THE MOUTH

The =mouth=[77] (Cavum oris) is the first part of the alimentary canal.

In the horse it is a long cylindrical cavity, and when closed, it is

almost entirely filled up by the contained structures. The entrance to

it (Rima oris) is closed by the lips. Laterally it is bounded by the

cheeks; above, by the hard palate; below, by the body of the mandible

and the mylo-hyoid muscles; behind, by the soft palate.

The =cavity= of the mouth is subdivided into two parts by the teeth and

alveolar processes. The space external to these and inclosed externally

by the lips and cheeks is termed the vestibule of the mouth (Vestibulum

oris). In the resting state of the parts the walls of this cavity are in

contact, and the space is practically obliterated. Its existence becomes

very evident in facial paralysis, when the food tends to collect in it

laterally, pouching out the cheeks. The space within the teeth and

alveolar processes is termed the mouth cavity proper (Cavum oris

proprium). When the teeth are in contact, it communicates with the

vestibule only by the interdental spaces and the intervals behind the

last molar teeth. Posteriorly it communicates with the pharynx through

the isthmus of the fauces.

The =mucous membrane= lining the mouth (Tunica mucosa oris) is

continuous at the margin of the lips with the common integument, and

behind with the mucous lining of the pharynx. During life it is chiefly

of a pink color.

The =lips= (Labia oris) are two musculo-membranous folds which surround

the orifice of the mouth. Their angles of union (Anguli oris s.

commissuræ labiorum) are situated near the first cheek tooth and are

rounded. Each lip presents two surfaces and two borders. The outer

surface is covered by the skin, which presents long tactile hairs in

addition to the ordinary fine hair. The upper lip shows a shallow median

furrow (Philtrum), the lower a rounded prominence, the chin (Mentum).

The inner or oral surface is covered with mucous membrane which is

commonly more or less pigmented. The small papillæ on this surface show

on their summits the openings of the ducts of the labial glands. Small

folds of mucous membrane which pass from the lip to the gum represent

the frænula labii (superioris, inferioris). The free border of the lip

is dense and presents short, very stiff hairs. The attached border is

continuous with the surrounding structures, and is adherent to the

alveolar borders of the bones of the jaws.

[Illustration:

FIG. 238.—SAGITTAL SECTION OF HEAD OF HORSE. THE SECTION IS ABOUT 1

CM. TO THE LEFT OF THE MEDIAN PLANE.

_1_, Hard palate; _2_, soft palate; _3_, posterior pillar of soft

palate; _4_, Eustachian opening; _5_, great cornu of hyoid bone;

_6_, stylo-pharyngeus muscle; _9_, glosso-pharyngeal nerve; _10_,

hypoglossal nerve; _11_, perpendicular plate of ethmoid; _12_,

presphenoid; _13_, sphenoidal sinus; _14_, occipital bone; _15_,

median surface of cerebral hemisphere; _16_, corpus callosum; _17_,

septum lucidum; _18_, fornix; _19_, thalamus opticus; _20_, corpora

quadrigemina; _21_, pons; _22_, medulla oblongata; _23_, spinal

cord; _24_, cerebellum; _25_, pituitary body; _26_, hyo-epiglottic

muscle; _27_, superior longitudinal muscle of tongue; _28_,

omo-hyoideus; _29_, hyo-glossus; _30_, hyoideus transversus; _31_,

thyroid cartilage (body); _S. f._, frontal sinus; _L. n._, lig.

nuchæ; _C I_, atlas; _C II_, axis; _R. c. m._, rectus cap. ant.

major and minor; _E p._, epiglottis; _A r._, arytenoid cartilage; _P

m._, premaxilla; _M._, mandible. The leader line for the guttural

pouch points to the external carotid artery.

]

=Structure.=—The lips are covered externally by the skin, and are lined

by mucous membrane; between these are muscular tissue and glands. The

skin lies directly on the muscles, many fibers of which are inserted

into the former. The muscles have been described (page 214). The =labial

glands= (Glandulæ labiales) form a compact mass near the angles; they

are numerous in the upper lip, fewer in the lower. The mucous membrane

is often pigmented, and is reflected upon the bones of the jaws to form

the gums.

=Blood-vessels and Nerves.=—The arteries are derived from the superior

and inferior labial and palato-labial arteries. The sensory nerves come

from the trigeminus, and the motor from the facial nerve.

