External anal sphincter
Flat plane of skeletal muscle fibers
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Through Skeletal muscle
Anatomy
The external anal sphincter is far more substantial than the internal anal sphincter. The proximal portion of external anal sphincter overlaps the internal anal sphincter (which terminates distally a little distance proximal to the anal orifice) superficially; where the two overlap, they are separated by the intervening conjoint longitudinal muscle.
Structure
Historically, the sphincter was described as consisting of three parts (deep, superficial, and subcutaneous). This is not supported by current anatomical knowledge. Some sources still describe it in two layers, deep (or proximal) and superficial (or distal or subcutaneous).
Some of the muscles fibres decussate at the anterior midline and posterior midline, so forming an anterior commissure and posterior commissure.
Function
The external anal sphincter keeps feces retained inside the rectum and prevents them from coming out of the rectum involuntarily.
Attachments
The muscle attaches anteriorly onto the perineal body, and posteriorly onto the anococcygeal ligament.
Innervation
The sphincter receives innervation from the bilaterally paired inferior anal nerve (each a branch of the pudendal nerve which is derived from ventral rami of S2-S4). It may also receive additional motor innervation from the nerve to levator ani.
Histology
The sphincter consists mostly of slow twitch fibers that allow extended continuous contraction.