Anatomy of the Tongue and Associated Nerves
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Questions and Answers

What is the source of the facial artery?

  • External Carotid Artery (correct)
  • Subclavian Artery
  • Internal Carotid Artery
  • Brachiocephalic Trunk
  • Which muscle lies deep to the lingual artery as it travels towards the tongue?

  • Stylohyoid Muscle
  • Sternohyoid Muscle
  • Hyoglossus Muscle (correct)
  • Masseter Muscle
  • Which arteries are given off by the lingual artery?

  • Dorsal lingual branches only
  • Lingual mandibular branches only
  • Sublingual branch and deep lingual branch
  • Dorsal lingual branches, sublingual branch, and deep lingual branch (correct)
  • What type of function does the maxillary nerve primarily provide?

    <p>Sensory</p> Signup and view all the answers

    What anatomical feature does the mandibular nerve pass through to reach the pterygopalatine fossa?

    <p>Foramen ovale</p> Signup and view all the answers

    Which muscle does the facial artery pass superiorly of during its course?

    <p>Masseter</p> Signup and view all the answers

    Which branch does NOT originate from the maxillary nerve?

    <p>Mental nerve</p> Signup and view all the answers

    What best describes the function of the mandibular nerve?

    <p>Motor and sensory</p> Signup and view all the answers

    Which muscles are responsible for the retraction of the tongue?

    <p>Styloglossus and hyoglossus muscles</p> Signup and view all the answers

    What is the primary blood supply to the tongue?

    <p>Lingual artery</p> Signup and view all the answers

    Which nerve is responsible for the general sensation of the posterior third of the tongue?

    <p>Glossopharyngeal nerve</p> Signup and view all the answers

    The oral part of the tongue is primarily derived from which embryonic structure?

    <p>Lateral lingual swellings</p> Signup and view all the answers

    Which type of papillae on the tongue has no taste buds?

    <p>Filiform papillae</p> Signup and view all the answers

    What type of sensory innervation is responsible for pain, temperature, and discriminative touch?

    <p>General somatic afferent (GSA)</p> Signup and view all the answers

    Which cranial nerve carries taste sensation from the anterior two-thirds of the tongue?

    <p>Facial</p> Signup and view all the answers

    Which of the following nerves is involved in innervating the posterior one-third of the tongue?

    <p>Glossopharyngeal</p> Signup and view all the answers

    What is the main function of the special visceral afferent (SVA) nerves?

    <p>Taste sensation</p> Signup and view all the answers

    How does the internal laryngeal branch of the vagus nerve distribute its sensory innervation?

    <p>Enters the larynx through the thyrohyoid membrane</p> Signup and view all the answers

    Which division of the trigeminal nerve supplies the anterior two-thirds of the tongue?

    <p>Mandibular division</p> Signup and view all the answers

    What structure forms the foundation of the soft palate?

    <p>Palatine aponeurosis</p> Signup and view all the answers

    Which of the following muscles is not part of the soft palate?

    <p>Sternocleidomastoid</p> Signup and view all the answers

    What is the course of the glossopharyngeal nerve as it provides sensory innervation?

    <p>Passes through the jugular foramen</p> Signup and view all the answers

    In which anatomical location does the chorda tympani exit the skull?

    <p>Petrotympanic fissure</p> Signup and view all the answers

    What is the function of the soft palate during deglutition?

    <p>To close off the nasopharynx</p> Signup and view all the answers

    Where are Fordyce spots located?

    <p>On the inner surface of the cheek</p> Signup and view all the answers

    What is the anterior margin of the soft palate continuous with?

    <p>Hard palate</p> Signup and view all the answers

    Which structure hangs in the center of the soft palate?

    <p>Uvula</p> Signup and view all the answers

    What defines the lateral border of the oral cavity?

    <p>Labial commissure to the ramus of the mandible</p> Signup and view all the answers

    The palatine glands are primarily responsible for what function?

    <p>Secreting mucus</p> Signup and view all the answers

    Which type of teeth are classified as permanent teeth?

    <p>4 incisors, 2 canines, 4 premolars, and 6 molars in each jaw</p> Signup and view all the answers

    What structure anchors each tooth in its socket?

