Oral Region, Nose, Paranasal Sinuses, and Ear Flashcards
What is included in the oral region?
- oral cavity
- teeth
- gingivae (gums)
- tongue
- palate
- region of the palatine tonsils
What does the mouth consist of?
- oral vestibule
- oral cavity proper
- What is the space between the teeth and lips/cheeks?
- What is the space internal to the teeth and gums?
- oral vestibule
- oral cavity proper
- What does the palate form?
- What consists of the anterior (concave) two thirds of the palate?
- What consists of the posterior third of the palate?
- the floor of the nasal cavity, the roof of the oral cavity
- hard palate
- soft palate
- What is the hard palate filled with?
- What is the hard palate formed by?
- What is the hard palate covered by?
- filled w/ tongue when it is at rest
- formed by: palatine processes of maxillae, horizontal plates of palatine bones
- covered by thick mucosa that overlies numerous mucus-secreting palatal glands
- What is the soft palate composed of?
- What do the muscles of the soft palate do?
- mucosa, mucosa-secreting palatal glands, 5 muscles contributing to its movements
- the muscles close of the nasopharynx when during swallowing
- What palate is filled with the tongue at rest?
- Which palate is important when we eat/swallow food?
- hard palate
- soft palate
- What are the 2 different bones that form the hard palate?
- What helps with airflow in the palate?
- What can be a big problem with sleep apnea due to it becoming enlarged and making it difficult to breathe while sleeping?
- palatine process of the maxilla (paired); palatine bone (paired)
- choana
- uvula
What allows for the connection between the ear and the oral cavity?
eustachian tube
What are the muscles of the soft palate and what are they innervated by?
- tensor veli palatini: CN V3 (n. to medial pterygoid via otic ganglion)
- levator veli palatini: CN X (pharyngeal branch)
- palatoglossus: CN X (pharyngeal branch)
- palatopharyngeus: CN X (pharyngeal branch)
- musculus uvulae: CN X (pharyngeal branch)
What opens the auditory/eustachian tube when swallowing?
tensor veli palatini
What is the function of the tensor veli palatini?
- tenses soft palate
- opens mouth of pharyngotympanic(eustachian) tube during swallowing and yawning
What is the function of the levator veli palatini?
elevates soft palate during swallowing and yawning
What is the function of the palatoglossus muscle?
- elevates posterior part of tongue
- draws soft palate onto tongue
What is the function of the palatopharyngeus muscle?
- tenses soft palate
- pulls walls of pharynx superiorly, anteriorly, and medially during swallowing
What is the function of the musculus uvulae?
- shortens uvula
- pulls uvula superiorly
- What are masses of lymphoid tissue?
- Where are these located?
- Each (…) lies in a (…) bounded by the palatoglossal and palatopharyngeal arches of the tongue
- palatine tonsils (“the tonsils”)
- one on each side of the oropharynx
- tonsil; tonsillar sinus
What is the tonsillar sinus bounded by?
palatoglossal and palatopharyngeal arches and the tongue
- What supplies blood to the palate?
- What is the sensory innervation of the hard palate?
- What is the sensory innervation of the soft palate?
- greater palatine arteries (br. of descending palatine arteries)
- nasopalatine and greater palatine nn (CN V2)
- lesser palatine nerves (CN V2)
- What is a strong, muscular organ (one of the strongest muscles in the body)?
- What does this muscle consist of?
- What are ^ innervated by?
- tongue
- intrinsic skeletal mm arranged in 4 different planes
- hypoglossal nerve (CN XII)
The tongue consists of intrinsic skeletal muscles arranged in 4 different planes, what are they?
- superior longitudinal muscle fibers
- inferior longitudinal muscle fibers
- transverse muscle fibers
- vertical muscle fibers
- What is the function of the intrinsic tongue muscles?
- What are they innervated by?
- change the shape of the tongue?
- hypoglossal n (CN XII)
What are the different extrinsic tongue muscles and what are they innervated by?
- genioglossus: CN XII
- hyoglossus: CN XII
- styloglossus: CN XII
- palatoglossus: CN X + pharyngeal plexus
- What is the function of the extrinsic tongue muscles?
- All extrinsic tongue muscles are innervated by (…) except for (…) which is innervated by (…)
- change the position of the tongue
- CN XII, except for palatoglossal m which is innervated by CN X
- What is the function of the genioglossus muscle?
- What is the function of the palatoglossus muscle?
- depresses/protrudes tongue
- elevates posterior tongue/depresses palate
What muscles retract the tongue during swallowing, pushing the bolus of food up against the palate as it is pushed posteriorly into the oropharynx ?
