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Tongue is a highly muscular organ of deglutition
, taste and speech ; it is partly oral and partly
pharyngeal in position.
 It is attached by its muscles to the hyoid bone ,
mandible , styloid processes ,soft palate and
pharyngeal wall.
 Anterior 2/3rd – from two lingual swellings
and one tuberculum impar which arises from
first branchial arch.
 Posterior1/3rd – from cranial large part of the
hypobranchial eminence i.e from the 3rd arch.
 posterior-most part - from caudal part of the
hypobranchial eminence i.e from the fourth
arch
 Some muscles probably differentiate in situ but
most of them are derived from myoblasts
originating in the occipital somites.
 This fact is supported by the fact that the
tongue musculature is innervated by the
hypoglossal nerve.
TONGUE
ROOT APEX
DORSUM
INFERIOR
SURFACE
 It is attached to the hyoid and mandible and
between them it is in contact inferiorly with the
geniohyoid and mylohyoid muscles.
 Forms anterior free
end
 At rest position– lies
behind upper incisors
DORSUM
Oral/presulcal part
Pharyngeal/postsulcal
part
 Located in the oral cavity and on its floor
 Has apex touching the incisor teeth
 Its margin is in contact with the gums & teeth
 Its superior surface (dorsum) is related to the
hard & soft palates.
 On each side ,in front of the palatoglossal arch,
are four or five verticle folds,the foliate
papillae.
 Lies posterior to the palatoglossal arches
 Forms the anterior wall of oropharynx
 Devoid of papillae
 Has low elevations due to lymphoid nodules
embedded in the submucosa - LINGUAL
TONSILS
 Mucous glands
 Connected to epiglottis by three folds
1. Median glossoepiglottic fold
2. Right lateral epiglottic fold
3. Left lateral epiglottic fold
 Mucosa is smooth ,purplish & reflected on to
the oral floor and gums ,being connected to
the former by the median frenulum linguae.
 Lateral to this the deep lingual vein is visible
& lateral to the vein is a fringed plica fimbriata
,directed anteromedially towards the lingual
apex.
 These are projections of lamina propria which
elevate the epithelium above the general level.
 Numerous in number & limited to the
presulcal part of dorsum ,producing its
characteristic roughness.
papillae
vallate
foliate
filliform
fungiform
 Large
 8-12 in number
 1-2mm in diameter
 Form a V shaped row immediately in front of
the sulcus terminalis.
 Encompassed by a circular depression of
mucosa & surrounded by a wall (vallum)
separated from the papilla by a circular sulcus
 Papillae is a truncated cone
 Entire structure is covered with stratified
squamous epithelium
 In both the sulcal walls taste buds are present
 Opening of ducts of Von ebner
 More numerous than vallate
 Occur mainly on lingual margin but also occur
irregularly on the dorsum.
 Larger than filiform papillae
• Round in shape and deep red in color
• Have secondary subepithelial papillae
• Bear taste buds
 Cover most of the presulcal dorsal area
 2-3mm long
 They are minute, conical or cylindrical
 arranged in rows parallel with the vallate
papillae except at the lingual apex where they
are tranverse.
 Bear many secondary papillae which are more
pointed than vallate and fungiform papillae.
 Do not bear taste buds
 Epithelium is keratinized ,may split into fine
processes, each being the apex of a secondary
papilla
 These are whitish owing to thickened
epithelium ,its elongated cells being
keratinized.
 Increase the friction between the tongue and
the food ,facilitating the movement of particles
by the tongue within the oral cavity.
 Red, leaf like projections found at the sides of
the tongue near the sulcus terminalis .
 Epithelium contains taste buds.
 The peripheral organs of gustation are the taste
buds ,
 composed of modified epithelial cells set in
piriform groups within the epithelia of the
tongue, soft palate, palatoglossal arches,
posterior epiglottic surface and posterior wall
of oropharynx.
 Sense organs for taste
 Onion like, oval, pale staining epithelial
structures
 50-70 um in length
 30-50um in width.
• taste pore
• 3 types of cells
1. Neuroepithelial/
receptor
2. Supporting cells
3. Basal/stem cells
They include:
 Sour
 Salty
 Sweet
 Bitter
SOUR TASTE: the sour taste is caused by acids, that
is more acidic the acid, the stronger becomes the
sensation.
SALTY TASTE: it is elicited by inorganic compounds
such as chlorides, sulphates, bromides, iodides etc.
The cations of these salts are mainly responsible
for the salty taste.
SWEET TASTE: It is not caused by any single
class of chemicals, it includes sugars, glycols,
alcohols, aldehydes, ketones, amides, esters,
amino acids, some small proteins, sulfonic
acids, halogenated acids and inorganic salts of
lead and beryllium.
