Yeditepe University Medical School Department of Anatomy. ANATOMY OF THE DIGESTIVE SYSTEM PART 1. 2.December.2011 Friday. Kaan Yücel M.D.,Ph.D. Oral Region. The oral region includes the oral cavity , teeth , gingivae , tongue , palate , and the region of the palatine tonsils .
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Department of Anatomy
THE DIGESTIVE SYSTEM
Kaan Yücel M.D.,Ph.D.
The oral regionincludes the oral cavity,teeth, gingivae, tongue, palate, and the region of the palatine tonsils.
The digestion starts here in the oral cavity.
It is the place where the food is ingested and prepared for digestion in the stomach and small intestine.
Food is chewed by the teeth, and saliva from the salivary glands facilitates the formation of a manageable food bolus(L. lump).
Deglutition (swallowing) is voluntarily initiated in the oral cavity.
The voluntary phase of the process pushes the bolus from the oral cavity into the pharynx, the expanded part of the alimentary (digestive) system, where the involuntary (automatic) phase of swallowing occurs.
Has a roofandfloor, andlateralwalls.
Opensontothefacethroughthe oral fissure.
Continuouswiththecavity of thepharynx at theoropharyngealisthmus.
Inletforthedigestivesysteminvolvedwiththeinitialprocessing of food, which is aidedbysecretionsfromsalivaryglands.
Can be usedforbreathingbecause it opensintothepharynx, which is a commonpathwayforfoodandair.
Forthisreason, the oral cavity can be usedbyphysicianstoaccessthelowerairway.
Oral cavity proper
Slit-likespacebetweentheteethandgingivae (gums) internallyandthelipsandcheeksexternally.
Thelateralwall of thevestibule is formedbythecheek, which is madeupbythebuccinatormuscle.
Thetone of thebuccinatormuscleandthat of themuscles of thelipskeepthewalls of thevestibule in contactwithoneanother.
Theduct of theparotidsalivarygland (Stensen’sduct) opens on a smallpapillaintothevestibuleoppositetheuppersecondmolartooth.
Thesubmandibularduct of thesubmandibulargland (Warton’sduct)opensontothefloor of themouth on thesummit of a smallpapilla on eitherside of thefrenulum of thetongue.
The prominence of the cheek occurs at the junction of the zygomatic and buccal regions.
External aspect- Buccal region
Anteriorly by lips and chin
Superiorly by zygomatic region
Posteriorly parotid region
Inferiorly by inferior border of mandible
There are 20 deciduous teeth and 32 permanent teeth: four incisors, two canines, four premolars, and six molars in each jaw.
Formspart of thefloor of the oral cavityandpart of theanteriorwall of theoropharynx.
A mass of striatedmusclecoveredthmucousmembrane
Itsanteriorpart is in the oral cavityand is somewhattriangular in shapewith a bluntapex of tongue.
The apex is directed anteriorly .
Theroot of tongue is attachedtothemandibleandthehyoid bone.
Thesuperiorsurface of the oral part of thetongue is coveredbyhundreds of papillae.
4 types of papillae in thetongue:
The superior surface of the oral part of the tongue is covered by hundreds of papillae.
4 types of papillae in the tongue.
The papillae in general increase the area of contact between the surface of the tongue and the contents of the oral cavity.
Intrinsic muscles: confined to the tongue, are not attached to bone.
Extrinsic muscles: attached to bones and the soft palate.
Trigeminal nerve: sensation from 2/3 anterior tongue
Glossopharyngeal nerve: sensation from 1/3 posterior tongue
Taste from oral part: by the facial nerve
Taste from pharyngeal part: by the glossopharyngeal nerve
Shape changes:Intrinsic muscles
Depression:Hyoglossusmuscles on bothsidesactingtogether
Retractionandelevation of theposteriorthird:Styloglossusandpalatoglossusmuscles on bothsidesactingtogether
Posteroinferiorly, the soft palate has a curved free margin from which hangs a conical process; uvula.
The space between
the cavity of the mouth and the pharynx.
Superiorlyby the soft palate
Inferiorlyby the root of the tongue
Oropharyngeal isthmus (isthmus of the fauces) is the short constricted space that establishes the connection between the oral cavity proper and the oropharynx. By closing the oropharyngeal isthmus, food or liquid can be held in the oral cavity while breathing.
