
The mastoid process is a bony projection on the temporal bone, located behind the ears on each side of the skull. It is the attachment point for several muscles, including the sternocleidomastoid (SCM) muscle, which is a two-headed neck muscle that plays a crucial role in neck movement and posture. The SCM muscle originates from the upper edge of the sternum and the clavicle, and its contraction results in the rotation of the head to the opposite side, flexion of the neck, and assistance in breathing.
| Characteristics | Values |
|---|---|
| Muscle Name | Sternocleidomastoid (SCM) |
| Muscle Type | Two-headed neck muscle |
| Muscle Function | Rotates the head to the opposite side, flexes the neck, acts as an accessory muscle of respiration |
| Innervation | Accessory nerve (cranial nerve XI), direct branches of the cervical plexus (C2-C3) |
| Blood Supply | Superior thyroid artery, a branch of the external carotid artery |
| Attachments | Sternum, clavicle, mastoid process of the temporal bone |
| Clinical Relevance | Involved in conditions such as torticollis or wry neck, congenital neck hernias, and used in surgical repairs |
| Anatomical Landmark | Divides the neck into anterior and posterior triangles |
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What You'll Learn
- The mastoid process is a bony projection on the temporal bone
- Sternocleidomastoid muscle attaches to the mastoid process
- The mastoid process is an attachment point for muscles that move the head and neck
- The mastoid process contains the occipital artery
- The mastoid process is located at the base of the temporal bones on each side of the skull

The mastoid process is a bony projection on the temporal bone
The sternocleidomastoid muscle, or SCM, is a two-headed neck muscle that originates from the manubrium of the sternum and the clavicle. It inserts into the lateral surface of the mastoid process and the lateral half of the superior nuchal line of the occipital bone. The function of the SCM is to rotate the head to the opposite side and flex the neck. When both sides of the muscle act together, it flexes the neck and extends the head.
The mastoid process has a rough outer surface that gives attachment to the occipitalis and posterior auricular muscles. It is perforated by numerous foramina or holes, such as the mastoid foramen, which transmits a vein to the transverse sinus. The mastoid process also contains air-filled spaces called mastoid air cells, which communicate with the middle ear via the mastoid antrum. The mastoid antrum is an irregular cavity within the mastoid part of the temporal bone and is lined by a prolongation of the mucous membrane of the tympanic cavity.
The mastoid process is typically absent or rudimentary in the neonatal skull and starts to develop after one year of age as the sternocleidomastoid muscle pulls on the bone. It usually finishes structural development by two years of age. The size and form of the mastoid process can vary, with the largest size found in South Africans and the smallest in North American Indians.
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Sternocleidomastoid muscle attaches to the mastoid process
The sternocleidomastoid muscle is a two-headed neck muscle that bears attachments to the manubrium of the sternum (sterno-), the clavicle (-cleido-), and the mastoid process of the temporal bone (-mastoid). It is a long, bilateral muscle of the neck that functions to flex the neck both laterally and anteriorly, as well as rotate the head contralaterally to the side of contraction. The sternal head originates from the manubrium of the sternum, while the clavicular head originates from the medial third of the clavicle. The two heads join into one muscle belly that goes on to insert on the lateral surface of the mastoid process of the temporal bone.
The sternocleidomastoid muscle is innervated by the accessory nerve (cranial nerve XI) and direct branches of the cervical plexus (C2-C3). Blood supply to the sternocleidomastoid muscle is through the superior thyroid artery, which is a branch of the external carotid artery. The muscle lies very superficially so that it is both easily visible and palpable. The carotid pulse may be felt in the middle third of the front edge.
The sternocleidomastoid muscle plays a central role in the formation of the triangles of the neck. The triangle formed by the clavicle and the sternal and clavicular heads of the sternocleidomastoid muscle is used as a landmark in identifying the correct location for central venous catheterization. When putting a central venous catheter (CVC), the medial edge of the sternocleidomastoid muscle serves as a lead structure.
Contraction of the sternocleidomastoid muscle gives rise to a condition called torticollis or wry neck, which can have a variety of causes, including rheumatic, reflex, or congenital issues. Treatment for torticollis involves physiotherapy exercises to stretch the involved muscle and strengthen the muscle on the opposite side of the neck.
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The mastoid process is an attachment point for muscles that move the head and neck
The mastoid process is a pointed bony projection that can be found at the base of the mastoid part of the temporal bones. These bones are located on each side of the skull, behind the ears. The mastoid process is an attachment point for several muscles, including the sternocleidomastoid muscle, which is a key muscle for neck function and movement.
