HSF/Dissection/Palate, tonsil, mouth, and tongue

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Contents

Structure list

Oral cavity (including palate and tongue) and oropharynx

Bony landmarks

  • Hard palate (see bony landmarks in Nasal Cavity)
  • Hamulus of the medial pterygoid plate
  • Mandible with mylohyoid line and sublingual fossa

Muscles

  • Palatoglossal arch (containing palatoglossus m.)
  • Palatopharyngeal arch (containing palatopharyngeus m.)
  • Salpingopharyngeal fold (containing salpingopharyngeus m.)
  • Superior constrictor m.
  • Buccinator m.
  • Levator veli palatini (levator palati) m.
  • Tensor veli palatini (tensor palati) m.
  • Mylohyoid m.
  • Geniohyoid m.
  • Genioglossus m.
  • Styloglossus m.
  • Hyoglossus m.
  • Intrinsic muscles of the tongue

Nerves

  • Greater palatine n.
  • Lesser palatine n.
  • Glossopharyngeal n. (IX)
  • V3 in foramen ovale with otic ganglion
  • Lingual n.
  • Submandibular ganglion
  • Hypoglossal n. (XII)

Blood vessels

  • Greater palatine a.
  • Lingual a.
  • Paratonsillar vein

Miscellaneous structures

  • Soft palate with uvula
  • Palatine tonsil with crypts
  • Pharyngobasilar fascia
  • Lingual tonsil
  • Foramen cecum
  • Papillae: vallate, filiform, foliate, fungiform
  • Median glossoepiglottic fold
  • Valleculae
  • Eustachian (auditory, pharyngotympanic) tube with bony and cartilagenous portions
  • Frenulum of upper and lower lip
  • Frenulum linguae
  • Sublingual gland
  • Plica sublingualis (snblingual fold)
  • Submandibular gland
  • Submandibular duct
  • Opening of submandibular duct
  • Opening of parotid duct

Muscles and nerves

Muscles innervated by pharyngeal plexus (from CN X)

  1. Levator veli palatini m.
  2. Salpingopharyngeus m.
  3. Glossopharyngeus m.
  4. Palatoglossus m.
  5. Palatopharyngeus m.
  6. Musculus uvulae

Extrinsic muscles of tongue

Muscle Innervation Action
Genioglossus m. Hypoglossal n. (CN XII) Protrude tongue
Styloglossus m. Hypoglossal n. Aids in initiation of swallowing
Hyoglossus m. Hypoglossal n. Depresses tongue
Palatoglossus m. Pharyngeal plexus (CN X) Elevates posterior tongue and aids in initiation of swallowing

Tongue innervation

Region of tongue Somatic sensory Visceral sensory
Anterior two-thirds Lingual n. (V3) Chorda tympani n. (CN VII)
Posterior one-third Glossopharyngeal n. (CN IX) Glossopharyngeal n.

Quiz

  1. What are the extrinsic muscles of the tongue?
    • Genioglossus m.
    • Styloglossus m.
    • Palatoglossus m.
    • Hyoglossus m.
  2. What innervates these muscles?
    Hypoglossal n. (CN XII) does all except for palatoglossus m.
  3. What innervates the palatoglossus m.?
    Pharyngeal plexus (CN X)
  4. What innervates the only muscle derived from the third pharyngeal arch?
    Glossopharyngeal n. (CN IX)
  5. What pharyngeal space is often the site of chicken bone accidents?
    Piriform recess
  6. What innervates the musculus uvulae?
    Pharyngeal plexus (CN X)
  7. Peripheral injury to the left hypoglossal n. causes what to happen to the tongue?
    Deviates to the left on protrusion
  8. What provides somatic sensory innervation to the anterior two-thirds of the tongue?
    Lingual n. (V3)
  9. What provides special visceral sensation to the posterior one-third of the tongue?
    Glossopharyngeal n. (CN IX)
  10. What two nerves converge to form the nerve of the pterygoid canal?
    Greater petrosal n. (preganglionic parasympathetic fibers from CN VII) and deep petrosal n. (postganglionic sympathetic fibers from superior cervical ganglion)
  11. What innervates the carotid baro- and chemoreceptors?
    Glossopharyngeal n. (CN IX)
  12. What are the intrinsic muscles of the tongue?
    • Superior and inferior longitudinal mm.
    • Transverse m.
    • Vertical m.
  13. What innervates them?
    Hypoglossal n.
  14. What is the foramen cecum?
    A remnant of the embryonic thyroglossal duct, which connected the thyroid gland to the tongue