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# Temporalis

The temporalis is a fan-shaped muscle on the side of the head under the temple; it closes the jaw and pulls it back.

Official name: Temporalis muscle

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## What it is

A fan-shaped muscle on the side of the head, under the temple.

## What it does

Closes the jaw and pulls it back.

## Key points

- Fan-shaped: front fibres run vertically and close the jaw, back fibres run almost horizontally and pull the jaw back
- The pterion lies under its upper part, with the [middle meningeal artery](https://durgical.com/en/anatomy/middle-meningeal-artery/) beneath
- A common source of temple pain: tender, tight temporalis is part of tension-type headache and temporomandibular disorders

## Key facts

**Origin**
Temporal fossa and temporal fascia

**Insertion**
Coronoid process and anterior ramus of the [mandible](https://durgical.com/en/anatomy/mandible/)

**Action**
Elevates the mandible; posterior fibres retract it

**Nerve**
Deep temporal nerves (V3)

**Blood supply**
Deep temporal arteries ([maxillary artery](https://durgical.com/en/anatomy/maxillary-artery/)), middle temporal artery

## Relations

**Superficial**
The temporal fascia, then the temporoparietal fascia with the [superficial temporal artery](https://durgical.com/en/anatomy/superficial-temporal-artery/) and auriculotemporal nerve, and the temporal branch of the [facial nerve](https://durgical.com/en/anatomy/facial-nerve/)

**Deep**
Temporal fossa ([frontal bone](https://durgical.com/en/anatomy/frontal-bone/), [parietal bones](https://durgical.com/en/anatomy/parietal-bone/), greater wing of the [sphenoid bone](https://durgical.com/en/anatomy/sphenoid-bone/), squamous [temporal bone](https://durgical.com/en/anatomy/temporal-bone/)) with the [pterion](https://durgical.com/en/anatomy/pterion/); deep temporal vessels and nerves

**Below**
Passes deep to the zygomatic arch to the coronoid process; below, the [lateral pterygoid](https://durgical.com/en/anatomy/superior-head-of-lateral-pterygoid-muscle/) and buccal fat pad in the infratemporal fossa

**Above**
Inferior temporal line, where its fibres begin

## How to find it

With the fingertips on the temple above the zygomatic arch, the person clenches the teeth and the muscle hardens; its tendon can be felt on the coronoid process inside the mouth, along the front of the ramus.

## Examination

- Clenching while both temples are palpated: loss of bulk or tightening on one side points to the mandibular nerve on that side
- Palpation of the muscle and its tendon for tender points in jaw pain and temporal headache

## On imaging

CT and MRI show it filling the temporal fossa, deep to the temporal fascia, and narrowing to its tendon on the coronoid process. Contrast CT or MRI show a masticator space abscess spreading upward under the fascia, its suprazygomatic part. MRI shows wasting and fatty change after a mandibular nerve lesion. In trauma, CT shows the zygomatic arch, which it passes under, and coronoid fractures.

## Clinical notes

- Hollowing of the temple after a pterional craniotomy comes from atrophy or retraction of the temporalis and loss of the fat pad
- The temporalis can be moved as a flap to fill the orbit or cover skull-base defects, and its tendon lengthened onto the lip for smile reanimation
- A fractured coronoid process is pulled up by the temporalis; coronoid enlargement can block mouth opening against the zygoma
- Jaw claudication and temporal tenderness in an older person raise concern for giant cell arteritis

## Development

First pharyngeal arch muscle, supplied by the deep temporal nerves of V3.

## Related conditions

- [Tension-type headache](https://durgical.com/en/conditions/tension-type-headache/)
- [Malnutrition and unintentional weight loss in older adults](https://durgical.com/en/conditions/malnutrition-and-unintentional-weight-loss-in-older-adults/)
- [Myotonic dystrophy (types 1 and 2)](https://durgical.com/en/conditions/myotonic-dystrophy/)

## Test yourself

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

## What do the front and back fibres of the temporalis do?

Front fibres run vertically and close the jaw; back fibres run almost horizontally and pull the jaw back.

## Which landmark and artery lie under the upper part of the temporalis?

The pterion, with the middle meningeal artery beneath.

## Where does the temporalis insert, and what nerve supplies it?

On the coronoid process and anterior ramus of the mandible; deep temporal nerves (V3).

## Why can the temple look hollow after a pterional craniotomy?

From atrophy or retraction of the temporalis and loss of the fat pad.

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

## Its names

**Official Latin (TA2)**
musculus temporalis TA2 2108

**Official Spanish (DeCS)**
Músculo Temporal DeCS D013703

**English (TA2)**
Temporalis muscle

**Also called**
temporal muscle

## Related

- [V3 mandibular](https://durgical.com/en/anatomy/anterior-division-of-mandibular-nerve/)
- [Superficial temporal artery](https://durgical.com/en/anatomy/superficial-temporal-artery/)
- [Maxillary artery](https://durgical.com/en/anatomy/maxillary-artery/)

Sources: Terminologia Anatomica (TA2); [DeCS](https://decs.bvsalud.org/es/ths/resource/?id=14081&filter=ths_termall&q=Temporal%20Muscle); [Anatomy, Head and Neck, Mastication Muscles](https://www.ncbi.nlm.nih.gov/books/NBK541027/); [Anatomy, Head and Neck, Temporal Region](https://www.ncbi.nlm.nih.gov/books/NBK482497/).

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Representative model, for educational purposes only.

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Source: https://durgical.com/en/anatomy/temporalis-muscle/
License: CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). Cite as: DurgiPedia (durgical.com), https://durgical.com/en/anatomy/temporalis-muscle/
