anatomy of pharynx and larynx Flashcards

1
Q

the pharynx is what kind of tube

A

fibromuscular tube semi circular in cross section, anterior to vertebral column

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

pharynx extends from

A

base of skull to lower border of cricoid cartilage (C6)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

how many muscles responsible for action of pharynx and what they aid in

A

6- 3 circularly layered one on top of other, 3 vertically oriented
aid in act of swallowing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

how long is pharynx

A

5 inches

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

pharynx is _____ to nasal and oral cavity

A

posterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how many segments of pharynx and how many

A

3- nasopharynx, oropharynx, laryngopharynx (hypopharynx) (lower portion)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

overall role of pharynx

A

moves food to esophagus and air to lungs, involves in swallowing, breathing, voice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

nasopharynx

A

extension of nasal airway, important route for respiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

oropharynx

A

continuation of nasopharynx, involves swallowing, major area of concern associated with tongue and airway collapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

laryngopharynx

A

continuation of oropharynx, leads to esophagus and trachea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

nasal pharynx known as

A

carburetor of body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

oropharynx includes

A

soft palate, uvula, tonsils, base of tongue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

oropharynx is involved in

A

swallowing, first line of defense for infection, collapse associated with apnea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

hypopharynx leads to

A

esophagus and trachea, continue with swallowing and breathing, may factor in apnea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

how many layers of pharynx and what are they

A

5
innermost (mucous membrane)
submucosa
pharyngobasilar fossa- anchors pharynx to skull, fibrous layer
muscular- superior constrictor innermost, inferior outermost
buccopharyngeal fascia- loose layer of connective tissue, continuous with fascia over buccinator muscle and pharyngeal muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

skeletal attachments of pharynx

A

superior- posterior edge of medial pterygoid plate inferior to pharyngotympanic tube (Eustachian tube)
continues to pterygoid hamalus
descends along pterygomandibular raphe and joins with buccinator

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

pharynx relates to _____ at lower aspect of ______

A

hyoid bone, stylohyoid ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

pharynx continues along _____ to _____

A

hyoid to greater horn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

most inferior part of pharynx attaches at

A

superior tubercle of thyroid cartilage to inferior tubercle, continues to cricoid cartilage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

wall of pharynx- how many layers and what are they

A

innermost layer- mucous membrane, continuous with lining of mouth and into trachea
submucosa- between mucous and muscles, thicker in area of basilar portion of occipital area

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

buccinator connects to _____ at ______

A

superior constrictor, pterygomandibular raphe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

pharynx is composed of

A

3 constrictor muscles
3 longitudinal muscles
soft palate
cartilaginous part of pharyngotympanic tube (Eustachian tube)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

pharyngeal plexus

A

main motor and sensory innervation of pharynx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