    <p>Periodontal ligaments</p> Signup and view all the answers

    Which surface of the tooth faces toward the midline of the dental arch?

    <p>Mesial Surface</p> Signup and view all the answers

    What type of teeth are typically the first to emerge in children?

    <p>Deciduous teeth</p> Signup and view all the answers

    Which of the following arteries does NOT supply the oral cavity?

    <p>Subclavian Artery</p> Signup and view all the answers

    What term describes the outer surface of a tooth facing the cheeks?

    <p>Buccal Surface</p> Signup and view all the answers

    Which of these arteries is NOT branching from the external carotid artery?

    <p>Internal Jugular Artery</p> Signup and view all the answers

    How many deciduous teeth are typically present in children?

    <p>20</p> Signup and view all the answers

    What is the primary function of the genioglossus muscle in the tongue?

    <p>Protrusion and depression of the tongue</p> Signup and view all the answers

    Which nerve innervates the majority of the extrinsic muscles of the tongue?

    <p>Hypoglossal nerve</p> Signup and view all the answers

    What type of epithelial lining is found on the ventral surface of the tongue?

    <p>Nonkeratinized stratified squamous epithelium</p> Signup and view all the answers

    Which structure serves as the entry point for saliva from the submandibular glands?

    <p>Sublingual papilla</p> Signup and view all the answers

    What defines the structure known as the plica fimbriata?

    <p>Fimbriated folds lateral to the lingual frenulum</p> Signup and view all the answers

    Which intrinsic muscle of the tongue is responsible for curling the apex upward?

    <p>Superior longitudinal muscle</p> Signup and view all the answers

    Which of the following statements about the pharyngeal part of the tongue is correct?

    <p>It lacks papillae on its surface.</p> Signup and view all the answers

    What is the role of the hyoglossus muscle?

    <p>Depression of the tongue</p> Signup and view all the answers

    Study Notes

    Oral Cavity and the Tongue

    • The oral cavity is the space between the lips/cheeks and the teeth.
    • It has two main parts: the vestibule and oral cavity proper
    • The vestibule: The space between the lips/cheeks and the teeth.
    • The oral cavity proper: The space internal to the teeth that connects to the oropharynx
    • Functions: Mastication, tasting, and talking

    Key Structures

    • Boundaries: Hard and soft palate
    • Floor: Tongue (major structure)
    • Salivary Glands: Major (Parotid, submandibular, sublingual); Minor (lingual, palatal, buccal, labial)
    • Muscles: Mouth, cheeks, tongue, soft palate

    Waldeyer's Ring

    • Waldeyer's Ring includes: Adenoid tonsil, Two tubal tonsils, Two palatine tonsils, Lingual tonsil

    External Anatomy

    • Location: Between lips/cheeks (external) and palatoglossal fold (internal)
      • Lip divisions: Upper and lower
      • Lip features: Vermilion zone, Philtrum, labial commissures
    • Functions: Mastication, tasting, talking

    Lips

    • Structure: Two soft, fleshy folds that surround the mouth opening.
    • Outer covering: Skin
    • Inner lining: Moist mucous membrane

    Cheeks

    • Location: Between the labial commissure and the mucosa overlying the mandible's ramus
    • Structure/function: Has a muscular "skeleton" (buccinator m.) that keeps food between the teeth, guides it for swallowing, and shields internal structures (teeth and gums).
    • Mucous-secreting glands (buccal glands) are found within the submucosal layer of cheeks.

    Divisions of Oral Cavity

    • Vestibule: Space between teeth and lips/cheeks
    • Oral Cavity Proper: Internal to the teeth; connects to the oropharynx

    Key Structures

    • Boundaries: Hard and soft palate
    • Floor: Tongue (major structure)
    • Salivary glands: Major (parotid, submandibular, sublingual)
    • Minor: Lingual, palatal, buccal, labial
    • Muscles: Mouth, cheeks, tongue, soft palate

    Waldeyer's Ring (Lymphatic Tissue)

    • Adenoid tonsil
    • Two tubal tonsils
    • Two palatine tonsils
    • Lingual tonsil

    Oral Cavity Divisions

    • Vestibule: The space between the teeth, and the inner surface of the lips and cheeks.
    • Oral Cavity Proper: The area internal to the teeth.

