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Investigating the Contraction Pattern of the Zygomaticus Major Muscle and its Clinical Relevance: A Functional MRI Study

A Functional MRI Study
Authors: Daniel J. Rams; Michael Alfertshofer; Jakub Batko; Robert H. Gotkin; Galen Perdikis; Elżbieta Szczepanek; Andrzej Urbanik; +3 Authors

Investigating the Contraction Pattern of the Zygomaticus Major Muscle and its Clinical Relevance: A Functional MRI Study

Abstract

Abstract Background Our understanding of facial anatomy has significantly evolved, yet the detailed contraction patterns of facial muscles and their presentation during clinical imaging remain largely unexplored. Understanding the contraction patterns and visual presentation of these muscles, particularly the zygomaticus major could enhance pre-surgical facial assessments and the development of new treatment strategies. Methods A total of 34 healthy young individuals (17 female, 17 male) with a mean age of 23.6 (2.4) years [range: 20–30] were investigated regarding the length, thickness, width, and angle of the zygomaticus major muscle in five different facial expressions (i.e., repose, anger, joy, surprise, and sadness) utilizing MR imaging. Results Joyful expressions caused a reduction in muscle length to 85.6% of its original length and an increase in width (103.4%), thickness (108.4%), and facial angle (2.72°) when compared to that in repose, suggesting isotonic contraction. Conversely, expressions of anger, surprise, and sadness generally led to muscle stretching, seen through changes in length (98.9%, 104.3%, and 102.7%, respectively), width (98.8%, 96.5%, and 99.4%, respectively), and thickness (91.2%, 91.0%, and 102.7%, respectively), with variable alterations in facial angle (0.55°, 1.85°, and 1.00°, respectively) depending on the specific expression. Conclusion This MRI-based study indicates that the zygomaticus major muscle experiences isotonic contraction, characterized by decreased length and increased width and thickness. The findings underline the importance of muscle thickness as a reliable parameter in assessing facial muscle function and offer valuable guidance for practitioners in accurately evaluating muscle performance during different facial expressions. No Level Assigned This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Keywords

Adult, Male, Zygoma, Clinical Relevance, muscle physiology, Facial Muscles, zygomaticus major muscle, Original Articles, Magnetic Resonance Imaging, Healthy Volunteers, Facial Expression, Cohort Studies, Young Adult, facial muscle, contraction pattern, Reference Values, Humans, Female, Female [MeSH] ; Reference Values [MeSH] ; Adult [MeSH] ; Humans [MeSH] ; Facial anatomy ; Zygomaticus major muscle ; Facial muscle ; Contraction pattern ; Muscle Contraction/physiology [MeSH] ; Facial Muscles/anatomy ; Cohort Studies [MeSH] ; Zygoma/diagnostic imaging [MeSH] ; Zygoma/anatomy ; Facial Muscles/diagnostic imaging [MeSH] ; Male [MeSH] ; Healthy Volunteers [MeSH] ; Young Adult [MeSH] ; Facial Muscles/physiology [MeSH] ; Magnetic Resonance Imaging/methods [MeSH] ; Muscle physiology ; Original Articles ; Clinical Relevance [MeSH] ; Facial Expression [MeSH], facial anatomy, Muscle Contraction

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    popularity
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    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
5
Top 10%
Average
Top 10%
Green
hybrid