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Direct muscular connection between the orbicularis oculi and risorius muscles: a case report
1Department of Anatomy, School of Medicine, Konkuk University, Chungju, 27478, South Korea.
Surgical and Radiologic Anatomy : SRA
|November 22, 2025
Summary
A rare anatomical variant reveals a direct muscular connection between the orbicularis oculi (OOc) and risorius muscles. This finding impacts understanding of facial expressions and clinical procedures.
Area of Science:
- Anatomy
- Facial Musculature
- Clinical Significance
Background:
- Orbicularis oculi (OOc) and risorius muscles are typically distinct.
- Facial musculature variants are rare and underexplored.
- Potential clinical implications of anatomical variations are significant.
Purpose of the Study:
- To report a previously undescribed direct link between the OOc and risorius muscles.
- To highlight the potential functional and clinical significance of this anatomical variant.
Main Methods:
- Anatomical dissection and observation.
- Identification of abnormal descent of lateral OOc muscle fibers.
- Tracing of OOc fibers to their connection with the risorius muscle.
Main Results:
- A direct muscular connection was observed between the orbicularis oculi and risorius muscles.
- Lateral OOc fibers blended with superior risorius fibers, inserting into the modiolus.
- This bilateral variant occurred without other significant anomalies.
Conclusions:
- A novel direct connection between the OOc and risorius muscles has been identified.
- This anatomical variation may enable coordinated eyelid closure and mouth corner retraction.
- Recognition is crucial for botulinum toxin injections, facial surgery, and reconstruction.
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