Lingual tonsils

Lymphatic tissue in the tongue From Wikipedia, the free encyclopedia

Lingual tonsils

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]

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Structure

Microanatomy

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

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

Nerve supply

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

Function

Thumb
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

Cancer

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

Sleep apnea

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

Additional images

References

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