The palatine tonsils, often referred to as “the tonsils,” are masses of lymphoid tissue, one on each side of the oropharynx.
Lies in a deephollowbelowtheexternalauditorymeatus, behindtheramus of themandible, and in front of the SCM.
Theparotidductpassesforwardoverthelateralsurface of themasseter.
Itentersthevestibule of themouthupon a smallpapillaoppositetheuppersecondmolartooth.
Parasympathetic stimulation of the parotid gland produces a thin watery saliva.
Liesbeneaththelowerborder of the body of themandible
Submandibular duct runs medially to open at the side of lingual frenulum.
SMG = submandibulargland, ABD = anteriorbelly of digastricmuscle, LN = submandibularlymphnode, FV = facialvein, FA = facialartery, MH = mylohyoidmuscle.
Lies beneath the floor of the mouth.
The sublingual ducts (8 to 20 in number) open into the mouth.
Links oral and nasal cavities in the head to the larynx & esophagus in the neck.
Superiorexpanded part of the alimentary system posterior to the nasal and oral cavities, extending inferiorly past the larynx.
Extendsfrom the cranial base to and is continuous with the top of the esophagus.
Based on these anterior relationships the pharynx is subdivided into 3 regions:
Nasopharynx has a respiratory function; posterior extension of the nasal cavities.
Oropharynxis posterior to the oral cavity, inferior to the level of the soft palate, and superior to the upper margin of the epiglottis. It opens anteriorly, through the isthmus faucium, into the mouth.
Laryngopharynxlies posterior to the larynx and anterior to the vertebral column.
1- Pharyngeal tonsil-Adenoid
2- Tubal tonsil
3- Palatine tonsil
4- Lingual tonsil
Musculartube about 10 in. (25 cm) long
Extendsfrom the pharynx to the stomach.
Beginsin the neck where it is continuous with the laryngopharynx .
Consistsof striated (voluntary) muscle in its upper 1/3, smooth (involuntary) muscle in its lower 1/3, and a mixture of striated and smooth muscle in between.
Expandedpart of the digestive tract between the esophagus and small intestine.
Specializedfor the accumulation of ingested food, chemically and mechanically prepares for digestion and passage into the duodenum.
Actsas a food blender and reservoir; its chief function is enzymatic digestion.
The size, shape, and position of the stomach can vary markedly in persons of different body types (bodily habitus)
May change even in the same individual as a result of
Diaphragmaticmovements during respiration
Stomach'scontents (empty vs. after a heavy meal)
Positionof the person.
Cardia: part surrounding the cardial orifice (opening), the superior opening or inlet of the stomach.
Fundus:dilated superior part related to the left dome of the diaphragm and is limited inferiorly by the horizontal plane of the cardial orifice.
Body:major part of the stomach between the fundus and pyloric part.
Pyloric part: funnel-shaped outflow region of the stomach.
Primarysite for absorption of nutrients from ingested materials.
Extendsfrom the pylorus to the ileocecal junction
where the ileum joins the cecum (the first part of the large intestine).
Shortest, widest and most fixed part.
Jejunumbegins at the duodenojejunal flexure where the digestive tract resumes an intraperitoneal course.
Ileumends at ileocecaljunction, union of the terminal ileum & cecum.
Together, jejunum and ileum are 6-7 m long.
Jejunum2/5 , Ileum 3/5
intraperitonealsection of the small intestine.
Most of the jejunum lies in the left upper quadrant (LUQ), whereas most of the ileum lies in the right lower quadrant (RLQ).
The terminal ileum usually lies in the pelvis from which it ascends, ending in the medial aspect of the cecum.
Where water is absorbed from the indigestible residues of the liquid chyme, converting it into semi-solid stool or feces that is stored temporarily and allowed to accumulate until defecation occurs.
The large intestine can be distinguished from the small intestine by:
Omental appendices: small, fatty, omentum-like projections.
Teniae coli: three distinct longitudinal bands.
Haustra: sacculations of the wall of the colon between the teniae
A much greater caliber (internal diameter).