Logemann Chapter Two Flashcards
Anatomy and Physiology of the Normal Deglutition
Name the structures in the oral cavity.
- lips
- teeth
- hard palate/maxilla
- soft palate
- uvula
- mandible
- floor of the mouth
- tongue
- anterior faucial pillars
- palatine tonsils
Why are pockets created by oral structure important in swallowing?
The pockets or natural cavities can collect food and liquid that may remain there after the swallow.
Sulcus
The space or natural cavity formed between the dental alveoli and cheek or lip musculature
Sulci are found anteriorly and laterally between these structures:
- Lips and maxilla
- Lips and mandible
- Cheek and maxilla
- Cheek and mandible
What are the four extrinsic muscles of the tongue? What are their primary function?
- genioglossus, hyoglossus, styloglossus, palatoglossus
- Their primary function is to change the position of the tongue to allow for retraction, protrusion, and side to side movement
What are the four paired intrinsic muscles of the tongue?
What is their function?
- inferior longitudinal, superior longitudinal, vertical, transverse
- they are names by the direction that they course
- these muscles affect the size and shape of the tongue, and have a role in facilitating mastication and swallowing
How is the tongue divided for swallowing?
- oral portion
- pharyngeal portion
Oral portion of the tongue
- includes the tip, blade, and dorsum (body)
- ends at the circumvallate papillae
- active during speech and the oral stages of swallow
Pharyngeal portion of the tongue
- extends from the circumvallate papillae (or approximately the tip of the uvula) to the hyoid bone.
- also called the tongue base
- active during the pharyngeal stage of swallow
- under involuntary neural control coordinated in the brainstem, but can be placed under some voluntary control
Hyoid Bone
- forms the foundation for the tongue, the body of which sits on the hyoid
- suspended in soft tissue by the floor of the mouth muscles and by the stylohyoid and the posterior belly of the digastric muscle, both of which are attached posterolaterally from the region of the temporal lobe
Musculature forming the floor of the mouth
- the suprahyoid muscles (mylohyoid, geniohyoid, and the anterior belly of the digastric)
- attach to the body of the mandible anteriorly and to the body of the hyoid bone posteriorly
Roof of the mouth
- formed by the maxilla (hard palate), velum (soft palate), and uvula
Salivary Glands
- three large glands on each side; parotid glands, submandibular glands, sublingual glands
- small gland found in mucous membranes of the tongue, lips, cheek, and roof of mouth
- produce two kinds of fluid; watery thin and mucousy thick
- parotid gland only produces thin
- maintain oral moisture, reduce tooth decay, assist in digestion, neutralizes stomach acid that may reflux into the esophagus
Pharyngeal structures involved in deglutition
superior, medial, and inferior pharyngeal constrictors
Pyriform Sinuses
- spaces between pharyngeal muscle fibers and the thyroid cartilage on each side (? correct later)