
The digastric muscle is a suprahyoid muscle in the neck that connects the mandible, hyoid bone, and temporal bone. It consists of two muscular bellies, the anterior belly and the posterior belly, which are connected via a tendon. The digastric muscle is involved in complex jaw actions such as speaking, swallowing, chewing, and breathing. It pulls the mandible downward to open the jaw and elevates the hyoid bone for stabilization during swallowing. The muscle is supplied by different cranial nerves and has many variations that do not typically produce clinical symptoms.
| Characteristics | Values |
|---|---|
| Location | Neck |
| Number | 2 (a right and left digastric muscle) |
| Parts | Anterior belly and posterior belly |
| Function | Involved in complex jaw actions such as speaking, swallowing, chewing, and breathing |
| Blood supply to the anterior belly | Submental artery |
| Blood supply to the posterior belly | Muscular branches of the posterior auricular artery and occipital branches of the external carotid artery |
| Innervation of the anterior belly | Mylohyoid nerve (a branch of the inferior alveolar nerve, which arises from the mandibular branch of the trigeminal nerve) |
| Innervation of the posterior belly | Digastric branch of the facial nerve |
| Attachments | Mandible, hyoid bone and temporal bone |
| Anterior belly attachments | Digastric fossa of mandible (near the midline) |
| Posterior belly attachments | Mastoid notch of the temporal bone |
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What You'll Learn

The digastric muscle's role in swallowing, chewing, speaking and breathing
The digastric muscle is a suprahyoid muscle in the neck that consists of two muscular bellies: the anterior belly and the posterior belly. These two bellies are connected via a tendon and work together to perform complex jaw actions such as swallowing, chewing, speaking and breathing.
The anterior belly is situated closer to the sub-mandibular salivary gland and is involved in swallowing and speech. It arises from the digastric fossa of the mandible near the midline and runs towards the hyoid bone. The submental artery, a branch of the facial artery, supplies blood to the anterior belly of the digastric. The mylohyoid nerve, a branch of the trigeminal nerve, innervates the anterior belly.
The posterior belly is located posterior to the parotid gland and is particularly involved in swallowing and chewing. It arises from the mastoid notch on the temporal bone and extends towards the intermediate tendon. The muscular branches of the posterior auricular artery and occipital branches of the external carotid artery deliver blood to the posterior belly. The digastric branch of the facial nerve innervates this belly.
The two bellies of the digastric muscle have different embryological origins and are supplied by different cranial nerves. The anterior belly is derived from the first brachial arch, while the posterior belly arises from the second brachial arch. The digastric muscle divides the anterior triangle of the neck into four smaller triangles: the submandibular triangle, the carotid triangle, the submental triangle, and the inferior carotid triangle.
The digastric muscle plays a crucial role in depressing the mandible and elevating the hyoid bone, which is essential for swallowing and stabilising the airway during eating. The muscle's unique morphology, structure, and variations have drawn interest from anatomists, scientists, and physicians, especially in the field of facial reconstructive surgeries.
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The muscle's embryological origins and nerve supply
The digastric muscle is a bilaterally paired suprahyoid muscle located under the jaw. It is comprised of two parts: the anterior belly and the posterior belly, which are united by an intermediate tendon. The two bellies of the digastric muscle have different embryological origins. The anterior belly is derived from the first brachial arch, while the posterior belly arises from the second brachial arch.
The anterior belly of the digastric muscle originates from the digastric fossa of the lower border of the mandible, near the midline close to the mandibular symphysis. It extends postero-inferiorly from its origin toward the intermediate tendon. The anterior belly is associated with the sub-mandibular salivary gland, which is a component of the digastric triangle. The submental artery, a branch of the facial artery, supplies blood to the anterior belly of the digastric muscle. The mylohyoid nerve, a branch of the inferior alveolar nerve, innervates the anterior belly.
The posterior belly of the digastric muscle originates at the medial surface of the mastoid notch of the temporal bone. It travels antero-inferiorly toward the hyoid bone, piercing the stylohyoid muscle before attaching to the intermediate tendon. The posterior belly is situated posterior to the parotid gland. The muscular branches of the posterior auricular artery and occipital branches of the external carotid artery deliver blood to the posterior belly. The posterior belly is innervated by branches of the facial nerve.
The digastric muscle is involved in complex jaw actions such as speaking, swallowing, chewing, and breathing. The anterior belly is one of three suprahyoid muscles that stabilise the hyoid during swallowing, which is an action that protects the airway while eating. The posterior belly is particularly involved in the functions of swallowing and chewing.
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The anterior belly's anatomy and function
The digastric muscle is a suprahyoid muscle in the neck that consists of two muscular bellies: the anterior belly and the posterior belly. The anterior belly of the digastric muscle has several anatomical variations and is involved in various functions, including swallowing, chewing, and speech.
The anterior belly of the digastric muscle originates from the digastric fossa of the mandible, located near the midline at the base of the mandible. It extends postero-inferiorly towards the hyoid bone, connecting to the intermediate tendon. The anterior belly separates the submental triangle from the submandibular triangle in the neck. This region houses important structures such as the submandibular gland, anterior facial vein, submental artery, mylohyoid nerve, and vessels.
The submental artery, a branch of the facial artery, supplies blood to the anterior belly, running between the submandibular gland and the mylohyoid muscle. The mylohyoid nerve, a branch of the trigeminal nerve, innervates the anterior belly. In some cases, both the mylohyoid nerve and the facial nerve may contribute to innervation.
