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ANATOMY OF
ORAL CAVITY
1. Oral Vestibule
- lies between the gums and the teeth.
2. Oral Cavity Proper
- lies behind and within the arch of teeth.
Oral Vestibule
Boundaries:
1. Anteriorly by the lips,
2. Laterally by the cheeks,
3. Superiorly by the
mucolabial and
mucobuccal folds, and
4. Posteriorly and
medially by the teeth
and gums.
Boundaries:
1. Anteriorly and laterally by the
teeth and gums,
2. Superiorly by the palate (hard and
soft),
3. Inferiorly by the tongue and the
floor of the mouth, and
4. Posteriorly by the opening into the
pharynx.
Characteristics:
1. Anterior 2/3 of the tongue,
2. Lingual frenulum,
3. Lingual vein,
4. Sublingual caruncle,
5. Sublingual folds
6. Fimbriated fold
BLOOD SUPPLY
Mouth is supplied by
branches from
 Facial Artery
 Inferior Alveolar Artery
 Maxillary Artery
 Infraorbital Artery
 Postero superior alveolar
arteries
Lymphatic Supply
PALATE
The palate forms the
superior wall or the roof of
the oral cavity proper.
It is composed of the hard
palate which has an osseous
base, and behind, a soft
palate composed of fibrous
tissue.
SOFTPALATE
Tensor veli palatini Tenses the soft palate; opens the
pharyngotympanic tube
Levator veli palatini Only muscle to elevate the soft palate
above the neutral position
Palatopharyngeus
Depresses soft palate; moves
palatopharyngeal arch toward midline;
elevates pharynx
Palatoglossus Depresses palate; moves palatoglossal
arch toward midline; elevates back of the
tongue
Musculus uvulae
Elevates and retracts uvula; thickens
central region of soft palate
MUSLE FUNCTION
A. Tensor veli palatini muscles and the palatine
aponeurosis. B. Levator veli palatini muscles. C.
Palatopharyngeus muscles
Blood supply of Soft palate
VENOUS DRAINAGE AND LYMPHATICS
NERVESUPPLYOFPALATE
• All muscles of soft palate are supplied by Vagus nerve [X]
via pharyngeal branch to pharyngeal plexus
• Except Tensor palatini muscle which is supplied by
Mandibular nerve.
• Sensory supply is derived from lesser palatine branches of
the sphenopalatine ganaglion and from the branches of
glossopharyngeal nerve.
• Secretomotor from Suprior salivary N. through greater
petrosal nerve
tongue
“A mobile mass of muscles lying on the floor of the mouth and
associated with the function of taste, chewing, swallowing, and
speaking”.
TONGUE CONSISTS OF
• Mucous membrane
• Mucous glands
• Lymphoid tissue
• Fat
• Striated muscle fibres
• Fibrous tissue
PAPILLAE
 Circumvallate papillae are arranged in a
row parallel to and in front of sulcus
terminalis
 Fungiform papillae are numerous at the
tip and margin of the tongue.
 Filliform papillae are prevalent on the
dorsum of the tongue arranged in rows
parallel to sulcus terminalis
Muscles of the tongue
INTRINSIC MUSCLES
MUSCLE FUNCTION
SUPERIOR Shortens tongue; curls
apex and sides of
tongue
INFERIOR Shortens tongue;
uncurls apex and turns
it downward
TRANSVERSE Narrows and elongates
tongue
VERTICAL Flattens and widens
tongue All intrinsic muscles are supplied by
Hypoglossal nerve
EXTRINSIC MUSCLES
GENIOGLOSSUS
Protrudes tongue;
depresses center of tongue
HYOGLOSSUS
Depresses tongue
STYLOGLOSSUS
Elevates and
retracts tongue
PALATOGLOSSUS
Depresses palate;
Moves palatoglossal fold toward
midline;
Elevates back of the tongue
Arteries:
 Lingual artery
 Tonsillar branch of facial artery
 Ascending pharyngeal artery
Veins:
 Lingual vein, ultimately drains
into the internal jugular vein Hypoglossal
nerve
Lingual
artery &
vein
Deep
lingual vein
Dorsal lingual
artery & vein
BLOOD AND NERVE SUPPLY
Tip:
• Submental nodes
bilaterally & then deep
cervical nodes
Anterior two third:
• Submandibular
unilaterally & then deep
cervical nodes
Posterior third:
• Deep cervical nodes
(jugulodigastric mainly)
NERVE SUPPLY OF TONGUE
REFERENCE
 Textbook of Ear, Nose, Throat and Head & Neck Surgery Clinical and Practical
3rd Edition By : P. Hazarika , D.R . Nayak, R. Balakrishnan
 Gray’s Anatomy for Students
2nd edition By : Richard L Drake , A Wayne Vogl , Adam W M Mitchell
THANKYOU

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Oral cavity 1.pdf

  • 2. 1. Oral Vestibule - lies between the gums and the teeth. 2. Oral Cavity Proper - lies behind and within the arch of teeth.
