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Head and Neck - oral cavity
Anatomy of the head and neck
71
Health Care
Professional
10/10/2010

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Term
Describe epithelium of the oral mucosa. What's special about areas of stress, the cheek, and the floor?
Definition
Stratified squamous non-keratinized. Can be keratinized in areas of stress on gums and hard palate, the cheek epithelium is thick, the floor is thin and permeable.
Term
Leukoplakia has the same risk factors as what type of cancer?
Definition
Squamous cell carcinoma
Term
What is the vertical groove on the upper lip?
Definition
Philtrum
Term
Blood supply of upper and lower lips?
Definition
Upper: Superior labial branches of facial and infraorbital, Lower: inferior labial branches of facial and mental
Term
Sensory and motor innervation of the lips?
Definition
Upper: V2 sensory, Lower: V3 sensory, motor: facial nerve
Term
Where does lymphatic drainage from lips go?
Definition
Submental and submandibular lymph nodes
Term
Describe the external surface of the lips
Definition
thin skin with hair follicles, sweat and sebaceous glands
Term
Describe the vermillion zone of the lips
Definition
covered by a stratified squamous keratinized epithelium devoid of hair follicles and sweat glands. There can be occasional sebaceous glands.
It appears red because of the rich vasculature that extends into the very high dermal papillae.
Term
Describe the inner surface of the lips
Definition
Mucous membrane with stratified squamous, non-keratinized epithelium
Term
What minor salivatory glands can be seen under the mucous membrane of the internal surface of the lips?
Definition
labial glands
Term
How many of each type of tooth do you have on each side of the jaw?
Definition
2 incisors, 1 canine, 2 premolars, 3 molars
Term
Innervation of teeth?
Definition
Upper: Superior alveolar nerve (V2), Lower: Inferior alveolar nerve (V3)
Term
The root of the tooth is the portion below the ______. It is covered by _______.
Definition
Gingiva, cementum
Term
What do you find inside the pulp cavity?
Definition
Loose CT, blood vessels, nerves, lymphatics, layer of odontoblasts
Term
What are the neural crest derived cells in the teeth?
Definition
odontoblasts
Term
What is the periodontal ligament made of? What does it do?
Definition
Dense collagenous CT, attaches cementum to surrounding bone, serves as periosteum, absorbs shock, has mechanoreceptors
Term
What is the highly vascular layer, with a high turnover of collagen, that can be affected by vitamin C and protein deficiencies?
Definition
Periodontal ligament
Term
What is the mucous membrane of the gingiva firmly attached to? How does its epithelium bind to enamel?
Definition
underlying periosteum of alveolar bone, thick basal lamina or cuticle
Term
How hard is dentin? What's in the organic matrix?
Definition
It's harder than bone, 70% hydroxyapatite, type I collage, proteoglycans and glycoproteins
Term
What do odontoblasts do? What special feature do they have?
Definition
neural crest origin, secrete organic matrix (predentin), line the pulp cavity, have long slender processes - Tomes fibers - that penetrate through dentinal tubules.
Term
What does enamel contain? What doesn't it contain? What makes enamel?
Definition
95% hydroxyapatites and some enamel proteins, no collagen, made by ameloblasts (from the ectodermal enamel organ) during tooth development
Term
Cementum is similar to bone in that it is calcified tissue, but has no...
Definition
haversian canals or blood vessels
Term
Cementum matrix is secreted by what cells? What does it contain? Where is it thicker? What do you see there? How do they communicate?
Definition
cementoblasts, type I collagen + proteoglycans + glycoproteins, apical region, lacunae for cementocytes, via canaliculi
Term
What is the V-shaped division on the tongue? What embryonic remnant is there?
Definition
Sulca terminalis, foramen caecum (remnant of thyroid diverticulum)
Term
Oral part/anterior 2/3 of tongue from which branchial arch(es)?
Definition
1st
Term
Posterior 1/3 of the tongue is from which branchial arch(es)?
Definition
3rd and 4th
Term
Drugs like nitroglycerin can be rapidly absorbed into which veins?
Definition
Deep lingual veins
Term
Describe the mucosa of the VENTRAL tongue?
