Oral Cavity and Oropharynx (ENT 3) Flashcards
What makes up the roof of the mouth?
Horizontal parts of maxilla and palatine bone = hard palate
Palatine process attaches to alveolar/dental arch
Soft palate hangs off back of hard palate
What is the soft palate?
Muscular flap
Forms posterior part of roof of mouth
What is the midline projection of the soft palate?
Uvula
What forms the floor of the mouth?
Mandible
Diaphragm of muscle bridging entire inferior space
What are the muscles in the floor of the mouth?
Mylohyoid
Digastric
Geniohyoid
Where does the mylohyoid muscle attach?
Hyoid bone
Posterior aspect of mandible
What wraps around the free edge of the mylohyoid muscle?
One of salivary glands
What is superior to the mylohyoid musclee?
Geniohyoid
What is inferior to the mylohyoid muscl?
Digastric
What holds the tongue in the mouth?
Diaphragm muscles of floor of mouth
What divides the tongue into a posterior third and anterior two-thirds?
V shaped groove = sulcus terminalis
In which direction is the sulcus terminalis orientated?
Apex of V directed posteriorly
What is the foramen caecum?
Depression at apex of sulcus terminalis
Where thyroid as outpouching of tongue developed and moved down in neck
What is located posteriorly under the nodular mucosa of the tongue?
Lingual tonsils
What are the nodules on the tongue called?
Papillae
What are the valate papillae?
Large papillae anterior to sulcus terminalis in single row
Where are the foliate papillae located?
Posterolaterally on tongue
Where are the fungiform papillae located?
Line rest of tongue
Where are the taste buds located?
In walls of papillae
What do the extrinsic muscles of the tongue do?
Alter position of tongue
Where do the extrinsic muscles of the tongue attach?
One end inside tongue
One end outside tongue
What is the motor supply of the extrinsic muscles of the tongue?
CN XII
Except palatoglossus = pharyngeal branch of CN X
What are the extrinsic muscles of the tongue?
Hyoglossus
Palatoglossus
Styloglossus
Genioglossus
Where does the hyoglossus attach?
Hyoid
Tongue
What does the hyoglossus do?
Depress tongue
Where does the palatoglossus attach?
Soft palate
Tongue
What does the palotoglossus do?
Elevates tongue
Where does the styloglossus attach?
Styloid process
Tongue
What does the styloglossus do?
Retract tongue
Where does the genioglossus attach?
Genial tubercle on mandible in midline posteriorly
Tongue
What does the genioglossus do?
Pulls back of tongue forward > protrudes tongue
How can you detect which side a lesion in the hypoglossal nerve is?
When protrude tongue, because of unopposed action of unaffected genioglossus, tongue pushed to side of lesion
Where do the intrinsic muscles of the tongue attach?
To other muscles of tongue within it only
What do the intrinsic muscles of the tongue do?
Alter shape of the tongue by pulling against each other when they contract
What is the motor supply of the intrinsic muscles of the tongue?
CN XII
What is the general sensory innervation of the tongue?
Anterior 2/3 = lingual nerve = branch of CN V3
Posterior 1/3 = CN IX
What is the special sensory innervation of the tongue?
Anterior 2/3 = chorda tympani = branch of CN VII
Posterior 1/3 = CN IX