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Updated: Sep 29, 2025

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Human Frontalis Muscle Innervation and Morphology
Laura Welter1, Silvia Bramke1, Christian Albrecht May1
1Anatomisches Institut, Medizinische Fakultät Carl Gustav Carus, TU Dresden, Dresden, Germany.
Microscopic analysis of the frontalis muscle revealed collagen XXII at insertion sites without tendons, and neuromuscular junctions indicating potential afferent nerve fibers. This study details the frontalis muscle
Area of Science:
- Anatomy
- Histology
- Neuroscience
Background:
- The frontalis muscle's clinical significance necessitates understanding its microscopic structure and innervation.
- Previous suggestions regarding afferent innervation prompted a detailed microscopic investigation.
Purpose of the Study:
- To investigate the microscopic appearance of the frontalis muscle.
- To clarify the presence and location of neuromuscular junctions and collagen XXII expression.
Main Methods:
- Serial sections of the frontalis muscle from seven human cadavers were examined using light microscopy.
- Immunohistochemistry was performed using antibodies for collagen XXII and neurofilament.
Main Results:
- Collagen XXII, a marker for myotendinous junctions, was expressed at muscle fiber endings at both insertion sides, despite the absence of tendons at the origin.
- Neuromuscular junctions were identified in the muscle belly and cranial portion, suggesting potential afferent nerve fiber pathways.
Conclusions:
- This study provides a detailed microscopic description of the frontalis muscle.
- It demonstrates collagen XXII expression in the absence of tendon formation, a novel finding.
- The study confirms the lack of corpuscular afferent neuronal structures within the frontalis muscle.
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