Submandibular region Flashcards
oral cavity proper
area between teeth (palate to tongue, continuous with oropharynx)
vestibule
area between cheek and teeth
lips inn.
upper lip: V2 (infraorbital n.)
lower lip: V3 (mental and buccal nn.)
lips lymphatic drainage
upper lip: ipsilaterally to submandibular nodes
central lower lip: ipsilaterally to submental nodes
lateral lower lip: bilaterally to submandibular nodes
inn. to upper teeth
superior alveolar divisions (V2)
inn. to lower teeth
inferior alveolar divisions (V3)
tongue components
- body (anterior 2/3), mobile
- root (posterior 1/3), fixed
- epiglottic region
body and root of tongue separated by
terminal sulcus
filiform papillae
small conical projections, no taste buds
fungiform papillae
medium, dome-shaped
circumvallate papillae
large, round, bulk of taste receptors
intrinsic muscles of tongue
- superior longitudinal m.
- vertical and transverse mm.
- inferior longitudinal m.
Inn. CN XII (GSE), change shape of tongue
extrinsic muscle of tongue
- genioglossus
- hyoglossus
- styloglossus
- palatoglossus
Move tongue
genioglossus
protrudes tongue, pushes tongue to opposite side acting unilaterally. CN XII (GSE)
hyoglossus
retracts, depresses tongue. CN XII (GSE)
styloglossus
retracts, elevates tongue. CN XII (GSE)
palatoglossus
pulls tongue and soft palate together. CN X (SVE)
CN XII lesion
tongue protrudes to side of lesion
general sensation to anterior tongue
lingual n. (V3)
taste to anterior tongue
facial n. (chorda tympani)
general sensation and taste to posterior tonge
CN IX
general sensation and taste to epiglottic region
CN X
blood supply to tongue and oral cavity
lingual a. (br. from external carotid)
tongue lymph drainage
posterior tongue: superior deep cervical nodes
apex of tongue: bilateral to submental nodes
middle lateral tongue: ipsilateral to submandibular nodes
central middle tongue: contralateral to inferior deep cervical nodes (jugulo-omohyoid node)
Waldeyer’s Ring
pharyngeal, tubal, palatine, and lingual tonsils
parasympathetic inn. to parotid gland
- pregang. cell bodies: salivatory nucleus in brainstem
- pregang. fibers: CN IX (tympanic and lesser petrosal branches)
- postgang. cell bodies: otic ganglion
- postgang. fibers: V3 (auriculotemporal n.)
parasympathetic inn. to submandibular and sublingual glands
- pregang. cell bodies: salivatory nucles in brainstem
- pregang. fibers: CN VII (chorda tympani)
- postgang. cell bodies: submandibular ganglion
- postgang. fibers: V3 (lingual n.)
sympathetic inn. to salivary glands
- pregang. cell bodies: T1-T4 lateral horn
- pregang. fibers: sympathetic chain
- postgang. cell bodies: superior cervical ganglion
- postgang. fibers: external carotid n.
submandibular triangle boundaries
mandible and two bellies of digastric
contents of submandibular triangle
- superficial submandibular gland
- CN XII
- facial a.
digastric
depresses mandible, elevates hyoid
anterior belly: V3 (arch 1)
posterior belly: VII (arch 2)
stylohyoid
elevates and retracts hyoid. CN VII
mylohyoid
forms floor of oral cavity, elevates hyoid and floor of mouth. V3 (mylohyoid br.)
geniohyoid
elevates hyoid, opens mouth with hyoid fixed. C1 via CN XII
paralingual space
between mylohyoid and hyoglossus
- CN XII
- venous plexus
- lingual n.
- submandibular gland and duct
major nerves of oral cavity
- lingual n. (V3)
- CN IX
- CN X
- CN XII
lingual n. functions
- GSA to body of tongue
- distributes SVA to body of tongue (via chorda tympani)
- distributes GVE-P to submandibular and sublingual glands
hypoglossal n. functions
GSE to all intrinsic tongue mm.
GSE to all extrinsic tongue mm. except palatoglossus (X)
glossopharyngeal n. functions
- GSE to sylopharyngeus
2. GVA and SVA to root of tongue
vagus n. functions
- GVA and SVA to epiglottic region of tongue
2. SVE to palatoglossus