Lecture 3 Oralfacial Structures Flashcards
OROFACIAL GLANDS
GLAND:
A structure that produces a secretion to regulate body’s normal functioning.
EXOCRINE GLAND:
A gland with a duct that releases secretions, such as sweat or saliva directly to target areas.
ENDOCRINE GLAND:
A ductless gland that secretes hormones directly
into the blood stream.
THYROID GLAND
THYROID GLAND
THYROID GLAND
• Largest endocrine gland, very vascular.
• Consists of 2 large lobes connected by an isthmus in the middle.
• Secretes hormones (thyroxine)
that control and regulate metabolism and growth.
• Located below the larynx on either side and in front of the trachea.
• Is not visible but should be palpated during the extra oral exam - should exhibit mobility and move superiorly when client swallows.
STRUCTURE OF THE THYROID GLAND
• CAPSULE - connective tissue that surrounds the thyroid.
• SEPTUM (plural: septa) - separates the gland into larger lobes and smaller lobules.
• LOBULES - composed of follicles:
irregularly shaped sphere-like masses that are embedded in a meshwork of reticular fibres.
• FOLLICLES - a cavity filled with colloid, layered with simple cuboidal epithelium.
• COLLOID - a stiff material reserved for the future production of thyroxin.
PARATHYROID GLANDS
• Consist of 4 to 8 small endocrine glands, two on each side, close to the thyroid gland or even inside it on its posterior surface.
• These glands are not visible or palpable during an extra oral examination of a patient.
• Secrete parathyroid hormone directly into the bloodstream to regulate calcium and phosphorus levels.
• May alter the function of the thyroid gland if they are involved in a disease process.
Thyroid and Parathyroid Glands
LYMPHATIC SYSTEM
• Part of the immune system, helps defend the body against disease.
• Closely related with the cardiovascular system.
• Transports excess tissue fluid to the bloodstream.
LYMPHATIC VESSELS AND CAPILLARIES
LYMPH
• Lymph: Tissue fluid that drains from surrounding region into lymphatic vessels.
• Increased pressure within interstitial spaces forces some fluid into the lymphatic capillaries.
• It transports foreign particles to the lymph nodes and returns protein molecules into the bloodstream.
LYMPHATIC PATHWAYS
- LYMPHATIC CAPILLARIES:
- microscopic close ended tubes that extend into interstitial space, that receive lymph through their walls. - LYMPHATIC VESSELS:
- formed by merging of lymphatic capillaries, then lead to lymph nodes and then merge into lymphatic trunks.
- they have walls similar to veins, and valves to prevent backflow of lymph (lymph goes in but not back out: one-way valves). - LYMPHATIC TRUNKS AND
COLLECTING DUCTS:
- lymphatic trunks drain lymph from large body regions and lead to two collecting ducts in the thorax.
- collecting ducts join the subclavian veins.
Lymphatic Pathways
Flow Chart
LYMPH NODES
• Bean-shaped bodies grouped in clusters along the lymphatic vessels.
• Lymph nodes are composed of lymphocytes and macrophages:
- these cells filter toxic products from the lymph to prevent entry into the vascular system.
LYMPH NODES: STRUCTURE
Capsule: a band of connective tissue surrounding the node.
-Lymph flows into the lymph nodes through afferent vessels.
- Lymph flows out of the lymph node through efferent vessels where a small depression, called the hilus, is present.
Trabeculae:
Trabeculae: extensions of connective tissue from the capsule into the node that divide the node into nodules or follicles
Germinal Centre
Germinal center: the middle of each nodule where masses of immature lymphocytes mature into B-cells and aid in the production of plasma cells.
LOCATION OF LYMPH NODES
They occur in groups or chains along the paths of larger lymphatic vessels.
Mainly located in:
cervical (head/neck)
auxiliary (armpit)
inguinal (groin)
regions.
Lymph Nodes of the Head