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Genioglossi
The genioglossus is one of the paired extrinsic muscles of the tongue. 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. It arises from the mental spine of the mandible and its insertions are the hyoid bone and the bottom of the tongue. The genioglossus is innervated by the hypoglossal nerve, as are all muscles of the tongue except for the palatoglossus. Blood is supplied to the sublingual branch of the lingual artery, a branch of the external carotid artery. The canine genioglossus muscle has been divided into horizontal and oblique compartments. Function The left and right genioglossus muscles protrude the tongue and deviate it towards the opposite side. When acting together, the muscles depress the center of the tongue at its back. Clinical significance Contraction of the genioglossus stabilizes and enlarges the port ...
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Tongue
The tongue is a muscular organ in the mouth of a typical tetrapod. It manipulates food for mastication and swallowing as part of the 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 the enabling of speech in humans and vocalization in other animals. The human tongue is divided into two parts, an oral part at the front and a pharyngeal part at the back. The left and right sides are also separated along most of its length by a vertical section of fibrous tissue (the lingual septum) that results in a groove, the median sulcus, on the tongue's surface. There are two groups of muscles of the tongue. The four intrinsic muscles alter the shape of the tongue and are not attached to bone. ...
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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 term ...
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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 name 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 have bee ...
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Chin
The chin is the forward pointed part of the anterior mandible ( 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 differentiates them from other human ancestors such as the closely related Neanderthals. Early human ancestors have varied 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 demand to resist masticatory stresses triggered bone thickening in the mental region of the mandible and ultimately formed a ...
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Anaesthesia
Anesthesia 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 cause severe or intolerable pain 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, using either injected or inhaled drugs. * Sedation suppresses the central nervous system to a lesser degree, inhibiting both anxiety and creation of long-term memories without resulting in unconsciousness. * Regional and local anesthesia, which blocks ...
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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 obstruction of the 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 blood oxygen saturation, a disruption in sleep, or both may result. A high frequency of apneas or hypopneas during sleep may interfere with restorative 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. excessive daytime sleepiness, decreased cognitive function). Most individuals with OSA are ...
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REM Sleep
Rapid eye movement sleep (REM sleep or REMS) is a unique phase of sleep in mammals 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 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 seems 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. REM sleep is physiologically different from the other phases of sleep, which are collectively referred to as non-REM sleep ...
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Geniohyoideus
The geniohyoid muscle is a narrow 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 It 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 is supplied by 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 cervicalis. Variations It may be blended with the one on opposite side ...
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External Carotid Artery
The external carotid artery is a major artery of the head and neck. It arises from the common carotid artery when it splits into the external and internal carotid artery. External carotid artery supplies blood to the face and neck. Structure The external carotid artery begins at the upper border of thyroid cartilage, and curves, passing forward and upward, and then inclining backward to the space behind 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. At its origin, this artery is closer to the skin and more medial than the internal carotid, and is situated within the carotid triangle. Development In children, the external carotid artery is somewhat smaller than the internal carotid; but in the adult, the two vessels are of nearly equal size. Relations At the origin, external carotid artery ...
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Palatoglossus
The palatoglossus or palatoglossal muscle is a muscle of the soft palate and extrinsic muscle of the tongue. Its surface is covered by oral mucosa and forms the visible palatoglossal arch. Structure Palatoglossus arises from the palatine aponeurosis of the soft palate, where it is continuous with the muscle of the opposite side, and passing downward, forward, and lateralward in front of the palatine tonsil, is inserted into the side of the tongue, some of its fibers spreading over the dorsum, and others passing deeply into the substance of the organ to intermingle with the transverse muscle of tongue. Innervation Palatoglossus is the only muscle of the tongue that is ''not'' innervated by the hypoglossal nerve (CN XII). It is innervated by the pharyngeal branch of the vagus nerve (CN X). Controversy Some sources state that the palatoglossus is innervated by fibers from the cranial part of the accessory nerve (CN XI) that travel via the pharyngeal plexus. Other sources state t ...
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Human Mandible
In anatomy, the mandible, lower jaw or jawbone is the largest, strongest and lowest bone in the human facial skeleton. It forms the lower jaw and holds the lower teeth in place. The mandible sits beneath the maxilla. It is the only movable bone of the skull (discounting the ossicles of the middle ear). It is connected to the temporal bones by the temporomandibular joints. The bone is formed in the fetus from a fusion of the left and right mandibular prominences, and the point where these sides join, the mandibular symphysis, is still visible as a faint ridge in the midline. Like other symphyses in the body, this is a midline articulation where the bones are joined by fibrocartilage, but this articulation fuses together in early childhood.Illustrated Anatomy of the Head and Neck, Fehrenbach and Herring, Elsevier, 2012, p. 59 The word "mandible" derives from the Latin word ''mandibula'', "jawbone" (literally "one used for chewing"), from '' mandere'' "to chew" and ''-bula' ...
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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 solely motor function. The nerve arises from the hypoglossal nucleus in the medulla as a number of small rootlets, passes 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 is by Herop ...
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