BITTER TASTE : This is also not caused by any
single type of chemical agent; and almost
entirely by organic substances like long chain
organic substances that contain nitrogen and
alkaloids.
Recently there is a new taste sensation that has
been found; UMAMI.
 “UMAMI” is originally the Japanese word for
good taste.
 MSG(Monosodium glutamate)amino acid a
food additive produces a strong umami taste.
 It is an appetitive taste and is described as a
“savory” or “meaty” taste.
 Can be tasted in cheese and soya sauce also in
tomatoes, beans, grains.
 Receptor Potential:
The membrane of the taste cell, like that of other
sensory receptor cells, is negatively charged on the
inside with respect to the outside. Application of a
taste substance to the taste hairs causes partial loss
of this negative potential- that is the taste cell is
depolarized.
The decrease in potential,
within a wide range, is approximately
proportional to the concentration of the
stimulating substance. This change in potential in
the taste cell is the receptor potential for taste.
 Initiation of the receptor potential is by binding of the
taste chemicals to protein receptor molecules that
protrude through the villus membrane
 This in turn opens ion channels, which allow sodium
ions to enter and depolarize the cell
 Then the taste chemical is gradually washed away
from the taste villus by the saliva, which removes the
stimulus.
 The type of receptor protein in each taste villus
determines the type of taste that will elicit responses.
tractus solitarius,
a large number of impulses are transmitted within
the brain stem itself directly into the superior and
inferior salivatory nuclei
submandibular, sublingual and parotid glands
control the secretion of saliva during the ingestion
food.
 Extrinsic muscles
Genioglossus
Hyoglossus
Styloglossus
palatoglossus
 Intrinsic muscles
 Superior longitudinal
 Inferior longitudinal
 Transverse
 Vertical
 Fan shaped muscle
 Forms bulk of the tongue
 ORIGIN-
Superior part of mental spine of
mandible.
INSERTION-
Tip Dorsum of the tongue &
body of hyoid bone
 Upper fibres - retract the tip
 Middle fibres - depress the tongue
 Lower fibres - Brings about the forward
traction of the tongue to protrude its apex from
the mouth.
 Acting bilaterally the two muscles depress the
central part of the tongue making it concave
side to side.
 ORIGIN
whole length of greater cornu & the front part of
body of hyoid bone
 INSERTION
side and inferior aspect
of tongue
ACTION
Depresses And Retracts The Protruded Tongue
 ORIGIN
styloid process of temporal bone and stylohyoid ligament
INSERTION
side and inferior aspect of tongue
ACTION
retracts the tongue and draws it up to create a trough for
swallowing
 ORIGIN
palatine aponeurosis of soft
palate
INSERTION
side of tongue
ACTION
elevates posterior part of
tongue
approximates the palatoglossal
arches
closes the oropharyngeal
isthmus
 Superior longitudinal—
 Origin –submucous fibrous
layer & lingual septum
 Insertion – margins &
mucous membrane of
tongue
 Action – curls tip &
sides of tongue superiorly
and shortens the tongue
 Inferior longitudinal
 Origin -root of tongue and body of hyoid bone
Insertion – apex of tongue
 Action
- shortens the tongue
-curls the tongue inferiorly
 Transverse muscles—
 Origin - Extends from median septum to the
margin
 Insertion – fibrous tissue at the margins of the
tongue
 Action— narrows and elongates the tongue
 Vertical muscle
 Origin – superior surface of borders of
tongue
 Insertion – inferior surface of borders of
tongue
 Action- flattens and broadens the tongue
 The main artery is the lingual artery branch of
external carotid artery
 The tonsillar & ascending palatine branches of
the facial and ascending pharyngeal arteries
also supply the lingual root.
 TIP— bilaterally— submental nodes
 ANTERIOR 23rd— unilaterally— submandibular
nodes
 POSTERIOR 23rd— bilaterally— juguloomohyoid
nodes
 JUGULO-OMOHYOID NODES known as LYMPH
NODES OF THE TONGUE
 Injury to hypoglossal nerve paralysis of the
muscles on the side of lesion
 Glossitis
 Acute glossitis enormous swelling
 Under surface jaundice
 Unconscious patient tongue may fall back &
obstruct the air passages
 Gray’s anatomy 37th edition
 Langman’s medical embryology 6th edition
 Grant’s atlas of anatomy 12th edition
 Bd charausia 3rd edition
 Human embryology. Inderbir singh; 3rd edition
 Essentials of Medical Physiology-4th edition-
Sembulingam
 Tencate’s oral histology. Antoni Nanci; 3rd edition.
 Orban’s oral histology. 5th edition
 Text book of histology, G.P Pal; 2nd edition.

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5. tongue.pptx

  • 1.
