Tongue Anatomy and Innervation Quiz
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Questions and Answers

The cartilaginous septum of the tongue effectively prevents significant anastomosis of blood vessels across the midline.

False (B)

The superficial lingual vein is prominently visible on each side of the midline on the undersurface of the tongue.

False (B)

Lymphatic drainage from the anterior part of the tongue primarily flows bilaterally to nodes on both sides of the neck.

False (B)

The palatoglossus muscle, being an extrinsic tongue muscle, is innervated by the hypoglossal nerve similar to all other tongue muscles.

<p>False (B)</p> Signup and view all the answers

The lingual nerve provides taste sensation to the anterior two-thirds of the tongue via its direct sensory fibers.

<p>False (B)</p> Signup and view all the answers

The glossopharyngeal nerve exclusively mediates taste sensation for the posterior one-third of the tongue mucosa.

<p>False (B)</p> Signup and view all the answers

The vallate papillae region, located in the oral part of the tongue, receives its sensory nerve supply from the lingual nerve.

<p>False (B)</p> Signup and view all the answers

Vasoconstrictor sympathetic fibers to the tongue originate from the inferior cervical ganglion.

<p>False (B)</p> Signup and view all the answers

Fungiform papillae, similar to filiform papillae, are characterized by a keratinized surface.

<p>False (B)</p> Signup and view all the answers

Taste buds are predominantly found in the tips of filiform papillae across the tongue's surface.

<p>False (B)</p> Signup and view all the answers

The submandibular duct opens on the sublingual papilla, a raised structure located on the floor of the mouth beside the tongue's frenulum.

<p>True (A)</p> Signup and view all the answers

The hypoglossal nerve, situated beneath the hyoglossus, is smaller in diameter than the glossopharyngeal nerve.

<p>False (B)</p> Signup and view all the answers

The lingual artery, after passing deep to the hyoglossus, courses above the hyoid bone's greater horn at a level corresponding to the hypoglossal nerve's position on the muscle's superficial side.

<p>True (A)</p> Signup and view all the answers

The sublingual gland, positioned anterior to the hyoglossus, exclusively utilizes the submental artery for its blood supply.

<p>False (B)</p> Signup and view all the answers

The communication between the hypoglossal and lingual nerves solely facilitates motor function to the tongue.

<p>False (B)</p> Signup and view all the answers

The tongue's pharyngeal part constitutes the posterior one-third and faces backwards, forming the anterior wall of the oral pharynx.

<p>True (A)</p> Signup and view all the answers

The fibrous septum, which separates the tongue's muscle halves, runs along the coronal plane.

<p>False (B)</p> Signup and view all the answers

The tongue's inferior surface has a rough texture similar to the cheek's lining.

<p>False (B)</p> Signup and view all the answers

Vallate papillae, numbering approximately twelve, are positioned in a V formation, anterior to the sulcus terminalis.

<p>True (A)</p> Signup and view all the answers

The frenulum is a midline projection of mucous membrane located beneath the tip of the tongue's dorsal surface.

<p>False (B)</p> Signup and view all the answers

Filiform papillae contribute to the tongue's velvety texture ('fur') and are responsible for taste sensation.

<p>False (B)</p> Signup and view all the answers

Fungiform papillae, appearing as pink pinheads, carry taste buds and are concentrated on the tongue's lateral edges.

<p>True (A)</p> Signup and view all the answers

The anterior two-thirds of the tongue is called the postsulcal part and has a stratified squamous keratinizing epithelium with papillae.

<p>False (B)</p> Signup and view all the answers

The transversus muscle flattens the tongue and causes it to become elongated.

<p>False (B)</p> Signup and view all the answers

Contraction of the lowest fibers of the genioglossus muscle retracts the tongue.

<p>False (B)</p> Signup and view all the answers

The tongue's volume changes to facilitate different shapes and movements.

<p>False (B)</p> Signup and view all the answers

The hyoglossus muscle elevates the sides of the tongue.

<p>False (B)</p> Signup and view all the answers

The mylohyoid muscle plays a role in altering the position of the tongue.

<p>True (A)</p> Signup and view all the answers

During the first stage of swallowing, the vertical intrinsic muscle creates a transverse groove on the tongue's dorsum.

<p>False (B)</p> Signup and view all the answers

It is impossible to swallow with an open mouth.

<p>False (B)</p> Signup and view all the answers

Relaxation of the tongue muscles can lead to airway obstruction in unconscious individuals.

<p>True (A)</p> Signup and view all the answers

Tongue muscles originate from myotomes below the first cervical segment.

<p>False (B)</p> Signup and view all the answers

The mylohyoid raphe is attached to a fixed structure, similar to the pelvic floor raphe.

<p>False (B)</p> Signup and view all the answers

The anterior lingual gland, a mixed gland, is located on the under surface of the tongue behind the tip.

