Tongue And Floor Of Mouth Flashcards
What is the tongue attached to
The floor of pharynx
What is the core of the tongue formed by
Skeletal muscle
Serous, mucous and seromucinous glands
What is the tongues anterior and posterior region separated by
Sulcus terminalis with foramen caecum at the apex
What are the 3 papillae on the anterior surface of the tongue
Filiform
Fungiform
Circumvallate
What is the papillae on the side of the tongue near the back called
Foliate papillae
What is the anterior 2/3rds of the tongue described as being
Thick keratinised and non keratinised stratified squamous epithelium
Mucosa bound to underlying musculature
Roughened keratinised surface
What is the posterior 1/3rd of the tongue covered with
Lymphoid follicles - large, smoother nodules
Where on the tongue are taste buds located
In troughs surrounding vallate papillae
Few on fungiform and foliate papillae
Few on soft palate posterior wall of pharynx and epiglottis
How is the ventral surface of the tongue described as
Thin stratified squamous non keratinising epithelium (lining)
Prominent vasculature in sub mucosa
Permeable to drugs
What are the 4 intrinsic muscles of the tongue
Superior longitudinal
Inferior longitudinal
Transverse
Vertical
What is the origin of the superior longitudinal muscle
Lingual septum and submucous fibrous layer
What is the insertion of the superior longitudinal muscle
Margins of tongue
What is the action of the superior longitudinal muscle
Raises tip and sides and shortens tongue
What is the origin of the inferior longitudinal muscle
Body of hyoid and base of tongue
What is the insertion of the inferior longitudinal muscle
Apex of tongue
What is the action of the inferior longitudinal muscle
Curls tip inferiorly, shortens tongue
What is the origin of the transverse muscle
Lingual septum
What is the insertion of the transverse muscle
Submucous fibrous layer
What is the action of the transverse muscle
Narrows and lengthens tongue
What is the origin of the vertical muscle
Superior surface of tongue
What is the insertion of the vertical muscle
Inferior surface of tongue
What is the action of the vertical muscle
Flattens and broadens tongue
What are the 4 extrinsic muscles of the tongue
Genioglossus
Styloglossus
Hyoglossus
Palatoglossus
What is the origin of the genioglossus muscle
Mental spine (mandible)
What is the insertion of the genioglossus muscle
Superior fibres - tip of tongue
Middle fibres - dorsum of tongue
Inferior fibres - body of hyoid bone
What is the action of the genioglossus muscle
Superior fibres - retracts tip of tongue
Middle fibres - depresses dorsum of tongue
Inferior fibres - advance hyoid bone
What is the origin of the hyoglossus muscle
Body and greater horn of hyoid bone
What is the insertion of the hyoglossus muscle
Lateral aspect of tongue
What is the action of the hyoglossus muscle
Retrudes tongue, draw sides of tongue downwards
What is the origin of the styloglossus muscle
Styloid process and stylohyoid ligament
What is the insertion of the styloglossus muscle
Lateral aspect of tongue
What is the action of the styloglossus muscle
Retrudes tongue, draw sides of tongue downwards
What is the origin of the Palatoglossus muscle
Soft palate
What is the insertion of the Palatoglossus muscle
Dorsum and lateral aspect of tongue
What is the action of the Palatoglossus muscle
Closes oropharyngeal isthmus
Which 3 cranial nerves supply taste
Anterior 2/3rds facial
Posterior 1/3rd glossopharyngeal
Pharynx vagus
Which nerve supply’s the general sensory mucosa of anterior 2/3rds of the tongue
Lingual branch of mandibular nerve
Which nerve supply’s special sensory to the mucosa of anterior 2/3rds of tongue
Chorda tympani branch of facial nerve
Which nerve supply’s the mucosa of posterior 1/3rd of tongue
Glossopharyngeal and vagus (superior laryngeal)
What’s the main nerve supply to the tongue muscles
Hypoglossal
What nerve supply’s the Palatoglossus of the tongue
Pharyngeal plexus (IX,X,IX)
Which lymph nodes does the tip of the tongue drain to
Submental nodes
Which lymph nodes does the rest of the anterior 2/3rds of the tongue go to
Submandibular nodes and deep cervical lymph nodes
Which lymph nodes does the posterior 1/3rd of the tongue go to
Deep cervical lymph nodes
What is the floor of the mouth lined with
Non keratinised stratified squamous epithelium
What is the sublingual folds an opening for
Sublingual salivary glands
What is the sublingual papilla openings for
Submandibular salivary glands
Which 2 supra hyoid muscles are in the floor of the mouth
Geniohyoid muscle
Mylohyoid muscle
What are the 4 pairs of suprahyoid muscles
Digastric
Mylohyoid
Geniohyoid
Stylohyoid
What is the origin of the stylohyoid muscle
Styloid process
What is the insertion of the stylohyoid muscle
Greater horn of hyoid
What is the action of the stylohyoid muscle
Elevates hyoid bone
What is the innervation of the stylohyoid muscle
Facial nerve
What is the origin of the Geniohyoid muscle
Inferior genial tubercle of mandible
What is the insertion of the Geniohyoid muscle
Body of hyoid bone
What is the action of the Geniohyoid muscle
Elevates and protracts hyoid bone
What is the innervation of the Geniohyoid muscle
Anterior rami of C1
What is the origin of the Mylohyoid muscle
Attaches to mylohyoid line and body of hyoid bone
What is the insertion of the mylohyoid muscle
Extends from body of mandible to hyoid bone
Medial fibres of two muscles form a midline raphe
What forms the floor of the mouth
Paired mylohyoid muscles form the muscular floor
What is the action of the Mylohyoid muscle
Elevates hyoid bone, base of tongue and floor of mouth
What is the innervation of the mylohyoid muscle
Nerve to mylohyoid (CN V3)
What is the origin of the digastric posterior belly muscle
Digastric notch of temporal bone at base of skull
What is the insertion of the digastric posterior belly muscle
Intermediate tendon which passes through sling of fascia on grater horn of hyoid bone
What is the action of the digastric posterior belly muscle
Raises hyoid bone
What is the innervation of the digastric posterior belly muscle
Facial nerve
What is the origin of the digastric anterior belly muscle
Intermediate tendon
What is the insertion of the digastric anterior belly muscle
Digastric fossa of mandible
What is the action of the digastric anterior belly muscle
Elevates hyoid bone
What is the innervation of the digastric anterior belly muscle
Nerve to mylohyoid (CN V3)
Where is the superficial part of the submandibular salivary gland located
Between mylohyoid and submandibular fossa of mandible
Where is the deep part of the submandibular salivary gland located
Wraps around free posterior border of mylohyoid muscle in floor of mouth
What is the blood supply of the submandibular salivary gland
Glandular branches of facial artery
Where is the sublingual salivary gland located
Floor of mouth, medial to sublingual flossa of mandible, above mylohyoid muscle
What is the blood supply of the sublingual salivary gland
Glandular branches of sublingual artery
What is the pit in the posterior midline of the tongue known as
Foramen cecum