Larynx (neuroanatomy 3.0) Flashcards
How do you test function of Vagus Nerve?
- Open mouth and say ahh
- Testing function of Vagus nerve (CN10)
- Look at Uvula (soft tissue)
- Should go straight up in midline
- If it as it goes up it deviates to one side suggests problem with one of vagus nerves
- If the elevation is effective on this side ie to my right the uvula is deviating away from side of lesion
What is behind the uvula?
- posterior wall of the oropharynx and that the first sign you can see of the pharynx
- On either side folds of tissue
- Most anteriorly have palatoglossal fold (from palate down to tongue)
- Behind that have a palatopharynegeal fold from the palate to down to the pharynx
- In between those two is palatine tonsil -By looking at tonsil can see if there has been any infection or inflammation and make diagnosis of tonsillitis
Where is the epiglottis what does it do?
- Behind tongue have epiglottis and when you swallow this retroflexed and comes back down and that covers the laryngeal inlet
- When you swallow it stops food going back down into airway so the food actually travels down the back of the pharynx all the way down to the to the esophagus
What fulls up the buckle cavity?
Tongue
What is the hard and soft palate?
- Hard palate + during eating use tongue to move food up against hard palate to start breaking it down
- At back have the soft palate
What are the three sections of the pharynx?
- Nasopharynx
- Oropharynx
- Larynogpharynx
What does the laryngopharnx open up into?
The oesophagus
What is in the laryngopharnx?
- In laryngopharynx is the piriform fossa and this area has a strong sensory innervation
- Here can get fish bones stuck and its a sensitive area so causes lots of distress
What are the muscles of the pharynx?
- The superior
- The middle
- Inferior constrictors
What nerves form the pharyngeal plexus?
- Glosso-pharngeal
- Vagus
Which nerves control movement of the contractors?
- vagus
- some contribution from accessory nerve cranial nerve number 11
How do we swallow?
-Swallowing all about coordinated action of the these muscles so superior middle and inferior constrictors act in sequence and they, in sequence allow a coordinated contraction and movement of the bolus of food form mouth down the oesophagus
What is the first part of the digestive process?
-First part of digestive process break down food in mouth and enzymatically produce sliava
What are the three pairs of salivary glands?
- Parotid gland
- Sublingual
- Submandibular
What is the parotid gland controlled by? What is the saliva like?
- Parotid gland: biggest and saliva from this gland passed through parotid gland, poses into upper part of mouth and it passes through the buccinator muscle of the cheek and opens up to the second molar in the mouth
- Saliva produced by parotid is thin, its serouss
- innervation in the parotid gland glossopharyheal nerve
What is the sublingual gland controlled by? What is the saliva like?
- Sublingual supplied by the facial nerve (under tongue)
- produce more mucous saliva
What is the submandibular controlled by? What is the saliva like?
- Submandibular supplied by the facial nerve (under mandible)
- very thin serous saliva
What are the modules in the tongue supplied by?
- Tongue fills buccal cavity
- Tongue has own intrinsic musculature, the intrinsic muscles and the movement of these controlled by cranial nerve number 12: hypoglossal nerve, which runs down just beneath tongue
What other extrinsic muscles does the hypoglossal supply?
- Palatoglossus running from palate to tongue
- Styloglossus from the styloid process and the base of the skull all the way to the tongue
- Genioglossus from mandible to tongue