palatoglossus
Transcription
palatoglossus
Slide 2,p23 anterior two thirds differ from posterior third of the tongue in : Function anterior : for taste ,, posterior : glandular Neurological origin,composition of cells,anatomical position,shape and name. You cannot see posterior third of tongue normally because it lies in oral part of pharynx. *fibrous septum appears like sulcus. .(شرحهم الدكتور كلهم24,25,26,27) Lining epithelium of the mucous membrane of the tongue is stratified squamous epitheium ( keratinized gingiva,dorsal surface of tongue,hard palate ,,non keratinized rest of areas. P28 (he didn’t talk about 1st slide) Page 29 , lingual gland details are excluded (2 lines :p ) p 31,32 were explained(explained taste breifly). Muscles of the tongue : in all muscles,origin and insertion are not required. Filliform Papillae Fungiform Papillae Vallate Papillae SITE PRESENT throughout the dorsal surface of the anterior two thirds. Scattered throughout dorsum of anterior two thirds of tongue ,but are especially numerous near sides and tips of organ. In front and parallel to junction point of anterior 2thirds with posterior third(sulcus terminalis) Shape Minute conical projections (fungus) مثل الفطر Resemble mushroom ,bright red spots. Circular shaped Size Smallest Larger than filliform papillae. Largest form Number Most numerous papillae Less numerous than 7-12 filliform PAGE 26,SLIDE 52 (LINGUAL TONSILS)ARE IMPORTANT. Genioglossus: Fibers differ in their direction and function . Anterior fibers : vertical Middle fibers : oblique posterior fibers : horizontal *posterior fibers protrude tongue forward if they work bilaterally(right with left),but if one of them is paralyzed ,the tongue will be deviated to the inactive or paralyzed side Middle fibers depress central part of tongue to enlarge mouth cavity.why? To help in chewing and accomodating more food inside oral cavity. Don’t work alone ,it work in this with hypoglossus muscle. P35 (first slide)action of styloglossus : اللسان يصير مقالع Food in dorsal surface is thrown to pharynx to be swallowed. Action of palatoglossus : Narrows oropharyngeal isthmus,so the food cannot escape to pharynx,during chewing. This is similar to buccinators that work as sphincters during mastication,pushing cheeks on teeth so food cannot escape to vestibule. As mastication is completed,palatoglossus and buccinators relaxe,styloglossus Contracts and sends food to pharynx where it’s swallowed. Those 4 muscles are extrinsic ( origin is outside tongue) Where as intrinsic origin is inside the tongue,they have 3 kinds ( transverse,longitudinal-superior and inferiortransverse and vertical.these details are not important. Extrinsicchanges position of tongue Intrinsicchanges shape of tongue (flat,concave,wide…) can be a Question for exam : All extrinsic and intrinsic muscles of the tonge are supplied by hypoglossal nerve except : -palatoglossus (the muscle that is common between palate and tongue)that is innervated by pharyngeal plexus. Pharyngeal plexus arises from posterior wall of pharynx (not important) Name of muscle Genioglossus hyoglossus palatoglossus styloglossus Site and action Forms main mass of the tongue Action : Posterior fibers : Protrude the tongue(P-P) Midline fibers : depress central part of Mouth cacity. (CMD)community medicine :p Anterior : depress and retract tip of tongue (dep-retant)same tone :p Action : Depression of Side of tongue,helps genioglossus to enlarge mouth cavity during chewing or eating. (I saw Haya in the side of the road,she was very depressed) Forms Palatoglossal arch (fold)in front of tonsil,,also called (anterior pillar fauces) Action : sphincter for oropharyngeal isthmus.elevates root of the tongue. (palatoglossus is lust like a policeman who gaurds a gate and we all elevate hats and give respect for him) Pulls tongue upward and backward.to help in food swallowing. (some People think that Style only makes them beloved or up on the top,but actually,they're in the back