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Unit IV
Tongue
Sishant Rav Divya
Tongue
• Pink ,Moist ,Solid
Conical muscular organ ,
in floor of mouth
• Partly oral and partly
pharyngeal in position
• Covered by mucous
membrane
Tongue
attached by its muscles to
• Hyoid bone
• Mandible
• Styloid process
• Soft palate &
• Pharyngeal wall
Tongue
Main Functions - Organ of
Deglutition
Taste &
Speech
Others
Tongue
• Helps in mastication ,
• Helps in moistening lips
• Tongue prints displaying
patterns of lingual papillae –
ML purpose – Identification
• Clinically – Mirror of GIT
ailments
Tongue
Functions
• Utilised in gestures
and postures of facial
expression
• Thermo – regulation
in lower animals
Tongue
Parts
• Tip (Apex)
• Base
• Root
Two surfaces
Dorsal & Inferior
Two lateral margins
Tongue
• Tip – Ant. Free end
directed forward
in contact with the incisor at
rest
• Base – directed backward
towards oro-pharynx ,formed
by post 1/3rd
Tongue
Root
• Attached to hyoid and
mandible and is in
contact inferiorly with
geniohyoid and
mylohyoid muscles
Tongue
Dorsal Surface
• Convex on all sides
• Covered with moist
and pink mucous
memb. lined by
st. sq. non. kera. Epi.
• Divided by a V shaped
(sulcus terminalis) into
ant. 2/3rd (oral or pre-sulcal )
facing upward and
post.1/3rd (pharyngeal or
post-sulcal) facing backward
at rest
• Limbs passes anterolaterally
from a median depression
( foramen caecum) indicate
site of upper end of thyroid
diverticulum
Presulcal part
• Mucous memb. Adherent to
underlying muscles by lamina
propria
• Provided with numerous
papillae of different types
• Each papilla is a projection of
lamina propria covered by
mucous memb (characterstic
roughness)
Types of Papilla
• Vallate
• Fungiform
• Foliate
• Filliform
Vallate
• 8-12 in no. , 1-2 mm diameter
• Arranged in V shaped , single row
• Immediately in front of sulcus
Fungiform
• Rounded reddish elevation , distrbuted discretely
numerous along margins and tip of tongue –bright
red colour (contain taste buds)
Filiform
Numerous tiny conical
projections over the
entire dorsal surface of
ant. 2/3rd of tongue
(devoid of taste buds)
Give velvaty
appearance)
Foliate
3-4 vertical mucous folds
at margins of tongue in
front of sulcus (contain
taste buds)
Post sulcal (Pharyngeal) part
• Lie behind palatoglossal
arch and sulcus & form
ant. wall of oropharynx
• Connected to epiglottis by
a median and a pair of
lateral glosso-epiglottic
folds with a depression in
b/w (epiglottic vallecula)
• Mucous memb. Devoid of
papilla
• Separated from
underlying muscles by a
loose sub mucous coat
which contain mucous
and serous glands and
numerous lymphoid
follicles(Lingual Tonsil)
Tongue – Inferior surface
• Reflected on floor of
mouth
• Covered by mucous
memb.
• devoid of Papillae
Features
• (Frenulum) Median
fold connecting
tongue to floor
• Applied – Tongue Tie
• Sublingual papilla
• Deep lingual veins
prominance
Tongue - Musculature
• Tongue divided into two
symmetrical halves by a
median fibrous septum
• Each half contain striated
muscles arranged in two
groups
• Extrinsic & Intrinsic
Tongue - Musculature
Extrinsic – Five Pair
Connect to
• Genio-glossus (mandible)
• Hyo-glossus (Hyoid)
• Chondro-glossus
• Stylo-glossus (Styloid process)
• Palato-glossus (Palate)
Alter position of tongue
Tongue - Musculature
Intrinsic muscles –
occupy upper part & are Attached to submucous
fibrous layer and to median fibrous septum
• Superior Longitudinal
• Inferior Longitudinal
• Transverse muscle
• Vertical muscle
Alter shape of Tongue
Tongue - Musculature
Genioglossus
• Fan shaped , form main bulk of tongue
Origin – Sup. Genial tubercles of mandible
Insertion
• Lowest fibers – to body of hyoid
• Intermediate – pass deep to hyoglossus and are
continuous with middle constrictor of pharynx
• Upper – turn forward and upward from root to apex
Action -Protrude tip of tongue and make dorsal
surface concave
Hyoglossus
• Quadrilateral muscle
Origin
• Upper surface of greater cornu and partly from body of hyoid
• Passes upward & forward under cover of mylohoid
Insertion
side of tongue b/w styloglossus laterally and
inferior longitudinal muscle medially
Action
Depresses sides of tongue , make dorsal surface
Convex
Chondroglossus
detached part of hyoglossus, seperated by genoiglossus
Originate from lesser cornu & attached to side of tongue
Styloglossus
Arise from tip of styloid process & stylomandibular
ligament
Passes downward and forward
Inserted to side of tongue
Oblique fibers interdigitate with hyoglossus
Longitudinal fibres continue with inf. Longitudinal
muscle
Action – retracts tongue backward & upward
Antagonist in action to genioglossus
Muscles altering shape of tongue
Making dorsum concave
• Genioglossus , Sup. Longitudinal , Vertical, Styloglossus
Making dorsum Convex
• Hyoglossus, Inferior Longitudinal
Shortening of tongue
• Superior, inferior longitudinal , vertical
Muscles Elongating
• Transverse
Tongue – Congenital Anomalies
• Aglossia
• Hemiglossia
• Lingual Thyroid
• Thyro-Glossal cyst
• Tounge –Tie (ankylo-glossia)
• Bifid Tounge

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Tongue

  • 2. Tongue • Pink ,Moist ,Solid Conical muscular organ , in floor of mouth • Partly oral and partly pharyngeal in position • Covered by mucous membrane
  • 3. Tongue attached by its muscles to • Hyoid bone • Mandible • Styloid process • Soft palate & • Pharyngeal wall
  • 4. Tongue Main Functions - Organ of Deglutition Taste & Speech
  • 5. Others Tongue • Helps in mastication , • Helps in moistening lips • Tongue prints displaying patterns of lingual papillae – ML purpose – Identification • Clinically – Mirror of GIT
  • 7. Tongue Functions • Utilised in gestures and postures of facial expression • Thermo – regulation in lower animals
  • 8. Tongue Parts • Tip (Apex) • Base • Root Two surfaces Dorsal & Inferior Two lateral margins
  • 9. Tongue • Tip – Ant. Free end directed forward in contact with the incisor at rest • Base – directed backward towards oro-pharynx ,formed by post 1/3rd
  • 10. Tongue Root • Attached to hyoid and mandible and is in contact inferiorly with geniohyoid and mylohyoid muscles
  • 11. Tongue Dorsal Surface • Convex on all sides • Covered with moist and pink mucous memb. lined by st. sq. non. kera. Epi.
