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Genioglossi
The genioglossus is one of the paired extrinsic muscles of the tongue. It is a fan-shaped muscle that comprises the bulk of the body of the tongue. It arises from the mental spine of the mandible; it inserts onto the hyoid bone, and the bottom of the tongue. It is innervated by the hypoglossal nerve (cranial nerve XII). The genioglossus is the major muscle responsible for protruding (or sticking out) the tongue. Structure Genioglossus is the fan-shaped extrinsic tongue muscle that forms the majority of the body of the tongue. The muscle is paired, having a left and right portion, which are divided at the midline of the tongue by a septum made of connective tissue. Origin The large part of the muscle arises from the mental spine of the mandible, but some fibers originate directly from the hyoid bone and connect vertically to the tongue. Insertion Its insertions are the hyoid bone and the bottom of the tongue. Innervation The genioglossus is innervated by the hypoglossal ne ...
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Tongue
The tongue is a Muscle, muscular organ (anatomy), organ in the mouth of a typical tetrapod. It manipulates food for chewing and swallowing as part of the digestive system, digestive process, and is the primary organ of taste. The tongue's upper surface (dorsum) is covered by taste buds housed in numerous lingual papillae. It is sensitive and kept moist by saliva and is richly supplied with nerves and blood vessels. The tongue also serves as a natural means of cleaning the teeth. A major function of the tongue is to enable speech in humans and animal communication, vocalization in other animals. The human tongue is divided into two parts, an oral cavity, oral part at the front and a pharynx, pharyngeal part at the back. The left and right sides are also separated along most of its length by a vertical section of connective tissue, fibrous tissue (the lingual septum) that results in a groove, the median sulcus, on the tongue's surface. There are two groups of glossal muscles. The f ...
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Lingual Artery
The lingual artery arises from the external carotid artery between the superior thyroid artery and facial artery. It can be located easily in the tongue. Structure The lingual artery first branches off from the external carotid artery. It runs obliquely upward and medially to the greater horns of the hyoid bone. It then curves downward and forward, forming a loop which is crossed by the hypoglossal nerve. It then passes beneath the digastric muscle and stylohyoid muscle running horizontally forward, beneath the hyoglossus. This takes it through the sublingual space. Finally, ascending almost perpendicularly to the tongue, it turns forward on its lower surface as far as the tip of the tongue, now called the deep lingual artery ( profunda linguae). Branches The lingual artery gives 4 main branches: the deep lingual artery, the sublingual artery, the suprahyoid branch, and the dorsal lingual branch. Deep lingual artery The deep lingual artery (or ranine artery) is the t ...
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Helkiah Crooke
Helkiah Crooke (1576 – 1648) was Court physician to King James I of England. He is best remembered for his textbook on anatomy, ''Mikrokosmographia, a Description of the Body of Man''. He was the first qualified doctor to be appointed Keeper of Royal Bethlem Hospital, but his conduct as Keeper was so unsatisfactory that he was eventually removed from that office on the grounds of corruption and absenteeism. Family He was born in Great Waldingfield, Suffolk, the third son of Thomas Crooke, rector of the parish and later reader at Gray's Inn; his mother's family surname was Samuel. His eldest brother Sir Thomas Crooke achieved distinction as the founder of Baltimore, County Cork. Thomas and another brother Samuel Crooke (who was also a clergyman) were, like their father, inclined to Calvinism; Helkiah, on the other hand, is said to have leaned towards Roman Catholicism. Sir Thomas in his will of 1629 speaks with obvious affection of "dear Helkiah". The brothers seem to h ...
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Chin
The chin is the forward pointed part of the anterior mandible (List_of_human_anatomical_regions#Regions, mental region) below the lower lip. A fully developed human skull has a chin of between 0.7 cm and 1.1 cm. Evolution The presence of a well-developed chin is considered to be one of the morphological characteristics of ''Homo sapiens'' that Neanderthal anatomy#Distinguishing physical traits, differentiates them from other human ancestors such as the closely related Neanderthal, Neanderthals. Early human ancestors have varied Mandibular symphysis, symphysial morphology, but none of them have a well-developed chin. The origin of the chin is traditionally associated with the anterior–posterior breadth shortening of the dental arch or tooth row; however, its general mechanical or functional advantage during feeding, developmental origin, and link with human speech, physiology, and social influence are highly debated. Functional perspectives Robinson (1913) suggests that the ...
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Anaesthesia
Anesthesia (American English) or anaesthesia (British English) is a state of controlled, temporary loss of sensation or awareness that is induced for medical or veterinary purposes. It may include some or all of analgesia (relief from or prevention of pain), paralysis (muscle relaxation), amnesia (loss of memory), and unconsciousness. An individual under the effects of anesthetic drugs is referred to as being anesthetized. Anesthesia enables the painless performance of procedures that would otherwise require physical restraint in a non-anesthetized individual, or would otherwise be technically unfeasible. Three broad categories of anesthesia exist: * ''General anesthesia'' suppresses central nervous system activity and results in unconsciousness and total lack of Sensation (psychology), sensation, using either injected or inhaled drugs. * ''Sedation'' suppresses the central nervous system to a lesser degree, inhibiting both anxiolysis, anxiety and creation of long-term memory, ...
