The Tongue

The tongue is a muscular organ in the mouth. The tongue is covered with moist, pink tissue called mucosa. Tiny bumps called papillae give the tongue its rough texture. Thousands of taste buds cover the surfaces of the papillae. Taste buds are collections of nerve-like cells that connect to nerves running into the brain. The tongue is anchored to the mouth by webs of tough tissue and mucosa. The tether holding down the front of the tongue is called the frenum. In the back of the mouth, the tongue is anchored into the hyoid bone. The tongue is vital for chewing and swallowing food, as well as for speech. The four common tastes are sweet, sour, bitter, and salty. The tongue has many nerves that help detect and transmit taste signals to the brain. Because of this, all parts of the tongue can detect these four common tastes; the commonly described “taste map” of the tongue doesn’t really exist. The eight muscles of the human tongue are classified as either intrinsic or extrinsic. The four intrinsic muscles act to change the shape of the tongue, and are not attached to any bone. The four extrinsic muscles act to change the position the tongue, and are anchored to bone. The tongue receives its blood supply primarily from the lingual artery, a branch of the external carotid artery. The floor of the mouth also receives its blood supply from the lingual artery. The triangle formed by the intermediate tendon of the digastric muscle, the posterior border of the mylohyoid muscle, and the hypoglossal nerve is sometimes called Pirogov's, Pirogoff's, or Pirogov-Belclard's triangle. The lingual artery is a good place to stop severe hemorrage from the tongue.There is also secondary blood supply to the tongue from the tonsillar branch of the facial artery and the ascending pharyngeal artery.

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