“Oral cavity :
➢ Def: It is the inlet for the digestive system
➢Extensions: from the lips to the oropharyngeal
isthmus
➢Subdivisions of the mouth:
1- Oral vestibule: The space between the lips and
cheeks on one hand and the teeth and gums on the
other
2-Mouth cavity proper: The space within the dental
arches
Boundaries:
a. Roof: hard and soft palates.
b. Floor: mylohyoid muscles and the tongue
The oral cavity (mouth)
Divides oven and pharyngeal caving
I
30 o
➢ The lips are two fleshy folds that surround the oral orifice
➢ Covered on the outside by skin and are lined on the inside by mucous membrane.
➢ Contents:
✓ Muscles : Mainly The orbicularis oris muscle
✓ Labial blood vessels and nerves,
✓ Connective tissue,
✓ Small salivary glands.
The lips
on Iet
➢ Def:- Mass of striated muscles covered with the mucous membrane
-Divided into right and left halves by a median septum
➢ Parts:
1. Oral part (anterior ⅔):triangular in shape with apex of the tongue
2. Pharyngeal part (posterior ⅓): directed backwards
3. Root (base):attached to the mandible and the hyoid bone
The tongue
i
pas siw y y a
mandible
g It Is
Hyoid bone
➢ Two surfaces:
I. Dorsal surface :It is divided into two parts by the V-shaped sulcus terminalis.
1. Oral part (Anterior 2/3) : mucosa is rough and shows: filiform, fungiform, foliate and valllate papillae
2. Pharyngeal part (Posterior 1/3) : contain lymphatic nodules (lingual tonsils)
II. Ventral (inferior): Smooth, it shows:
✓ Frenulum
✓ Deep lingual vein: Lateral to frenulum
✓ Fimbriated fold: a fold of mucosa lateral to lingual vein
The tongue
Papillaeserve toPurposes S taste
to increase surface area of tons
➢ Muscles of the tongue
I-Intrinsic :
➢ They originate and insert within the substance of the tongue, they are superior longitudinal, Inferior
longitudinal, Transverse, Vertical.
➢ Function :They change the shape of the tongue, i.e. they shorten, flatten and broaden the tongue.
II. Extrinsic
➢ Connect the tongue to the surrounding structures: the soft palate and the bones (mandible, hyoid
bone, styloid process)
➢ Include: Palatoglossus, Genioglossus, Hyoglossus and Styloglossus
➢ Function: Help in movements of the tongue
Movements of the tongue
1. Protrusion: Genioglossus on both sides acting together
2. Retraction: Styloglossus and hyoglossus on both sides acting together
3. Depression: Hyoglossus and genioglossus on both sides acting together
4. Elevation: Styloglossus and palatoglossus on both sides acting together
The tongue
ASCII
Muscles of the tongue
The tongue
I. Intrinsic muscles
II. Extrinsic muscles
the lounge Points to what side the stroke is
O
Blood Supply
I. Arteries
Lingual artery:
-The main arterial supply of the tongue
-Arise from the external carotid artery
-Branches:
1. Dorsal lingual arteries: supply the root of the tongue
2. Deep lingual arteries: supply the body of the tongue
3. Sublingual arteries: supply the floor of the mouth and the sublingual glands
II. Veins
1.Deep lingual veins :drains the anterior part of the tongue
2. Dorsal lingual vein: drains the posterior part of the tongue
➢the veins of the two sets join to form the lingual vein which ends in internal jugular veins
The tongue
The tongue
Blood Supply
The tongue
Nerve Supply
I. Sensory
1.Anterior ⅔:
• General sensations: Lingual nerve
• Special sensations : Chorda tympani
2. Posterior ⅓: General & special sensations:
glossopharyngeal nerve
3. Base: General & special sensations: internal
laryngeal nerve
II. Motor
Intrinsic muscles: Hypoglossal nerve
Extrinsic muscles: All supplied by the hypoglossal
nerve, except the palatoglossus (supplied by the
vagus via pharyngeal plexus)
Lymphatic drainage
✓Tip: Submental nodes bilaterally & then deep
cervical nodes
✓Anterior two third: Submandibular unilaterally
& then deep cervical nodes
✓Posterior third: Deep cervical nodes
Posterior
Ihastnervetreert
