Muscles of tongue
Musculi linguae
Definition
The tongue is a highly mobile muscular organ composed of intrinsic and extrinsic muscles. Together, these muscles of tongue control its shape and position —essential for speech, mastication, swallowing, and taste.
All muscles of tongue muscles are supplied by the hypoglossal nerve (cranial nerve XII), except the palatoglossus, which is innervated by the vagus nerve (cranial nerve X) via the pharyngeal plexus.
A. Extrinsic Muscles
These are paired muscles that originate from outside the tongue and insert into it, moving the tongue as a whole (protrusion, retraction, elevation, depression).
Muscle | Origin | Insertion | Action |
Superior genial tubercle of mandible | Entire length of ventral surface of tongue | Protrudes the tongue; unilateral contraction deviates tongue to opposite side | |
Greater horn and body of hyoid bone | Side of tongue | Retracts and depresses the tongue | |
Styloid process | Side of tongue | Retracts and elevates the tongue | |
Palatine aponeurosis of soft palate | Side of tongue | Elevates posterior tongue; draws soft palate downward; closes oropharyngeal isthmus during swallowing |
B. Intrinsic Muscles
These are paired as well and originate and insert within the tongue itself. They alter the shape of the tongue rather than its position (lengthening, shortening, curling, flattening). Together, they coordinate precise movements essential for articulation, deglutition, and taste.
Muscle | Fibre orientation | Action |
Along dorsum, just below mucosa | Shortens tongue; curls apex upward | |
Along underside of tongue | Shortens tongue; curls apex downward | |
From median septum to lateral margin | Narrows and elongates tongue | |
From dorsum to inferior surface | Flattens and broadens tongue |
Clinical Correlations
Hypoglossal nerve lesion: → Tongue deviates toward the affected side on protrusion (due to unopposed action of contralateral genioglossus). → Muscle wasting (atrophy) on the same side.
Testing: Ask patient to stick out tongue and observe for deviation or fasciculations.
References
Gray, H. (2016) Gray’s Anatomy: The Anatomical Basis of Clinical Practice. 41st edn. Edited by S. Standring. New York: Elsevier. Chapter 31: Oral Cavity, pp. 511-513.
Dotiwala AK, Samra NS. Anatomy, Head and Neck, Tongue. [Updated 2023 Aug 21]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507782/