Innervation Of The Oral Cavity And Pharynx - 58

Front 1

A. What is the sensory innervation of:

1. Lips, teeth, gums
2. Hard palate
3. Soft palate
4. Anterior 2/3 tongue
5. Posterior 1/s tongue
6. Vestibule

B. What is the motor innervation of:

1. Lips, cheeks
2. Tongue
3. Mandible
4. Sublingual and submandibular glands
5. Parotid

Back 1

SEE DIAGRAM

Hint 1

Sensory
T, V = 32

Motor
T = T
S = S

Front 2

Describe:
A. the sensory limb (afferent limb) and

B. central connections of the salivatory reflex?

Back 2

A. The receptors for the salivatory reflex are taste buds, groups of cells in surface of the tongue and oral cavity. Food taken into the mouth goes into saliva and the food molecules wash over the receptive taste buds and:

1. activate the afferent neurons of the lingual branch of V3.

2. The processes of these neurons travel centrally, joining the chorda tympani and then the facial nerve.

3. The afferent neurons then terminate in the rostral medulla in the nucleus of the solitary tract and their cell body is in the geniculate ganglion.

B. In the central relay of the reflex, the cells of the nucleus of the solitary tract project rostrally into the pons, where they terminate in the superior salivatory nucleus.

Front 3

Describe the 2 neuron relays of the motor (efferent) limb of the salivatory reflex?

Back 3

1. The first is the axons of the superior salivatory nucleus which exit the brainstem in the facial nerve and retrace the path through the chorda tympani and lingual branch of V3, terminating in the submandibular ganglion. These are preganglionic parasympathetics.

2. The second relay are the cell bodies of the submandibular ganglion send axons which end on the secretory cells of the sublingual and submandibular glands, causing secretion of saliva. This latter relay are postganglionic parasympathetics.

Hint 3

LOOK AT NETTER PAGE 127

Front 4

Describe the experimental procedure of classical conditioning conducted by Pavlov and why was it significant?

Back 4

-Ivan Pavlov was investigating gastric secretions in the dog and he made an opening to the stomach so he could collect and measure the amount of these secretions when the dog was fed meat powder. From time to time he noticed that gastric secretion occurred even when the dog expected the meat, but the powder was not physically present.
-He made a similar experimental setup to collect salivary secretions and he first measured the amount of saliva secreted when meat powder was placed on the dog's tongue. Next, he sounded a tone whenever the meat powder was about to be presented. Finally, he sounded a tone without following it up with delivering the meat powder. In this case, saliva continued to be secreted.

-This showed that repeated pairing of the auditory stimulus to the gustatory stimulus could lead to substitution of the former for the latter in evoking the salivatory response.

Front 5

Describe:

1. unconditioned stimulus/response

2. conditioned stimulus/response

Back 5

1. A tastant contacting the taste buds of the tongue which elicits a reflex secretion of saliva is called an unconditioned stimulus, and the secretion itself is called the unconditioned response.

2. Following an unconditioned response, the tone is known as the conditioned stimulus and the subsequent secretion of saliva is the conditioned response. Extended presentation of the conditioned stimulus without a periodic delivery of a reward (the unconditioned stimulus) leads to extinction of the conditioned stimulus/conditioned response sequence.

Front 6

Where does classical conditioning occur in the brain?

Back 6

It occurs in the amygdala, a structure in the temporal lobe anterior to the hippocampus. The amygdala sends strong projections to the hypothalamus, which in turn projects to the preganglionic nuclei of the brainstem and spinal cord, including the salivatory nuclei of the pons.

ASIDE:

The green projection above diagrams how the higher central centers are in a position to modify the function of the unconditioned reflex circuitry.

Front 7

What does this represent?

Back 7

The pathway of the afferent limb and the efferent limb of the salivatory reflex. The salivatory reflex is an autonomic reflex and it involves wetting of the food.

Front 8

What does this illustrate?

Back 8

The green projection above diagrams how the higher central centers are in a position to modify the function of the unconditioned reflex circuitry. Therefore the Green = influence of hypothalamus on preganglionic sympathetic and thus influencing it.

Front 9

Describe the somatomotor reflex of the oral cavity?

Back 9

This is the process of mastication. “After food enters the mouth, it is usually broken down by the grinding action of the teeth and is mixed with saliva. The food is repeatedly passed between the opposing teeth as the result of the movements of the tongue and the ’trampoline-like’ action of the buccinator muscles of the cheeks.” The wetted mass may be formed into a shape (the bolus) for delivery to and passage along the gastrointestinal tube.

NOTES:

In the oral cavity we chew food to make it small enough to swallow without choking
It is to crush and wet the food before it enters the pharynx. Tongue muscles tell us when the food is. Buccinator muscles tell us where the food is and where we need to move it to keep on chewing it. In chewing there is touch of the tongue, cheeks and roof of the mouth. There is a lot of activity involving touch and movement to crush the food.

Front 10

Describe the somatomotor reflex of the oral cavity?

Back 10

This is the process of mastication. “After food enters the mouth, it is usually broken down by the grinding action of the teeth and is mixed with saliva. The food is repeatedly passed between the opposing teeth as the result of the movements of the tongue and the ’trampoline-like’ action of the buccinator muscles of the cheeks.” The wetted mass may be formed into a shape (the bolus) for delivery to and passage along the gastrointestinal tube.

NOTES:

In the oral cavity we chew food to make it small enough to swallow without choking
It is to crush and wet the food before it enters the pharynx. Tongue muscles tell us when the food is. Buccinator muscles tell us where the food is and where we need to move it to keep on chewing it. In chewing there is touch of the tongue, cheeks and roof of the mouth. There is a lot of activity involving touch and movement to crush the food.