<p>True (A)</p> Signup and view all the answers

The foramen caecum, situated at the apex of the sulcus terminalis, is a vestigial remnant of the thyroglossal duct.

<p>True (A)</p> Signup and view all the answers

The 'lingual tonsil' is comprised of aggregations of sebaceous follicles and contributes to Waldeyer's ring.

<p>False (B)</p> Signup and view all the answers

The lateral glossoepiglottic fold connects the epiglottis to the tongue.

<p>False (B)</p> Signup and view all the answers

The median glossoepiglottic fold, a fold of mucous membrane, links the base of the tongue to the epiglottis.

<p>True (A)</p> Signup and view all the answers

When the tongue is elevated, the lingual artery, vein, and nerve become clearly visible through the translucent mucosa that lines the under part of the tongue.

<p>False (B)</p> Signup and view all the answers

The palatoglossal arches extend from the soft palate's underside to the sides of the tongue near the vallate papillae.

<p>True (A)</p> Signup and view all the answers

The intrinsic muscles of the tongue, unlike the extrinsic muscles, lack bony attachments.

<p>True (A)</p> Signup and view all the answers

The hyoglossus muscle, a significant landmark in dissections, lies deep to the lingual nerve, submandibular duct, and hypoglossal nerve.

<p>False (B)</p> Signup and view all the answers

The styloglossus muscle originates from the posterior aspect of the styloid process and interdigitates with the superior fibers of the hyoglossus.

<p>False (B)</p> Signup and view all the answers

Flashcards

Tongue Structure

A mass of skeletal muscle covered by mucous membrane, divided by a midline septum.

Parts of the Tongue

Includes dorsum, tip, inferior surface, and root, with the dorsum facing upwards and backwards.

Frenulum

A midline flange on the inferior surface of the tongue that connects the tongue to the floor of the mouth.

Oral vs Pharyngeal Parts

The oral part grips for chewing, while the pharyngeal part aids in swallowing.

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Types of Papillae

Includes filiform, fungiform, and vallate papillae, each serving different functions.

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Filiform Papillae

Rough papillae that provide a non-slip surface for food movement, giving the tongue a velvety appearance.

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Fungiform Papillae

Pink pinhead-like structures on the tongue that contain taste buds, more common at the edges.

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Vallate Papillae

About a dozen large papillae arranged in a V formation at the back of the tongue, surrounded by taste bud-laden crevices.

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Tongue Anatomy

The tongue is divided into anterior two-thirds and posterior third with distinct features.

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Anterior Lingual Gland

A mixed gland located under the tip and sides of the tongue, with ducts opening on the under surface.

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Foramen Caecum

A small depression at the apex of the sulcus terminalis, representing the remnant of the thyroglossal duct.

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Lingual Tonsil

Aggregations of lymphoid follicles at the back of the tongue, part of Waldeyer's ring.

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Median Glossoepiglottic Fold

A mucosal fold between the tongue and epiglottis creating a midline structure.

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Intrinsic Tongue Muscles

Muscles entirely within the tongue, including superior and inferior longitudinal, transverse, and vertical muscles.

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Extrinsic Tongue Muscles

Muscles that have bony attachments, including genioglossus, hyoglossus, styloglossus, and palatoglossus.

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Genioglossus

The largest extrinsic tongue muscle, originating from the mandible and inserting into the tongue's membrane.

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Blood Supply to Tongue

The tongue is primarily supplied by the lingual artery, with contributions from the facial and ascending pharyngeal arteries.

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Palatoglossal Arch

A ridge of mucous membrane connecting the soft palate to the sides of the tongue, marking the mouth-pharynx boundary.

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Infrahyoid Muscles

Muscles that depress the hyoid bone, supporting neck movement.

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Mylohyoid Muscle

A muscle that forms the floor of the mouth and supports the hyoid bone.

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Hyoglossus Muscle

Muscle that runs from the hyoid bone to the tongue, helping in its movement.

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Lingual Nerve

Nerve that supplies sensation to the anterior two-thirds of the tongue.

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Sublingual Gland

Salivary gland located beneath the tongue, responsible for mucus secretion.

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Lingual Vein

The vein that drains blood from the tongue, accompanying the lingual artery.

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Deep Lingual Vein

The vein that is visible on the underside of the tongue, responsible for returning blood from the tip of the tongue.

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Lymph Drainage of Tongue

Lymph from the tongue may reach nodes on both sides of the neck, unlike the blood supply.

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Hypoglossal Nerve

The nerve that supplies motor function to the tongue's muscles, except palatoglossus.

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Glossopharyngeal Nerve

Nerve supplying taste and sensory functions to the posterior third of the tongue.

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Taste Buds

Spherical structures in the tongue epithelium responsible for the sensation of taste.

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Keratin in Tongue

A protein that affects the color and texture of the tongue, varying with health state.

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Mucous Membrane of Tongue

The layer covering the tongue that provides sensory functions and secretes mucus from salivary glands.

