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Risorius !

The risorius is a thin strip of facial muscle from the cheek to the corner of the mouth; it pulls the mouth corner sideways.

Official name: Risorius muscle

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What it is

A thin strip from the cheek to the mouth corner.

What it does

Pulls the mouth corner sideways.

Key facts

Origin
Parotid/masseteric fascia
Insertion
Angle of the mouth
Action
Pulls the mouth corner sideways
Nerve
Facial nerve (CN VII): buccal branches
Blood supply
Facial artery branches

Relations

Superficial
Skin and subcutaneous fat of the cheek
Deep
Masseteric and parotid fascia, the masseter, and further forward the buccinator; the facial artery and vein pass deep to it
Medial
Modiolus at the angle of the mouth
Below
Platysma, whose upper fibres often merge with it

How to find it

Asked to pull the mouth corners straight sideways (a tight, closed-lip grin), a thin horizontal band tightens across the cheek toward the mouth corner.

Examination

  • Grinning with the lips closed: the mouth corner does not pull back on the weak side (buccal branch of the facial nerve)

On imaging

Usually not identified on imaging: it is thin, variable and often blends with the platysma and the parotid fascia. Ultrasound or MRI of the cheek may show it as a fine superficial band over the masseter. Imaging of this area is aimed at the parotid gland and masseter beneath it; for a weak smile, MRI follows the course of the facial nerve.

Clinical notes

  • Risus sardonicus, the fixed grin of tetanus, is named after it, though it reflects spasm of many facial muscles
  • Botulinum toxin injection into the masseter can spread to it and the zygomaticus major, giving an uneven smile

Anatomical variants

  • Absent, poorly developed or doubled in many people; it may arise from the platysma rather than the fascia

Development

Second pharyngeal arch muscle; the incomplete splitting of this arch's muscle sheet helps explain why it is so variable and may blend with the platysma.

Memory aid

Risorius, from the Latin risus (laughter): it pulls the mouth corner sideways, as in a grin.

Test yourself

Think of the answer, then tap the question to see it.

What is the action and nerve supply of the risorius?

It pulls the mouth corner sideways; supplied by the buccal branches of the facial nerve.

Which tetanus sign is named after the risorius?

Risus sardonicus, the fixed grin of tetanus, although it reflects spasm of many facial muscles.

Why is the risorius often hard to identify?

It is the most variable facial muscle: thin, sometimes absent or doubled, and may arise from the platysma.

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Educational information, not medical advice. For any symptom, see a health professional.

Its names

Official Latin (TA2)
musculus risorius TA2 2078
Official Spanish (DeCS)
Músculo risorio
English (TA2)
Risorius muscle
Also called
muscle of Albinus · Santorini's muscle

Sources: Terminologia Anatomica (TA2); Anatomy, Head and Neck, Risorius Muscle; Anatomy of the Human Body (20th ed.): Development of the Muscles (Lea & Febiger (Gray's Anatomy, 1918), 1918) · adapted, Public domain.

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Representative model, for educational purposes only.

Risorius highlighted on the Durgical 3D model