Anteriorz has2nerves remembers
min no
The palate
Parts:
1-Hard (bony) palate (anteriorly)
2-Soft (muscular) palate (posteriorly):
✓ formed of muscles covered by mucosa
✓ attached to the posterior border of the hard palate
➢ Uvula: Small projection that hangs from the
posterior margin of the soft palate
LAB
Soft palate
➢ Muscles of soft palate (5):
✓ Tensor palati (Tensor veli palatini)
✓ Levator palati (Levator veli palatini )
✓ Palatoglossus
✓ Palatopharyngeus,
✓ Musculus uvulae
Nerve Supply
1.Sensory supply: Maxillary nerve through :
a-Greater palatine nerve
b- Lesser palatine nerve
c-Nasopalatine nerve
2. Motor supply: All muscles of the palate are
innervated by vagus nerve [X] through pharyngeal
plexus except for the tensor palati, which is innervated
by the mandibular nerve
Blood supply
Arteries:
1-Branches of the maxillary artery:
a. Greater palatine b. Lesser palatine c. Sphenopalatine
2-Ascending palatine artery
3-Ascending pharyngeal artery
Veins: follow the arteries and drain into the pterygoid
plexus of veins in the infratemporal fossa
The palate
INTRODUCTION
Salivary glands:
are composed of 3 major
glands, in addition to minor
glands.
Major
•2 Parotid glands.
•2Submandibular glands
•2Sublingual glands.
Minor
•Multiple minor glands
The parotid gland
➢Size: It is the largest of the salivary glands
➢Site: It lies below the auricle, between ramus of mandible & mastoid process. overlap the
masseter (anteriorly) and sternomastoid (posteriorly)
➢Parotid gland is enclosed in a sheath of deep fascia called the parotid capsule( fascia)
➢Shape: Pyramidal
➢Parts: 1-Main part 2-Accessory part: above parotid duct 3-Deep part
➢Parotid duct:
✓Emerges from anterior border of gland
✓Runs forwards, superficial to masseter
✓Termination: Pierces buccinator muscle to open into the vestibule of mouth, opposite the
upper 2nd molar tooth
The parotid gland
STRUCTURES WITHIN THE PAROTID GLAND
1.Facial nerve & its five terminal branches
2.Retromandibular vein and its tributaries
3.External carotid artery and its terminal branches
(superficial temporal & maxillary): deepest structure
4.Deep parotid lymph nodes: embedded within
substance of the gland
The parotid gland
NERVE SUPPLY
A-PARASYMPATHETIC:
➢Preganglionic fibers: run along the lesser petrosal nerve , branch of glossopharyngeal (9th cranial)
➢The fibers relay in the otic ganglion
➢Postganglionic fibers: reach the parotid gland along auriculotemporal nerve
B-SYMPATHETIC: From postganglionic sympathetic fibers around external carotid artery
C-Sensory : Auriculotemporal nerve.
The parotid gland
Submandibular Gland
Site: It lies in submandublar fossa of mandible
Parts: superficial and deep parts (divided by the mylohyoid muscle).
➢Superficial part: directly related submandibular fossa
➢Deep part: lies on the lateral surface of the hyoglossus muscle.
Submandibular duct
✓It emerges from the deep part of the gland.
✓It passes forward along the side of the tongue
✓It is crossed laterally by the lingual nerve.
✓It opens at the summit of sublingual papilla.
Sublingual Gland
Size: The smallest of the three major paired salivary glands
Shape: Almond in shape
Site: directly related to sublingual fossa of the mandible
The sublingual gland drains into the oral cavity via numerous small ducts (minor sublingual ducts).
.
Superficial part of submandibular
gland
Deep part of
submandibular gland
Sublingual gland
Submandibular and Sublingual Glands
➢ Nerve supply
1.Parasympathetic: from the facial nerve via the chorda tympani, and the submandibular ganglion
2.Sympathetic: From postganglionic sympathetic fibers around facial artery (for submandibular
gland) &lingual artery (for sublingual gland)
3.Sensory: lingual nerve
➢ Blood supply: facial vessels (for submandibular gland) and lingual vessels( for sublingual
glands )
Submandibular and Sublingual Glands
Thank you”
Updated 571d ago