The platysma muscle is a

superficial Superficial may refer to: *Superficial anatomy, is the study of the external features of the body *Superficiality, the discourses in philosophy regarding social relation *Superficial charm, the tendency to be smooth, engaging, charming, slick and ...

muscle Skeletal muscles (commonly referred to as muscles) are organs of the vertebrate muscular system and typically are attached by tendons to bones of a skeleton. The muscle cells of skeletal muscles are much longer than in the other types of mus ...

of the

human Humans (''Homo sapiens'') are the most abundant and widespread species of primate, characterized by bipedalism and exceptional cognitive skills due to a large and complex brain. This has enabled the development of advanced tools, cultu ...

neck The neck is the part of the body on many vertebrates that connects the head with the torso. The neck supports the weight of the head and protects the nerves that carry sensory and motor information from the brain down to the rest of the body. In ...

that overlaps the

sternocleidomastoid The sternocleidomastoid muscle is one of the largest and most superficial cervical muscles. The primary actions of the muscle are rotation of the head to the opposite side and flexion of the neck. The sternocleidomastoid is innervated by the access ...

. It covers the anterior surface of the neck superficially. When it contracts, it produces a slight wrinkling of the neck, and a "bowstring" effect on either side of the neck.

Structure

The platysma muscle is a broad sheet of muscle arising from the

fascia A fascia (; plural fasciae or fascias; adjective fascial; from Latin: "band") is a band or sheet of connective tissue, primarily collagen, beneath the skin that attaches to, stabilizes, encloses, and separates muscles and other internal organs ...

covering the upper parts of the

pectoralis major muscle The pectoralis major () is a thick, fan-shaped or triangular convergent muscle, situated at the chest of the human body. It makes up the bulk of the chest muscles and lies under the breast. Beneath the pectoralis major is the pectoralis minor ...

and

deltoid muscle The deltoid muscle is the muscle forming the rounded contour of the human shoulder. It is also known as the 'common shoulder muscle', particularly in other animals such as the domestic cat. Anatomically, the deltoid muscle appears to be made up o ...

. Its fibers cross the

clavicle The clavicle, or collarbone, is a slender, S-shaped long bone approximately 6 inches (15 cm) long that serves as a strut between the shoulder blade and the sternum (breastbone). There are two clavicles, one on the left and one on the r ...

, and proceed obliquely upward and medially along the side of the neck. This leaves the inferior part of the neck in the midline deficient of significant muscle cover. Fibres at the front of the muscle from the left and right sides intermingle together below and behind the

mandibular symphysis In human anatomy, the facial skeleton of the skull the external surface of the mandible is marked in the median line by a faint ridge, indicating the mandibular symphysis (Latin: ''symphysis menti'') or line of junction where the two lateral halve ...

, the junction where the two lateral halves of the

mandible In anatomy, the mandible, lower jaw or jawbone is the largest, strongest and lowest bone in the human facial skeleton. It forms the lower jaw and holds the lower teeth in place. The mandible sits beneath the maxilla. It is the only movable bone ...

are fused at an early period of life (although not a true symphysis). Fibres at the back of the muscle cross the

, some being inserted into the bone below the oblique line, others into the skin and

subcutaneous tissue The subcutaneous tissue (), also called the hypodermis, hypoderm (), subcutis, superficial fascia, is the lowermost layer of the integumentary system in vertebrates. The types of cells found in the layer are fibroblasts, adipose cells, and m ...

of the lower part of the face. Many of these fibers blend with the muscles about the angle and lower part of the mouth. Sometimes fibers can be traced to the

zygomaticus major muscle The zygomaticus major muscle is a muscle of the human body. It extends from each zygomatic arch (cheekbone) to the corners of the mouth. It is a muscle of facial expression which draws the angle of the mouth superiorly and posteriorly to allow on ...

, or to the margin of the

orbicularis oris muscle In human anatomy, the orbicularis oris muscle is a complex of muscles in the lips that encircles the mouth. It is a sphincter, or circular muscle, but it is actually composed of four independent quadrants that interlace and give only an appearance ...