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Tongue Muscles

Intrinsic muscles change the shape; extrinsic muscles stabilize and position the tongue.

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Genioglossus Function

The genioglossus muscle draws the tongue forward during movements.

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Hyoglossus Function

The hyoglossus muscle draws the sides of the tongue downwards.

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Tongue Movements

The tongue performs various movements for sucking, chewing, swallowing, and speaking.

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Voluntary Swallowing

In swallowing, the tongue creates a groove to hold the bolus before moving it back.

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Tongue Volume Constant

Tongue shape can change, but its volume remains constant during muscle contractions.

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Mylohyoid Muscle Role

The mylohyoid muscle helps raise the tongue and the floor of the mouth during swallowing.

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Longitudinal Groove

Contraction of vertical muscles creates a groove along the tongue for swallowing.

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Tongue in Sleep

During sleep, the tongue may relax and obstruct the airway, causing snoring.

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Hyoid Mobility

The hyoid bone's movements influence the floor of the mouth and tongue's positioning.

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Study Notes

Tongue Anatomy and Physiology

  • Structure: The tongue is a mass of skeletal muscle, primarily covered by mucous membrane. A fibrous septum divides it into two halves. Distinct parts include the dorsum (oral and pharyngeal), tip, inferior surface, and root.

  • Dorsum: The anterior two-thirds (oral portion) faces upwards towards the hard palate, while the posterior one-third (pharyngeal portion) faces backwards.

  • Oral Surface (Anterior Two-Thirds): Covered by stratified squamous keratinizing epithelium. This area has various papillae, including filiform (giving a velvety texture), fungiform (taste buds), and vallate (many taste buds clustered in a 'V' shape). The vallate papillae lie anterior to the sulcus terminalis, a groove marking the separation between oral and pharyngeal parts.

  • Pharyngeal Surface (Posterior One-Third): This portion is smooth and features mucous and serous glands, along with aggregations of lymphoid follicles (lingual tonsil). A small depression called the foramen caecum is noted at the sulcus terminalis.

  • Inferior Surface: This surface has a thin, smooth mucous membrane, and a midline frenulum attaches it to the floor of the mouth. Mixed glands (anterior lingual glands) are present.

舌頭的肌肉群

  • Intrinsic Muscles: These muscles are entirely within the tongue and are responsible for modifying the tongue's shape. They include superior and inferior longitudinal, transverse, and vertical muscles.

  • Extrinsic Muscles: These muscles originate from bone and are responsible for moving the tongue in space. Key extrinsic muscles are the genioglossus (largest, moves the tongue forward). hyoglossus(moves the tongue down and back), styloglossus (retracts the tongue), and palatoglossus (forms the palatoglossal arch).

Blood Supply and Lymphatic Drainage

  • Blood Supply: The tongue is supplied primarily by the lingual artery. Branches are distributed to different regions (e.g., dorsal lingual branches to the back), and some contribution is from the facial and ascending pharyngeal arteries. Venous return is via the lingual vein which, joined by other smaller veins, ultimately drains into the internal jugular vein.

  • Lymphatic Drainage: Lymphatic drainage to one side can sometimes reach nodes on the opposite side of the neck. This is most apparent in the posterior portion of the language. The tip drains to submental nodes, the anterior part to submandibular nodes, and the posterior part drains directly to deep cervical nodes.

Nerve Supply

  • Motor Innervation: All intrinsic and extrinsic tongue muscles are innervated by the hypoglossal nerve (with the exception of palatoglossus, which is supplied by the pharyngeal plexus).

  • Sensory Innervation: The anterior two-thirds of tongue's sensory nerve supply (except the vallate papilla area) is from the lingual nerve, which contains trigeminal components for common sensibility and chorda tympani components for taste. The posterior one-third and vallate papilla area are mainly supplied by the glossopharyngeal nerve with fibers for both common sensibility and taste. A small area of mucosa in the vallecula is supplied by the internal laryngeal nerve.

Development

  • Muscles: Originate from suboccipital myotomes (cranial to the first cervical segment).

  • Epithelium: Derived from the floor of the pharynx, with contributions from parts of the first, third, and fourth arches.

Floor of the Mouth

  • Mylohyoid: A muscle extending from the mylohyoid line of the mandible forming a midline raphe.
  • Geniohyoid: Paired muscles situated above the mylohyoid.
  • Sublingual Region: Located below the tongue's tip and sides. Sublingual glands are present here.

Additional Notes

  • Tongue involvement in swallowing and speech is detailed.
  • The text describes various abnormalities and conditions that can affect the tongue in terms of its appearance and functionality.

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Description

Test your knowledge on the anatomy of the tongue, including its blood supply, lymphatic drainage, and nerve innervations. This quiz covers important aspects such as the role of extrinsic muscles and sensory fibers for taste perception, focusing on both the anterior and posterior parts of the tongue.

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