GIT I oral cavity Oral cavity Slides: 1. Labium oris 2. Apex linguae 3. Papilla circumvallata 5. Palatum molle 8. Glandula parotis 9. Glandula submandibularis 10. Glandula sublingualis Oral mucosa Lamina epithelialis mucosae (LAM) stratified squamous epithelium Lamina propria mucosae (LPM) loose collagen connective tissue 3 functional types oforal mucosa: • lining mucosa – submucosa, lips, oral cavity, pallatum • masticatory – submucosa absent, mucosa directly attahed to periost, (gingiva, pallatum durum) • specialised – papillae (dorsum linguae) Lip - labium oris Ventral (SKIN, external) Dorsal (ORAL, mucous) m. orbicularis oris Thin skin – epidermis (keratinized SSE) – dermis (hair follicles, sebaceous and sweat glands) tunica mucosa LAM – SSE LPM – loose c.t. tela submucosa – loose connective tissue + gll. labiales (mixed seromucinous salivary glands). Transition zone (vermillion border) LEM SSE – eleidin LPM loose c.t. - papillae Labium oris Ventral Dorsal Vermillion gll.labiales Labium oris – vermillion border Radix Corpus Apex Tongue – lingua - dorsum linguae - facies inferior (mylohyoidea) Papillae foliatae Papillae filliformes Papillae fungiformes Papillae vallatae • Dorsum linguae: – tunica mucosa – papillae filiformes, fungiformes, vallatae, foliatae • lamina epithelialis – SSE • lamina propria – loose connective tissue (papillae) + capilaries – aponeurosis linguae; (tela submucosa absent) – skeletal muscle, collagen c.t., small salivary glands • Facies ventralis, inferior (mylohyoidea): – tunica mucosa – smooth (papillae absent) • lamina epithelialis – SSE • lamina propria – loose connective tissue – tela submucosa – loose connective tissue Tongue – lingua apex linguae dorsum linguae - papillae facies mylohyoidea Skeletal muscle Gl. lingualis anterior Apex linguae gl. apicis linguae - Blandini facies mylohyoidea Facies mylohyoidea Papillae Papillae filiformes Papillae fungiformes Papillae vallatae Papillae foliatae Papilla – outgrowth of mucosal connective tissue covered by epithelium Primary and secondary papillae Apex linguae papillae filiformes  most abundant  keratinized epithelium  mechanosensitive, rich innervations pp. fungiformes  apex et dorsum lingue  keratinized epithelium  taste buds  mechano- and termoreceptors in c.t. stroma pp. foliatae  taste buds  distal-lateral parts of tongue Papillae vallatae  cca 2mm  sulcus terminalis  10-12  Lamina epithelialis mucosae – SSE, taste buds  Lamina propria mucosae – loose c.t., serous tubular Ebner’s glands, opens to a cleft surrounding papilla vallata Ebner’s glands (gll. gustatoriae) Weber’s glands (gll. linguales posteriores Sulcus terminalisPapilla vallata gll. gustatoriae (Ebner) Papilla vallata (HE) Taste buds - Intraepithelial structure in surface epithelium laterally in papillae - ca 50 cells - stem and supportive cells - secondary sensory epithelium - sensory cells – microvilli into porus gustatorius – receptors – depolarisation of membrane - nerve fibers – synapses to sensory cells Supporting cells Nerve fibers Surface epithelium Sensory cells Porus gustatorius Taste bud radix linguae – tonsilla lingualis • Lymphatic tissue (folicles), crypts • SSE • Mucinous salivary glands of Weber (gl. linguales post.) • Similar to pallate tonsil Tonsilla lingualis folicles Hard and soft pallate (palatum – durum et molle) Hard pallate – palatum durum  Skeletal basis  Mucosa attached directly to periost, submucosa absent  Raphe palati  Adipose tissue + plicae palatinae transversae glandular tissue – gll. palatinae Soft pallate – palatum molle aponeurosis palatina + skeletal muscles of pallatum uvula Palatum molle (velum palatinum) Oral side – tunica mucosa: Lamina epithelialis mucosae – SSE Lamina propria mucsae – loose c.t. Tela submucosa – loose c.t. + gll. palatinae (mucinous) Nasal side – tunica mucosa: Lamina epithelialis mucosae – pseudostratified columnar epithelium Lamina propria mucosae – loose c.t. + gll. nasales (mixed) Axis of soft pallate – aponeurosis palatina (dense collagen c.t. + skeletal muscle m. tensor veli palatini) ORAL soft pallate NASAL - SSE - ruffled lamina basalis - gll. palatinae MUCINOUS -*pseudstratified columnar epithelium - straight lamina basalis - gll. nasales MIXED *METAPLASIA Palatum molle nasal side oral side Salivary glands Small gll. labiales – mixed gll. buccales – mixed gll. palatinae – mucinous tongue: gl. lingualis anterior – mixed gll. gustatoriae (Ebneri) – serous gll. linguales posteriores (Weberi) – mucinous Large – pair, compound, branched gl. parotis – serous (serous acini only) gl. submandibularis – mixed (serous acini > mucinous tubules) gl. sublingualis – mixed (mucinous tubules > serous acini) parotid gland submandibular gl. sublingual gl. General architecture of large salivary glands • Connective tissue – capsula fibrosa – septa • Parenchyma - lobules – Glandular parts (serous acini, mucinous tubules, demilune) – Ducts (intercalated ducts, striated, interlobular, main) Secretory parts of salivary glands • serous acinus • mucinous tubulus • demilune (Gianuzzi) Ducts – intercalated (simple squamous epithelium, only serous and mixed glands) – striated (simple cubic epithelium; basal labyrinth-striation) – interlobular (simple – stratified columnar epithelium, septa) – main (SSE) Striated duct Intercalated duct Striated duct – basal labyrinth Basis of epithelial cell Invaginations, mitochondria Epithelial cell Glandula parotis compound, branched, purely serous • Connective tissue: – capsula fibrosa + septa (vessels, nerves, interlobular ducts) – Loose c.t. in lobules • Parenchyma: – Serous acini – ducts – intercalated, striated, interlobular, main – adipocytes Glandula parotis Gl. parotis /AZAN/ Gl. parotis /HE/ Glandula submandibularis compound, branched, mixed gland with dominant serous part • Connective tissue: – capsula fibrosa + septa (vessels, nerves, interlobular ducts) – Loose c.t. in lobules • Parenchyma: – Serous acini + mucinous tubules – ducts – intercalated, (striated), interlobular, main – adipocytes Glandula submandibularis Glandula submandibularis Gl. submandibularis /AZAN/ Gl. submandibularis /HES/ Gl. submandibularis /HE/ - Serous demillunes Glandula sublingualis compound, branched, mixed gland with dominant mucinous part Connective tissue: − capsula fibrosa + septa (vessels, nerves, interlobular ducts) − loose c.t. in lobules − Parenchyma: − mucinous ducts (serous acini) − ducts – intercalated, interlobular, main − adipocytes Glandula sublingualis Gl. sublingualis /HE/ Gl. sublingualis /AZAN/ GIT- I Slides: 1. Labium oris (HE) 2. Apex linguae (HE) 3. Papilla circumvallata(HE) 5. Palatum molle(HE) 8. Glandula parotis (HE) 9. Glandula submandibularis(HE) 10. Glandula sublingualis