    Oral Cavity Sensory Innervation

    • Nerves: All sensory innervation to the oral region is supplied by the trigeminal nerve.
      • Superior labial branch of the infraorbital nerve: Skin of the upper lip
      • Mental nerve: Skin of the lower lip, chin, and facial gingiva.
      • Buccal branch of the mandibular division of the trigeminal nerve: Skin over the buccinator muscle before innervating the mucous membrane's inner surface and mandibular molars.

    Venous Drainage

    • Superior labial branch of the facial vein: Drains the upper lip and joins the facial vein.
    • Inferior labial branch of the facial vein: Drains the lower lip and joins the facial vein.
    • Mental vein: Drains the chin and lower lip and joins the pterygoid plexus of veins.
    • Buccal vein: Drains the cheek and joins the pterygoid plexus of veins.

    External Anatomy Muscles

    • Orbicularis oris: Closes lips, protrusion, and pursing of lips
    • Buccinator: Aids in mastication, keeps the bolus between teeth and checks.

    Many Mucous-Secreting Glands

    - Buccal Glands: Within submucosal layer of inside of the cheeks.
    - Lined by: nonkeratinized, stratified squamous epithelium.
    - Continuing from the region between the lips and teeth, forming the Retromolar Region.
    

    Oral Cavity

    • The oral cavity is the space that starts at the lips and extends back to where the pharynx begins
    • It has two main parts: the vestibule and oral cavity proper.
    • The vestibule is the space between the lips/cheeks and the teeth
    • The oral cavity proper is the larger area inside the teeth, where the tongue is found.

    Oral Cavity: Boundaries

    • Superior: Hard palate
    • Posterosuperior: Soft palate
    • Lateral: Cheeks
    • Inferior: The floor of the oral cavity, which is located along the lingual border of the mandible, forming a horseshoe-shaped region.

    Oral Cavity: Superior Border (Hard Palate)

    • Comprises the anterior 2/3 of the entire palate.
    • Separates the oral cavity from the nasal cavity.
    • Composed of palatal process of the maxilla and horizontal process of the palatine.
    • Bones of the hard palate are covered by a thick mucous membrane (keratinized stratified squamus epithelium)
    • Has an elevation (incisive papilla) in the anterior midline.

    Oral Cavity: Posterosuperior Border (Soft Palate)

    • Makes up 1/3 of the entire palate
    • Soft palate separates the oral cavity from the oropharynx
    • Three margins:
      • Anterior: Continuous with the hard palate.
      • Posterolat: Forms the superior part of the palatoglossal and palatopharyngeal folds.
      • Posterior: The uvula hangs in the center.

    Oral Cavity: Muscles of the Soft Palate

    • Tensor veli palatini: Pulls the soft palate laterally
    • Musculus uvulae: Retracts uvula
    • Levator veli palatini: Elevates soft palate
    • Palatopharyngeus: Elevates the pharynx and larynx
    • Palatoglossus: Elevates the root of the tongue

    Oral Cavity:Lateral Border (Cheek)

    • Extends from the labial commissure (front) to the ramus of the mandible (back)
    • Superior limit: Maxillary vestibule
    • Inferior limit: Mandibular vestibule
    • Structures:
      • Fordyce spots: Ectopic sebaceous glands on the inner surface.
      • Parotid papilla: Opposite the 2nd maxillary molar
      • Pterygomandibular raphe: Landmark for accessing the pterygomandibular space.

    Oral Cavity: Inferior Border (Floor of the Oral Cavity)

    • Located along the lingual border of the mandible.
    • Horseshoe-shaped.
    • Main structure: Mylohyoid muscle
    • Includes the tongue and related musculature.

    Teeth

    • Embedded in the alveolar margins of the maxilla and mandible.
    • Anchored by periodontal ligaments.
    • Consist of crown, neck, and root.

    Four Types of Teeth

    • Incisors, canines, premolars, molars.

    Tooth Surfaces

    • Labial (anterior-lips), buccal (posterior-cheeks), lingual (tongue), mesial (towards midline), distal (away from midline), occlusal (chewing), incisal (cutting).

