Received : 2022.05.26
  • Accepted : 2022.06.16
  • Published : 2022.12.31

Abstract

The orbicularis oculi (OOc) is a sphincteric muscle of the eyelids, whereas contraction of the orbicularis oris (OOr), another sphincteric muscle, causes narrowing of the lips. Facial muscle fibers normally blend with adjacent muscles. However, muscle fibers connecting the various facial muscles that have different actions and that are located at distant sites, such as the OOc and the OOr have been rarely reported. Herein, we report a rare case of connecting fibers between the inferior margin of the OOc and the OOr. These connecting fibers were blended with the OOr between the inserting fibers of the levator labii superioris and levator anguli oris. Contraction of such variant muscles might affect typical facial expressions.

Keywords

Acknowledgement

The authors sincerely thank those who donated their bodies to science so that anatomical research could be performed. Results from such research can potentially increase mankind's overall knowledge that can then improve patient care. Therefore, these donors and their families deserve our highest gratitude [15]. This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (No. 2020R1C1C1003237).

References

  1. Standring S. Gray's anatomy: the anatomical basis of clinical practice. 42nd ed. London: Elsevier; 2020.
  2. Choi DY, Hur MS, Youn KH, Kim J, Kim HJ, Kim SS. Clinical anatomic considerations of the zygomaticus minor muscle based on the morphology and insertion pattern. Dermatol Surg 2014;40:858-63.
  3. Hur MS, Youn KH, Kim HJ. New insight regarding the zygomaticus minor as related to cosmetic facial injections. Clin Anat 2018;31:974-80.
  4. Hur MS, O J, Yang HM, Kwon HJ, Lee S, Lim HS, Lim SY, Oh CS. Heights and spatial relationships of the facial muscles acting on the nasolabial fold by dissection and three-dimensional microcomputed tomography. PLoS One 2020;15:e0237043.
  5. Iwanaga J, Singh V, Takeda S, Ogeng'o J, Kim HJ, Morys J, Ravi KS, Ribatti D, Trainor PA, Sanudo JR, Apaydin N, Sharma A, Smith HF, Walocha JA, Hegazy AMS, Duparc F, Paulsen F, Del Sol M, Adds P, Louryan S, Fazan VPS, Boddeti RK, Tubbs RS. Standardized statement for the ethical use of human cadaveric tissues in anatomy research papers: recommendations from Anatomical Journal Editors-in-Chief. Clin Anat 2022;35:526-8.
  6. Hollinshead WH. Anatomy for surgeons: Vol. 1. The head and neck. 3rd ed. New York: Harper & Row; 1982.
  7. Iwanaga J, Hur MS, Kikuta S, Ibaragi S, Tubbs RS. Extended crossing fibers of the mentalis muscle attaching to the contralateral mandible. Anat Cell Biol 2021;54:522-4.
  8. Hur MS, Lee S, Jung HS, Schneider RA. Anatomical connections among the depressor supercilii, levator labii superioris alaeque nasi, and inferior fibers of orbicularis oculi: implications for variation in human facial expressions. PLoS One 2022;17:e0264148.
  9. Woodburne RT, Burkel WE. Essentials of human anatomy. 9th ed. New York: Oxford University Press; 1994.
  10. Pessa JE, Brown F. Independent effect of various facial mimetic muscles on the nasolabial fold. Aesthetic Plast Surg 1992;16:167-71.
  11. Snider CC, Amalfi AN, Hutchinson LE, Sommer NZ. New insights into the anatomy of the midface musculature and its implications on the nasolabial fold. Aesthetic Plast Surg 2017;41:1083-90.
  12. Kwon HJ, O J, Cho TH, Choi YJ, Yang HM. The nasolabial fold: a micro-computed tomography study. Plast Reconstr Surg 2020;145:71-9.
  13. Morris H. Human anatomy: a complete systematic treatise. 10th ed. Philadelphia: Blakiston; 1947.
  14. Sinnatamby CS. Last's anatomy: regional and applied. 12th ed. New York: Churchill Livingstone/Elsevier; 2011.
  15. Iwanaga J, Singh V, Ohtsuka A, Hwang Y, Kim HJ, Morys J, Ravi KS, Ribatti D, Trainor PA, Sanudo JR, Apaydin N, Sengul G, Albertine KH, Walocha JA, Loukas M, Duparc F, Paulsen F, Del Sol M, Adds P, Hegazy A, Tubbs RS. Acknowledging the use of human cadaveric tissues in research papers: recommendations from Anatomical Journal Editors. Clin Anat 2021;34:2-4.