All ENT Notes & Lectures

Muscles of Tongue

💡 The post below is just an outline of the YouTube video and my notes. For the full content, please purchase the notes using the links above.

Muscles of the Tongue

📚 Classification of Tongue Muscles

Muscles of the Tongue are classified based on:

  1. Location
  2. Function

🟦 Extrinsic Muscles of Tongue

  • Attach the tongue to structures outside the tongue.
  • Responsible for altering the position of the tongue.

Four Extrinsic Muscles:

  • Genioglossus
  • Hyoglossus
  • Styloglossus
  • Palatoglossus

🧠 Mnemonic: "Girl Has Super Powers"
G → Genioglossus
H → Hyoglossus
S → Styloglossus
P → Palatoglossus

🟨 Intrinsic Muscles of Tongue

  • Contained entirely within the tongue.
  • Responsible for altering the shape of the tongue.

Four Intrinsic Muscles:

  • Superior longitudinal
  • Inferior longitudinal
  • Transversus linguae
  • Verticalis linguae

🏋️ Extrinsic Muscles of Tongue

1. Genioglossus

  • Importance: Known as the "Safety Muscle of the Tongue".

  • Origin: Superior Genial Tubercle of the symphysis menti (mandible).

  • Insertion: Fibers spread out in a fan shape:

    • Lowest fibers: Attach to the body of the Hyoid bone.
    • Intermediate (Middle) fibers: Pass deep to the hyoglossus and continue with the middle constrictor of the pharynx.
    • Uppermost fibers: Turn forward and upward, inserting into the dorsum of the tongue from the root to the apex.
  • Nerve Supply: Hypoglossal Nerve (CN XII)

  • Action:

    • Protrudes the tip of the tongue (pulls anterior fibers forward).
    • Makes the dorsum concave side-to-side (when protruding).
    • Prevents backward falling of the tongue into the oropharynx, thus preventing airway obstruction (reason it's the "safety muscle").

2. Hyoglossus

  • Origin: Upper surface of the Greater Cornu and part of the body of the Hyoid bone.

  • Insertion: Passes upward and slightly forward (under the cover of the mylohyoid), inserting into the side of the tongue, between the styloglossus laterally and the inferior longitudinal muscle medially.

  • Nerve Supply: Hypoglossal Nerve (CN XII)

  • Action: Depresses the sides of the tongue; makes the dorsal surface convex.

Chondroglossus:

  • Considered a detached part of the hyoglossus muscle, separated by the genioglossus.

  • Origin: Lesser Cornu and part of the body of the Hyoid bone.

  • Insertion: Same as hyoglossus.

  • Nerve Supply: Hypoglossal Nerve (CN XII).

  • Action: Same as hyoglossus (depresses tongue).

3. Styloglossus

  • Origin: Tip of the Styloid Process and the Stylomandibular ligament.

  • Insertion: Passes downwards and forwards, inserting into the side of the tongue:

    • Oblique fibers interdigitate with the hyoglossus muscle.
    • Longitudinal fibers continue with the inferior longitudinal muscle.
  • Nerve Supply: Hypoglossal Nerve (CN XII)

  • Action: Retracts the tongue backwards and upwards (antagonistic to genioglossus protrusion).

4. Palatoglossus

  • Origin: Undersurface of the Palatine Aponeurosis (soft palate).

  • Insertion: Passes downwards and forwards (under the palatoglossal arch), inserting into the side of the tongue in front of the Sulcus Terminalis. Most fibers are continuous with the transversus linguae muscle.

  • Nerve Supply: EXCEPTION! Supplied by the cranial part of the Accessory Nerve (CN XI) via the Pharyngeal Plexus (not the Hypoglossal nerve).

  • Action: Elevates the base of the tongue; helps to narrow the oropharyngeal isthmus (separating oral cavity from oropharynx).


🏋️ Intrinsic Muscles of Tongue

1. Superior Longitudinal

  • Origin: Posterior part of the median fibrous septum and submucosa near the root.

  • Insertion: Passes forwards and laterally, inserting into the side of the tongue (submucosa near the margin).

  • Action: Shortens the tongue; makes the dorsal surface concave from side to side (e.g., creating a furrow).

2. Inferior Longitudinal

  • Origin: Posterior part of the side of the tongue and root.

  • Insertion: Converges forwards for insertion into the anterior part of the median fibrous septum and tip.

  • Action: Shortens the tongue; makes the dorsal surface convex from side to side (e.g., rounding the tip).

3. Transversus Linguae

  • Origin: Median fibrous septum.

  • Insertion: Passes laterally through the genioglossus muscle, inserting into the side of the tongue (submucosa).

  • Action: Reduces the width of the tongue and increases its length (elongates and narrows).

4. Verticalis Linguae

  • Origin: Lamina propria of the dorsum of the tongue (submucosa).

  • Insertion: Passes downwards through the fibers of genioglossus and transversus, inserting into the sides of the tongue (submucosa on the ventral surface).

  • Action: Increases the width and flattens the tongue; makes the dorsal surface concave from side to side (similar to superior longitudinal, helps cup the tongue).


📊 Summary of Tongue Muscle Actions

Here's a compilation of how the muscles work together:

  • Makes Dorsum Concave Side-to-Side: Genioglossus (protrusion), Superior Longitudinal, Verticalis Linguae.
  • Makes Dorsum Convex Side-to-Side: Hyoglossus, Inferior Longitudinal.
  • Shortens the Tongue: Superior Longitudinal, Inferior Longitudinal, Verticalis Linguae.
  • Elongates (Increases Length) and Narrows the Tongue: Transversus Linguae.
  • Protrudes the Tongue: Genioglossus.
  • Retracts the Tongue (Back & Up): Styloglossus.
  • Depresses the Tongue: Hyoglossus.
  • Elevates the Base/Narrows Oropharyngeal Isthmus: Palatoglossus.
~~~~~~~~

📝 All the topics and questions mentioned in this post are explained in detail in my ENT notes - built for exam success and clinical understanding. Get full access by purchasing the notes.

~~~~~~~~

Related ENT Notes & Lectures