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10 Cards in this Set

  • Front
  • Back

Surfaces of tongue

Dorsal :


Divided by V shaped Terminal sulcus into B anterior 2/3 (oral part) w posterior 1/3 (pharyngeal part)


At apex of V there is a pit represent site of foramen caecum


Mucous membrane of anterior 2/3 is thick due to presence of papillae while in posterior 1/3 no papillae but there is lingual tonsils



Inferior Surface or Ventral:


It is related to floor of mouth and covered by mucosa and show :


Lingual frenum


Deep Lingual vein


Fimbriated folds


Two Sublingual folds


Sublingual papillae

Muscles of tongue, Nerve Supply

4 extrinsic : orignate outside tongue and inserted into tongue


4 intrinsic : Originate and inserted within tongue



extrinsic:


Genioglossus :


One Single muscle > pulls tongue into Opp side


Two muscles together : protrude tongue


Hyoglossus : dperesses tongue


Styloglossus : retraction of tongue


Palatoglossus : elevation of back of tongue and approximate palatoglossal folds



intrinsic: change shape of tongue


Superior w inferior longitudinal


Transverse


Vertical




Motor : all Muscles of tongue supplied by hypoglossal nerve xpt palatoglossal as it supplied by Facial



Sensory : General >Vagus w glossopharyngeal w lingual branch of Mandibular Nerve


Taste > Vagus w glossopharyngeal w chorda tympani of Facial Nerve

Lymphatic drainage

Tip drains bilaterally into submental LN


Margins w body drains unilaterally into submandibular > upp deep cervical LN


Posterior 1/3 drains bilaterally into upp deep cervical ( jugulodigastric w jugul-omohyoid)

Muscles of Palate w action

Tensor palati:


°Open auditory tube to equalize air passage between middle ear w nose


°tightens soft palate


Levator Palati


° elevate soft Palate


° open auditory tube


Palatoglossus


° pulls up root of tongue


° approximate palatoglossal arches to close the oropharyngeal ishmus during 1st stage of deglutition


Palato-pharyngeus


° elevates pharynx w larynx to close inlet of larynx


Musculus uvulae


° elevates uvula








Nerve Supply w blood

Motor :All supplied by vagus nerve xpt tensor Palati that supplied by Mandibular Nerve trunk


Sensory :


Soft Palate >


° General ; by lesser Palatine Nerve of Maxillary Nerve ° Taste : by Gt petrosal nerve of Facial


Hard Palate >


General > naso w Gt Palatine Branches




Hard :


Gt Palatine in Max artery


Pterygoid plexus of veins


Soft :


Lt Palatine in Max artery


Ascending Palatine of Facial


Ascending pharyngeal artery of ECA

Muscles of PHARYNX, act, Nerve Supply

Superior constrictor


Middle constrictor


Inferior constrictor


Stylopharyngeus


Palatopharyngeus


Salpingopharyngeus



Superior w middle w thyropharyngeal part of inferior are propulsive muscles during swallowing as pull food down into esophagus


Cricopharyngeal part of inferior is a Sphincter preventing suction of air into esophagus




All Muscles supplied by vagus xpt stylopharyngeus supplied by pharyngeal part of glossopharyngeal Nerve

Nerve Supply

Motor


All Muscles supplied by vagus xpt stylopharyngeus supplied by pharyngeal part of glossopharyngeal Nerve



Sensory


Nasopharynx by pharyngeal part of Max Nerve


Oropharynx by glossopharyngeal


Laryngopharynx by vagus


Pharyngeal plexus :


Lie in middle constrictor


Pharyngeal branch in :


Vagus > motor


Glossopharyngeal > Sensory to oropharynx


Superior cervical Sympathatic ganglion > vasomotor

Gaps

1st Gap is sinus of morgagni, give passage to auditory tube, Ascending Palatine artery w tensor Palati muscle


2nd Gap between Superior w middle constrictor, give pass to glossopharyngeal w stylopharyngeus muscle


3rd Gap between middle w inferior constrictor, give pass to Superior laryngeal Nerve w vessels


4th Gap below inferior constrictor.. Give pass to recurrent laryngeal w inferior laryngeal Nerve w vessels

Lateral wall of nose

Superior meatus : opens in it posterior ethmoidal sinuses


Spheno - ethmoidal recess : opens in it sphenoidal air sinuses


Middle meatus :


Bulla ethmoidalis > opens in it middle ethmoidal sinuses


Hiatus semi-lunaris > Frontal w Max air Sinuses w anterior ethmoidal sinuses


Inferior meatus :


Naso-Lacrimal duct

Max air sinus w Frontal air sinus Nerve w drains w infection

Infraorbital


Superior alveolar



Supraorbital



Opens into Hiatus semi-lunaris


Its opening is nearer to roof than floor



Opens into middle meatus in Hiatus semi-lunaris




More common to be infected


Less to be infected