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Chapter 372
The Auricular Muscles
The auricular muscles may be subdivided into two sets, viz., (a) extrinsic muscles, which arise on the head and adjacent part of the neck, and move the external ear as a whole, and (b) intrinsic muscles, which are confined to the auricula. In this connection the scutiform cartilage may be regarded as a sesamoid cartilage intercalated in the course of some of the muscles.
The extrinsic muscles are as follows:
1. The scutularis is a thin muscular sheet situated subcutaneously over the temporalis muscle. Its fibers arise from the zygomatic arch and the frontal and sagittal crests, and converge to the scutiform cartilage. It consists of three parts.
(a) The fronto-scutularis comprises temporal and frontal parts, which arise from the zygomatic arch and the frontal crest, and are inserted into the outer and anterior borders of the scutiform cartilage respectively.
(b) The interscutularis arises from the sagittal crest, over which it is in part continuous with the muscle of the opposite side. Its fibers converge to the inner border of the scutiform cartilage.
(c) The cervico-scutularis is not well defined from the preceding muscle. It arises from the occipital crest and is inserted into the inner border of the scutiform cartilage.
2. The anterior auricular muscles (Mm. auriculares nasales) are four in number.
(a) The zygomatico-auricularis arises from the zygomatic arch and the parotid fascia, and is inserted into the outer face of the base of the conchal cartilage under cover of the parotido-auricularis.
(b) The scutulo-auricularis superficialis inferior arises on the outer part of the superficial face of the scutiform cartilage and ends on the base of the conchal cartilage with the preceding muscle.
(c) The scutulo-auricularis superficialis medius arises from the posterior part of the deep surface of the scutiform cartilage and is inserted into the dorsum of the conchal cartilage, close to the lower part of its anterior border and above and behind the preceding muscle. It receives a slip from the cervico-scutularis.
(d) The scutulo-auricularis superficialis superior is a thin slip which is detached from the interscutularis over the inner border of the scutiform cartilage. It ends on the anterior aspect of the lower part of the dorsum of the conchal cartilage.
3. The superior auricular muscles (Mm. auriculares dorsales) are two in number.
(a) The scutulo-auricularis superficialis accessorius is a narrow band which is largely covered by the preceding muscle. It arises from the posterior prolongation and the adjacent part of the superficial face of the scutiform cartilage, and is inserted into the convex surface of the conchal cartilage internal to the preceding muscle, the two crossing each other at an acute angle.
(b) The parieto-auricularis is flat and triangular; it arises from the sagittal crest under cover of the cervico-scutularis, runs outward and a little backward, and is inserted by a flat tendon into the lower part of the convex surface of the concha under cover of the cervico-auricularis superficialis.
4. The posterior auricular muscles (Mm. auriculares caudales) are three in number.
(a) The cervico-auricularis superficialis is a thin triangular sheet. It is wide at its origin from the occipital crest and the adjacent part of the ligamentum nuchæ, and becomes narrower as it passes outward to be inserted into the inner side of the convex surface of the concha.
(b) The cervico-auricularis profundus major arises from the ligamentum nuchæ, partly beneath and partly behind the preceding muscle. It is directed outward and is inserted into the postero-external aspect of the base of the ear, partly under cover of the parotido-auricularis.
(c) The cervico-auricularis profundus minor arises under the preceding muscle and passes downward and outward to be inserted into the lowest part of the convex surface of the concha, partly under cover of the parotid gland.
5. The parotido-auricularis (s. M. auricularis inferior) is a ribbon-like muscle which lies on the parotid gland. It is thin and wide at its origin from the fascia on the lower part of the parotid gland and becomes somewhat narrower and thicker as it passes upward. It is inserted into the conchal cartilage just below the angle of junction of its borders.
6. The deep auricular or rotator muscles (M. auriculares profundis, rotatores auriculæ), two in number, are situated under the scutiform cartilage and the base of the concha and cross each other.
(a) The scutulo-auricularis profundus major is the strongest of the auricular muscles. It is flat and is about an inch wide. It arises from the deep face of the scutiform cartilage and passes backward to end on and below the most prominent part of the base of the concha (eminentia conchæ).
(b) The scutulo-auricularis profundus minor lies between the base of the concha and the preceding muscle, and is best seen when the latter is cut and reflected. It is flat and about an inch in length. It arises from the posterior part of the deep face of the scutiform cartilage and from the cervico-scutularis, and passes downward, backward, and outward to be inserted into the base of the concha under cover of the preceding muscle.
7. The tragicus or mastoido-auricularis is a small muscle which arises from the temporal bone just behind the external auditory process and from the annular cartilage; it passes upward to be inserted into the lower part of the anterior border of the conchal cartilage.
The intrinsic muscles are very small and of little importance. They are as follows:
1. The antitragicus consists of a few bundles which are attached to the conchal cartilage behind the junction of its two borders, and are partially blended with the insertion of the parotido-auricularis.
2. The helicis is a small muscle attached in a position opposite to the preceding on the anterior border of the conchal cartilage; it extends also into the depression between the two divisions of the border. It is in part continuous with the insertion of the parotido-auricularis.
3. The verticalis auriculæ is a thin stratum of muscular and tendinous fibers which extends upward on the posterior surface of the concha from the eminentia conchæ.
Actions.—The base of the concha is rounded and rests in a pad of fat (Corpus adiposum auriculæ), so that the movements of the external ear resemble those of a ball-and-socket joint. It is noticeable that movements about the longitudinal and transverse axes are accompanied by rotation. When the ear is vertical or drawn forward (“pricked up”), the opening is usually directed forward; conversely, when the ears are “laid back,” the opening faces backward. These movements evidently result from the coördinated actions of several muscles which are very complex and cannot be discussed in detail here. The scutularis acting as a whole fixes the scutiform cartilage, so that the muscles which arise on the latter act efficiently on the concha. The anterior auricular muscles in general erect the ear and turn the opening forward. The interscutularis concurs in this action, causing adduction and a symmetrical position of the ears; it also acts directly on the conchal cartilage, since the scutulo-auricularis superficialis superior is in reality a conchal insertion of the interscutularis. The scutulo-auricularis superficialis accessorius draws the concha forward and turns the opening outward. The parieto-auricularis adducts the concha and inclines it forward. The cervico-auricularis superficialis is chiefly an adductor of the conchal cartilage, and directs the opening outward. The cervico-auricularis profundus major turns the opening outward and, acting with the parotido-auricularis, inclines the ear toward the poll. The cervico-auricularis profundus minor tends to direct the opening downward and outward. The parotido-auricularis draws the ear downward and backward, and acts with the cervico-auricularis profundus major in “laying back the ears”; the deep auricular muscles concur in these actions. The tragicus shortens the external auditory canal. The actions of the intrinsic muscles are inappreciable.
The arteries of the external ear are derived from the anterior auricular branch of the superficial temporal, the posterior or great auricular branch of the internal maxillary, and the anterior branch of the occipital artery.
The motor nerves to the muscles come from the auricular and auriculo-palpebral branches of the facial nerve and from the first and second cervical nerves. The sensory nerves are supplied by the superficial temporal branch of the mandibular nerve and the auricular branch of the vagus.