(E3) 3 - Pharynx Flashcards
Fischer
What is the pharynx?
Common passageway for the digestive and respiratory systems
What is the extent of the pharynx?
The posterior wall of the pharynx lies against the ________
prevertebral fascia
Pharynx: Muscular layer constrictors lie between what 2 fascia
Pharyngobasilar fascia
Buccopharyngeal fascia
What is the pharyngeal recess and where do you find it?
Slit-like lateral projection of the pharynx
- Posterolateral to salpingopharyngeal fold
What composes the 3 parts of the pharynx?
Nasopharynx
Oropharynx
Laryngopharynx
What structures compose the pharynx?
Pharyngeal Wall: What is the mucous membrane?
The innermost layer
What are the layers that make up the Pharyngeal wall?
Mucous Membrane
Submucosa
Pharyngobasilar Fascia
Muscular
Buccopharyngeal Fascia
Pharyngeal Wall: What is the pharyngobasilar fascia?
Anchors the pharynx to skull; fibrous in nature
Pharyngeal Wall: What is the muscular layer?
3 inner longitudinal and 3 outer circular layers
Pharyngeal Wall: What is the buccopharyngeal fascia?
Continuous with fascia over buccinator and pharyngeal mm.; location of pharyngeal plexuses of nerves and veins
What fascia is this?
Buccopharyngeal Fascia
What fascia is this?
Pharyngobasilar fascia
The Oropharynx sits at the ____ level
C2-C3
What are the boundaries of the oropharynx? (superior, inferior, anterior, posterior, lateral)
________ lie laterally between palatine arches
Palatine tonsils
_________ Spaces (depressions) between epiglottis and root of tongue
Epiglottic valleculae
What are the boundaries of the laryngopharynx?
Where is the Piriform recess (fossa)?
Located in laryngopharynx on either side of laryngeal inlet
Location of the Piriform Recesses (be specific)
Contents of the Piriform Recesses (fossae)
Internal laryngeal nerve
Superior laryngeal artery
Function of the Piriform Recesses
Form channels that direct food around laryngeal inlet towards esophagus
Clinical Significance of the Piriform Recesses
Nerve prone to injury when a foreign body lodges into recess
(fish bone)
What tonsils are these?
Pharyngeal Tonsils
What is Waldeyer’s Tonsilar Ring?
Circumpharyngeal ring composed of MALT
(formed from 4 pairs of tonsils)
What tonsils are these?
Tubual tonsils
What tonsils are these?
Palatine Tonsils
What tonsils are these?
Lingual tonsils
The three pharyngeal constrictors form the ________ of pharyngeal muscles
external circular layer
Three pharyngeal constrictors - they are lined internally by ________
pharyngobasilar fascia
Three pharyngeal constrictors - they are lined externally by ________
buccopharyngeal fascia
Actions of the 3 pharyngeal constrictors
Contract involuntarily – allows for sequential contraction from superior to inferior
Pharyngeal Muscles Innervation
Pharyngeal PLexus - CN IX and CN X
Superior Pharyngeal Constrictor: Origin
- Pterygoid hamulus
- Pterygomandibular raphe
- Retromolar trigone of mandible
- Side of tongue
Superior Pharyngeal Constrictor: Insertion
- Pharyngeal tubercle
- Median (pharyngeal) raphe
Superior Pharyngeal Constrictor: Innervation
Pharyngeal Plexus
Middle Pharyngeal Constrictor: Origin
- Stylohoid lig. and lesser cornu of hyoid
- Greater cornu of hyoid
Middle Pharyngeal Constrictor: Insertion
Median (pharyngeal) raphe
Middle Pharyngeal Constrictor: Innervation
Pharyngeal Plexus
What are the two muscles that make up the inferior pharyngeal constrictor?
- Thyropharyngeus m.
- Cricopharyngeus m.
Inferior Pharyngeal Constrictor: Origin
Inferior Pharyngeal Constrictor: Insertion
Inferior Pharyngeal Constrictor: Innervation
Location of the Pharyngeal Plexus
On posterior aspect of the middle pharyngeal constrictor m.
Pharyngeal Plexus: Describe the Motor Innervation
Pharyngeal Plexus: Describe the Sensory Innervation
Pharyngeal Plexus - What type of fibers is this?
Postganglionic Sympathetic Fibers - Vasomotor in function
Ascending pharyngeal a - Origin, path and branches
What artery is this?
Ascending Pharyngeal Artery
Ascending palatine a - Origin and path
What artery is this?
Ascending Palatine Artery
Tonsilar Artery - Origin and Path
What artery is this?
Tonsilar Artery
Superior Thyroid Artery - Origin and Path
What artery is this?
Superior thyroid artery
Inferior Thyroid Artery - Origin and Supplies
Pharyngeal Arety - Origin and Path
What artery is this?
Pharyngeal Artery
Artery of the Pterygoid Canal: Origin and Path
What artery supplies the auditory tube?
Artery of the Pterygoid Canal
Lesser Palatine Artery: Origin and Path
What artery is this?
Lesser Palatine Artery
Location of the Pharyngeal Venous Plexus
Posteriorly in the buccopharyngeal fascia
What does the pharyngeal venous plexus give rise to?
Pharyngeal veins
Where does the Pharyngeal Venous Plexus terminate?
Drain to internal jugular vv. and into pterygoid plexus of vv.
- may also drain into facial, lingual, or superior thyroid veins
Describe the Pharyngobasilar Aperture and what it transmits
Aperture between the Superior and Middle Constrictor: What does it transmit and what creates the gap?
Aperture between the Middle and Inferior Constrictor (thyrohyoid membrane): What does it transmit?
Aperture inferior to the Inferior Constrictor: What does it transmit?
What is Pharyngitis?
What causes Pharyngitis?
Symptoms of Pharyngitis
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