Definition
smooth oral mucosa, with a lamina propia, NO SUBMUCOSA
Term
FIlliform have a core of _____.
Definition
CT
Term
Which papillae have thin stalks with smooth, dilated upper portions, and are scattered among filiform papillae?
Definition
Fungiform
Term
Taste buds of fungiform papillae are on which surface of it?
Definition
Dorsal
Term
Describe foliate papillae
Definition
Dorsolateral surface of tongue, poorly developed in humans, have taste buds
Term
Where are circumvallate papillae? What is their special feature? What innervates them?
Definition
1-15 of them around sulcus terminalis, have surrounding moats and glands of von Ebner, taste buds on lateral side, Glossopharyngeal
Term
What does the regular sensory innervation of the anterior 2/3 of the tongue?
Definition
V3
Term
What are the extrinsic muscles of the tongue?
Definition
Genioglossus, hyoglossus, styloglossus and palatoglossus
Term
Genioglossus: O&I, nerve, action?
Definition
Origin – superior part of mental spine of mandible
Insertion – dorsum of tongue and hyoid bone (body)
Innervation – hypoglossal nerve (XII)
Action – depresses tongue, posterior part protrudes tongue
Term
hyoglossus: O&I, nerve, action?
Definition
Origin – body and greater horn of hyoid bone
Insertion – side and inferior aspect of tongue
Innervation – hypoglossal nerve (XII)
Action -depresses and retracts tongue
Term
Styloglossus: O&I, nerve, action?
Definition
Origin – Styloid process and stylohyoid ligament
Insertion – side and inferior aspect of tongue
Innervation – hypoglossal nerve (XII)
Action – retracts tongue and draws it up during swallowing to form a trough.
Term
Palatoglossus: O&I, nerve, action?
Definition
Origin – Palatine aponeurosis of soft palate
Insertion – side of tongue
Innervation – Cranial nerve X.
Action – elevates posterior tongue
Term
What vessels travel deep to the hyoglossus?
Definition
Lingual artery and paired vein
Term
The lingual nerve loops under the...
Definition
submandibular duct
Term
The deep lingual artery has what vein?
Definition
a venae comitantes
Term
What nerve travels on top of (superficial to) hyoglossus?
Definition
Hypoglossal nerve
Term
The hypoglossal nerve travels between which two important vessels?
Definition
External carotid, internal jugular
Term
Because of actions of the ______ muscle, a hypoglossal nerve injury causes the tongue to deviate to the _______ side when protruded.
Definition
Genioglossus, injured
Term
The palatine tonsils are flanked by ______ folds anteriorly and _______ folds posteriorly.
Definition
Palatoglossus, Palatopharyngeal
Term
The uvula is strengthened by the aponeurosis of which muscle?
Definition
Tensor veli palatini
Term
Tensor veli palatini: O&I, nerve, action?
Definition
O– medial pterygoid plate, spine of sphenoid bone, cartilage of tympanic tube, I– palatine aponeurosis, Nerve – V3, Action – tenses soft palate, opens tympanic tube during swallowing and yawning
Term
Levator veli palatini: O&I, nerve, action?
Definition
O - cartilage of tympanic tube and petrous part of temporal bone, I – palatine aponeurosis, Nerve – cranial nerve X, Action – elevates soft palate during swallowing and yawning
Term
Palatopharyngeus: O&I, nerve, action?
Definition
O- hard palate and palatine aponeurosis, I – lateral wall of pharynx, Nerve – cranial nerve X, Action – Tenses soft palate and pull wall of pharynx superiorly, anteriorly and medially during swallowing
Term
The tendon of which muscle turns on the hamulus of the medial pterygoid plate?
Definition
The tensor veli palatini
Term
Mylohyoid muscle: O&I, nerve, action?
Definition
O- mylohyoid line of mandible, I – raphe and body of hyoid bone, Nerve - mylohyoid nerve, a branch of inferior alveolar nerve (V3), Action – elevates floor of mouth during swallowing and speech
Term
Geniohyoid muscle: I&O, nerve, action?
Definition
O - inferior mental spine of mandible, I – body of hyoid bone, nerve: C1 via hypoglossal nerve, Action - draws hyoid anteriorly and superiorly during swallowing
Term
Anterior belly of digastric: O&I, nerve, action?
