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Hyoid Bone: Anatomy, Functions, and Attachments

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Why Is the Hyoid Bone Important in Human Biology?

The hyoid bone is a small U- shaped bone found in the midline of the neck anteriorly at the base of the mandible and posteriorly at the fourth cervical vertebra. The primary function of the bone is to form an attachment structure for the tongue and muscles on the floor of the oral cavity. In size, it is 2.5 cm wide by 1 cm thick with greater and lesser horns. 


Hyoid Bone Function

The hyoid bone is located in the front of the neck, right below the lower jaw. It plays a vital role in carrying the weight of the tongue and in speech and swallowing. At the time of birth, the hyoid bone is made of three unconnected bones, which may or may not form a crescent-shaped structure as we grow. It is the only free-floating bone of our body. The hyoid bone is part of a functional system that gives attachment to the tongue’s muscles, the larynx, the mandible, and other structures in the mouth and throat. So, all of them must grow at the right way and speed; otherwise, it will affect the other systems’ functioning and eventually in speech and swallowing. The essential functions that can be classified of Hyoid bone are-

  • It acts as the larynx’s attachment point, covering all the larynx tasks and holding it up.

  • It provides a  base from which the tongue can move.

  • The hyoid bone is involved in respiration. It plays a role to keep the airway open., which helps keep sleeping disorders at bay.

  • It helps in transmitting the force of muscles to open the jaw.

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Hyoid Bone Anatomy

Hyoid means a horseshoe-shaped bone that holds its place by the neck’s anterior triangle’s strap muscles. The bone forms a central body with two smaller protruding structures on the superior surface and two more significant bony protrusions from the body. The body is laterally stretched and irregular in shape. It forms a U shape body. In the middle, there is a Vertical median ridge that does not project to the lower surface. The body’s situation is at an oblique angle, with the anterior end facing upwardly and the posterior end facing downwardly. Right behind the hyoid bone is a bursa, a membrane that separates the hyoid bone from the epiglottis.


From the sideways from the body in a posterolateral direction, greater cornua extend. They are wide and become narrow till they terminate in tubercles. They also flatten horizontally. At the intersection of the body and each cornu is a conical protruding bone known as the lesser cornua. Fibrous tissue connects the lesser cornua to the body of the hyoid bone.


Hyoid Bone Attachments

Hyoid bone does not articulate with any other bones and is placed in position by the muscles and ligaments that hold it. It is an attachment to many muscles in the neck.

  • Oral Cavity and Pharynx- Middle pharyngeal constrictor, Hyoglossus, and Genioglossus.

  • Suprahyoid- Digastric, Stylohyoid,Geniohyoid, and Mylohoid.

  • Infrahyoid- Thyrohyoid, Omohyoid, and Sternohyoid.

  • Hyoid bone attachments as ligaments to support the position in the neck. 

  • The stylohyoid ligament moves from the styloid process of the temporal bone to the smaller horn of the bone. 

  • Thyrohyoid Membrane- It starts from the higher line of the thyroid cartilage and attaches to the posterior surface of the bone and the more incredible horns.

  • Hyoepiglottic Ligament- joins the hyoid to the anterior of the epiglottis.

What is the Hyoid Apparatus?

Hyoid apparatus is a term used in anatomy for the bones which append the tongue and larynx. It comprises pairs of stylohyoid, thyrohyoid, and ceratohyoid bones, and a single basihyoid bone. The shape is like a trapeze or a bent letter H. Human beings have a single hyoid bone like a hyoid apparatus.

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FAQs on Hyoid Bone: Anatomy, Functions, and Attachments

1. What is the hyoid bone and what is its primary function in the human body?

The hyoid bone is a unique, U-shaped bone situated in the anterior midline of the neck, between the chin and the thyroid cartilage. Its primary function is to serve as a critical anchor point for various muscles and ligaments in the neck. It provides structural support for the tongue and larynx, playing an essential role in complex actions like speech, swallowing (deglutition), and breathing.

2. What makes the hyoid bone unique compared to all other bones in the human skeleton?

The most unique characteristic of the hyoid bone is that it is the only bone in the human body that does not articulate (form a joint) with any other bone. Instead of being connected to the skeleton directly, it is suspended in place by a sling of muscles and ligaments that attach it to the mandible, styloid processes of the temporal bones, thyroid cartilage, sternum, and scapulae. This arrangement allows it exceptional mobility.

3. Which important muscles and structures are attached to the hyoid bone?

The hyoid bone serves as an attachment site for numerous muscles, which are typically grouped based on their position relative to the bone:

  • Suprahyoid Muscles (above the hyoid): These include the digastric, stylohyoid, mylohyoid, and geniohyoid muscles. They are primarily involved in elevating the hyoid bone, floor of the mouth, and larynx during swallowing.

  • Infrahyoid Muscles (below the hyoid): These include the omohyoid, sternohyoid, thyrohyoid, and sternothyroid muscles. They work to depress the hyoid bone and larynx.

  • Other Attachments: The middle pharyngeal constrictor muscle and ligaments like the stylohyoid and thyrohyoid ligaments also attach to it.

4. How does the hyoid bone's position contribute to the mechanics of swallowing and speech?

The hyoid bone acts as a movable base that is crucial for both swallowing and speech. During swallowing, the suprahyoid muscles contract to pull the hyoid bone upward and forward. This movement elevates the larynx, which causes the epiglottis to fold down and cover the airway, preventing food from entering the trachea. For speech, the intricate movements of the hyoid bone, controlled by its attached muscles, alter the shape and size of the pharynx, which modifies the resonance of the voice to produce a wide range of sounds.

5. What are the main anatomical parts of the hyoid bone?

The hyoid bone is composed of three main parts:

  • The Body: This is the central, quadrilateral part of the bone which faces anteriorly.

  • The Greater Horns (Greater Cornua): These are two long, thin projections that extend posteriorly and superiorly from the body. They serve as the primary attachment points for several muscles.

  • The Lesser Horns (Lesser Cornua): These are two small, conical eminences located at the junction of the body and the greater horns, projecting upwards.

6. Is it possible for the hyoid bone to fracture, and what does this typically indicate?

Yes, a hyoid bone fracture is possible, but it is a rare occurrence because the bone is well-protected by the mandible above and the soft tissues of the neck. A fracture of the hyoid bone in adults is most commonly associated with direct trauma, such as manual strangulation or hanging. Therefore, its presence is a significant finding in forensic investigations as it strongly suggests homicidal violence or suicide rather than an accidental fall or blunt force trauma to another area.

7. Are there any significant differences between the hyoid bone in males and females?

Yes, the hyoid bone exhibits sexual dimorphism, meaning there are structural differences between males and females, which become more pronounced after puberty. In general, the male hyoid bone is larger and more robust than the female hyoid bone. The body of the male hyoid is typically wider, and the greater horns are longer and thicker compared to those in females of a similar age and population group.

8. Why is understanding the hyoid bone's anatomy important for clinicians?

For clinicians, the hyoid bone's anatomy is important for diagnosing and treating various conditions. For example, pain in the neck and throat can sometimes be attributed to hyoid bone syndrome, an inflammatory condition. Its position is also a key landmark during neck surgeries. Furthermore, anesthesiologists must be aware of its anatomy during procedures like intubation, as its position affects the airway. Its role in swallowing makes it relevant for speech therapists treating dysphagia.


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