Kazuharu Mine

Communication between the buccal nerve (V) and facial nerve (VII) in the human face

Terminal arrangements of communicating branches between the buccal nerve (V) and the facial nerve (VII) have yet to be precisely determined. To clarify distributions and relationships to facial muscles, detailed morphological examination of the two nerves was performed in the buccal region. The facial skin and underlying tissues of three cadavers were removed en bloc from the surface of the skulls and dissected from outside and inside. Arrangements of the facial muscles, nerves, and associated structures were observed. In all specimens, the communicating buccal nerve (CBN) was detected, largely covering the buccal region. The CBN gave off multidirectional twigs around the facial vein, some of which reached the anterior part of the zygomaticus major muscle. Several twigs of the CBN joined proximally with the zygomatic and buccal branches of the facial nerve. Ramified junctions that interconnected the lower zygomatic and upper buccal branches of the facial nerve were observed near sites where the CBN joined. Anterior twigs of the CBN supplied the longitudinal area lateral to the mouth, where many muscles converged. This study presents a precise morphological pattern of the CBN, suggesting functional contribution of the CBN to control of orofacial movements.

Morphological study of the human chondroglossus muscle in Japanese

The chondroglossus muscle was macroscopically studied to clarify its fundamental morphology. This muscle was present in all of the 100 tongue halves examined in Japanese cadavers. In 14% of the specimens, however, the muscular fibers were sparse and vestigial. Originating mainly from the medial side of the lesser cornu of the hyoid bone, the chondroglossus muscle passed upward to penetrate the inferior longitudinal muscle of the tongue, and immediately entered the genioglossus muscle. Ascending inside the genioglossus muscle, its bundles spread, taking a broom head or a fan-like shape. Thereafter it reached the submucosal layer in the root of the tongue, changed the direction from upward to forward, and terminated diffusely, never going past the sulcus terminalis. The origin, course, and spreading manner of the chondroglossus muscle were quite different from those of the hyoglossus muscle. The nerve fiber supplying the chondroglossus muscle was a ramus from the first lateral branch of the hypoglossal nerve. It should be considered a separate extrinsic lingual muscle independent of the hyoglossus muscle, although they have a phylogenetically close relationship.