This article describes the anatomy of the head and neck of the human body, including the brain, bones, muscles, blood vessels, nerves, glands, nose, mouth, teeth, tongue, and throat.
Structure
Bones The head rests on the top part of the vertebral column, with the skull joining at C1 (the first cervical vertebra known as the atlas). The skeletal section of the head and neck forms the top part of the axial skeleton and is made up of the skull, hyoid bone, auditory ossicles, and cervical spine. The skull can be further subdivided into:
the cranium (8 bones: frontal, 2-parietal, occipital, 2-temporal, sphenoid, ethmoid), and the facial bones (14 bones: 2-zygomatic, 2-maxillary, 2-palatine, 2-nasal, 2-lacrimal, vomer, 2-inferior conchae, mandible). The occipital bone joins with the atlas near the foramen magnum, a large hole (foramen) at the base of the skull. The atlas joins with the occipital condyle above and the axis below. The spinal cord passes through the foramen magnum.
Muscles
Skin The head and neck is covered in skin and its appendages, termed the integumentary system. These include hair, sweat glands, sebaceous glands, and sensory nerves. The skin is made up of three microscopic layers: epidermis, dermis, and hypodermis. The epidermis is composed of stratified squamous epithelium and is divided into the following five sublayers or strata, listed in order from outer to inner:
Stratum corneum, Stratum lucidum, Stratum granulosum, Stratum spinosum, Stratum germinativum, also called stratum basale. The deepest layer is the miotic layer, stratum basale producing daughter cells by mitosis.
Mouth
The mouth, also called the oral cavity, is the entranceway into the digestive system containing both primary and accessory organs of digestion.
Teeth
Two rows of teeth are supported by facial bones of the skull, the maxilla above and the mandible below. Adults have 32 permanent teeth, and children have 20 deciduous teeth. There are various tooth shapes for different jobs. For example, when chewing, the upper teeth work together with the lower teeth of the same shape to bite, chew, and tear food. The names of these teeth are:
(1) Incisors, there are eight incisors located in the front of the mouth (four on the top and four on the bottom). They have sharp, chisel-shaped crowns that cut food. (2) Cuspids (or canine tooth), the four cuspids are next to each incisor. Cuspids have a pointed edge to tear food. (3) Premolars (or bicuspids), the four pairs of molars are located next to the cuspids. They crush and tear food. (4) Molars, there are twelve molars, in sets of three, at the back of the mouth. They have wide surfaces that help to grind food. The white visible part of a tooth is called the crown. The rounded upper projections of the back teeth are cusps. The hard white exterior covering of the tooth is the enamel. As the tooth tapers below the gumline, the neck is formed. Below the neck, holding the tooth into the bone, is the root of the tooth. The inner portions of the tooth consist of the dentin, a bonelike tissue, and the pulp. The pulp is a soft tissue area containing the nerve and blood vessels to nourish and protect the tooth, located within the pulp cavity. A tooth sits in a specialized socket called the alveolus. The tooth is held in location by a periodontal ligament, with the assistance of cementum. Teeth are surrounded by gingiva, or gums, part of the periodontium, support tissue of oral cavity protection. The periodontium includes all of the support membranes of the dental structures surround and support the teeth such as the gums and the attachment surfaces and membranes. These include epithelial tissues (epithelium), connective tissues, (ligaments and bone), muscle tissue and nervous tissue.
Salivary glands
There are three sets of salivary glands: the parotid, the submandibular and the sublingual glands. The (exocrine) glands secrete saliva for proper mixing of food and provides enzymes to start chemical digestion. Saliva helps to hold together the formed bolus which is swallowed after chewing. Saliva is composed primarily of water, ions, salivary amylase, lysozymes, and trace amounts of urea.
Tongue The tongue is a specialized skeletal muscle that is specially adapted for the activities of speech, chewing, developing gustatory sense (taste) and swallowing. The tongue contains two sets of muscles, the intrinsic- involved with shape of tongue, and the extrinsic- involved with tongue movement. It is attached to the hyoid bone. Terms meaning tongue include "glosso" (from Greek) and "lingual" (from Latin).
Nose
Microanatomy The outer surfaces of the head and neck are lined by epithelium. The protective tissues of the oral cavity are continuous with the digestive tract are called mucosa or mucous membranes. The cells of the inner oral cavity are called the buccal mucosa. The oral cavity is lined by a stratified squamous epithelium containing about three layers of cells. They line the oral, nasal, and external auditory meatus, (ear), providing lubrication and protection against pathogens. The lips are also protected by specialized sensory cells called Meissner's corpuscles.
Blood, lymph and nerve supply
Blood supply Blood circulates from the upper systemic loop originating at the aortic arch, and includes: the brachiocephalic artery, left common carotid artery and left subclavian artery. The head and neck are emptied of blood by the subclavian vein and jugular vein.
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