Biting, chewing and swallowing - oral cavity Flashcards Preview

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Flashcards in Biting, chewing and swallowing - oral cavity Deck (76)
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1

Name two fold of tissue which contain the palatine tonsil between them

palatopharyngeal fold
palatoglossal fold

2

How can damage to the back of the pharynx spread infection?

Can spread infection into the thoracic cavity

3

What are the 2 types of palates in the mouth

Hard and soft

4

Which palate is the uvula part of?

soft

5

What does deviation of the uvula suggest?

dysfunction of the vagus on the opposite side

6

Where does the oesophagus open in relation to the airway?

posterior to the airway

7

What happens during swallowing to prevent food going down the trachea?

The larynx is raised and the epiglottis retroflects to cover the airway.

8

What is the use of the hard palate?

The hard palate is bone – this is useful in mastication. When you chew food, pushing it against the hard palate helps to break it down before swallowing

9

What is the importance of the piriform fossa in the laryngopharynx?

Food can get caught here (particularly fish bones).

This area has a very sensitive innervation so this is very painful. You sometimes have to use forceps to try and extract fish bones.

10

What are the constrictor muscles of the larynx and their innervation?

Within the pharynx are the superior, middle and inferior constrictor muscles
They allow pushing of food downwards into the GI tract – sequential contraction
Sensory IX, X supply to the pharyngeal plexus
Motor activity is largely due to X innervation (XI as well)

11

What is the process of swallowing?

- Lift and retract the tongue (controlled by the styloglossus and intrinsic)
- Bolus is moved into the oropharynx (contraction of palatoglossus)
- Elevate the soft palate (levator muscles) – this closes off the nasopharynx (stops food going into nose)
- Raise the larynx, to close off the epiglottis – stops food going into the airway
- Peristaltic wave of constrictor muscles (superior, middle and inferior constrictors) – moves bolus down
- Relax cricopharyngeus (UOS) -> this opens the oesophagus to allow passage for food

12

How many pairs of salivary glands are there and what are they?

3 - parotid, submandibular, sublingual

13

What kind of saliva does each salivary gland produce?

parotid - thin, serous
submandibular - serous
sublingual - mucous

14

Where do each of the salivary glands get input from?

Parotid - cranial nerve 9

Submandibular - cranial nerve 7

Sublingual - cranial nerve 7

15

How does saliva pass from the parotid gland to the mouth and where?

Via the parotid duct and opens next to the second upper molar

16

What are the muscles of the tongue?

Styloglossus - helps retract tongue
Hyoglossus


Genioglossus - from tongue to mandible, contraction helps prortrude tongue

Intrinsic muscles

17

Which is the only motor nerve supplying the tongue?

The hypoglossal

18

How can you test for the hypoglossal nerve?

The genioglossus contracts on either side and if there is deviation of one side of the tongue it means that the same side of hypoglossal is affected

19

What does the lingual nerve (branch of v3 - trigeminal mandibular branch) do?

Has mixed cranial components and supplies the tongue with touch sensation and taste perception
Trigeminal and facial fibres (chorda tympani ) are all together in the lingual nerve (multifunctional nerve)

20

Which nerve provides sensation to the anterior two third of the tongue?

V3 - trigeminal

21

Which nerve supplies the taste fibres to the anterior two thirds of the tongue?

facial nerve - chorda tympani

22

Where is taste perception processed?

The nucleus solitaries in the brainstem

23

Which nerve provides sensation and taste to the posterior third of the tongue?

glossopharyngeal - little also from the vagus

24

What are the muscles of mastication (superficial) and their locations?

Masseter - from the zygomatic arch to lateral surface of ramus and angle of mandible (side and the corner)

Temporalis - from temporal fossa to coronoid process of mandible

25

What are the muscles of mastication (deep) and their locations?

Lateral pterygoid - connects from sphenoid/lateral pterygoid plate to neck of mandible

Medial pterygoid - lateral pterygoid plate/maxilla/palate to angle of mandible

26

Name another muscle of mastication and its location

Buccinator - between maxilla and mandible

27

What is the temporal fossa?

shallow depression on the side of the skull

28

What is the zygomatic arch?

cheek bone

29

What innervates the superficial muscles of mastication?

mandibular division of the trigeminal

30

What innervates the deep muscles of mastication?

mandibular division of the trigeminal