  • 3. Oral Vestibule Boundaries: 1. Anteriorly by the lips, 2. Laterally by the cheeks, 3. Superiorly by the mucolabial and mucobuccal folds, and 4. Posteriorly and medially by the teeth and gums.
  • 4. Boundaries: 1. Anteriorly and laterally by the teeth and gums, 2. Superiorly by the palate (hard and soft), 3. Inferiorly by the tongue and the floor of the mouth, and 4. Posteriorly by the opening into the pharynx.
  • 5. Characteristics: 1. Anterior 2/3 of the tongue, 2. Lingual frenulum, 3. Lingual vein, 4. Sublingual caruncle, 5. Sublingual folds 6. Fimbriated fold
  • 6. BLOOD SUPPLY Mouth is supplied by branches from  Facial Artery  Inferior Alveolar Artery  Maxillary Artery  Infraorbital Artery  Postero superior alveolar arteries
  • 8. PALATE The palate forms the superior wall or the roof of the oral cavity proper. It is composed of the hard palate which has an osseous base, and behind, a soft palate composed of fibrous tissue.
  • 9. SOFTPALATE Tensor veli palatini Tenses the soft palate; opens the pharyngotympanic tube Levator veli palatini Only muscle to elevate the soft palate above the neutral position Palatopharyngeus Depresses soft palate; moves palatopharyngeal arch toward midline; elevates pharynx Palatoglossus Depresses palate; moves palatoglossal arch toward midline; elevates back of the tongue Musculus uvulae Elevates and retracts uvula; thickens central region of soft palate MUSLE FUNCTION A. Tensor veli palatini muscles and the palatine aponeurosis. B. Levator veli palatini muscles. C. Palatopharyngeus muscles
  • 10. Blood supply of Soft palate
  • 11. VENOUS DRAINAGE AND LYMPHATICS
  • 12. NERVESUPPLYOFPALATE • All muscles of soft palate are supplied by Vagus nerve [X] via pharyngeal branch to pharyngeal plexus • Except Tensor palatini muscle which is supplied by Mandibular nerve. • Sensory supply is derived from lesser palatine branches of the sphenopalatine ganaglion and from the branches of glossopharyngeal nerve. • Secretomotor from Suprior salivary N. through greater petrosal nerve
  • 13. tongue “A mobile mass of muscles lying on the floor of the mouth and associated with the function of taste, chewing, swallowing, and speaking”. TONGUE CONSISTS OF • Mucous membrane • Mucous glands • Lymphoid tissue • Fat • Striated muscle fibres • Fibrous tissue
  • 14. PAPILLAE  Circumvallate papillae are arranged in a row parallel to and in front of sulcus terminalis  Fungiform papillae are numerous at the tip and margin of the tongue.  Filliform papillae are prevalent on the dorsum of the tongue arranged in rows parallel to sulcus terminalis
  • 15. Muscles of the tongue INTRINSIC MUSCLES MUSCLE FUNCTION SUPERIOR Shortens tongue; curls apex and sides of tongue INFERIOR Shortens tongue; uncurls apex and turns it downward TRANSVERSE Narrows and elongates tongue VERTICAL Flattens and widens tongue All intrinsic muscles are supplied by Hypoglossal nerve
  • 19. PALATOGLOSSUS Depresses palate; Moves palatoglossal fold toward midline; Elevates back of the tongue
  • 20. Arteries:  Lingual artery  Tonsillar branch of facial artery  Ascending pharyngeal artery Veins:  Lingual vein, ultimately drains into the internal jugular vein Hypoglossal nerve Lingual artery & vein Deep lingual vein Dorsal lingual artery & vein
  • 21. BLOOD AND NERVE SUPPLY
  • 22. Tip: • Submental nodes bilaterally & then deep cervical nodes Anterior two third: • Submandibular unilaterally & then deep cervical nodes Posterior third: • Deep cervical nodes (jugulodigastric mainly)
  • 23. NERVE SUPPLY OF TONGUE
  • 24. REFERENCE  Textbook of Ear, Nose, Throat and Head & Neck Surgery Clinical and Practical 3rd Edition By : P. Hazarika , D.R . Nayak, R. Balakrishnan  Gray’s Anatomy for Students 2nd edition By : Richard L Drake , A Wayne Vogl , Adam W M Mitchell