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Updated: Jul 16, 2025

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Stimulating the Lip Motor Cortex with Transcranial Magnetic Stimulation
Published on: June 14, 2014
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Proprioceptive innervation of the human lips
José Martín-Cruces1, Patricia Cuendias1, Yolanda García-Mesa1
1Departamento de Morfología y Biología Celular, Grupo SINPOS, Universidad de Oviedo, Oviedo, Spain.
Anatomical Record (Hoboken, N.J. : 2007)
|September 15, 2023
Summary
Human lips lack muscle spindles but have dense sensory nerve formations, including Ruffini-like and Pacinian corpuscles. These nerve endings, expressing PIEZO2, likely enable lip proprioception.
Area of Science:
- Neuroscience
- Anatomy
- Sensory Biology
Background:
- Facial muscles, particularly the orbicularis oris, are traditionally considered devoid of typical proprioceptors like muscle spindles.
- Recent research has questioned the absence of proprioceptors in facial muscles, necessitating further investigation.
Purpose of the Study:
- To investigate the proprioceptive innervation of human lips, focusing on the orbicularis oris muscle.
- To determine the presence or absence of muscle spindles and characterize other sensory nerve formations in the lips.
Main Methods:
- Human lip tissues (n=5) from frozen cadavers were utilized.
- Immunohistochemistry was performed to detect S100 protein (nerves), myosin heavy chain (muscle fibers), and PIEZO2 (mechanosensitive channel).
Main Results:
- No typical muscle spindles were identified in the human lip muscles.
- A high density of morphologically diverse sensory nerve formations was observed.
- These formations exhibited characteristics of Ruffini-like and Pacinian corpuscles.
- Axons of these sensory formations showed PIEZO2 immunoreactivity.
Conclusions:
- Human lip muscles do not possess typical muscle spindles.
- Lips are equipped with a rich sensory innervation, likely responsible for proprioception.
- The identified sensory nerve formations, expressing PIEZO2, play a crucial role in lip sensory feedback.
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