    Basic Anatomy of a Tooth

    • Crown: The enamel-covered portion.
    • Root: The cementum-covered portion.
    • Neck: Connects the crown and root.
    • Enamel: Hard, shiny outer layer of the crown
    • Dentin: Hard tissue below enamel
    • Cementum: Hard tissue that covers the root.
    • Pulp Cavity: Contains the pulp (connective tissue with nerves and vessels)
    • Pulp chamber: In coronal portion of tooth
    • Pulp canal: In root portion of tooth.

    Vascular Supply of the Oral Cavity

    • Arteries: Facial, lingual, and maxillary branches of the external carotid artery.
    • Veins: Drain into the internal jugular vein.

    Arterial Supply of the Tongue

    • Lingual artery (from the external carotid artery)
      • Provides superior and deep supply to the tongue.
    • Dorsal lingual arteries: arise from the lingual artery giving off blood supply to the posterior 1/3 of the tongue, soft palate and palatine tonsils.
    • Sublingual arteries: Provides blood supply to the sublingual gland, surrounding muscles and mucosa
    • Deep lingual arteries: arises from the lingual artery after the lingual branch is given off, gives off supply to the ventral surface of the tongue.

    Venous Drainage of the Tongue

    • Lingual vein: Collects blood from tributaries (deep and dorsal lingual veins)
      • It drains into the internal jugular vein
    • Accompanying vein of hypoglossal nerve
      • Runs alongside the hypoglossal nerve.
      • Either merges with the lingual vein or travels independently to the facial vein.
      • Empties into the internal jugular vein.
    • Submental vein: Parallels the submental artery.
      • Anastomoses (connects) with branches of the lingual vein.

    Nerve Supply of the Oral Cavity

    • Sensory innervation from branches of maxillary and mandibular divisions of the trigeminal nerve.
      • Anterior 2/3: Lingual nerve and chorda tympani nerve (taste)
      • Posterior 1/3: Glossopharyngeal nerve.
    • Motor innervation from the hypoglossal nerve.

    Salivary Glands

    • Three pairs of major salivary glands: Parotid, submandibular, sublingual.
    • Saliva: Mucous or serous consistency.
    • Secrete saliva into the oral cavity to aid in digestion, mastication, and swallowing.
    • Numerous minor salivary glands are ubiquitously distributed throughout oral mucosa.

    Tongue

    • Structure: Mass of striated muscle covered with mucous membrane.
    • Attachments: Styloid process and soft palate superiorly; mandible and hyoid bone inferiorly.
    • Division: Median fibrous septum divides into right and left halves.

    Tongue: Landmarks

    • Sulcus Terminalis: V-shaped groove separating parts
    • Foramen Cecum: Initial site of thyroid development
    • Median Fibrous Septum: Divides the tongue

    Tongue Parts

    • Oral Part (Presulcal) (anterior 2/3)
      • Development: Two lateral lingual swellings and tuberculum impar of 1st pharyngeal arch
      • Mucosa: Keratinized, stratified squamous epithelium
      • Surfaces: Dorsal and ventral
      • Papillae: Filiform, fungiform, foliate, circumvallate.
      • Glands: Mucous and serous glands.
    • Pharyngeal Part (Postsulcal) (posterior 1/3)
      • Development: Hypobranchial eminence of 3rd pharyngeal arch
      • Mucosa: Nonkeratinized stratified squamous epithelium
      • Surfaces: Dorsal only
      • Papillae: Absent

    Tongue: Muscles

    • Extrinsic: Originate outside the tongue; attach to bone and soft palate
      • Genioglossus: Protrusion
      • Hyoglossus: Depression
      • Styloglossus: Retrusion and elevation
      • Palatoglossus: Elevation of tongue root
    • Intrinsic: Confined to the tongue, not attached to bone
      • Superior Longitudinal: Shortens, lifts the tongue.
      • Inferior Longitudinal: Depresses tongue tip.
      • Transverse: Narrows/lengthens tongue
      • Vertical: Broadens/flattens tongue.

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    Description

    Test your knowledge on the anatomy of the tongue, its blood supply, and sensory innervation. This quiz covers key questions about the lingual and facial arteries, as well as the nerves involved in the tongue's function. Perfect for students studying human anatomy or dental sciences.

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