Anatomy & Physiology of the Throat Flashcards

1
Q

Where are the adenoids found?

A

At the back of the nasopharynx

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2
Q

What can a bifid uvula lead to?

A

Structures in the soft and hard palate splitting causing cleft palate

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3
Q

What is stenson’s duct?

A

The parotid duct that pierces the buccinator muscle, then opening up into the oral cavity on the inner surface of the cheek, usually opposite the maxillary second molar

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4
Q

What is wharton’s duct?

A

The submandibular duct that lies superior to the digastric muscle

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5
Q

How are the submandibular glands divided and by what is it divided?

A

Superficial and deep

Mylohyoid muscle

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6
Q

What nerve supplies the general somatic afferent innervation from the anterior two-thirds of the tongue?

A

Lingual nerve

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7
Q

What is the lingual nerve?

A

A branch of the mandibular division of the trigeminal nerve
It also carries the chorda tympani nerve of the facial nerve, which provides special sensation (taste) to the anterior 2/3 part of the tongue

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8
Q

What are the five functions of the oral cavity?

A
Taste
Mastication
Speech
Digestion
Swallowing
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9
Q

What is the anterior 2/3 of the tongue innervated by?

A

Sensation by lingual nerve

Taste by chroda tympani (Branch of CN VII)

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10
Q

What is the posterior 1/3 of the tongue innervated by?

A

Glossopharyngeal - CN IX

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11
Q

What are the four types of papillae in the tongue and which one doesn’t contain taste buds?

A

Filliform
Fungiform - Dorsum of tongue
Folliate
Circumvillate - In a row just anterior to the sulcus terminalis

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12
Q

What effect do the intrinsic and extrinsic muscle have on the tongue?

A

Intrinsic - Alter shape

Extrinsic - Alter position

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13
Q

What are the four extrinsic muscles of the tongue?

A

Genioglossus
Tyloglossus
Hypoglossus
Palatoglossus

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14
Q

What nerves supply the extrinsic muscles of the tongue?

A
Hypoglossal nerve (CN XII) for all except the Palatoglossus
Pharyngeal plexus (CN IX-X) supplies the the Palatoglossus
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15
Q

What are the oropharynx boundaries?

A

Lower border of soft palate to upper margin of epiglottis
Palatoglossal arch to posterior pharyngeal wall
Lateral: Facial pillars & palatine tonsils

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16
Q

What type of epithelium is found in the oropharynx?

A

Stratified, non-keratinised squamous epithelium

17
Q

What is the nerve supply of the oropharynx?

A

Pharyngeal plexus (CN IX-X)

18
Q

What arteries and nerve supply the hypopharynx?

A

Superior Thyroid Artery, Lingual Artery & Ascending Pharyngeal Artery
Pharyngeal plexus

19
Q

What are the boundaries of the hypopharynx?

A

Superior margin of epiglottis to lower border of cricoid cartilage, it is continuous with the oesophagus & the anterior wall is bordered to the back of larynx

20
Q

What are the three subsites of the hypopharynx?

A

Pyriform sinus
Post-cricoid area
Posterior pharyngeal wall

21
Q

What are the three functions of the larynx?

A

Part of the respiratory tract
Voice
Swallowing

22
Q

Where is the supraglottis and what is present there?

A

Superior tip of the epiglottis to the floor of the ventricular fold Junction of respiratory and squamous epithelium

23
Q

Where is the glottis?

A

Begins superiorly at the true vocal fold and extends inferiorly to a horizontal plane 5mm inferior to the vocal cord

24
Q

Where is the subglottis?

A

Begins 5 mm below the free edge of the true vocal cord and proceeds to the inferior border of the cricoid cartilage

25
Q

What are the three phases of swallowing?

A

Oral phase
Pharyngeal phase
Oesophageal phase

26
Q

What plexus motor innervates both layers of the tunica muscularis in the pharynx?

A

Myenteric plexus - Auerbach’s plexus

27
Q

What do intrinsic muscle of the pharynx do?

A

Regulate vocal fold movement

28
Q

What does the left recurrent laryngeal nerve loop around?

A

Aortic arch

29
Q

What is the sensory innervation of the supraglottic and glottic/sublgottic areas?

A

Supraglottic - Internal laryngeal nerve

Glottic and subglottic – Recurrent laryngeal nerve

30
Q

What are the five principles of voice production?

A

Respiration – Source of energy: Air flow
Phonation – Flow of air through different VC position, tension, vibration & length
Resonation – Oral/nasal speech balance
Articulation – Production of speech, determined by action of lips, tongue and jaw
Prosody – Production of syllable stress and emphasis