  • 12. • Divided by a V shaped (sulcus terminalis) into ant. 2/3rd (oral or pre-sulcal ) facing upward and post.1/3rd (pharyngeal or post-sulcal) facing backward at rest • Limbs passes anterolaterally from a median depression ( foramen caecum) indicate site of upper end of thyroid diverticulum
  • 13. Presulcal part • Mucous memb. Adherent to underlying muscles by lamina propria • Provided with numerous papillae of different types • Each papilla is a projection of lamina propria covered by mucous memb (characterstic roughness)
  • 14. Types of Papilla • Vallate • Fungiform • Foliate • Filliform
  • 15. Vallate • 8-12 in no. , 1-2 mm diameter • Arranged in V shaped , single row • Immediately in front of sulcus Fungiform • Rounded reddish elevation , distrbuted discretely numerous along margins and tip of tongue –bright red colour (contain taste buds)
  • 16. Filiform Numerous tiny conical projections over the entire dorsal surface of ant. 2/3rd of tongue (devoid of taste buds) Give velvaty appearance) Foliate 3-4 vertical mucous folds at margins of tongue in front of sulcus (contain taste buds)
  • 17. Post sulcal (Pharyngeal) part • Lie behind palatoglossal arch and sulcus & form ant. wall of oropharynx • Connected to epiglottis by a median and a pair of lateral glosso-epiglottic folds with a depression in b/w (epiglottic vallecula)
  • 18. • Mucous memb. Devoid of papilla • Separated from underlying muscles by a loose sub mucous coat which contain mucous and serous glands and numerous lymphoid follicles(Lingual Tonsil)
  • 19. Tongue – Inferior surface • Reflected on floor of mouth • Covered by mucous memb. • devoid of Papillae
  • 20. Features • (Frenulum) Median fold connecting tongue to floor • Applied – Tongue Tie • Sublingual papilla • Deep lingual veins prominance
  • 21. Tongue - Musculature • Tongue divided into two symmetrical halves by a median fibrous septum • Each half contain striated muscles arranged in two groups • Extrinsic & Intrinsic
  • 22. Tongue - Musculature Extrinsic – Five Pair Connect to • Genio-glossus (mandible) • Hyo-glossus (Hyoid) • Chondro-glossus • Stylo-glossus (Styloid process) • Palato-glossus (Palate) Alter position of tongue
  • 23. Tongue - Musculature Intrinsic muscles – occupy upper part & are Attached to submucous fibrous layer and to median fibrous septum • Superior Longitudinal • Inferior Longitudinal • Transverse muscle • Vertical muscle Alter shape of Tongue
  • 24.
  • 25. Tongue - Musculature Genioglossus • Fan shaped , form main bulk of tongue Origin – Sup. Genial tubercles of mandible Insertion • Lowest fibers – to body of hyoid • Intermediate – pass deep to hyoglossus and are continuous with middle constrictor of pharynx • Upper – turn forward and upward from root to apex Action -Protrude tip of tongue and make dorsal surface concave
  • 26. Hyoglossus • Quadrilateral muscle Origin • Upper surface of greater cornu and partly from body of hyoid • Passes upward & forward under cover of mylohoid Insertion side of tongue b/w styloglossus laterally and inferior longitudinal muscle medially Action Depresses sides of tongue , make dorsal surface Convex Chondroglossus detached part of hyoglossus, seperated by genoiglossus Originate from lesser cornu & attached to side of tongue
  • 27. Styloglossus Arise from tip of styloid process & stylomandibular ligament Passes downward and forward Inserted to side of tongue Oblique fibers interdigitate with hyoglossus Longitudinal fibres continue with inf. Longitudinal muscle Action – retracts tongue backward & upward Antagonist in action to genioglossus
  • 28.
  • 29. Muscles altering shape of tongue Making dorsum concave • Genioglossus , Sup. Longitudinal , Vertical, Styloglossus Making dorsum Convex • Hyoglossus, Inferior Longitudinal Shortening of tongue • Superior, inferior longitudinal , vertical Muscles Elongating • Transverse
  • 30. Tongue – Congenital Anomalies • Aglossia • Hemiglossia • Lingual Thyroid • Thyro-Glossal cyst • Tounge –Tie (ankylo-glossia) • Bifid Tounge