  • 2. Tongue is a highly muscular organ of deglutition , taste and speech ; it is partly oral and partly pharyngeal in position.  It is attached by its muscles to the hyoid bone , mandible , styloid processes ,soft palate and pharyngeal wall.
  • 3.
  • 4.
  • 5.
  • 6.  Anterior 2/3rd – from two lingual swellings and one tuberculum impar which arises from first branchial arch.  Posterior1/3rd – from cranial large part of the hypobranchial eminence i.e from the 3rd arch.  posterior-most part - from caudal part of the hypobranchial eminence i.e from the fourth arch
  • 7.
  • 8.  Some muscles probably differentiate in situ but most of them are derived from myoblasts originating in the occipital somites.  This fact is supported by the fact that the tongue musculature is innervated by the hypoglossal nerve.
  • 9.
  • 11.  It is attached to the hyoid and mandible and between them it is in contact inferiorly with the geniohyoid and mylohyoid muscles.
  • 12.  Forms anterior free end  At rest position– lies behind upper incisors
  • 14.
  • 15.  Located in the oral cavity and on its floor  Has apex touching the incisor teeth  Its margin is in contact with the gums & teeth  Its superior surface (dorsum) is related to the hard & soft palates.  On each side ,in front of the palatoglossal arch, are four or five verticle folds,the foliate papillae.
  • 16.  Lies posterior to the palatoglossal arches  Forms the anterior wall of oropharynx  Devoid of papillae  Has low elevations due to lymphoid nodules embedded in the submucosa - LINGUAL TONSILS  Mucous glands
  • 17.  Connected to epiglottis by three folds 1. Median glossoepiglottic fold 2. Right lateral epiglottic fold 3. Left lateral epiglottic fold
  • 18.  Mucosa is smooth ,purplish & reflected on to the oral floor and gums ,being connected to the former by the median frenulum linguae.  Lateral to this the deep lingual vein is visible & lateral to the vein is a fringed plica fimbriata ,directed anteromedially towards the lingual apex.
  • 19.
  • 20.  These are projections of lamina propria which elevate the epithelium above the general level.  Numerous in number & limited to the presulcal part of dorsum ,producing its characteristic roughness.
  • 21.
  • 23.  Large  8-12 in number  1-2mm in diameter  Form a V shaped row immediately in front of the sulcus terminalis.  Encompassed by a circular depression of mucosa & surrounded by a wall (vallum) separated from the papilla by a circular sulcus
  • 24.  Papillae is a truncated cone  Entire structure is covered with stratified squamous epithelium  In both the sulcal walls taste buds are present  Opening of ducts of Von ebner
  • 25.
  • 26.  More numerous than vallate  Occur mainly on lingual margin but also occur irregularly on the dorsum.  Larger than filiform papillae
  • 27. • Round in shape and deep red in color • Have secondary subepithelial papillae • Bear taste buds
  • 28.  Cover most of the presulcal dorsal area  2-3mm long  They are minute, conical or cylindrical  arranged in rows parallel with the vallate papillae except at the lingual apex where they are tranverse.
  • 29.  Bear many secondary papillae which are more pointed than vallate and fungiform papillae.  Do not bear taste buds
  • 30.  Epithelium is keratinized ,may split into fine processes, each being the apex of a secondary papilla  These are whitish owing to thickened epithelium ,its elongated cells being keratinized.  Increase the friction between the tongue and the food ,facilitating the movement of particles by the tongue within the oral cavity.
  • 31.  Red, leaf like projections found at the sides of the tongue near the sulcus terminalis .  Epithelium contains taste buds.
  • 32.  The peripheral organs of gustation are the taste buds ,  composed of modified epithelial cells set in piriform groups within the epithelia of the tongue, soft palate, palatoglossal arches, posterior epiglottic surface and posterior wall of oropharynx.
  • 33.  Sense organs for taste  Onion like, oval, pale staining epithelial structures  50-70 um in length  30-50um in width.
  • 34. • taste pore • 3 types of cells 1. Neuroepithelial/ receptor 2. Supporting cells 3. Basal/stem cells
  • 35.
  • 36. They include:  Sour  Salty  Sweet  Bitter SOUR TASTE: the sour taste is caused by acids, that is more acidic the acid, the stronger becomes the sensation. SALTY TASTE: it is elicited by inorganic compounds such as chlorides, sulphates, bromides, iodides etc. The cations of these salts are mainly responsible for the salty taste.
  • 37. SWEET TASTE: It is not caused by any single class of chemicals, it includes sugars, glycols, alcohols, aldehydes, ketones, amides, esters, amino acids, some small proteins, sulfonic acids, halogenated acids and inorganic salts of lead and beryllium. BITTER TASTE : This is also not caused by any single type of chemical agent; and almost entirely by organic substances like long chain organic substances that contain nitrogen and alkaloids.