The anterior belly of the digastric muscle plays a crucial role in stabilising the hyoid bone during swallowing, protecting the airway while eating. It also assists in depressing the mandible, allowing for jaw movements during complex actions such as speaking, chewing, and breathing.
The anterior belly of the digastric muscle has a high prevalence of anatomical variations, occurring in up to 65.8% of individuals. These variations may include accessory muscle bellies with different origins and insertions, as well as nerve supply variations. However, these variants have not been associated with any clinical consequences.
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The posterior belly's anatomy and function
The digastric muscle is a small, thin muscle located in the front part of the neck, just below the jaw. As the name suggests, it has two bellies: anterior and posterior, each with distinct attachments and functions. This response will specifically focus on the anatomy and functions of the posterior belly.
The posterior belly of the digastric muscle originates from the mastoid process, a prominent bone landmark located behind the ear on the skull. From its origin at the mastoid process, the muscle fibers of the posterior belly extend inferiorly and anteriorly toward the hyoid bone, forming the posterior portion of the digastric muscle. The posterior belly is thinner and shorter compared to the anterior belly. It runs almost vertically, in contrast to the more horizontal orientation of the anterior belly. The posterior belly ends by converging with the fibers of the anterior belly to form a tendon that attaches to the hyoid bone.
The primary function of the posterior belly of the digastric muscle is associated with the movements of the hyoid bone and the floor of the mouth. When the posterior belly contracts, it pulls the hyoid bone superiorly and anteriorly. This action is crucial for stabilizing and elevating the hyoid bone, which in turn supports and stabilizes the tongue during movements associated with speaking, chewing, and swallowing. Therefore, the posterior belly of the digastric muscle plays a key role in maintaining the position and stability of the hyoid bone, indirectly contributing to articulation and deglutition.
Additionally, the posterior belly of the digastric muscle also has a minor role in depressing the mandible, especially when there is resistance to mouth opening. This action is coordinated with other muscles of mastication and helps in slightly opening the jaw. However, it is important to note that the anterior belly of the digastric muscle has an antagonistic role in this regard, as it elevates the mandible. The coordination between these two bellies and their attachments to the mandible and hyoid bone contribute to the complex movements of the jaw during functions such as chewing and speaking.
In summary, the posterior belly of the digastric muscle, originating from the mastoid process and inserting at the hyoid bone, plays a crucial role in stabilizing and elevating the hyoid bone structure. This action supports tongue movements during speech, chewing, and swallowing. Additionally, it contributes to minor jaw depression movements, working in coordination with the anterior belly for smooth and functional jaw motions. Understanding the anatomy and functions of the posterior belly of the digastric muscle provides valuable insights into the complex mechanics of the neck and oral cavity.
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The muscle's role in facial reconstructive surgeries
The digastric muscle is a small but important muscle in the neck, which has two bellies with different embryological origins and innervations. The anterior belly is derived from the first brachial arch, while the posterior belly is derived from the second brachial arch. The muscle stretches from the mastoid process of the cranium to the mandible and plays a role in jaw movement, swallowing, chewing, and breathing.
The digastric muscle's role in facial reconstructive surgeries is significant. Firstly, it can be used as part of a flap to lower the lip and improve facial expressions for patients with facial nerve injuries. This is particularly useful in managing Marginal Mandibular Branch of Facial Nerve (MMBFN) palsy, a common complication of head and neck surgeries, which results in paralysis of the muscles that depress the inferior lip. By transferring the variant anterior digastric musculature, surgeons can restore movement to the lower lip without affecting normal anatomy. This procedure can also correct asymmetrical muscular bulk in the submental region, improving facial aesthetics.
Secondly, the digastric muscle is important in oral cancer surgeries. The anterior belly of the digastric muscle is included in the submental flap, which is valuable for facial reconstruction. Additionally, attaching the tongue muscle to the intermediate tendon of the digastric muscle can prevent postoperative depression of the tongue, avoiding the need for a tracheostomy.
The digastric muscle also serves as a surgical landmark. The submandibular triangle, formed by the mandible, the anterior belly medially, and the posterior belly laterally, houses important structures such as the submandibular gland, lymph nodes, and nerves. The carotid triangle, bordered by the posterior belly, contains vital arteries. The posterior belly is also a landmark for locating the origin of the superior root of ansa cervicalis, crucial for nerve reconstructive surgery in the neck.
Furthermore, the variations in the digastric muscle are important for surgical planning. Recognizing these variations helps physicians make better treatment decisions and avoid unnecessary surgeries, as some variations can be misinterpreted as metastasized lymph nodes or tumours.
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Frequently asked questions
The digastric muscle is a suprahyoid muscle in the neck that connects the mandible, hyoid bone, and temporal bone. It is involved in jaw actions such as speaking, swallowing, chewing, and breathing.
The digastric muscle consists of two muscular bellies, the anterior belly and the posterior belly, which are connected by an intermediate tendon. The anterior belly arises from the digastric fossa of the mandible, while the posterior belly arises from the mastoid process of the temporal bone.
The digastric muscle pulls the mandible downward to open the jaw and elevates the hyoid bone for stabilization during swallowing. It also plays a role in chewing and speech.
Yes, the digastric muscle has many anatomical variations, especially in the anterior belly. These variations do not produce clinical symptoms but are important for medical evaluations and treatment planning.
The anterior digastric can be examined by palpating the inferior surface of the mandible during swallowing, while the posterior digastric is difficult to palpate due to its depth.