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Obstructive Sleep Apnea
Obstructive sleep apnea (OSA) is the most common sleep-related breathing disorder and is characterized by recurrent episodes of complete or partial airway obstruction, obstruction of the respiratory tract#Upper respiratory tract, upper airway leading to reduced or absent breathing during sleep. These episodes are termed "apneas" with complete or near-complete cessation of breathing, or "hypopneas" when the reduction in breathing is partial. In either case, a fall in oxygen saturation (medicine), blood oxygen saturation, a disruption in sleep, or both, may result. A high frequency of apneas or hypopneas during sleep may interfere with the quality of sleep, whichin combination with disturbances in blood oxygenationis thought to contribute to negative consequences to health and quality of life. The terms obstructive sleep apnea syndrome (OSAS) or obstructive sleep apnea–hypopnea syndrome (OSAHS) may be used to refer to OSA when it is associated with symptoms during the daytime (e.g. ...
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REM Sleep
Rapid eye movement sleep (REM sleep or REMS) is a unique phase of sleep in mammals (including humans) and birds, characterized by random rapid movement of the eyes, accompanied by low muscle tone throughout the body, and the propensity of the sleeper to dream vividly. The core body and brain temperatures increase during REM sleep and skin temperature decreases to lowest values. The REM phase is also known as paradoxical sleep (PS) and sometimes desynchronized sleep or dreamy sleep, because of physiological similarities to waking states including rapid, low-voltage desynchronized brain waves. Electrical and chemical activity regulating this phase seem to originate in the brain stem, and is characterized most notably by an abundance of the neurotransmitter acetylcholine, combined with a nearly complete absence of monoamine neurotransmitters histamine, serotonin and norepinephrine. Experiences of REM sleep are not transferred to permanent memory due to absence of norepinephrine. ...
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Geniohyoideus
The geniohyoid muscle is a narrow paired muscle situated superior to the medial border of the mylohyoid muscle. It is named for its passage from the chin ("genio-" is a standard prefix for "chin") to the hyoid bone. Structure The geniohyoid is a paired short muscle that arises from the inferior mental spine, on the back of the mandibular symphysis, and runs backward and slightly downward, to be inserted into the anterior surface of the body of the hyoid bone. It lies in contact with its fellow of the opposite side. It thus belongs to the suprahyoid muscles. The muscle receives its blood supply from branches of the lingual artery. Innervation The geniohyoid muscle is innervated by fibres from the first cervical spinal nerve travelling alongside the hypoglossal nerve. Although the first three cervical nerves give rise to the ansa cervicalis, the geniohyoid muscle is said to be innervated by the first cervical nerve, as some of its efferent fibers do not contribute to ansa cervi ...
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External Carotid Artery
The external carotid artery is the major artery of the head and upper neck. It arises from the common carotid artery. It terminates by splitting into the superficial temporal and maxillary artery within the parotid gland. Structure Origin The external carotid artery arises from the common carotid artery just inferior to the upper border of the thyroid cartilage. At its origin, this artery is closer to the skin and more medial than the internal carotid, and is situated within the carotid triangle. Course and fate It curves to pass anterosuperiorly before inclining posterior-ward to reach the space posterior the neck of the mandible, where it divides into the superficial temporal and maxillary artery within the parotid gland. It rapidly diminishes in size as it travels up the neck, owing to the number and large size of its branches. Relations At the origin, external carotid artery is more medial than internal carotid artery. When external carotid artery ascends the ...
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Palatoglossus
The palatoglossal muscle is a muscle of the soft palate and an extrinsic muscle of the tongue. Its surface is covered by oral mucosa and forms the visible palatoglossal arch. Structure From its origin, it passes anteroinferiorly and laterally. It passes anterior to the palatine tonsil. Origin The palatoglossus arises (the oral aspect of) the palatine aponeurosis of the soft palate, where it is continuous with its contralateral partner (i.e. the same muscle of the opposite side). Insertion It inserts onto the side of the tongue; some of its fibers extend over the dorsum of the tongue, and some pass into the substance of the tongue to intermingle with the transverse muscle of tongue. Innervation The palatoglossus muscle receives motor innervation from the pharyngeal plexus of vagus nerve. It is the only muscle of the tongue ''not'' innervated by the hypoglossal nerve (CN XII). Controversy Some sources state that the palatoglossus is innervated by fibers from the cranial ...
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Human Mandible
In jawed vertebrates, the mandible (from the Latin ''mandibula'', 'for chewing'), lower jaw, or jawbone is a bone that makes up the lowerand typically more mobilecomponent of the mouth (the upper jaw being known as the maxilla). The jawbone is the skull's only movable, posable bone, sharing joints with the cranium's temporal bones. The mandible hosts the lower teeth (their depth delineated by the alveolar process). Many muscles attach to the bone, which also hosts nerves (some connecting to the teeth) and blood vessels. Amongst other functions, the jawbone is essential for chewing food. Owing to the Neolithic advent of agriculture (), human jaws evolved to be smaller. Although it is the strongest bone of the facial skeleton, the mandible tends to deform in old age; it is also subject to fracturing. Surgery allows for the removal of jawbone fragments (or its entirety) as well as regenerative methods. Additionally, the bone is of great forensic significance. Struct ...
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Hypoglossal Nerve
The hypoglossal nerve, also known as the twelfth cranial nerve, cranial nerve XII, or simply CN XII, is a cranial nerve that innervates all the extrinsic and intrinsic muscles of the tongue except for the palatoglossus, which is innervated by the vagus nerve. CN XII is a nerve with a sole motor function. The nerve arises from the hypoglossal nucleus in the medulla as a number of small rootlets, pass through the hypoglossal canal and down through the neck, and eventually passes up again over the tongue muscles it supplies into the tongue. The nerve is involved in controlling tongue movements required for speech and swallowing, including sticking out the tongue and moving it from side to side. Damage to the nerve or the neural pathways which control it can affect the ability of the tongue to move and its appearance, with the most common sources of damage being injury from trauma or surgery, and motor neuron disease. The first recorded description of the nerve was by Her ...
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