Pharynx Flashcards
Pharynx Description
Musculomembranous Tube
12.5 cm long
No Anterior Wall
Extent of Pharynx
Superior: Base of Skull
Inferior: 6th Cervical Vertebra opposite lower border of Cricoid Cartilage
What are the parts of the Pharynx?
Nasopharynx
Oropharynx
Laryngopharynx
Layers of the Pharyngeal Wall
Deep to Superficial:
Mucous Membrane
Fibrous Layer/Pharyngeobasilar Fascia
Muscular Coat (defecting upwards)
Nasopharynx
Extent
Superior: Base of Skull
Inferior: Soft Palate
Nasopharynx
Special Features
Pharyngeal Opening of Eustachian Tube behind Inferior Nasal Concha
Tubal Elevation
Salpingopharyngeal Fold
Nasopharygeal Tonsil in the Roof of Nasopharynx
Nasopharynx
What produces the Tubal Elevation?
Cartilage of Tube above and behind
Nasopharynx
What produces the Salinpopharyngeal Fold?
Salpingopharyngeus Muscle
Nasopharynx
What condition could cause difficulty breating in children?
Adenoids: Enlargement of Nasopharyngeal Tonsil which obstructs Nasopharynx
Oropharynx
Extent
Superior: Soft Palate
Inferior: Upper End of Epiglottis
Oropharynx
Special Features
Glossoepiglottic Folds
Palatopharyngeal Arch
Tonsillar Fossa
Oropharynx
What are the Glossoepiglottic Folds?
1 Median and 2 Lateral Folds connecting Back of Tongue to Front of Epiglottis
Oropharynx
What are the Valleculae?
Two Depressed Areas between the Glossoepiglottic Folds
Oropharynx
What produces the Palatopharyngeal Arch?
Palatopharyngeus Muscle
Oropharynx
What is found in the Tonsilar Fossa?
Palatine Tonsils
Oropharynx: Palatine Tonsils
What are the Palatine Tonsils?
Mass of Lymphoid Tissues
Oropharynx: Palatine Tonsils
Location of Palatine Tonsils?
Lateral Wall of Oropharynx
Between Palatoglossal and Palatopharyngeal Arches
Oropharynx: Palatine Tonsils
Features
2 Ends
2 Surfaces
Oropharynx: Palatine Tonsils
Ends
Upper End: Reaching Soft Palate
Lower End: Reaching Dorsum of Tongue
Oropharynx: Palatine Tonsils
Surfaces
Medial Surface: 10-15 Orifices leading to Tonsillar Crypts
Lateral Surface: Tonsillar Hemicapsule which is an extension from the Pharyngobasilar Fascia
Oropharynx: Palatine Tonsils
Nerve Supply
Glossopharyngeal Nerve
Tonsilitis causes referred pain to ear
Oropharynx: Palatine Tonsils
Lymphatic Drainage
Jugulodigastric Lymph Nodes
Laryngopharynx
Extent
Superior: Epiglottis
Inferior: Cricoid Cartilage (C6)
Laryngopharynx
Special Features
Laryngeal Inlet
Mucous membrane on the back of Arytenoid and Cricoid Cartilage
Piriform Fossa
What are the Muscles of the Pharynx?
Outer Layer: 3 Constrictors
Inner Layer: 3 Longitudinal Muscles
Outer Layer
Names of Constrictors?
Superior
Middle
Inferior
Outer Layer
What are the features of the Constrictors?
Overlap each other from below upwards
Absent from side wall of nasopharynx
Outer Layer
All Constrictors insert into …
pharyngeal raphe posteriorly
Outer Layer
Superior Constrictor Origin
Posterior End of Mylohyoid Line of Mandible
Outer Layer
Middle Constrictor Origin
Hyoid Bone
Outer Layer
Inferior Constrictor functional parts
Thyropharyngeus Part
Cricopharyngeus Part
Outer Layer
Origin of Thyropharyngeal Part
Thyroid Cartilage
Outer Layer
Origin of Cricopharyngeal Part
Side of Cricoid Cartilage
Outer Layer
Function of Constrictors
Propulsive action during Swallowing
Outer Layer
Function of Cricopharyngeus
Spincter at Lower End of Pharynx
Prevents Suction of Air into Esophagus
Outer Layer
What occurs if the Cricopharyngeus fails to relax?
Pharyngeal Mucous Membrane Herniates posterolaterally between Cricopharyngeus and Thyropharyngeus
Inner Layer
What are the Muscles of the Inner Layer?
Stylopharyngeus
Salpingopharyngeus
Palatopharyngeus
Inner Layer
Insertion of the Inner Layer Muscles
Posterior Border of Thyroid Cartilage
Inner Layer
Function
Pull Larynx upwards to close Laryngeal Inlet
Pharyngobasilar Fascia location
Above Superior Constrictor where Pharyngeal Wall is deficient
Location of Glossopharyngeal Nerve and Stylopharyngeus Muscle
Between Superior and Middle Constrictor
Location of Internal Laryngeal Nerve and Superior Laryngeal Vessels
Between Middle and Inferior Constrictors
Location of Recurrent Laryngeal Nerve and Inferior Laryngeal Vessels
Below Lower Border of Inferior Constrictor
Motor Nerve Supply of Pharygeal Muscles (except Stylopharyngeus)
Vagus Nerve
Motor Nerve Supply of Stylopharyngeus
Glossopharyngeal Nerve
Sensory Nerve Supply of Pharynx
Pharyngeal Branch of Glossopharyngeal Nerve
Arterial Blood Supply of Tonsils and Pharynx
Ascending Pharyngeal Artery of ECA
Ascending Palatine and Tonsillar Arteries of the Facial Artery
Pharyngeal Branch of the Maxillary Artery
Venous Drainage of Tonsils and Pharynx
Veins of Pharynx collect into Pharyngeal Venous Plexus draining into IJV
Lymphatic Drainage of Tonsils and Pharynx
Retropharyngeal Lymph Nodes
Cervical Esophagus
Length
5 cm
Cervical Esophagus
Extent
Superior: Cricoid Cartilage (C6)
Inferior: Thoracic Inlet (T1)
Cervical Esophagus
Anterior Relations
Trachea
Recurrent Laryngeal Nerve
Cervical Esophagus
Lateral Relations
Thyroid Lobes
Carotid Sheath
Cervical Esophagus
Posterior Relations
Vertebral Column
Cervical Esophagus
Arterial Blood Supply
Branches of Inferior Thyroid Artery
Cervical Esophagus
Venous Drainage
Inferior Thyroid Vein
Cervical Esophagus
Lymphatic Drainage
Internal Jugular Lymph Nodes