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The palatine tonsils are located in the isthmus of the fauces, between the palatoglossal arch and the palatopharyngeal arch of the soft palate.. The palatine tonsil is one of the mucosa-associated lymphoid tissues (MALT), located at the entrance to the upper respiratory and gastrointestinal tracts to protect the body from the entry of exogenous material through mucosal sites.
The tonsils are a set of lymphoid organs facing into the aerodigestive tract, which is known as Waldeyer's tonsillar ring and consists of the adenoid tonsil (or pharyngeal tonsil), two tubal tonsils, two palatine tonsils, and the lingual tonsils. These organs play an important role in the immune system.
The human palatine tonsils (PT) are covered by stratified squamous epithelium that extends into deep and partly branched tonsillar crypts, of which there are about 10 to 30. [1] The crypts greatly increase the contact surface between environmental influences and lymphoid tissue.
The tonsillar branches of glossopharyngeal nerve supply the palatine tonsil, forming around it a plexus from which filaments are distributed to the soft palate and fauces, where they communicate with the palatine nerves.
Upon reaching the superior border of the styloglossus muscle, the tonsillar artery penetrates the superior pharyngeal constrictor muscle to enter the pharynx and reach the palatine tonsil. The artery then ramifies within the substance of the tonsil and musculature of the root of the tongue. [1]
The palatopharyngeal arch (pharyngopalatine arch, posterior pillar of fauces) is larger and projects further toward the middle line than the palatoglossal arch; it runs downward, lateralward, and backward to the side of the pharynx, and is formed by the projection of the palatopharyngeal muscle, covered by mucous membrane.
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Vincent described a fusospirochetal infection of the pharynx and palatine tonsils, causing "ulcero-membranous pharyngitis and tonsillitis", [5] which later became known as Vincent's angina. Later in 1904, Vincent described the same pathogenic organisms in "ulceronecrotic gingivitis ".