Tongue

Overview and topographic anatomy

General information

  • Tongue— a muscular structure in the oral cavity, divided into 2 parts:

    • Oral (presulcal), movable part—the anterior two-thirds of the tongue

    • Pharyngeal (postsulcal), nonmovable part—the posterior one-third of the tongue

  • The sulcus terminalis (terminal sulcus), a V-shaped groove immediately posterior to the circumvallate papilla, separates the oral part from the pharyngeal part of the tongue

  • The foramen cecum, which was the initial development site for the thyroid gland, is located at the tip (or angle) of the V

  • Median fibrous septum separates the tongue into halves

Functions

  • Mastication

  • Taste

  • Talking

  • Deglutition

Appearance

  • The tongue is typically pink and covered with numerous small bumps called papilla

  • Change in color or texture may reflect health problems:

    • Leukoplakia

    • Squamous cell carcinoma

    • Nutritional deficiencies

  • An unusual appearance of the tongue may represent a benign harmless condition:

    • Fissured tongue

    • Black hairy tongue

    • Geographic tongue

Muscle types

  • Extrinsic —move the tongue as an anatomic structure

  • Intrinsic —change the tongue’s shape

Figure 14-1

Figure 14-2

Gross anatomy

Parts of the tongue

ORAL PART (PRESULCAL)
  • The oral part of the tongue is also known as the anterior 2/3 of the tongue

  • Develops from the 2 lateral lingual swellings and tuberculum impar of the 1st pharyngeal arch—thus mucosa is innervated by the nerve of the 1st arch, which is the trigeminal nerve (lingual n.)

  • Has a dorsal and a ventral surface

Dorsal Surface
  • The mucosa is keratinized stratified squamous epithelium

  • Is bounded posteriorly by the sulcus terminalis

Structures Comments
Median sulcus
  • A midline groove that travels anteriorly

  • Represents the location of the median septum that divides the tongue in halves

  • The septum is thicker posteriorly but thinner anteriorly

  • Papillae—there are 4 types of papillae on the dorsal surface of the tongue:

    • Filiform—lack taste buds

      • Most numerous type of papillae

      • Have thick keratin on epithelium, resulting in a rough surface for functional purposes

    • Fungiform—have taste buds that receive taste innervation from the facial nerve (chorda tympani branch)

      • Scattered throughout the dorsum of the oral part

      • Lack keratin on the epithelium

    • Foliate—have taste buds that receive taste innervation from the facial nerve (chorda tympani branch)

      • Are located on the sides of the tongue in 4–5 folds immediately anterior to the palatoglossal fold

      • Lack keratin on the epithelium

    • Circumvallate (vallate)—have taste buds that receive taste innervation from the glossopharyngeal nerve

      • Generally a nonkeratinized epithelium

      • Lie in a row immediately anterior to the sulcus terminalis

  • Papillae are raised projections that increase the surface area

  • 5 basic types of taste are differentiated by the taste buds:

    • Bitter

    • Salt

    • Sweet

    • Sour

    • Umami

Glands There are numerous mucous and serous glands on the dorsal surface

Figure 14-3

Ventral Surface
  • The mucosa is nonkeratinized stratified squamous epithelium

Structures Comments
Lingual frenulum
  • A midline fold of tissue

  • Connects the ventral surface of the tongue to the floor of the oral cavity

Sublingual papilla
  • A swelling on both sides of the lingual frenulum at the tongue base

  • Marks the entrance of saliva from the submandibular glands into the oral cavity

  • Continuous with the sublingual folds overlying the sublingual glands on the floor of the oral cavity

Plica fimbriata
  • Fimbriated folds

  • Lateral to the lingual frenulum

Deep lingual veins
  • Can be observed through the mucosa between the plica fimbriata and the lingual frenulum

Figure 14-4

PHARYNGEAL PART (POSTSULCAL)
  • The pharyngeal part of the tongue is also known as the posterior 1/3 of the tongue

  • Develops from the hypobranchial eminence of the 3rd pharyngeal arch—thus mucosa is innervated by the nerve of the 3rd arch (the glossopharyngeal nerve)

  • The area immediately posterior to the palatoglossal folds (also called the anterior pillar of the fauces) is the oropharynx

  • Has a dorsal surface only

  • Does not possess any papillae

Dorsal Surface
  • The mucosa is nonkeratinized stratified squamous epithelium

Structures Comments
Lingual tonsils
  • Large nodules of lymphatic tissue

  • Cover the pharyngeal surface of the tongue

Glossoepiglottic folds
  • Mucous membrane of nonkeratinized stratified squamous epithelium from the pharyngeal part and lateral wall of pharynx that reflects onto the anterior epiglottis, forming:

    • Median glossoepiglottic fold

    • 2 lateral glossoepiglottic folds

  • The median glossoepiglottic fold is bordered by a depression on each side:

    • Vallecula

  • Connect the posterior portion of the pharyngeal part of the tongue with the epiglottis of the larynx

Muscles

Extrinsic tongue muscles

Muscle Origin Insertion Actions Nerve Comment
Genioglossus Superior genial tubercle of the mandible
  • Superior fibers fan into the entire ventral surface of the tongue as they intermix with the intrinsic muscles)

  • Intermediate fibers fan out and rise upward as they pass posteriorly to intermingle with the dorsal, intrinisic muscle fibers of the tongue

  • Inferior fibers insert into the body of the hyoid via an aponeurosis

  • Protrusion of the tongue

  • Bilaterally —the 2 muscles will depress the central portion of the tongue, which makes the dorsal surface concave

  • Unilaterally —makes the tongue deviate to the contralateral side

Hypoglossal n. The lingual a. is located between the genioglossus and hyoglossus mm.
Tendinous tissue extending from the posterior part of the genioglossus m. and attaching to the center of the epiglottic cartilage has been identified and named the glossoepiglottic tendon
Hyoglossus Greater cornu and anterior portion of the body of the hyoid Lateral portion of the tongue between the styloglossus m. and the inferior longitudinal m. Depresses the tongue
  • The lingual n., hypoglossal n., and submandibular duct are located on the lateral surface of the hyoglossus m.

  • Some authors describe the chondroglossus as a separate muscle or as part of the hyoglossus

Styloglossus
  • Anterolateral portion near the apex of the styloid process

  • Stylomandibular ligament

  • Longitudinal portion inserts into the dorsolateral part of the tongue to intermix with the inferior longitudinal m.

  • Oblique portion inserts into the dorsolateral portion of the tongue to intermix with the hyoglossus m.

  • Retrusion of the tongue

  • Elevation of the tongue, primarily lateral borders

Smallest of the extrinsic tongue muscles
Palatoglossus Palatine aponeurosis (oral surface) Lateral side of the tongue where some fibers intermix with the transverse m. and some along the dorsal surface of the tongue
  • Elevation of the root of the tongue

  • Narrows the oropharyngeal isthmus for deglutition

Pharyngeal plexus (the motor portion of this plexus is formed by the pharyngeal branch of the vagus n.) An extrinsic muscle of the tongue and also a muscle of the soft palate
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Feb 15, 2025 | Posted by in General Dentistry | Comments Off on Tongue

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