Page 38 (slide 5 in lec 2)the hard palate is covered by mucous membrane that contains serous and mucous glands.the mucous glands are predominant. *p.40,,Dr. explained the origin id details but it’s not included. Aponeurosis : wide membranous tendon used for attachment with muscles. Function of tensor veli palatine (p.42) causes tension for aponeurosisfixing the base (soft palate)so other muscles can work. -levator veli palatine:arises from MEDIAL side of austacian tube,tensor veli palatine arises from LATERAL side of austachian tube. Action of levator veli ,,shuts oral part from nasal part during eating,especially liquids. Palatoglossus pushes tongue up pushes palate down reduces diameter of oropharyngeal isthmus. P45palatopharyngeal and palatoglossal arches are important.between them there’s deep depression,called tonsilar fossa that contains tonsils. Palatoglossal archmakes lateral part of oropharyngeal isthmus(that has soft palate superior to it,and tongue inferior to it) Importat for practical Oropharyngeal isthmus SOFT PALATE MUSCLES Name of muscle Site and action Tensor veli palatine Site : lateral side of austachian tube. Action : 1-tighten palatine aponeurosis (T-T) 2-open austachian tube. Levator veli palatine Site : medial to tensal veli and austachian tube Action : pulls soft palate backwards and upwards,shuts the nasal part of oropharynx to upper part.and opens austachian tube. palatoglossus Forms Palatoglossal arch (fold)in front of tonsil,,also called (anterior pillar fauces) Action : sphincter for oropharyngeal isthmus. Palatopharyngeus Anterior and posterior heads meet to form posterior pillar fauces or palatopharyngeal arch (fold)that lies posterior to tonsil. Action :acts with stylopharyngeus and sulpingopharyngeus to elevate pharynx and larynx to make swallowing easier,by shorteneing pharynx. Questions : 1-regarding tongue,which of the following is incorrect : A-the root of the tongue is attaches to hyoid bone. B-mucous membrane covering dorsal surface of the anterior two thirds of tongue is non-Keratinized squamous stratified epithelium. C-mucous membrane that covers inferior surface of tongue is smooth,and thin. D-the tongue is divided by a midline fibrous sulcus into right and left halfs. E-fungiform and vallate papillae present onion shaped,taste buds that contain 50-100 epithelial taste cells. 2-regarding Vallate papillae : A-they represent the Largest form of papillae,with very low numbers numbers. B-they’re arranged in V shape , related to sulcus terminalis and foramen cecum. C-circular sulcus surround each vallate papillae. D-lingual tonsil,are found near to vallate papillae. E- there’s no correct statement. 3-find the incorrect match between the muscle and it’s action : A-palatoglossus,,decreases diameter of oropharyngeal isthmus. B-Hyoglossus ,together with middle fibers of genioglossus work to enlarge mouth cavity by depressing central,and lateral sides of the tongue,respectively. C-styloglossus helps in swallowing of food by pulling the tongue upward and backward. D- levator veli palatinae and tensor veli palatinae assist in opening austachian tube . E-palatopharyngeus, together with stylopharyngeus and sulpingopharyngeus work to depress pharynx and larynx during swallowing,to make it easier for food to pass. 4-choose the correct statement : A-extrinsic muscles have the role of changing the tongue shape,while intrinsic control it’s movement. B- aponeurosis(formed by tensor veli palatini) is free anteriorly ,where it meets UVULA muscle. C-all soft palate muscles are innervated with pharyngeal plexus nerves except of tensor veli palatini D- levator veli palatinin lies lateral to austachian tube. E-palatopharyngeus and palatoglossus form anterior and posterior pillar of fauces,respectively. 5-All intrinsic and extrinsic muscles of the tongue are supplied by hypoglossal nerve except : A- styloglossus B-Horizontal intrinsic muscle C-Hyoglossus D-palatoglossus E-Genioglossus Answers : 1-B 2-E 3-E 4-E 5-D