Oral cavity and Esophagus Flashcards
What is the extent of the oral cavity?
Lips to oropharyngeal isthmus
What is the structure of the lips?
Orbicularis oris muscle covered by skin and mucus membrane
What is the innervation of the lips?
Upper lip - CNV2
Lower lip - CNV3
What is the lymphatic drainage of the lips?
Upper and lateral lower to submandibular lymph nodes
Medial lower lip to submental lymph nodes
What are the parts that come together to form the hard palate?
Palatine processes of maxilla and the horizontal plates of palatine bones
What is the palatoglossal arch?
Where the soft palate continues with the tongue
What with the palatopharyngeal arch?
Where the soft palate continues with the pharynx
Where is the tonsillar fossa located?
Between the palatoglossal and palatopharyngeal arches
What are the 5 muscles of the soft palate?
Tensor veli palatini
Levator veli palatini
Palatoglossus
Palatopharyngeus
Musculus uvulae
What is the innervation of the tensor veli palatinin?
Nerve to medial pterygoid via otic ganglion - branch of CNV3
What is the majority of the soft palate muscles innervated by?
Pharyngeal branch of CNX via pharyngeal plexus
What is the arterial supply of the palate?
Greater and lesser palatine from descending palatine from maxillary artery
Ascending palatine from facial artery
What are the veins of the palate?
Corresponding to arteries
Tributaries to pterygoid venous plexus
What is the sensory innervation of the gingiva, mucous membrane and hard palate glands of the oral cavity?
Greater palatine nerve from CNV2
What is the sensory innervation of the soft palate?
Lesser palatine nerve from CNV2 that pass through pterygopalatine ganglion
What is the afferent and efferent limbs of the gag reflex?
Afferent - CNIX - glossopharyngeal
Efferent - CNX - Vagus
What way will the uvula deviate if the pharyngeal plexus is injured?
To the opposite side
What are the actions of the tongue?
Mastication
Taste
Deglutition
Articulation
Oral cleansing
What causes the cobblestone appearance of the root of the tongue?
Lingual tonsil
What are the 5 divisions of the tongue?
Root
Body
Apex
Inferior surface
Dorsal surface
What is the terminal sulcus?
V shaped groove separating anterior 2/3 of tongue from post 1/3
Where is the foramen cecum located?
Apex of the terminal sulcus
What is the foramen cecum?
Proximal part of thyroglossal duct
What are the 4 types of lingual papillae?
Vallate
Foliate
Filiform
Fungiform
Where do the submandibular ducts open?
Base of the lingual frenulum
What are the 4 extrinsic muscles of the tongue?
Palatoglossus
Genioglossus
Styloglossus
Hyoglossus
What are the 4 intrinsic muscles of the tongue?
Superior longitudinal
Inferior longitudinal
Transverse
Vertical
What are the actions of the genioglossus muscle?
Depresses tongue medially
protrusion and retraction
Deviates side to side
What are the actions of the hyoglossus muscle?
Depresses tongue laterally
Retrusion
What are the actions of the styloglossus?
Retrusion
Elevates sides
What are the actions of the palatoglossus?
Elevates posterior tongue
Depresses soft palate
Constrict isthmus of fauces a ligament of the throat
What are the actions of superior longitudinal muscle?
Curls tongue upward
Retrusion
What are the actions of the inferior longitudinal muscle?
Curls tongue downward
Retrusion
What is the action of the transverse muscle of the tongue?
Narrows and protudes
What is the action of the vertical muscle of the tongue?
Flattens and broadens
What is the motor innervation of the palatoglossus muscle?
CNX through pharyngeal plexus
What is the motor innervation for the majority of tongue muscles?
CNXII - hypoglossal
What innervates general sensation of the anterior 2/3 of the tongue?
Lingual nerve branch of CNV3
What innervates taste sensation of the anterior 2/3 of the tongue?
Chorda tympani branch of CNVII
What is the sensory innervation of the posterior 1/3 of the tongue?
CN IX
What is the sensory innervation for the small area in front of the epiglottis?
CN X - internal laryngeal nerve
What will the position of the tongue be with an injury to to the hypoglossal nerve (CNXII)?
It will deviate toward the paralyzed/injured side
What is the lymphatic drainage of the posterior 1/3 of the tongue?
Superior deep cervical nodes bilaterally
What is the lymphatic drainage of the medial anterior 2/3 of the tongue?
Inferior deep cervical nodes bilaterally
What is the lymphatic drainage of the lateral anterior 2/3 of the tongue?
Submandibular nodes
What is the lymphatic drainage of the apex and frenulum of the tongue?
Submental nodes
What are the salivary glands?
Parotid glands
Submandibular glands
Sublingual glands
What are the functions of saliva?
Keeps mouth mucous membrane moist
Lubricates food during mastication
Begins digestion of starches
Intrinsic mouth wash
Prevention of tooth decay
Ability to taste
What is the parotid sheath derived from?
Investing layer of deep cervical fascia
What structures pass through the parotid gland?
Facial nerve
Retromandibular vein
External carotid artery
What is the anatomical location of the parotid gland?
Between mandible, styloid process and mastoid process bilaterally
What is the locations of the submandibular gland?
Lies along body of mandible
What is the location of the sublingual gland?
Lies in floor of mouth between mandible and genioglossus muscle
What is the secretomotor nerve supply of the parotid gland starting from the pons?
Inferior salivatory nucleus in pons
Glossopharyngeal N
Tympanic nerve
Tympanic plexus
Lesser petrosal nerve
Otic ganglion
Auriculotemporal nerve
Parotid gland
What is the nerve supply of the submandibular and sublingual glands starting at the pons?
Superior salivary nucleus in pons
Facial nerve
Chorda tympani
Submandibular ganglion
To glands
With what viral disease can you see parotiditis?
Mumps