. Beneath the platysma, the

external jugular vein The external jugular vein receives the greater part of the blood from the exterior of the cranium and the deep parts of the face, being formed by the junction of the posterior division of the retromandibular vein with the posterior auricular vein ...

descends from the

angle of the mandible __NOTOC__ The angle of the mandible (gonial angle) is located at the posterior border at the junction of the lower border of the ramus of the mandible. The angle of the mandible, which may be either inverted or everted, is marked by rough, obliq ...

to the

Nerve supply

The platysma muscle is supplied by the cervical branch of the

facial nerve The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of facial expression, and functions in the conveyance of taste ...

Blood supply

The platysma muscle is supplied by branches of the

submental artery The submental artery is a branch of the facial artery that runs on the underside of the chin. Course The submental artery is the largest of the cervical branches of the facial artery, given off just as that vessel leaves the submandibular gland: ...

and

suprascapular artery The suprascapular artery is a branch of the thyrocervical trunk on the neck. Structure At first, it passes downward and laterally across the scalenus anterior and phrenic nerve, being covered by the sternocleidomastoid muscle; it then crosses ...

Relations

The platysma muscle lies just deep to the subcutaneous fascia and fat. It covers many structures found deeper in the neck, such as the

external carotid artery The external carotid artery is a major artery of the head and neck. It arises from the common carotid artery when it splits into the external and internal carotid artery. External carotid artery supplies blood to the face and neck. Structure T ...

, the

parotid gland The parotid gland is a major salivary gland in many animals. In humans, the two parotid glands are present on either side of the mouth and in front of both ears. They are the largest of the salivary glands. Each parotid is wrapped around the ma ...

, the lesser occipital nerve, the great auricular nerve, and the marginal mandibular branch of the

Variation

Variations occur in the extension over the face and over the clavicle and shoulder. The platysma muscle may be absent or interdigitate with the muscle of the opposite side in front of the neck; attachment to clavicle, mastoid process or occipital bone occurs. A more or less independent

fasciculus ''Fasciculus vesanus'' is an extinct species of stem-group ctenophores known from the Burgess Shale of British Columbia, Canada. It is dated to and belongs to middle Cambrian strata. The species is remarkable for its two sets of long and shor ...

, the occipitalis minor muscle, may extend from the fascia over the

trapezius muscle The trapezius is a large paired trapezoid-shaped surface muscle that extends longitudinally from the occipital bone to the lower thoracic vertebrae of the spine and laterally to the spine of the scapula. It moves the scapula and supports the ...

to fascia over the insertion of the

sternocleidomastoid muscle The sternocleidomastoid muscle is one of the largest and most superficial cervical muscles. The primary actions of the muscle are rotation of the head to the opposite side and flexion of the neck. The sternocleidomastoid is innervated by the access ...

Function

Wrinkling

When the entire platysma muscle is in action, it produces a slight

wrinkling A wrinkle, also known as a rhytid, is a fold, ridge or crease in an otherwise smooth surface, such as on skin or fabric. Skin wrinkles typically appear as a result of ageing processes such as glycation, habitual sleeping positions, loss of bo ...

of the surface of the skin of the

in an oblique direction (at an angle to the midline). It creates a distinctive "bowstring" effect on either side of the neck, where fibres move away from the midline.

Jaw and lip movement

The anterior portion of the platysma muscle, the thickest part of the muscle, depresses the lower jaw. It also draws down the lower lip and angle of the mouth in a

frown A frown (also known as a scowl) is a facial expression in which the eyebrows are brought together, and the forehead is wrinkled, usually indicating displeasure, sadness or worry, or less often confusion or concentration. The appearance of a fr ...

. However, the platysma muscle plays only a minor role in depressing the lower lip, which is primarily performed by the

depressor anguli oris muscle The depressor anguli oris muscle (triangularis muscle) is a facial muscle. It originates from the mandible and inserts into the angle of the mouth. It is associated with frowning, as it depresses the corner of the mouth. Structure The depres ...

and the depressor labii inferioris muscle.

Clinical significance

In a similar fashion to other muscles, the platysma muscle is vulnerable to tears, strains and

muscle atrophy Muscle atrophy is the loss of skeletal muscle mass. It can be caused by immobility, aging, malnutrition, medications, or a wide range of injuries or diseases that impact the musculoskeletal or nervous system. Muscle atrophy leads to muscle weakness ...

