Tongue & Mouth Flashcards

1
Q

What is included in the submandibular region?

A

-Submandibular and sublingual glands
-Suprahyoid muscles
-Extrinsic muscles of the tongue (genioglossus, hyoglossus, styloglossus, palatoglossus)
-Lingual and Facial arteries
-Submandibular ganglion

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2
Q

what are the suprahyoid muscles ?

A

digastric, mylohyoid, geniohyoid, stylohyoid

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3
Q

what are the extrinsic muscles of the tongue

A

genioglossus, hyoglossus, styloglossus, palatoglossus

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4
Q

what structures can you find on the inside of the mandible?

A

Mylohyoid groove
Mylohyoid line
Genial Spines/tubercles
Sublingual fossa
Digastric fossae
Submandibular fossa

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5
Q

name the numbered structures

A
  1. Mylohyoid groove
  2. Mylohyoid line
  3. Genial spines/tubercles
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6
Q

name the numbered structures

A
  1. Mylohyoid line
  2. Submandibular fossa
  3. Sublingual fossa
  4. Digastric fossae
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7
Q

what connects the hyoid to the thyroid cartilage?

A

Thyrohyoid membrane

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8
Q

where does the stylohyoid attach on the hyoid?

A

lesser horns

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9
Q

Stylohyoid
Origin:
Insertion:
Innervation:
Action:

A

Origin: posterior lateral styloid process
Insertion: body of hyoid
Inn: CN VII
Action: elevates tongue and retracts hyoid

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10
Q

Anterior belly of Digastric
Origin:
Insertion:
Innervation:
Action:

A

Origin: digastric fossa
Insertion: interediate tendon to hyoid
Inn: mylohyoid n. (V3)
Action: Elevate hyoid and depress mandible if hyoid is fixed

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11
Q

Posterior belly of Digastric
Origin:
Insertion:
Innervation:
Action:

A

Origin: Mastoid notch
Insertion: intermediate tendon to hyoid
Inn: CN VII
Action: Elevate hyoid and depress mandible if hyoid is fixed

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12
Q

Mylohyoid
Origin:
Insertion:
Innervation:
Action:

A

Origin: mylohyoid line
Insertion: hyoid and median raphe
Inn: mylohyoid n (V3 off inf alveolar)
Action: Elevate hyoid & floor of mouth and tongue, depress mandible if hyoid is fixed

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13
Q

Geniohyoid
Origin:
Insertion:
Innervation:
Action:

A

Origin: inferior genial spine
Insertion: body of hyoid
Inn: C1 via CN XII
Action: elevate hyoid with anterior translation

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14
Q

Oral portion of the tongue is the ______ and the pharyngeal portion of tongue is the ________

A

Anterior 2/3
Posterior 1/3

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15
Q

what type of muscle is the tongue made up of?

A

skeletal muscle

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16
Q

what are the structures found on the tongue?

A

Lingual tonsil
Foramen Cecum
Sulcus terminalis
Median groove

17
Q

what are the innervations of the lingual papillae?
1. Circumvallate
2. Foilate
3. Fungiform
4. Filliform

A
  1. CN IX
  2. Chorda tympani
  3. chorda tympani
  4. Lingual nerve branch of V3
18
Q

what are the intrinsic muscles of the tongue? what are their functions>

A
  1. Superior Longitudinal: shortens tongue
  2. Vertical: lowers tongue
  3. Transverse: narrows tongue
  4. Inferior Longitudinal: changes shape of the tongue in mastication and deglutition
19
Q

what supplies innervation and blood to the intrinsic muscles of the tongue?

A

Innervation: CN XII
Blood: Lingual a.

20
Q

what supplies innervation to the extrinsic muscles of the tongue?

A

mostly CN XII, one is CN X

21
Q

what are the 4 extrinsic muscles?

A

Genioglossus
Hyoglossus
Styloglossus
Palatoglossus

22
Q

Genioglossus

Action:
Attachment:
Innervation:

A

Action: protrudes and depresses tongue,
Attachment: Attaches to Superior genial tubercle
Innervation: CN XII

23
Q

Hyoglossus

Action:
Attachment:
Innervation:

A

Action: flattens and depresses tongue
Attachment: Attaches to body of greater horn of hyoid
Innervation: CN XII

24
Q

Styloglossus

Action:
Attachment:
Innervation:

A

Action: pulls tongue posteriorly and superiorly
Attachment: Attaches to Styloid process
Innervation: CN XII

25
Palatoglossus: Action: Attachment: Innervation:
Action: levates tongue Attachment: Attaches to palatine aponeurosis of soft palate Inn: CN X (pharyngeal branch
26
What is the innervation of the tongue? 1. Motor 2. General sensory 3. Special sensory
1. CN XII for all except Palatoglossus (CN X) 2. CN V3 (Ant 2/3), CN IX (Post 1/3) 3. Chorda tympani (Ant 2/3), CN IX (post 1/3)
27
what does the epiglottis mucosa receive sensory innervation from?
CN X (internal laryngral)
28
what is the blood supply of the tongue?
- Lingual artery (Dorsal lingual, Deep lingual, sublingual) - Lingual veins
29
___________ is the deep lingual vein which drains to internal jugular
Principle vein
30
what is the path sympathetic fibers take to get to submandibular/lingual glands?
T1-T4 → lateral horn → ventral root → superior cervical ganglion → submandibular/lingual salivary gland
31
what is the path parasympathetic fibers take to get to submandibular/lingual glands?
Lower pons Superior salivatory nucleus → Facial nerve → chorda tympani → submandibular ganglion → sublingual/mandibular salivary gland
32
what are the routes of drainage for lymphatics in the tongue? 1. Tip of tongue 2. Lateral anterior 2/3 3. Medial inferior 2/3 4. Posterior 1/3
1. Tip of tongue: submental nodes 2. Lateral anterior ⅔: submandibular nodes 3. Medial inferior ⅔: inferior deep cervical nodes 4. Posterior ⅓: superior deep cervical nodes