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Extends from the lips to the
oropharyngeal isthmus
The oropharyngeal isthmus:
Is the junction of mouth and
pharynx
...
The
anterior 2/3rd of the tongue
lies on the floor
...
The apex of the sulcus faces
backward and is marked by a
pit called the foramen cecum
Foramen cecum, an
embryological remnant,
marks the site of the upper
end of the thyroglossal duct
Anterior two third: mucosa
is rough, shows three types
of papillae:
Filliform
Fungiform
Vallate
Posterior one third: No
papillae but shows nodular
surface because of
underlying lymphatic
nodules, the lingual tonsils
Smooth (no papillae)
In the midline anteriorly, a
mucosal fold, frenulum
connects the tongue with
the floor of the mouth
Lateral to frenulum, deep
lingual vein can be seen
through the mucosa
Lateral to lingual vein, a
fold of mucosa forms the
plica fimbriata
The tongue is
composed of two
types of muscles:
• Intrinsic
• Extrinsic
Confined to tongue
No bony attachment
Consist of:
• Longitudinal fibers
• Transverse fibers
• Vertical fibers
Function: Alter the
shape of the tongue
Connect the tongue to
the surrounding
structures: the soft palate
and the bones (mandible,
hyoid bone, styloid
process)
Include:
• Palatoglossus
• Genioglossus
• Hyoglossus
• Styloglossus
Function: Help in
movements of the tongue
Protrusion:
Genioglossus on both sides acting together
Retraction:
Styloglossus and hyoglossus on both sides acting
together
Depression:
Hyoglossus and genioglossus on both sides acting
together
Elevation:
Styloglossus and palatoglossus on both sides acting
together
Anterior ⅔:
• General sensations: Lingual
nerve
• Special sensations : chorda
tympani
Posterior ⅓:
• General & special sensations:
glossopharyngeal nerve
Base:
• General & special sensations:
internal laryngeal nerve
Intrinsic muscles:
Hypoglossal nerve
Extrinsic muscles:
All supplied by the
hypoglossal nerve,
except the
palatoglossus
The palatoglossus
supplied by the
pharyngeal plexus
Arteries:
Lingual artery
Tonsillar branch of
facial artery
Ascending
pharyngeal artery
Veins:
Lingual vein,
ultimately drains into
the internal jugular
vein
Lingual
artery & vein
Hypoglossal
nerve
Dorsal lingual
artery & vein
Deep lingual
vein
Tip:
• Submental nodes
bilaterally & then deep
cervical nodes
Anterior two third:
• Submandibular
unilaterally & then deep
cervical nodes
Posterior third:
• Deep cervical nodes
(jugulodigastric mainly)
The tonge is the most important
articulator for speech production
...
Taste buds are located on
different areas of the tongue, but are
generally found around the edges