  • 38. Recently there is a new taste sensation that has been found; UMAMI.  “UMAMI” is originally the Japanese word for good taste.  MSG(Monosodium glutamate)amino acid a food additive produces a strong umami taste.  It is an appetitive taste and is described as a “savory” or “meaty” taste.  Can be tasted in cheese and soya sauce also in tomatoes, beans, grains.
  • 39.  Receptor Potential: The membrane of the taste cell, like that of other sensory receptor cells, is negatively charged on the inside with respect to the outside. Application of a taste substance to the taste hairs causes partial loss of this negative potential- that is the taste cell is depolarized. The decrease in potential, within a wide range, is approximately proportional to the concentration of the stimulating substance. This change in potential in the taste cell is the receptor potential for taste.
  • 40.  Initiation of the receptor potential is by binding of the taste chemicals to protein receptor molecules that protrude through the villus membrane  This in turn opens ion channels, which allow sodium ions to enter and depolarize the cell  Then the taste chemical is gradually washed away from the taste villus by the saliva, which removes the stimulus.  The type of receptor protein in each taste villus determines the type of taste that will elicit responses.
  • 41.
  • 42. tractus solitarius, a large number of impulses are transmitted within the brain stem itself directly into the superior and inferior salivatory nuclei submandibular, sublingual and parotid glands control the secretion of saliva during the ingestion food.
  • 43.
  • 44.
  • 45.
  • 47.  Intrinsic muscles  Superior longitudinal  Inferior longitudinal  Transverse  Vertical
  • 48.  Fan shaped muscle  Forms bulk of the tongue  ORIGIN- Superior part of mental spine of mandible. INSERTION- Tip Dorsum of the tongue & body of hyoid bone
  • 49.  Upper fibres - retract the tip  Middle fibres - depress the tongue  Lower fibres - Brings about the forward traction of the tongue to protrude its apex from the mouth.  Acting bilaterally the two muscles depress the central part of the tongue making it concave side to side.
  • 50.
  • 51.
  • 52.  ORIGIN whole length of greater cornu & the front part of body of hyoid bone  INSERTION side and inferior aspect of tongue ACTION Depresses And Retracts The Protruded Tongue
  • 53.
  • 54.  ORIGIN styloid process of temporal bone and stylohyoid ligament INSERTION side and inferior aspect of tongue ACTION retracts the tongue and draws it up to create a trough for swallowing
  • 55.
  • 56.  ORIGIN palatine aponeurosis of soft palate INSERTION side of tongue ACTION elevates posterior part of tongue approximates the palatoglossal arches closes the oropharyngeal isthmus
  • 57.  Superior longitudinal—  Origin –submucous fibrous layer & lingual septum  Insertion – margins & mucous membrane of tongue  Action – curls tip & sides of tongue superiorly and shortens the tongue
  • 58.  Inferior longitudinal  Origin -root of tongue and body of hyoid bone Insertion – apex of tongue  Action - shortens the tongue -curls the tongue inferiorly
  • 59.  Transverse muscles—  Origin - Extends from median septum to the margin  Insertion – fibrous tissue at the margins of the tongue  Action— narrows and elongates the tongue
  • 60.  Vertical muscle  Origin – superior surface of borders of tongue  Insertion – inferior surface of borders of tongue  Action- flattens and broadens the tongue
  • 61.
  • 62.  The main artery is the lingual artery branch of external carotid artery  The tonsillar & ascending palatine branches of the facial and ascending pharyngeal arteries also supply the lingual root.
  • 63.
  • 64.
  • 65.  TIP— bilaterally— submental nodes  ANTERIOR 23rd— unilaterally— submandibular nodes  POSTERIOR 23rd— bilaterally— juguloomohyoid nodes  JUGULO-OMOHYOID NODES known as LYMPH NODES OF THE TONGUE
  • 66.
  • 67.  Injury to hypoglossal nerve paralysis of the muscles on the side of lesion  Glossitis  Acute glossitis enormous swelling  Under surface jaundice  Unconscious patient tongue may fall back & obstruct the air passages
  • 68.  Gray’s anatomy 37th edition  Langman’s medical embryology 6th edition  Grant’s atlas of anatomy 12th edition  Bd charausia 3rd edition  Human embryology. Inderbir singh; 3rd edition  Essentials of Medical Physiology-4th edition- Sembulingam  Tencate’s oral histology. Antoni Nanci; 3rd edition.  Orban’s oral histology. 5th edition  Text book of histology, G.P Pal; 2nd edition.

Editor's Notes

  1. As a result of growth of the lateral lingual swellings they overgrow the tuberculum impar & merge with each other thus forming anterior two thirds /body of tongue
  2. Type 3 have a microvillus which projects into the taste pore an opening to the oral cavity