Definition
O – digastric fossa of mandible, I – intermediate tendon to greater horn of hyoid bone, Nerve - nerve to mylohyoid (V3), Action – depresses mandible, raises and stabilizes hyoid bone
Term
Which muscle on the floor of the oral cavity is innervated by C1 via the hypoglossal?
Definition
Geniohyoid
Term
Which muscle of the floor of the oral cavity elevates the floor of the mouth during speech and swallowing?
Definition
Mylohyoid
Term
The sublingual gland sits on which muscles of the floor of the oral cavity?
Definition
Mylohyoid and geniohyoid
Term
Describe serous cells.
Definition
Pyramidal-shaped cells with spherical nuclei. Contain large amounts of RER and therefore, basophilic cytoplasm characteristic of protein-secreting cells. Serous cells form spherical acini and produce a protein-rich, watery secretion.
Term
Describe mucous cells
Definition
Cuboidal or columnar cells. Nuclei are oval or flattened and are pushed to the basal side of the cell by secretory product. Mucinogen granules occupy apical end of cells. In H and E, mucinogen lost, apex of cells have clear, empty appearance. The cells are typically are arranged as tubules. Mucin composed of glycoprotein and is a viscous secretion.
Term
What are serous demilunes, and what special enzyme do they secrete?
Definition
crescent-shaped caps of serous cells on mucous tubules. Most common in the sublingual gland. Secrete lysozyme, an enzyme that breaks down bacterial walls.
Term
Usually, where are myoepithelial cells within salivary glands? What are they called when they are in the acini? What do they do?
Definition
contractile epithelial cells. They lie between the basal lamina and glandular epithelial cells. Their function is to help move secretory products out of the glands. When they are found in the acini, they often have a stellate-shape and are called basket cells
Term
Describe intercalated ducts
Definition
intercalated ducts (intralobular): small ducts with squamous or cuboidal epithelium. They are continuous with lumen of acini. The intercalated ducts lead to striated ducts.
Term
Describe striated ducts
Definition
intralobular, usually have simple columnar epithelium with basal striations (invaginations) and numerous mitochondria. The striated ducts are involved in ion transport. These ducts lead to excretory ducts.
Term
Describe excretory ducts
Definition
(interlobular): large ducts within the interlobular connective tissue. They have stratified cuboidal or stratified columnar epithelia. They ultimately empty into the oral cavity.
Term
Parotid gland produces what percentage of saliva? What types of cells? What does the CT contain? What is the immune function of this organ?
Definition
25%, largest, completely serous gland,
secretory granules contain polysaccharides and are rich in proteins - high amylase activity.
characterized by numerous striated ducts,
 may have numerous fat cells.  CT contains plasma cells and lymphocytes - produce IgA that complexes with a secretory component produced by the serous acinar and duct cells.
Term
What is mumps characterized by? What complications can it cause?
Definition
Huge parotid gland swelling, meningitis and epididymo-orchitis
Term
Describe the submandibular gland
Definition
70%, mixed gland, primarily serous. Serous cells have extensive lateral and basal membrane infolding suggesting their role in electrolyte and water transport. These infoldings make the cell boundaries indistinct.
 serous demilunes are associated with mucus acini.
cells of the serous demilunes secrete lysozyme.
 gland has numerous, easily visible striated ducts.
Term
describe the sublingual gland
Definition
5%, mixed gland, but predominently mucous.
The serous cells are only usually found in serous demilunes. Few striated ducts and they are difficult to identify
Term
Pharyngeal tonsil is located where? Has what feature? Epithelium? When inflamed, what's it called?
Definition
Nasopharynx, shallow pleats, respiratory (pseudostratified columnar), adenoids
Term
The deep aspect of the palatine tonsil has what fibrous structure? What is the epithelium, and what traps food particles?
Definition
Deep aspect has dense fibrous capsule
Covered by stratified squamous non-keratinized epithelium, deep crypts that trap food particles,
Term
Describe the lingual tonsil
Definition
Located in posterior 1/3 of tongue
Covered with stratified squamous non-keratinized epithelium
Each lingual tonsil has a single crypt
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