Abstract
ObjectivesThe incisivus labii superioris muscle, which originates from the floor of the incisive fossa of the maxilla, has previously been described, it is not well understood. The purpose of this study was to investigate the incisivus labii superioris muscle with detailed dissection.MethodsTwenty-six halves from thirteen fresh frozen cadaveric Caucasian heads were used in this study. First, the incisivus labii superioris muscle was dissected to reveal its origin and insertion, and its relationship to other mimetic muscles. Secondly, the distance from the midline to the innermost part of the bony attachment of the muscle was measured. The literature describing the incisivus labii superioris muscle was reviewed.ResultsThe incisivus labii superioris muscle consisted of two parts, inferior and superior. The former merged into the orbicularis oris and the latter into the nasalis. The mean distance from the midline to the innermost part of the bony attachment of the incisivus labii superioris muscle was 4.8 ± 1.7 mm on the right side and 4.9 ±1.7 mm on the left.ConclusionsThe results of the present study suggest that the inferior part of the incisivus labii superioris should be considered as an accessory muscle of the orbicularis oris complex, and the superior part is the nasalis muscle.
Highlights
The upper lip, except for the corner of the mouth, mainly consists of three kinds of mimetic muscle: the orbicularis oris (OO) in the upper lip, the levator labii superioris (LLS), and the levator labii superioris alaeque nasi (LLSAN)
The incisivus labii superioris muscle, which originates from the floor of the incisive fossa of the maxilla, has previously been described, it is not well understood
The incisivus labii superioris muscle consisted of two parts, inferior and superior
Summary
The upper lip, except for the corner of the mouth, mainly consists of three kinds of mimetic muscle: the orbicularis oris (OO) in the upper lip, the levator labii superioris (LLS), and the levator labii superioris alaeque nasi (LLSAN). We found bilateral muscle fibers originating from the maxillary bone and traveling vertically to the OO (Figure 1). An incisivus labii superioris muscle (ILS) has been described, originating from the floor of the incisive fossa of the maxilla and running lateral and parallel to the OO [1]. Others have mentioned that the OO in the upper lip has a bony attachment above the upper incisor [2], or a bony attachment in the anterior midline of the maxilla [3]. Some literature depicted this muscle [4] (Figure 2). 2017 Iwanaga et al Cureus 9(9): e1689.
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