mouth and pharynx Flashcards

1
Q

pharynx location

A

behind nose mouth and larynx

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2
Q

boundaries of pharynx ant, post, sup, inferior

A

sup: posterior part of the body of sphenoid
basilar part of occipital infront of pharyngeal tubercle
inferiorly: continous with oesophagus to the lebel of c6
posterior: sitting freelt on prevertebral fascia
anteriorly: communicates with larynx, oral cavity and nasal cavity

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3
Q

pharynx is attached to

A
mandible
hyoid bone
tongue
media pterygoid plate
pterygomandibular raphe 
cricoid and thyroid cartilages
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4
Q

pharynx is related either side to

A

styloid process and its muscles attached
communicates with middle ear with auditory tube
internal external common carotid arteries and cranial nerves associated

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5
Q

extent of nasopharynx, oropharynx and laryngopharynx

A
  1. from base of the skull to soft palate
  2. soft palate to the upper border of epiglottis
  3. upper border of epigottis to cricoid cartilage
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6
Q

communication of nasopharynx, oropharynx and laryngopharynx

A

1.anterior with nose posteriorly with oropharynx
2. superior with nasopahyrnx anterior with mouth below with laryngopharynx
3. above with oropharynx
ant with larynx
below with oesophagus

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7
Q

nerve supply nasopharynx, oropharynx and laryngopharynx

A
  1. pharyngeal branch of pterygoplatine ganglion
  2. 9-10th nerves
  3. .9-10th nerve
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8
Q

waldeyers lymphatic rings

A
on left and right palatine tonsils 
posterior above naso pharyngeal 
lateral above 
tubal tonsils 
inferiorly lingual tonsils
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9
Q

hypertrophy of nasopharyngeal tonsils cause

A

cause posterior nasal aperture and difficulty in breathing and speaking

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10
Q

hypertrophy of tubal tonsils

A

occlude auditory or pharyngotympanic tube leading to middle car issues

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11
Q

palatine tonsil occupies

A

between palatopharngeal and palato glossal arches

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12
Q

surfaces borders and poles

A

median and lateral
ant and pos
upper and lower

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13
Q

medial surface

A

covered by stratified squamous epi
has 12-15 clefts
largest cleft is intratonsillar cleft

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14
Q

lateral surface

A

covered by fascia that forms a capsule

capsule is an extendtion of pharyngobasilar fascia here it is formed by styloglossus and superior constrictor

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15
Q

how lateral surface of palatine tonsils attached to the tongue and important

A

attached tighly through suspensory ligament of tonsils infront of the muscle insertion of palatopharyngeal and palatolossus
holds the tonsils tightly during swalling

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16
Q

tonsilar artery enters by piercing

A

superior constrictor

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17
Q

bed of tonsils is formed by

A
  1. pharyngobassilar fascia
  2. superior constrictor
  3. buccopharyngeal fascia
  4. styloglossus
  5. hypopharyngeal nerve
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18
Q

arterial supply of tonsils

A

MAIN: Tonsillar branch of fascial artery
additional sources
ascending palatine branch of facial artery
dorsal labial branch of labial artert
ascending pharyngeal branch of external carotid
greater palatine of maxillary artery

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19
Q

venous draignage of tonsils

A

palatine
pharyngeal
facial

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20
Q

lymphatic draiagne of tonsils

A

jugulodigastric

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21
Q

nerve supply of tonsils

A

glossopharyngeal

lesser palatine

22
Q

embryonic origin of tonsils

A

mesoderm second pharyngeal pouch

23
Q

peritonsilar abscess

A

infection of tonsils spread in surrounding tissue causing peritonsilar abscess

24
Q

which nerve transmitis pain to ear when u have tonsilitis

A

glossopharyngeal

25
Q

laryngopharynx anterior and posterior walls

A

anterior larynx
or posterior surface of cricoid and arytenoid cartilages
post- 4-5th verteb
3-6th vertebrae
supper middle and inferior constrictor muscle

26
Q

piriform fossa

A

between aryepiglottic and thyroid cartilages
pierced by internal laryngeal nerve and when something stuck inthe fossa is removed the nerve might be damaged and and lead to anesthesia of supraglottic part of the larynx

27
Q

constrictor muscles of pharynx are made from

A

4th and 6th pharyngeal arches

28
Q

superior constrictor origin

A
  1. pterygoid hamulus (pterygoid pharangeus)
  2. pterygomandibular raphe (buccopharangeus)
  3. posterior end of mylohyoid line (mylopharyngeus)
  4. posterior lateral end of the tongue (glossopharyngeus)
29
Q

middle constrictor muscle origin

A

lower part of stylohyoid ligament
lesser cornua of hyoid bone
upper border of greater cornua of hyoid bone

30
Q

inferior constrictors are

A

thyropharyngeus

cricopharyngeus

31
Q

thyrophyrangeus origin

A
  1. oblique line on lamina of thyroid gland
    including inferior tubercle
  2. tendinous band crossing the cricothyroid and attached above to inferior tubercle
  3. inferior cornua of thyroid
32
Q

cricophyrangeus

A

from cricothyroid cartilage behind cricothyroid muscle

33
Q

insertion of constrictors

A

median raphe which is attached to pharyngeal tubercle in the basicoiput part

34
Q

longitudnal muscles of pharynx

A

stylophyrnagues
staphlopharyngeus
palatophyrnageus

35
Q

sinus of morgani

A

the space between the superior constrictor and then the skull is called sinus morgani

36
Q

contents of sinus morgani

A

tensot veli palitini muscle
auditory tube
ascending palatine artery
palatine branch of ascending phyrnageal artery

37
Q

contents of gap between superior and middle contsrictor

A

stylopharyngeus muscle and glossopharyngeal nerve

38
Q

gap between middle and inferior constrictor

A

internal laryngeal nerve and superior laryngeal vessels

39
Q

contents of gap between lower constrictor and oesophagus

A

inferior laryngeal vessels and recurrent laryngeal nerve

40
Q

pharynx is supplied by (nerve)

A

pharyngeal plexus situated in middle constrictor

41
Q

pharyngeal plexus is made up of

A
  1. pharyngeal branch of vagus nerve carrying fibers of cranial accessory nerve
  2. pharyngeal branch of glossopharyngeal
  3. pharyneal branch of superior cervical sympathetic ganglion
42
Q

motor fibers of pharynx is derived from

A

cranial accessory nerve supplied by vagus to all muscles except stylopharangeus

43
Q

stylopharyngeus is supplied by

A

glossophyrangeus

44
Q

inferior constrictor receives additional supply from

A

recurrent laryngeal and external laryngeal

45
Q

sensory fibers to pharynx are derived from

A

glossopharyngeal and some from vagus

46
Q

nasopharynx (nerve supply)

A

maxillary nerve to pterygopalatine ganglion

47
Q

soft palate and tonsils (nerve)

A

lesser palatine and glossopharyngeal

48
Q

taste buds of vellecular and epiglottis nerve

A

internal laryngeal branch of vagus

49
Q

parasympathetic secretomotor fibers of pharynx

A

lesser palatine of ptergipalatine ganglon

50
Q

blood supply of pharynx

A

ascending pharyngeal branch of external carotid
tonsillar and palatine branch of facial
dorsal lingual of lingual artery
greater palatine, ptergoid and pharyngeal of maxillary artery

51
Q

lymphatic drainage of pharynx

A

deep cervical and retropharyngeal