Structure The tongue is a
muscular hydrostat that forms part of the floor of the
oral cavity. The left and right sides of the tongue are separated by a vertical section of fibrous tissue known as the
lingual septum. This division is along the length of the tongue save for the very back of the pharyngeal part and is visible as a groove called the median sulcus. The human tongue is divided into
anterior and posterior parts by the terminal sulcus, which is a "V"-shaped groove. The apex of the terminal sulcus is marked by a blind foramen, the foramen cecum, which is a remnant of the median
thyroid diverticulum in early
embryonic development. The anterior
oral part is the visible part situated at the front and makes up roughly two-thirds the length of the tongue. The posterior
pharyngeal part is the part closest to the
throat, roughly one-third of its length. These parts differ in terms of their
embryological development and
nerve supply. The anterior tongue is, at its apex, thin and narrow. It is directed forward against the lingual surfaces of the lower
incisor teeth. The posterior part is, at its root, directed backward, and connected with the
hyoid bone by the
hyoglossi and
genioglossi muscles and the
hyoglossal membrane, with the
epiglottis by three
glossoepiglottic folds of mucous membrane, with the
soft palate by the
glossopalatine arches, and with the
pharynx by the
superior pharyngeal constrictor muscle and the
mucous membrane. It also forms the anterior wall of the
oropharynx. The average length of the human tongue from the
oropharynx to the tip is 10 cm. The average weight of the human tongue from adult males is 99g and for adult females 79g. In
phonetics and
phonology, a distinction is made between the
tip of the tongue and the
blade (the portion just behind the tip). Sounds made with the tongue tip are said to be
apical, while those made with the tongue blade are said to be
laminal. Tongue posture is the resting position of the tongue in the mouth. Evidence demonstrates that the tongue plays a role in mouth and face development.
Upper surface The upper surface of the tongue, the dorsal surface, is called the dorsum, and is divided by a groove into symmetrical halves by the
median sulcus. The
foramen cecum marks the end of this division (at about 2.5 cm from the root of the tongue) and the beginning of the
terminal sulcus. The foramen cecum is also the point of attachment of the
thyroglossal duct and is formed during the descent of the
thyroid diverticulum in
embryonic development. The terminal sulcus is a shallow groove that runs forward as a shallow groove in a
V shape from the foramen cecum, forwards and outwards to the margins (borders) of the tongue. The terminal sulcus divides the tongue into a posterior
pharyngeal part and an anterior
oral part. The pharyngeal part is supplied by the
glossopharyngeal nerve and the oral part is supplied by the
lingual nerve (a branch of the mandibular branch (V3) of the
trigeminal nerve) for somatosensory perception and by the
chorda tympani (a branch of the
facial nerve) for
taste perception. Both parts of the tongue develop from different
pharyngeal arches.
Undersurface On the undersurface, the ventral surface, of the tongue is a fold of mucous membrane called the
frenulum that tethers the tongue at the midline to the floor of the mouth. On either side of the frenulum are small prominences called
sublingual caruncles that the major salivary
submandibular glands drain into.
Muscles 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 of the tongue, and are anchored to bone.
Extrinsic The four extrinsic muscles originate from bone and extend to the tongue. They are the
genioglossus, the
hyoglossus (often including the
chondroglossus) the
styloglossus, and the
palatoglossus. Their main functions are altering the tongue's position allowing for protrusion, retraction, and side-to-side movement. The genioglossus arises from the
mandible and protrudes the tongue. It is also known as the tongue's "safety muscle" since it is the only muscle that propels the tongue forward. The hyoglossus, arises from the
hyoid bone and retracts and depresses the tongue. The chondroglossus is often included with this muscle. The styloglossus arises from the
styloid process of the
temporal bone and draws the sides of the tongue up to create a trough for swallowing. The palatoglossus arises from the
palatine aponeurosis, and depresses the
soft palate, moves the
palatoglossal fold towards the midline, and elevates the back of the tongue during swallowing.
Intrinsic Four paired intrinsic muscles of the tongue originate and insert within the tongue, running along its length. They are the
superior longitudinal muscle, the
inferior longitudinal muscle, the
vertical muscle, and the
transverse muscle. These muscles alter the shape of the tongue by lengthening and shortening it, curling and uncurling its apex and edges as in
tongue rolling, and flattening and rounding its surface. This provides shape and helps facilitate speech, swallowing, and eating. The lingual artery is a good place to stop severe
hemorrhage from the tongue.
