Wednesday 24 October 2007

Floor of mouth

From lower gingiva and alveolar mandibular ridge to insertion of anterior tonsillar pillar into tongue
Medially bounded by inferior surface of the tongue
Sublingual and submandibular glands are in the floor
SMG duct is 5 cm long and courses between sublingual gland and genioglossus and opens in anterior floor of mouth near midline on papillae sublingualis
In midline, genioglossus and geniohyoid separate sublingual glands, which have several openings in addition to Bartholin duct on plica sublingualis.
Genioglossus, geniohyoid, mylohyoid, and anterior belly of digastric form muscular diaphragm of mouth floor
Lingual nerve (from posterior trunk of V3) suppplies sensation
Lingual artery (from ECA) and vein supply
Drain to L-I nodes (submandibular and submental), which lie inferior and lateral to the mylohyoid muscle close to submandibular gland

Differentials for the floor of mouth lesions