Week 8 - Lymphatics, Floor of Mouth & Salivary Glands Flashcards

1
Q

What is the main blood supply to the lips ?

A

Superior and inferior labial arteries.

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2
Q

What are the superior and inferior labial arteries branches of ?

A

Facial artery.

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3
Q

What is the main sensory innervation to the lips ?

A

Trigeminal.
Upper lip - CNV2, by superior labial branch of infraorbital nerve.
Lower lip - CNV3, by inferior labial branch of mental nerve.

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4
Q

What is the main lymphatic drainage of the lips ?

A

Via submandibular lymph nodes.

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5
Q

What is the main blood supply to the cheeks ?

A

Buccal branches of maxillary artery.

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6
Q

What is the main sensory innervation to cheeks ?

A

Buccal branch of CNV3.

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7
Q

What is the main motor innervation to cheeks ?

A

Facial nerve (CNVII).

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8
Q

What are the three components of the floor of the oral cavity ?

A

Tongue, geniohyoid and mylohyoid (and raphe).

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9
Q

What is the mylohyoid raphe ?

A

Where two mylohyoid muscles meet in the midline.

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10
Q

What is the attachments for the mylohyoid ?

A

Lateral - mylohyoid line on medial surface of the mandible.
Medial - mylohyoid raphe.
Anterior - hyoid bone.

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11
Q

Where do submandibular glands sit in relation to mylohyoid ?

A

Mylohyoid has free posterior margin, submandibular gland wraps around this free edge.

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12
Q

What is the attachments for the geniohyoid ?

A

Inferior mental spines.

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13
Q

How are the anterior and posterior parts of the tongue separated ?

A

Terminal sulcus.

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14
Q

What papillae on the superior surface of the tongue do not have tastebuds ?

A

Filiform.

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15
Q

What papillae on the superior surface of the tongue are the largest and form V-shape anterior to the terminal sulcus ?

A

Vallate.

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16
Q

What can be seen either side of the frenulum on inferior surface of the tongue ?

A

Lingual vein.
Sublingual folds.
Sublingual caruncle.
Opening of sublingual ducts.

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17
Q

How are the intrinsic and extrinsic muscles separated in the midline ?

A

Sagittal septum.

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18
Q

What is the function of intrinsic muscles of the tongue ?

A

Change size and shape.

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19
Q

What is the function of extrinsic muscles of the tongue ?

A

Elevate, depress, retract and protrude the tongue.

20
Q

Name the 4 intrinsic muscles of the tongue.

A

Superior longitudinal.
Inferior longitudinal.
Vertical.
Transverse.

21
Q

Name the 4 extrinsic muscles of the tongue.

A

Hyoglossus.
Genioglossus.
Palatoglossus.
Styloglossus.

22
Q

What is the specific function of the superior and inferior longitudinal muscles of the tongue ?

A

To make tongue short and thick.
To retract protruded tongue.

23
Q

What is the specific function of the transverse and vertical muscles of the tongue ?

A

Make tongue long and narrow.
Protrude tongue.

24
Q

What is the function of the genioglossus muscle ?

A

Protrude tongue.

25
Q

What is the function of hyoglossus muscle ?

A

Depress sides of the tongue.

26
Q

What is the function of styloglossus muscle ?

A

Elevate and retract tongue.

27
Q

What is the function of palatoglossus muscle ?

A

Depress soft palate and lift posterior tongue.

28
Q

What is the motor innervation of extrinsic and intrinsic muscles of the tongue ?

A

Hypoglossal nerve (CNXII) with exception of palatoglossus - vagus nerve (CNX).

29
Q

What is the general sensation of the anterior 2/3s of the tongue ?

A

Mandibular nerve branch of trigeminal nerve (CNV3).

30
Q

What is the general sensation of the posterior 1/3 of the tongue ?

A

Glossopharyngeal nerve (CNIX).

31
Q

What is the special sensation of the anterior 2/3s of the tongue (except vallate papillae) ?

A

Facial nerve via chorda tympani.

32
Q

What is the special sensation of the posterior 1/3 of the tongue (including vallate papillae) ?

A

Lingual branch of glossopharyngeal nerve (CNIX).

33
Q

What is the main blood supply to the tongue ?

A

Lingual artery (branch of ECA).

34
Q

What is the main venous drainage of the tongue ?

A

Deep lingual and dorsal lingual veins (into IJV).

35
Q

What is the purpose of the lymphatic system ?

A

Drainage of surplus tissue fluid and leaked plasma proteins.

36
Q

What lymph duct drains the right upper limb, head and neck and thorax ?

A

Right lymphatic duct.

37
Q

What lymph duct drains left upper limb, head and neck, thorax and lower limb ?

A

Thoracic duct.

38
Q

What veins do the two main lymphatic ducts drain into ?

A

Right and left subclavian to brachiocephalic trunk.

39
Q

What are the 5 groups of superficial lymph nodes in the head ?

A

Anterior auricular.
Posterior auricular.
Superficial parotid.
Facial.
Occipital.

40
Q

What are the 4 groups of superficial lymph nodes in the neck ?

A

Submental.
Submandibular.
External jugular.
Anterior jugular.

41
Q

What are the 2 deep lymph nodes of the head ?

A

Retropharyngeal (in children) and deep parotid.

42
Q

What are the 2 deep lymph nodes of the neck ?

A

Superior and inferior deep cervical.

43
Q

What lymph node drains the palatine tonsils ?

A

Jugulodigastric lymph node.

44
Q

What lymph nodes drains the tongue and floor of the mouth ?

A

Jugulo-omohyoid lymph node.

45
Q

The jugulo-omohyoid lymph nodes communicate with the axillary lymph nodes, why is this significant ?

A

Swelling (painless, hard and immobile) jugulo-omohyoid lymph nodes can be indicative of breast cancer metastasis.