Pharyngeal Structures Flashcards

1
Q

Pharyngeal structures involved in swallow

A
  • 3 pharyngeal constrictors:
  1. superior
  2. medial
  3. inferior

*FORM the posterior and lateral pharyngeal walls

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2
Q

describe the fibers that make up the 3 pharyngeal constrictor muscles

A
  • Fibers which make up these muscles arise from the median raphe in the midline of the posterior pharyngeal wall
  • run laterally to attach to bony and soft tissue structures located anteriorly
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3
Q

the muscle fibers attach anteriorly to which structures?

A
  • pterygoid plates on the
  • sphenoid bone
  • soft palate
  • base of the tongue
  • mandible
  • hyoid bone
  • thyroid and cricoid cartilages

*FORM the anterior wall of the pharynx

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4
Q

Hard tissues

A
  • cervical vertebrae (c1-c7)
  • hyoid bone
  • laryngeal cartilages (cricoid, thyroid, arytenoids, epiglottis)
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5
Q

Soft tissues

A
  • post of pharyngeal wall
  • base of tongue
  • false vocal folds
  • true vocal folds
  • muscles
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6
Q

suprahyoid

A

elevates the hyoid bone, floor of the mouth and the tongue

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7
Q

mylohyoid

A

elevates tongue and floor of mouth/ depresses jaw when hyoid fixed

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8
Q

digastric (anterior belly)

A

raises hyoid when jaw is fixed/depresses jaw if hyoid fixed

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9
Q

geniohyoid

A

draws hyoid forward, depresses mandible if hyoid fixed

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10
Q

stylohyoid

A

elevates hyoid and tongue base

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11
Q

hyoglossus

A

depresses tongue

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12
Q

styloglossus

A

elevates and retracts tongue

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13
Q

palatoglossus

A

narrows faces and elevates posterior tongue

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14
Q

palatopharyngeus

A

narrows oropharynx, elevates pharynx

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15
Q

stylopharngeus

A

raises and dilates (opens) pharynx

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16
Q

salpingopharyngeus

A

raises nasopharynx, draws lateral pharyngeal wall up

17
Q

***cricopharyngeus

A

relaxes to allow passage of bolus into esophagus

18
Q

cricothyroid

A

tightens VFs

19
Q

posterior cricoarytenoid

A

abducts VFs (separates)

20
Q

lateral cricoarytenoid

A

adducts VFs (brings together)

21
Q

transverse arytenoid

A

adducts VFs (bring together)

22
Q

oblique arytenoid

A

adducts VFs and aryepigottic fold

23
Q

thyroarytenoid and vocalis

A

relaxes VFs

24
Q

glossopharyngeus muscle

A
  • made up of the inferior fibers of the superior constrictor that attach to the tongue base
  • responsible for tongue base retraction
  • anterior bulging of the posterior pharyngeal wall at the tongue base level
25
Q

Pyriform sinuses

A
  • formed from the fibers of the inferior constrictor attaching to both sides of the thyroid cartilage anteriorly
  • ends inferiorly at the criocopharyngeal muscle (most inferior structure of the pharynx)
26
Q

cricopharyngeal muscle fibers

A
  • fibers attach to the posterolateral surface of the cricoid lumina
  • in conjunction with the cricoid lumina and the cricopharyngeal mms, fibers form the valve into the esophagus known as the

(CP region)

or

(UES)

or

(PE segment)

27
Q

cricopharyngeal muscle at rest vs awake

A
  • decreased mms tension when asleep
  • when awake, you have tone, mms has contractibility to allow food into esophagus, burp, vomit
  • when asleep, you have low tone, mms is weaker, reflux can seep through
28
Q

UES diameter

A

2-4 cm

29
Q

when is there the greatest pressure?

A

immediately prior to swallow and during respiration

  • prevents air from going into the esophagus during respiration
  • USE opens to allow bolus to pass into esophagus
30
Q

epiglottis

A
  • top most structure of larynx
  • Top third to half rests against the base of the tongue
  • Attached into the hyoid bone by the hyoepiglottic ligament
  • Base of the epiglottis is attached by ligament to the thyroid notch
  • The wedge shape (scallop shaped) space formed between the base of the tongue and the epiglottis is the valleculae
31
Q

laryngeal vestibule

A

opening to larynx
- Encompasses the epiglottis, aryepiglottic folds, arytenoid cartilage and ends at the superior surface of the false vocal folds

32
Q

location of lingual tonsils

A

are located against the base of the tongue and take up a small amount of the vallecular space

33
Q

The valleculae and pyriform sinuses are known as

A

the pharyngeal recesses or side pockets

34
Q

Aryepiglottic folds

A
  • intrinsic structure

- form lateral walls of the laryngeal vestibule

35
Q

Arytenoid cartilages

A
  • intrinsic structure
  • positioned on the rim of the cricoid cartilage posteriorly.
  • Muscular pulls on these arytenoid cartilages controls movement of the true vocal folds
36
Q

Posterior cricoarytenoid muscle

A
  • intrinsic structure
  • attaches from the posterior surface of the cricoid lumina to the muscular process of the arytenoid
  • abducts or opens the arytenoids and true vocal folds during respiration
37
Q

lateral cricoarytenoid and interarytenoid muscles

A
  • intrinsic structure
  • attach from the top edge of the cricoid cartilage at the side to the muscular process of the arytenoid
  • adduct or close the arytenoids and thus close the true vocal folds across the top of the airway