- hyoglossus m
- styloglossus m
What muscle can be considered both a muscle of the tongue and a muscle of the palate because it is innervated by the CN X rather than CN XII?
palatoglossus muscle
- What is the function of the hyoglossus muscle?
- What is the function of the styloglossus muscle?
- depresses/retracts tongue
- retracts tongue/draws it up for swallowing
How can you test the function of the hypoglossal nerve (CN XII)?
have pt protrude and laterally deviate their tongue
- The surface of the tongue is characterized by small (…) which is divided into four types.
- What are the four types?
- lingual papillae
four parts: - filiform
- fungiform
- circumvallate
- foliate
- What are the numerous slender projections that lack taste buds that give the tongue its rough or furry feel (has mechanical function)?
- What are large mushroom-shaped papillae scattered on the dorsum of the tongue’s surface that possess taste buds and are difficult to see grossly?
- filiform
- fungiform
- What are larger papillae that lie in a row just anterior to the sulcus terminalis and possess taste buds?
- What lie along the sides of the tongue and are rudimentary in humans and possess taste buds?
- circumvallate
- foliate
- Taste buds contain (…)
- They are primarily located on the (…) of the tongue
- They are also more sparsely scattered in the (…)
- taste receptor cells
- dorsum of the tongue
- epiglottis, palate, pharynx
The papillae of the tongue have what functions?
- taste (taste buds)
- mechanical function
- What part of the tongue is considered the pharyngeal tongue?
- What part of the tongue is considered the oral tongue?
- Where are there more tastebuds?
- posterior 1/3
- anterior 2/3
- Anterior tongue
- What provides taste (special sense) innervation to the anterior 2/3 of the tongue?
- What provides general somatic (touch, pressure, temperature) sensation to the anterior 2/3 of the tongue?
- chorda tympani n (facial n)
- lingual nerve (mandibular n - CN V3)
- What provides taste (special sense) sensation to the posterior 1/3 of the tongue?
- What provides general somatic (touch, pressure, temperature) to the posterior 1/3 of the tongue?
- glossopharyngeal n (CN IX)
- glossopharyngeal n (CN IX)
What plays a minor role in taste as it helps innervate the epiglottis?
vagus n (CN X)
- What are the motor nerves of the tongue?
- What do they innervate?
- vagus n (CN X) - palatoglossus n
- hypoglossal n (CN XII) - all other mm of the tongue
- What are the sensory nerves of the tongue?
- What sensation do they provide?
- internal laryngeal n (CN X) - taste
- glossopharyngeal n (CN IX) - general and special senses
- lingual n (CN V) - general sensory
- chorda tympani (CN VII) - special sensory
- What are hard, conical structures set in the dental alveoli of the upper and lower jaws that are used in mastication and assisting in articulation of speech?
- How many do children have?
- the teeth
- 20 pimary teeth
- When does the first tooth in children usually erupt?
- The last tooth?
- 6-8 months
- 20-24 months
Eruption of thepermanent (secondary) teeth, normally (…) in each jaw (3 molars, 2 premolars, 1 canine, and 2 incisors on each side), usually is complete by the (…), except for the third molars (wisdom teeth), which usually erupt during the (…)
- 16
- midteens
- late teens or early 20s
- What supplies blood to the maxillary (upper) and mandibular (lower) teeth?
- What vein(s) drain this region and into what?
- What innervates the maxillary and mandibular teeth?
- superior and inferior alveolar arteries (br. of maxillary artery)
- superior and inferior alveolar veins; drain into pterygoid venous plexus
- superior and inferior alveolar nn (br. of CN V2 and CN V3) which form superior and inferior dental plexuses
The(…) are composed of fibrous tissue covered with mucous membrane, which is firmly attached to the alveolar processes of the mandible and maxilla and the necks of the teeth
gingivae(gums)
- Thebuccal gingivaeof the mandibular molar teeth are supplied by the (…)
- Thelingual gingivaeof all mandibular teeth are supplied by the (…).
- Thepalatine gingivaeof the maxillary premolar and molar teeth are supplied by the(…)and the palatine gingivae of the incisors by the(…).
- The labial and buccal aspects of the maxillary gingivae are supplied by the (…)
- buccal nerve (br. of CN V3)
- lingual nerve
- greater palatine nerve
- nasopalatine nerve
- anterior, middle, and posteriorsuperior alveolar nerves
- What are air-filled extensions of the respiratory part of the nasal cavity into cranial bones (and are names in according to the bones they are located in)?
- What cranial bones do these extend into?
- paranasal sinuses
- frontal, ethmoid, sphenoid, and maxilla