Lingual tonsils

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Lingual tonsils
File:Illu04 tongue.jpg
Tongue
Details
SystemImmune system (lymphatic system)
Identifiers
Latintonsilla lingualis
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Anatomical terminology
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The lingual tonsils are a collection of lymphoid tissue located in the lamina propria of the root of the tongue.[1] This lymphoid tissue consists of the nodules rich in cells of the immune system (immunocytes).[2] The immunocytes initiate the immune response when the lingual tonsils get in contact with invading microorganisms (pathogenic bacteria, viruses or parasites).[2][3][4]

Structure

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Microanatomy

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Lingual tonsils are covered externally by stratified squamous epithelium (nonkeratinized) that invaginates inward forming tonsillar crypts. Beneath the epithelium is a layer of lymphoid nodules containing lymphocytes. Mucous glands located at the root of the tongue are drained through several ducts into the crypts of the lingual tonsils.[2][3] Secretions of these mucous glands keep the crypts clean and free of any debris.

Blood supply

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Lingual tonsils are located on posterior aspect of tongue which is supplied through:[1]

Nerve supply

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Lingual tonsils are innervated by tonsillar nerves from the tonsilar plexus, formed by the glossopharyngeal and vagus nerves.[1]

Function

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File:Blausen 0861 Tonsils&Throat Anatomy2.png
Tonsils and the throat–lingual tonsils labelled

Like other lymphatic tissues, the function of lingual tonsils is to prevent infections. These tonsils contain B and T lymphocytes which get activated when harmful bacteria and viruses come in contact with tonsils. B lymphocytes kill pathogens by producing antibodies against them, while T lymphocytes directly kill them releasing cytotoxic substances or indirectly by stimulating other cells of the immune system.[2][3][4]

Clinical significance

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Cancer

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Squamous cell carcinoma is a type of neoplasm that can affect lingual tonsils.[5]

Sleep apnea

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Enlarged or hypertrophic lingual tonsils have the potential to cause or exacerbate sleep apnea.[6]

Additional images

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References

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Public domain This article incorporates text in the public domain from the 20th edition of Gray's Anatomy (1918)

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