Module 7b: The Neck Flashcards
Pharynx
-fibromuscular tube that extends from the base of the skull to the upper esophageal sphincter
What are the 3 constrictor muscles of the pharynx
-superior
-middle
-inferior
Upper esophageal sphincter
-formed by the lower part of inferior constrictor muscle of the pharynx
Upper esophageal sphincter function
-prevents reflux of food into airway and prevents air from entering the digestive tract
The pharynx
-situated posterior and communicates with, to the nasal cavities, oral cavity, and larynx
Divisions of the pharynx
-nasopharynx
-oropharynx
-laryngopharynx
The nasopharynx
-communicates with the nasal cavities anteriorly by choanae
-openings to eustachian tubes are located on lateral walls of nasopharynx
Pharyngeal tonsil
-collection of lymphatic tissue located on roof of nasopharynx
Soft palate
-can close the pharyngeal isthmus by elevation during swallowing
The oropharynx
-communicates anteriorly with oral cavity through the oropharyngeal isthmus
-each side of the oropharynx consists of 2 folds of mucous membranes supported by underlying muscles
Mucous membrane of the oropharynx
-palatoglossal arch
-palatopharyngeal arch
Palatine tonsil
-collection of lymphatic tissue between the folds
The laryngopharynx
-extends from oropharynx to esophagus
Piriform recesses
-2 recesses located on each side of the laryngeal inlet
-form channels that direct food from oral cavity to either side of the raised laryngeal inlet, towards the esophagus
Choking
-blockage of upper airway, usually above the vocal folds, can be defined as a partial or full. obstruction
Choking symptoms
-irregular breathing /coughing
-high pitched wheezing/no breathing
-lips may turn blue
-panic
-waving of area in distress
-loss of consciousness
Vestibular and vocal ligaments
-both ligaments are enclosed by their respective superficial folds
Vestibular fold
-false vocal cord
Vocal fold
-true vocal fold
Cricothyroid ligament
-originates from upper border of cricoid cartilage and extends superiorly where free upper margin forms vocal ligament
Arytenoid cartilage
-located at back of larynx, primary function is to close vocal folds when swallowing
-secondary function is to change tension of vocal folds for production of sound
Intrinsic muscles of the larynx
-thryoarytenoid
-cricothyroid
Thryoarytenoid
-originates from inferoposterior aspect of thyroid cartilage, and attaches to the anterolateral part of the arytenoid cartilage
Thryoarytenoid function
-acts to relax the vocal ligament, producing a softer voice
Thyroarytenoid innervation
-recurrent laryngeal nerve
Cricothyroid
-originates from anterolateral aspect of cricoid cartilage and attaches to inferior margin of thyroid cartilage
Cricothyroid function
-stretches and tenses the vocal ligaments for production of loud speech and different tones of voice
Cricothyroid innervation
-external laryngeal nerve
Laryngospasm
-rare but frightening experience and occurs when vocal folds
-suddenly seize up due to disruption in nervous input from laryngeal nerves, which can lead to airway obstruction
Laryngospasm symptoms
-can be provoked by various triggers such as asthma, allergies, exercise, irritants, stress, and/or anxiety, and most commonly GERD
Arterial supply of the thyroid gland
-supplied by superior thyroid artery, a branch of external carotid
-and inferior thyroid artery, a branch of thyrocervical trunk
Venous supply of the thyroid gland
-drained by the paired superior, middle, and inferior thyroid veins
-which form a venous plexus on the anterior surface of the thyroid gland descends anterior to trachea
Which vein may be source of bleeding during a tracheostomy
-inferior thyroid vein
Vagus nerve
-thyroid gland innervated by parasympathetic fibres arising from superior laryngeal and recurrent laryngeal nerve
-both branches of vagus
Sympathetic trunk
-thyroid gland innervated by sympathetic nerve fibres arising from superior, middle, and inferior cervical ganglia of sympathetic trunk
Goiter
-abnormal enlargement of thyroid gland at inferior pole, if it becomes significantly enlarged, it can compress structures in neck
Cricothyroid symptoms goiter
-altered tone of speech
Vagus nerve symptoms goiter
-difficulty breathing and swallowing
Trachea symptoms goiter
-tightness in throat
-unusual coughing
Phrenic nerve symptoms goiter
-difficulty breathing
Superficial muscles of the neck
-platysma
-sternocleidomastoid
Platysma
-runs from upper 2 ribs to lower margin of mandible, when it contracts, it tenses skin of neck and responsible for facial expression
Sternocleidomastoid
-originates inferiorly, on manubrium of sternum and medial end of clavicle to insert superiorly on mastoid process
-flex head and neck while individually tilting head towards either shoulder
Innervation of the sternocleidomastoid
-accessory nerve
Deep muscles of the neck
-scalenes
-levator scapulae
Scalenes
-3 muscles found in deep lateral neck, spanning between transverse processes of cervical vertebrae and ribs 1 and 2 `
Scalenes function
-flexion and rotation of the neck, accessory muscles of respiration, elevating ribs during forced inspiration