The sternocleidomastoid muscle is a two-headed neck muscle that originates from the upper edge of the sternal manubrium and the medial quarter of the upper face of the clavicle. The two heads merge into a single muscle belly that inserts on the lateral surface of the mastoid process of the temporal bone. This muscle is responsible for rotating the head to the opposite side of the muscle's location and flexing the neck. For example, contraction of the right sternocleidomastoid muscle rotates the head to the left.
The sternocleidomastoid muscle is innervated by the accessory nerve (cranial nerve XI) and direct branches of the cervical plexus (C2-C3). It receives its blood supply from the superior thyroid artery, a branch of the external carotid artery. The muscle is closely related to neurovascular structures passing through the neck towards the head or the periphery of the body.
Contraction of the sternocleidomastoid muscle can result in a condition called torticollis or wry neck, characterised by a tilted head appearance. This condition can be treated with physical therapy exercises to stretch and strengthen the affected muscle. The sternocleidomastoid muscle also plays a role in breathing, assisting in inspiratory movements by lifting the sternum and clavicle, thereby expanding the thoracic cavity.
In summary, the mastoid process serves as an attachment point for muscles like the sternocleidomastoid, which is crucial for head and neck movements, including rotation and flexion. The muscle's contraction can lead to conditions like torticollis, and it also contributes to respiratory functions by aiding in inspiratory movements.
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The mastoid process contains the occipital artery
The mastoid process is a pyramidal bony projection of the temporal bone at the posterior base of the skull. It is located behind and below the ear and serves as the insertion site for many muscles in the head and neck region, including the sternocleidomastoid muscle. The mastoid process has a rough outer surface that gives attachment to the occipitalis and posterior auricular muscles. It also provides origin to the occipital belly of the occipitofrontalis muscle, which covers the skull from the superior nuchal line to the mastoid process.
The sternocleidomastoid muscle is a two-headed neck muscle that is named after its attachments to the manubrium of the sternum, the clavicle, and the mastoid process of the temporal bone. This muscle plays a crucial role in neck movements and respiration. It is responsible for flexing the neck both laterally and anteriorly, as well as rotating the head to the opposite side. The muscle is closely associated with neurovascular structures, including the occipital artery, which passes through the mastoid process.
The occipital artery traverses the occipital groove, which is a shallow furrow located medial to the mastoid notch on the inner portion of the mastoid process. The mastoid notch, in turn, serves as the attachment site for the digastric muscle. The occipital artery runs posteriorly, parallel and deep to the posterior belly of the digastric muscle, and continues towards the external occipital protuberance before ascending into the scalp.
The mastoid process also contains air-filled spaces called mastoid air cells, which vary in size and number. These air cells can become infected, leading to symptoms such as tenderness, fever, swelling, and earaches. The mastoid process is typically underdeveloped at birth, and its structural development usually occurs during the first two years of life.
In summary, the mastoid process, located at the posterior base of the skull, serves as an attachment site for various muscles, including the sternocleidomastoid muscle. It contains the occipital artery, which runs through the occipital groove, and houses air-filled mastoid air cells. The mastoid process plays a significant role in neck movements and respiration due to its association with the sternocleidomastoid muscle.
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The mastoid process is located at the base of the temporal bones on each side of the skull
The mastoid process is an important attachment point for several muscles, including the sternocleidomastoid muscle. This muscle is a two-headed neck muscle that gets its name from its attachments to the manubrium of the sternum, the clavicle, and the mastoid process of the temporal bone. It is a long, bilateral muscle that helps with neck flexion and head rotation. The muscle is easily visible and palpable, and it plays a crucial role in the formation of the triangles of the neck.
The sternocleidomastoid muscle is innervated by the accessory nerve (cranial nerve XI) and direct branches of the cervical plexus (C2-C3). Its function is to rotate the head to the opposite side or obliquely rotate the head. It also flexes the neck. When both sides of the muscle work together, they flex the neck and extend the head. When one side acts alone, it causes the head to rotate to the opposite side and flexes laterally to the same side.
The mastoid process and the attached sternocleidomastoid muscle can be involved in certain medical conditions. For example, tightness in the sternocleidomastoid muscle can cause pain in the mastoid process due to a muscle strain or a condition called acquired torticollis in children or cervical dystonia in adults. The mastoid process itself can be affected by mastoiditis, a rare complication that usually stems from an ear infection and is more common in children.
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Frequently asked questions
The mastoid muscle is part of the sternocleidomastoid (SCM) muscle, which is located in the neck.
The SCM muscle helps with head rotation, head tilt, and pointing the chin towards the breastbone. It also assists in breathing, maintaining neck posture, and helping the temporomandibular joint (TMJ) function.
The mastoid process is a bony projection on the temporal bone, located behind the ears on each side of the skull. It provides an attachment point for several muscles, including the SCM.











































