Location and Relations
The muscle is part of the deep musculature of the floor of the oral cavity.
- Relative to other muscles: lies posterior and lateral to the fan-shaped genioglossus muscle (m. genioglossus).
- In the submandibular triangle: along with the mylohyoideus muscle (m. mylohyoideus), it is covered by the deep layer of the investing cervical fascia.
- In the root of the tongue: forms the lateral boundary of the cellular fascial space of the root of the tongue together with the m. genioglossus.
Topographic Relations
Between the m. hyoglossus and m. mylohyoideus, the submandibular duct (Wharton's duct), the hypoglossal nerve (n. hypoglossus, CN XII), and the lingual vein (v. lingualis) pass through. Superior to the submandibular gland within the same cleft lies the lingual nerve (n. lingualis). Along the course of the submandibular duct, the fascial space of the submandibular gland bed communicates with the connective tissue of the floor of the mouth.
On the internal (deep) surface of the muscle, the lingual artery (a. lingualis) runs. The m. hyoglossus separates the artery from the vein and nerves.
In the gap between the m. hyoglossus and m. genioglossus lie the sublingual salivary gland, the lingual nerve, and the lingual vein. These structures are covered by the oral mucosa and separated from it by a layer of loose connective tissue.
Blood Supply
The lingual artery (a. lingualis) enters the floor of the oral cavity medial to the m. hyoglossus and runs along its deep surface.
The lingual vein (v. lingualis) initially accompanies the artery and then travels along the superficial (lateral) side of the hyoglossus muscle.
Function
The muscle performs two main biomechanical tasks:
- Tongue movement: as an extrinsic muscle of the tongue, it changes its position by pulling the tongue backward and downward.
- Mandible movement: belongs to the anterior group of muscles acting on the mandible, participating in its depression.
Clinical Significance
- Vascular surgery: the lingual artery lies on the deep surface of the m. hyoglossus. Ligation of the artery within Pirogov's triangle reduces blood supply to the tongue during surgical procedures.
- Fascial spaces topography: the muscle serves as the lateral boundary of the cellular space of the root of the tongue.