Page 37 - Edited - Webster HEAD AND NECK - part 2-Merge PDF
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HN 235         THE PALATINE TONSIL (1)                            HN 235





                 The palatine tonsil extends                   I     SOFT         B
                 from the soft palate above-                             PALATE           INTRATONSILLAR
                                                                                             CLEFT
                 where it becomes continuous                            UVULA

                 with lymphoid tissue in The                                                  PALATINE
                                                                                                TONSIL
                 soft palate - to the pharyngeal                              A
                 tongue below - where it                                                         A
                 becomes continous with                      “LINGUAL                             FOR SECTIONS
                                                                TONSIL”
                 the “lingual tonsil”. Unlike              OF PHARYNGEAL                          A-A & B-B,
                                                                                                   SEE HN 236
                 these areas of lymphoid                        TONGUE
                 tissue, the palatine tonsil                                                    B
                                                                                SULCUS
                 Cem be separated with relative ease                                 TERMINALIS

                        SOFT PALATE                       from its bed of loose connective (aredor)
                                                                                tissue deep on
                  II
                                                 PARATONSILLAR                  the internal surface
                      POSTERIOR                      VEIN                       of the superior
                     PALATOGLOSSAL                 ANTERIOR PALATOGLOSSAL        constrictor muscle
                     FOLD                              FOLD
                                                                                 of the pharynx, the
                                                     TONSILLAR ARTERY,           lingual and palatine
                                                     PIERCING SUPERIOR
                                                     CONSTRICTOR                accumulations of
                                                       MUSCLE OF                lymphoid tissue
                                                                PHARYNX.
                                  THE TONSIL BED.                               Cannot : SEE ALSO
                         The paratonsiller vein & tonsillar artery are indicated
                 Schematically: NOTICE THAT BOTH MUST PIERCE THE SUPERIOR
                 CONSTRICTOR MUSCLE (ILLUSTRATED BELOW).                                 SCHEMATIC LATERAL
                                                       PARATONSILLAR                III   EXTERNAL VIEW TO
                                                       VEIN DRAINING
                The facial artery                    INTO PTERYGOID             SHOW POSITION OF TONSILBED &
                Sometimes loops                     VENOUS                             BLOOD SUPPLY
                                                       PLEXUS
                high brough                 PARATONSILLAR                        MANDIBULAR VEIN
                to reach                 VEIN DEEP TO                              DRAINING PTERYGOID
                                                                                       VENOUS PLEXUS (
                the level                SUP. CONSTRICTORM                                            )
                of the                                                             SUPERIOR CONSTRICTOR
                palatine                                                            MUSCLE OF PHAMRYNX
                tonsil, frozen                                                      (             et seq.)
              which it                BUCCINATOR M.
              is ALWAYS                                                         RETRO MANDIBULAR
             Separated                                                            VEIN → EXTERNAL
             by the                                                                 JUGULAR VEIN
             tonsilbed.
                                               K.E.W.                          POSITION OF ANGLE
                       POSITION OF                             FACIAL ARTERY          OF MANDIBLE.
                        PALATINE TONSIL
                        DEEP TO SUPERIOR                 TONSILLAR
                        PHARYNGEAL CONSTRICTOR            ARTERY
                        MUSCLE.
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