The =cheeks= (Buccæ) form the sides of the mouth, and are continuous in

front with the lips. They are attached above and below to the alveolar

borders of the bones of the jaws.

=Structure.=—This comprises: (1) The skin; (2) the muscular and

glandular layer; (3) the mucous membrane. The skin offers nothing in

particular to notice. The muscular tissue is formed mainly by the

buccinator, but also by parts of the panniculus, zygomaticus, dilatator

naris lateralis, levator nasolabialis, and depressor labii inferioris.

The =buccal glands= (Glandulæ buccales) are arranged in two rows. The

upper row (superior buccal or molar glands) is found on the outer

surface of the buccinator muscle, near its upper border. The anterior

part of the row consists of scattered lobules; the posterior part, which

lies under cover of the masseter muscle, is more developed and compact.

The lower row (inferior buccal or molar glands), less voluminous than

the upper, is situated in the submucous tissue at the lower border of

the buccinator muscle. The mucous membrane is reflected above and below

upon the gums, and is continuous behind with that of the soft palate. It

is reddish in color and frequently shows pigmented areas. Opposite the

third upper cheek tooth is the opening of the parotid (Stenson’s) duct,

surrounded by a circular fold of the mucous membrane. A linear series of

small papillæ above and below indicates the orifices of the small ducts

from the buccal glands.

=Blood-vessels and Nerves.=—The blood-supply is derived from the facial

and buccinator arteries. The sensory nerves come from the trigeminus and

the motor from the facial nerve.

The =gums= (Gingivæ) are composed of a dense fibrous tissue intimately

united with the periosteum of the alveolar processes, and blending at

the edges of the alveoli with the alveolar periosteum, which fixes the

teeth in their cavities. They are covered by a smooth mucous membrane,

destitute of glands, and of a low degree of sensibility.

The =hard palate= (Palatum durum) is bounded in front and on the sides

by the alveolar arches; behind it is continuous with the soft palate.

Its osseous basis is formed by the premaxilla, maxilla, and palate

bones. The mucous membrane is smooth, and is attached to the bones by a

submucosa which contains in its anterior part an exceedingly rich venous

plexus, constituting an erectile tissue. A central raphé (Raphé palati)

divides the surface into two equal portions. Each of these presents

about eighteen transverse curved ridges (Rugæ palatini) which have their

concavity and their free edges directed backward. They are further apart

and more prominent anteriorly. There are no glands in the submucosa.

=Vessels and Nerves.=—The blood-supply is derived chiefly from the

palatine arteries and the nerves from the trigeminus.

The =soft palate= (Palatum molle) is a musculo-membranous curtain which

separates the cavity of the mouth from that of the pharynx. It slopes

downward and backward from its junction with the hard palate. The =oral

surface= faces downward and forward, and is covered with a mucous

membrane continuous with that of the hard palate. It is corrugated and

presents numerous small orifices (of gland-ducts) and two sagittal

ridges. On each side a short, thick fold passes to join the base of the

tongue; this is the =anterior pillar= of the soft palate (Arcus

glossopalatinus). The =pharyngeal surface= looks upward and backward and

is covered by a mucous membrane continuous with that of the nasal

cavity. The =free border= (Arcus palatinus) is concave and thin; it is

in contact (except during deglutition) with the epiglottis. It is

continuous with a fold of the mucous membrane, which passes on each side

along the lateral wall of the pharynx and unites with its fellow over

the beginning of the œsophagus; this fold is termed the =posterior

pillar= of the soft palate (Arcus pharyngopalatinus). The space between

the diverging anterior and posterior pillars (Sinus tonsillaris) is

occupied by the faucial =tonsil=. In the horse, however, there is not a

compact tonsil, as in man, dog, etc., but a somewhat extended group of

mucous glands and masses of lymphoid tissue. These cause elevations of

the surface, on which are seen numerous depressions (crypts) in which

the gland-ducts open. The soft palate is greatly developed in equidæ,

its length being five to six inches (12 to 15 cm.). Its length and

contact with the epiglottis account for the fact that in these animals

mouth-breathing does not occur under normal conditions, and that in

vomiting the ejected matter escapes usually through the nasal

cavity.[78]

[Illustration:

A text-book of veterinary anatomy · 第 442 / 1619 题