, among many other possible conditions.

Injury

The platysma muscle is vulnerable to neck injuries that may penetrate it, as it is both superficial and thin.

Penetrating trauma Penetrating trauma is an open wound injury that occurs when an object pierces the skin and enters a tissue of the body, creating a deep but relatively narrow entry wound. In contrast, a blunt or ''non-penetrating'' trauma may have some deep da ...

in the neck injuries can be defined as any that completely penetrate the platysma muscle, making it an important landmark. CTA (

computed tomography angiography Computed tomography angiography (also called CT angiography or CTA) is a computed tomography technique used for angiography—the visualization of arteries and veins—throughout the human body. Using contrast injected into the blood vessels, im ...

) may be used to visualise

arteries An artery (plural arteries) () is a blood vessel in humans and most animals that takes blood away from the heart to one or more parts of the body (tissues, lungs, brain etc.). Most arteries carry oxygenated blood; the two exceptions are the pu ...

and

veins Veins are blood vessels in humans and most other animals that carry blood towards the heart. Most veins carry deoxygenated blood from the tissues back to the heart; exceptions are the pulmonary and umbilical veins, both of which carry oxygenated ...

, such as for complex injuries from

gunshot wounds A gunshot wound (GSW) is a penetrating injury caused by a projectile (e.g. a bullet) from a gun (typically firearm or air gun). Damages may include bleeding, bone fractures, organ damage, wound infection, loss of the ability to move part of t ...

or stab wounds, and is useful to image any damage to the muscle. This minimises the number of exploratory surgeries that need to be performed, thus improving the handling of the condition.

Neck surgery

When neck surgery is performed, the platysma muscle usually needs to be cut through to access deeper structures. Fibres need to be sutured together accurately to prevent abnormal

scar A scar (or scar tissue) is an area of fibrous tissue that replaces normal skin after an injury. Scars result from the biological process of wound repair in the skin, as well as in other organs, and tissues of the body. Thus, scarring is a ...

retraction, which may look unsightly.

Plastic surgery

Wrinkly skin of neck caused by decrease in muscle tone leading to thinning and shortening of muscle is the secondary complication of facial nerve palsy and can be associated with the normal aging process. Neck bands in the area above the platysma muscle become most noticeable with age. These may be aggravated by

weightlifting Weightlifting generally refers to activities in which people lift weights, often in the form of dumbbells or barbells. People lift various kinds of weights for a variety of different reasons. These may include various types of competition; pro ...

facelift A facelift, technically known as a rhytidectomy (from the Ancient Greek () "wrinkle", and () "excision", the surgical removal of wrinkles), is a type of cosmetic surgery procedure used to give a more youthful facial appearance. There are mul ...

procedures. This may be known as platysma dyskinesia or "turkey neck".

Conservative management Conservative management is a type of medical treatment defined by the avoidance of invasive measures such as surgery or other invasive procedures, usually with the intent to preserve function or body parts. For example, in appendicitis, conservati ...

may be used. Alternatively, interventions include botulinum toxin injection and platysmaplasty. Platysmaplasty is a surgery in this area, that can be open or closed; in the latter a specialised instrument called a plastymotome is used that allows the surgery to be done without incisions. It takes approximately 2 weeks for the symptoms to be reduced.

Adipose tissue Adipose tissue, body fat, or simply fat is a loose connective tissue composed mostly of adipocytes. In addition to adipocytes, adipose tissue contains the stromal vascular fraction (SVF) of cells including preadipocytes, fibroblasts, vascular ...

is found above the platysma muscle, so

liposuction Liposuction, or simply lipo, is a type of fat-removal procedure used in plastic surgery. Evidence does not support an effect on weight beyond a couple of months and does not appear to affect obesity-related problems. In the United States, lipo ...

of the neck may be performed fairly easily without the need to pierce it. It is also important to not damage the platysma muscle to prevent

bleeding Bleeding, hemorrhage, haemorrhage or blood loss, is blood escaping from the circulatory system from damaged blood vessels. Bleeding can occur internally, or externally either through a natural opening such as the mouth, nose, ear, urethra, vag ...

Images

File:Platysma.png, Platysma is visible at bottom, in neck

References

;Books * {{Authority control Muscles of the head and neck