Neck and oral cavity Flashcards
Boundaries and functions of the oral cavity
Boundaries:
Superiorly- Nasal cavity
Inferiorly- Pharynx
Functions:
- Digestion
- Speaking [manipulation of sound from the larynx]
Divisions of the tongue
Oral division
- Anterior 2/3
Pharyngeal
- Posterior 1/3
Terminal sulcus divided anterior from posterior.
Papillae
- Contains taste buds
- Except filiform
Frenulum
Under medial fold that separates the right side from the left side of the tongue.
Divisions of the oral cavity
Oral vestibule
- Space between the lips and cheek
Oral cavity proper
- Space enclosed by the teeth
Boundaries of the oral cavity proper
Roof
- Hard and soft palate
Floor
- Mylohyoid muscle
- Geniohyoid muscle
- Tongue
- Submandibular and sublingual glands
Intrinsic muscles of the tongue
- Function
Longitudinal
Transverse
Vertical
Function:
- Fine movement of the tongue
- Used for speech, eating and swallowing.
Extrinsic muscles of the tongue [4]
Genioglossus
Hyoglossus
Styloglossus
Palatoglossus
Genioglossus
- Shape
- Function
Extrinsic muscle of the tongue
- Fan shaped
- Arising from the mandible
Action
- Depression
- Protrusion
Hyoglossus
- Shape
- Function
Extrinsic muscle of the tongue
- From hyoid bone
- Vertical fibres
Action:
Depression
Styloglossus
- Shape
- Function
Extrinsic muscle of the tongue arising from the styloid process
- Downwards, forward fibres
Function:
Retraction
Palatoglossus
- Shape
- Function
Extrinsic muscle arising from the soft palate
- downward fibres
Function:
- Elevates back of the tongue
- Depresses soft palate
Innervation of the oral tongue
Special afferent [TASTE]
- Chorda tympani [from CN7]
- Lingual nerve [from mandibular nerve]
General sensation
- Lingual nerve
Innervation of the pharyngeal division of the tongue
Special afferent [TASTE]
- Glossopharyngeal [CN9]
Sensation
- CN9
Motor
- Hypoglossal [CN12]
- CNX [palatoglossus]
Innervation of the muscles of the tongue
CN12
- Hypoglossus
CN10
- Vagus
- Palatoglossus ONLY
Venous and arterial supply to the tongue
- Source
Lingual arteries and veins
- Branch from the ECA
Muscles of the soft palate
Palatoglossal and Palatopharyngeal
- Form the arches
Uvula
All depress the palate
Hypoglossal nerve
- Type
- Exit
- Innervation
CN 12
- Exits hypoglossal canal
Gives all motor supply to the tongue
- Except palatoglossus muscle
Clinical test for CN12 function
Patient is asked to protrude their tongue
- A deviation to one side may indicate impairment of CN12
CN 9
- Name
- Exit
- Type [4}
- Innervation [5]
Glossopharyngeal
- Exits jugular foramen
Type
- Somatic sensory [oropharynx and posterior 1/3 of the tongue]
- Special afferent, taste [post. third of the tongue]
- Visceral—> parotid gland
- Motor—> Stylopharyngeus
Larynx
- Function
- Border
Phonation
- Sits above the trachea
- Hyoid bone superior
Sphincter for the airway, blocks objects from entering trachea