pharyngeal plexus is made up of

A

pharyngeal branch glossopharyngeal (CN IX)
pharyngeal branch vagus (CN X)
cranial portion spinal accessory (CN XI)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
how many muscles make up the superior pharyngeal constrictor and what are they
4 muscles- pterygopharyngeal, buccopharyngeal, mylopharyngeal, glossopharyngeal
26
how many muscles make up the middle pharyngeal constrictor and what are they
2 muscles- chondropharyngeal, ceratopharyngeal
27
superior and middle constrictor action and inv
action- constrict upper and middle portion of pharynx inv- pharyngeal plexus (motor-pharyngeal branch vagus and cranial part spinal accessory, sensory- hypoglossal and vagus)
28
how many muscles makeup the inferior pharyngeal constrictor and what are they
2 muscles- thyropharyngeal, cricopharyngeal
29
longitudinal muscles of pharynx and action
stylopharyngess- elevates pharynx salpingopharyngeus- elevate pharynx palatopharyngeus- elevate pharynx and closes oropharyngeal isthmus
30
tensor and elevator veli palatini
elevate soft palate while swallowing
31
what causes apertures of pharynx
overlap of constrictor muscles leaves 4 opening
32
between base of skull and superior constrictor
auditory tube, levator palatini, ascending pharyngeal artery, ascending palatine artery
33
between superior and middle constrictor
stylopharyngeus, CN IX, tonsillar branch ascending palatine artery, stylohyoid ligament
34
between middle and inferior constrictor
internal laryngeal nerve, superior laryngeal artery and vein
35
inferior to inferior constrictor
recurrent laryngeal nerve, inferior laryngeal artery and vein
36
tonsils of pharynx
pharyngeal tonsils (adenoids) palatine tonsils (the tonsils) lingual tonsil (posterior third of tongue) other small lymphoid tissue present near pharyngotympanic tube in nasopharynx upper surface soft palate
37
what do the tonsils of pharynx make up and its significance
waldeyers rings, create upper airway obstruction and breathing issues
38
buccinator muscle connects to
modiolus buccinator (attaches to orbicularis, soft tissue attached)- in anterior near oral cavity in posterior at pterygomandibular raphe connects to superior constrictor
39
blood supply of pharynx
ascending pharyngeal artery, ECA medial group ascending palatine artery from facial artery of ECA tonsillar artery maxillary artery lingual artery
40
innervation of pharynx
hypoglossal, vagus, recurrent laryngeal, external laryngeal, glossopharyngeal (CN IX, GVA to pharyngeal muscles), pharyngeal plexus
41
act of swallowing
as bolus of food moves into oropharynx by action of tongue, soft palate elevates passavants ridge forms (based on action of palatopharyngeus muscle at level of C1) superior constrictor assists tensor and levator veli palatini assist in closing of nasopharynx as bolus moves toward esophagus, larynx elevate, epiglottis closes off trachea
42
larynx is what kind of structure
hollow musculoligamentous structure , framework is ligamentous
43
larynx starts
just posterior to tongue and is suspended by hyoid (very mobile
44
larynx caps
posterior respiratory tract (trachea)
45
larynx is ____ with the trachea
continuous
46
how does larynx aid in swallowing
aids in opening the esophagus due to upward and forward movement
47
what is the main connection between the pharynx and trachea
larynx
48
larynx prevent
foreign bodies from entering airway
49
larynx is located
between C3 and C6 at midline
50
larynx is involved in
phonation
51
larynx is formed by
9 cartilages- 3 paired and 3 unpairs
52
larynx acts as a
sphincter to close airway and produce sound
53
cartilage of larynx
thyroid, cricoid, arytenoid, epiglottis, corniculate and cuneiform
54
thyroid cartilage
unpaired/pargest, between C4 and C6, connects to hyoid
55
cricoid cartilage
unpaired/only complete ring, at C6
56
arytenoid cartilage
paired, forms framework for vocal cords
57
epiglottis
unpaired, closes of airway
58
corinculate and cuneiform
lie in aryepiglottic fold
59
muscles of larynx
cricothyoird, posterior cricoarytenoid, lateral cricoarytenoid, transverse arytenoid, oblique arytenoid and aryepiglotticus, thyroarytenoid and thyroepiglotticus, vocalis
60
cricothyroid
only muscle outside larynx, forward and downward rotation of thyroid cartilage
61
posterior cricoarytenoid
only abductor of vocal cord, safety muscle of larynx, abduction and external rotation of arytenoid cartilage
62
lateral cricothyroid
internal rotation of arytenoid cartilage
63
transverse arytenoid
unpaired, adduction of arytenoid cartilage
64
oblique arytenoid
sphincter of laryngeal inlet
65
thyroarytenoid
sphincter of vestibule and laryngeal inlet
66
vocalis
adjusts tension on vocal folds
67
vascular innervation of larynx
arteries- superior laryngeal from ECA and inferior laryngeal from inferior thyroid artery off subclavian veins- superior laryngeal drains into IJV via superior thyroid and inferior laryngeal drains into brachiocephalic vein via inferior thyroid
68
nerve supply to larynx
motor and sensory- vagus (CN X) internal laryngeal- sensory branch of superior laryngeal from vagus external laryngeal- motor branch of superior laryngeal from vagus recurrent laryngeal- sensory and motor branch of vagus, sensory to laryngeal cavity and motor to intrinsic muscles of larynx except cricothyroid
69
what nerve provides sensory and motor branch of vagus, sensory to laryngeal cavity and motor to intrinsic muscles of larynx except cricothyroid
recurrent laryngeal