Oral Cavity, Pharynx and Oesophagus Flashcards
What does the oral cavity continue into?
The oropharynx posteriorly at the palatoglossal arch.
What are the muscles of mastication? What are they innervated by?
- Temporalis, masseter
- Lateral and medial pterygoids
- Innervated by CN V3 (mandibular division of the trigeminal nerve)
What movements does the temporomandibular joint allow?
The TMJ allows movement of the mandible relative to the rest of the skull.
- Hinge, gliding, side-to-side movements
- Elevation/depression (close/open jaw), protrusion/retraction, ab/adduction of mandible (side to side grinding)
Describe the different types of dentition
Permanent (32 teeth): 4 quadrants, with eight teeth in each quadrant
- 2 incisors
- 1 canine/cuspid
- 2 premolars/bicuspids
- 3 molars
Primary (deciduous; 20 teeth): 4 quadrants, with 5 teeth in each
- 2 incisors,
- 1 canine,
- 2 molars
Intrinsic muscles of the tongue
Longitudinal, transverse and vertical (change the shape of the tongue)
Salivary glands
- Parotid
- Submandibular
- Sublingual
- Many small intrinsic
Functions of pharynx and oesophagus
- Swallowing and propulsion of food to stomach
- Pharynx also a part of upper respiratory tract for breathing
- Secretions (mucous) to protect mucosa
- Upper and lower oesophageal sphincters - limit air entering oesophagus and reflux of stomach contents
Components of the pharynx
- Nasopharynx
- Oropharynx
- Laryngopharynx
What vertebral levels does the pharynx run across?
Base of the skull to C6/C7 vertebral level
Innervation of the pharynx
Sensory innervation mostly by CN IX (glossopharyngeal nerve) and CN X (vagus nerve)
Muscles of the pharynx
- Superior, middle and inferior pharyngeal constrictors. Inferior constictor includes cricopharyngeus (upper oesophageal sphincter, UOS or UES)
- Palatopharyngeus
All are innervated by CN X (vagus nerve) except for the **stylopharyngeus **which is innervated by CN IX (glossopharyngeal n).
Muscles of the soft palate
- Levator veli palatini and tensor veli palatini - elevate the palate duirng swallowing to prevent food moving into nasopharynx.
- Palatoglossus, palatopharyngeus - depress the palate and narrow opening to oropharynx - allow chewing an dbreathing simultaneously.
All are innervated by the vagus nerve (CNX) except tensor veli palatini, by V3
Innervation of the oesophagus
CN X (vagus n)
What are the anatomical relationships of the oesophagus in the superior mediastinum?
In the superior mediastinum the oesophagus is anterior to the thoracic vertebrae, and posterior to the trachea.
What are the anatomic relationships of the oesophagus in the posterior mediastinum?
Posterior to the oesophagus, the thoracic duct is on the right side inferiorly, but crosses to the left more superiorly. Also on the left side of the oesophagus is the thoracic aorta.
Anterior to the oesophagus, below the level of the tracheal bifurcation, are the right pulmonary artery and the left main bronchus. The oesophagus then passes immediately posteriorly to the left atrium, separated from it only by pericardium. Inferior to the left atrium, the oesophagus is related to the diaphragm.
Structures other than the thoracic duct posterior to the oesophagus include portions of the hemiazygous veins, the right posterior intercostal vessels, and near the diaphragm, the thoracic aorta.