Tongue External features1. Root 2. Tip 3. Body- dorsum or superior surface & inferior surface Root-attached to the mandible & soft palate above and to the hyoid bone below. Tip- anterior free end & lies behind the upper incisor teeth. Dorsum-oral part or ant 2/3rd & pharyngeal part or post 1/3rd part, V shaped groove- suclus terminalis, median pit- foramen caecum. Oral part or papillary part of the tongue- foliate papillae 4 to 5 vertical folds in front of the palatoglossal arch, rough superior surface and covered with papillae, inferior surface smooth mucous membrane which shows the median fold- frenulum lingulae, plica fimbriata Pharyngeal part or lymphoid part of the tongue- lies behind the palatoglossal arches and the sulcus terminalis. It forms the base of the tongue forming the anterior wall of the oropharynx. Devoid of the papillae & has many lymphoid follicles. Lingual tonsil & mucous gland are also present. Posterior most part- connected to epiglottis by 3folds of mucous membranemedian glossoepiglottic fold, rt and lt glossoepiglottic folds. Vallecula Tongue Tongue Tongue Papillae of the tongue 1. Vallate or circumvallate papillae- 1-2 mm in diameter & 8-12in number 2. Fungiform papillae- numerous near the tip & margins of the tongue 3. Filiform papillae or conical papillae- presulcal area of the dorsum of the tongue and gives the velvety appearance Tongue Tongue Muscles of the tongueIntrinsic muscles1. Superior longitudinal 2. Inferior longitudinal 3. Transverse 4. Vertical Tongue Tongue Extrinsic muscles• Genioglossus • Hyoglossus • Styloglossus • palatoglossus Tongue Tongue Arterial supply• Lingual artery • Root of tongue is supplied by the tonsillar & ascending pharyngeal arteries Venous drainageDeep lingual vein- lingual vein- CFV or IJV Tongue Lymphatic drainage1. Tip of the tonguesubmental lymph nodes 2. Rt and lt halves of the remaining ant 2/3rd- submandibular nodes 3. Posterior 1/3rdbilaterally- juguloomohyoid nodes and these are know as the lymph nodes of the tongue Tongue Nerve supplyMotor nervesall the intrinsic & extrinsic muscles expect the palatoglossus are supplied by the hypoglossal nerve. Palatoglossus supplied by the cranial part of the accessory nerve through pharyngeal plexus Sensory nervesLingual nerve for general sensation and chorda tympani for the taste of ant 2/3rd of the tongue except vallate papillae. Glossopharyngeal nerve is both general sensory and taste for the post 1/3rd of the tongue including circumvallate papillae Posteriormost part of the tongue is supplied by the vagus nerve through the internal laryngeal nerve. Tongue