Front 11

What nerves are involved in the process of mastication?

Back 11

The tongue, lips, etc are innervated by CN V. The afferent neurons come into the chief sensory nucleus of V in the pons. Medial to it is the motor nucleus of V causing reflex in muscles of mastication. This is a stimulus response pathway for chewing.

Front 12

Compare the sensory nucleus of CN V to the touch receptors and state the role of motor nucleus of CN XII (hypoglossal).

Back 12

Analogous pathway for touch receptors
Blue afferent is the same as prev slide.
Open medulla at the bottom
Hypoglossal motor nucleus sends axons ventrally across med leminiscus and out to CN XII, which innervate the muscles of the tongue.

Front 13

Describe the sensory and motor innervation of the pharynx?

Back 13

The pharynx has sensory and motor components to pull food back and down thru esophagus and to the stomach
They are innervated mainly by CN IX. Motor innervation are levator veli palatini; uvula; and pillars seen in colored outline. They bring food back and dump it into the stomach
A lot of CN X is brought in and styloglossus in CN XII. Posterior and lateral walls of pharynx also have a muscle

Front 14

Describe the 2 facts about the pharynx?

Back 14

1. First, it is a space used in common by two very different systems-the respiratory and alimentary, both of which must be kept functionally separate. Food must traverse the pharynx and by forwarded into the esophagus without entering the nasal cavity or larynx, else asphyxiation may occur. Likewise, air must pass from the nasal or oral cavities through the pharynx and into the larynx, also without interruption.

2. Second, the pharyngeal space is a right angle, so food must be re-directed from a horizontal movement to a vertical movement.

Swallowing is, for the most part, carried out involuntarily, and in a rigid sequence of activated structures.

Front 15

What is the role of the styloglossus muscle?

Back 15

After the food is mixed and turned into a bolus on the dorsum of the tongue, the styloglossus muscle now contracts in order to push the bolus upward and backward against the undersurface of the hard palate by pulling the root of the tongue upward and
backward.

NOTES:

Intrinsic tongue muscles shape the food, narrows it and elongates it. It is slippery from saliva
Anterior tongue raises up to hard palate and in a sweeping motion, with contraction of posterior tongue muscles, moves the food back into the pharynx. Styloglossus muscle consecutively contracts to push the bolus into the pharynx
As bolus touches mucosa, hard palate and soft palate, they evoke the stimulus response reflexes by way of the trigeminal and glossopharyngeal nerve
There is a series of stimulus response reflexes as the bolus goes more posteriorly.

Front 16

Illustrate the sensory and motor component of the syloglossus muscle?

Back 16

Anterior part of reflex is CN V
XII pushes bolus back into pharynx

Front 17

Describe the role of the palatoglossus muscles?

Back 17

The contraction of the palatoglossus muscles now squeezes the
bolus backward into the oral part of the pharynx. The process of
swallowing is an involuntary act from this point onward. Therefore, Palatoglossus jerks tongue up to dump food into pharynx.

Front 18

Describe the innervation of palatoglossus muscle after the bolus gets in the pharynx?

Back 18

When in pharynx food sensation goes from CN IX to spinal nucleus of V (touch from pharynx). Interneuron travels rostrally from spinal nucleus of V to nucleus ambiguus– cannot see them as on this level they are scattered in the medulla. From nucleus ambiguus it goes to CN X
Motor structures in pharynx in order to contract palatoglossus muscle is mainly the CN X innervation.

Front 19

How is the nasal part of the pharynx separated from the oral part of the pharynx?

Back 19

The nasal part of the pharynx is shut off from the oral part of the pharynx by the elevation of the soft palate, the pulling
forward of the posterior pharyngeal wall by the upper fibers of the superior constrictor muscle, and the contraction of the palatopharyngeus muscle. Likewise, When uvula is touched it contracts along with attached soft palate
The other side also constrict and they meet to close off nasopharynx so food doesn’t go there
Is a mechanism of the nervous system to seal off the nasal cavity so food only goes downwards.

Front 20

Illustrate the innervation of the superior constrictors and palatopharyngeus muscles?

Back 20

SEE DIAGRAM

Front 21

Describe the roles of these muscles:
Palatopharyngeus
Salpingopharyngeus
Thyrohyoid
Styropharyngeus

Back 21

The larynx and laryngeal part of the pharynx are now pulled
upward by the contraction of the stylopharyngeus, salpingo-
pharyngeus, thyrohyoid, and palatopharyngeus muscles. The
main part of the larynx is thus elevated to the posterior surface of
the epiglottis, and the entrance into the larynx is closed. The bolus
moves downward over the epiglottis, the closed entrance into the
larynx, and reaches the lower part of the superior, middle and
inferior constrictor muscles.Finally, the lower fibers of the inferior
constrictor muscle relax, and the bolus enters the esophagus.

Front 22

Discuss the pathway of innervation of these muscles?
Palatopharyngeus
Salpingopharyngeus
Thyrohyoid
Styropharyngeus

Back 22

SEE PICTURE

Front 23

Describe the concept of feed - forward inhibition?

Back 23

If you measure tension of all these muscles and evoked a swallow u get first bump
With bolus there is a reflex contraction–
Muscles do not contract immediately when stimulated by the sensation of the bolus; rather when initial stimulus hits the sensory surface there is a neural system that goes to next muscle in sequence and inhibits them from contracting (feed-forward inhibition)– allows bolus to move caudally.

Front 24

Why don't we gag when we swallow?

Back 24

Gagging is a contraction and indicated are muscles activated by the bolus as it passes through the oral cavity. In the diagram to the right, normal is at the top and when you touch the anterior pillar and cause contraction you have not had feed-forward inhibition so there is immediate contraction because they have not gone through the process and you get gagging.