Nerve supply Innervation of the tongue consists of motor fibers,
special sensory fibers for taste, and
general sensory fibers for sensation. • Anterior two-thirds of tongue (anterior to the
vallate papillae): • Taste: chorda tympani branch of the
facial nerve (CN VII) via
special visceral afferent fibers • Sensation: lingual branch of the mandibular (V3) division of the
trigeminal nerve (CN V) via
general visceral afferent fibers • Posterior one third of tongue: • Taste and sensation:
glossopharyngeal nerve (CN IX) via a mixture of special and general visceral afferent fibers • Base of tongue • Taste and sensation: internal branch of the
superior laryngeal nerve (itself a branch of the
vagus nerve, CN X)
Lymphatic drainage The tip of tongue drains to the submental nodes. The left and right halves of the anterior two-thirds of the tongue drains to
submandibular lymph nodes, while the posterior one-third of the tongue drains to the jugulo-omohyoid nodes.
Microanatomy The upper surface of the tongue is covered in
masticatory mucosa, a type of
oral mucosa, which is of
keratinized stratified squamous epithelium. Embedded in this are numerous
papillae, some of which house the
taste buds and their
taste receptors. The lingual papillae consist of
filiform,
fungiform,
vallate and
foliate papillae, The lingual papillae covers the dorsal side of the tongue towards the front of the terminal groove. The ventral surface is stratified squamous non-keratinized epithelium which is smooth.
Development The tongue begins to develop in the fourth week of
embryonic development from a median swelling – the
median tongue bud (tuberculum impar) of the
first pharyngeal arch. The terminal sulcus is shaped like a
V with the tip of the V situated posteriorly. At the tip of the terminal sulcus is the
foramen cecum, which is the point of attachment of the
thyroglossal duct where the embryonic
thyroid begins to descend. The tongue is equipped with many
taste buds on its
dorsal surface, and each taste bud is equipped with taste receptor cells that can sense particular classes of tastes. Distinct types of taste receptor cells respectively detect substances that are sweet, bitter, salty, sour, spicy, or taste of
umami. Umami receptor cells are the least understood and accordingly are the type most intensively under research. There is a
common misconception that different sections of the tongue are exclusively responsible for different
basic tastes. Although widely taught in schools in the form of the
tongue map, this is incorrect; all taste sensations come from all regions of the tongue, although certain parts are more sensitive to certain tastes.
Mastication The tongue is an important accessory organ in the digestive system. The tongue is used for crushing food against the hard palate, during mastication and manipulation of food for softening prior to swallowing. The
epithelium on the tongue's upper, or dorsal surface is
keratinised. Consequently, the tongue can grind against the hard palate without being itself damaged or irritated.
Speech The tongue is one of the primary articulators in the production of
speech, and this is facilitated by both the extrinsic muscles that move the tongue and the intrinsic muscles that change its shape. Specifically, different
vowels are
articulated by changing the tongue's height and retraction to alter the
resonant properties of the
vocal tract. These resonant properties amplify specific
harmonic frequencies (
formants) that are different for each vowel, while attenuating other harmonics. For example, [a] is produced with the tongue
lowered and centered and [i] is produced with the tongue
raised and fronted.
Consonants are articulated by constricting airflow through the vocal tract, and many consonants feature a constriction between the tongue and some other part of the vocal tract. For example,
alveolar consonants like [s] and [n] are articulated with the tongue against the
alveolar ridge, while
velar consonants like [k] and [g] are articulated with the tongue dorsum against the soft palate (velum). Tongue shape is also relevant to speech articulation, for example in
retroflex consonants, where the tip of the tongue is curved backward.
Intimacy The tongue plays a role in
physical intimacy and
sexuality. The tongue is part of the
erogenous zone of the mouth and can be used in intimate contact, as in the
French kiss and in
oral sex.
Clinical significance Disease A
congenital disorder of the tongue is that of
ankyloglossia also known as
tongue-tie. The tongue is
tied to the floor of the mouth by a very short and thickened
frenulum and this affects speech, eating, and swallowing. The tongue is prone to several
pathologies including
glossitis and other
inflammations such as
geographic tongue, and
median rhomboid glossitis;
burning mouth syndrome,
oral hairy leukoplakia,
oral candidiasis (thrush),
black hairy tongue, bifid tongue (due to failure in fusion of two lingual swellings of first pharyngeal arch) and
fissured tongue. There are several types of
oral cancer that mainly affect the tongue. Mostly these are
squamous cell carcinomas. Food debris,
desquamated epithelial cells and
bacteria often form a visible tongue coating. This coating has been identified as a major factor contributing to
bad breath (halitosis), which can be managed by using a
tongue cleaner.
Medication delivery The
sublingual region underneath the front of the tongue is an ideal location for the
administration of certain medications into the body. The
oral mucosa is very thin underneath the tongue, and is underlain by a plexus of veins. The sublingual route takes advantage of the highly
vascular quality of the oral cavity, and allows for the speedy application of medication into the cardiovascular system, bypassing the gastrointestinal tract. This is the only convenient and efficacious
route of administration (apart from
Intravenous therapy) of
nitroglycerin to a patient suffering chest pain from
angina pectoris. ==Other animals==