Pharynx Flashcards

1
Q

oral phase

A

mastication

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2
Q

oropharyngeal phase

A

involves the elevation of the floor of the mouth and tongue in order to push the bolus into the oropharynx

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3
Q

paryngo-esophageal phase

A

oropharynx elevates and constricts around the bolus and propels it down the esophagus

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4
Q

location of epiglottis in infants

A

superior almost in contact w/ soft palate
allows babies to eat and breath at the same time
will descend within the 1st year of life

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5
Q

nasopharynx

A

post to nasal cavity
communicates with nasal cavity via choanae
communicates with oropharynx via pharyngeal isthmus

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6
Q

oropharynx

A

behind the oral cavity
communicates w/ nasopharynx via the pharyngeal isthmus
communicates w/ oral cavity via faucial isthmus

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7
Q

laryngopharynx

A

post to the larynx

communicates w/ larynx via laryngeal aditus

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8
Q

piriform recesses

A

post and lateral to the arytenoid cartilages in the laryngopharynx
inn by internal laryngeal n and superior laryngeal a

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9
Q

layers of pharyngeal wall (inside out)

A
mucosa
submucosa
pharyngobasilar fascia 
inner elevators of the pharynx 
pharyngeal constrictor mm 
buccopharyngeal fascia
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10
Q

stylopharyngeus m

A

inn by cranial n IX

elevates pharynx

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11
Q

salpingopharyngeus m

A

forms mucosal ridge - salpinopharyngeal fold

elevates pharynx

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12
Q

superior constrictor m

A

attached to pterygomandibular raphe

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13
Q

middle constrictor m

A

attached to hyoid and pharyngeal raphe

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14
Q

inferior constrictor m

A

horizontal mm fibers make up cricopharyngeus m which is used during pharyngeal speech

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15
Q

buccopharyngeal fascia

A

covers the outer surface of the buccinator mm and pharynx

pharyngeal plexus is embedded in the portion of the fascia covering the middle constrictor

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16
Q

retropharyngeal space

A

infections can spread from either skull or mediastinum via this space
surgical fusion of cervical vertebrae occur in this space

17
Q

pharyngeal plexus

A

receives sensory form the pharyngeal branch of the glossopharyngeal n
receives motor fibers from the pharyngeal branch of the vagus n

18
Q

gag reflex

A

glossopharyngeal n - sensory
vagus n - motor response
in by 9 out by 10

19
Q

arytenoid cartilages

A

phonation - rotate along vertical axis to control tension of the vocal cords
respiration - slide laterally to open the rima glottidis

20
Q

valleculae epiglottica

A

b/w tongue and epiglottis

location of blade during intubation

21
Q

cricothyroid joint

A

increase in pitch

RLN passes post.

22
Q

thyroid membrane

A

pierced by the superior laryngeal a and internal laryngeal n

23
Q

quadrangular membrane

A

arytenoid to the epiglottic cartilages

24
Q

posterior cricoartenoid m

A

only AB of the vocal cords

25
Q

cricothyroid m

A

increases the tension on the vocal cords

inn by external laryngeal n of the vagus n

26
Q

vocalis m

A

decreases the tension on the vocal ligament

27
Q

thyroepigottic m

A

sphincter of the laryngeal aditus

28
Q

laryngeal expiration reflex

A

stimulus - aspiration stimulates R in mucosa
afferent - ibSLN inn the R, afferent enter medulla w/ vagus n and terminate in vicinity of nucleus soltaris
efferent - RLN, intercostal, abdominal n control mm
effect - abrupt involuntary expiratory coughing

29
Q

internal branch of the superior laryngeal n (ibSLN)

A

chief sensory n to the interior of the larynx
supplies sensory fibers to interior of larynx
involved in cough reflex

30
Q

laryngeal cough reflex

A

afferent fibers in ibSLN carry information in

if cut there is no cough stimulated

31
Q

external branch of the superior laryngeal n

A

inn the cricothyroid m

32
Q

recurrent laryngeal n

A

inn laryngeal mm

fibers originate from the nucleus ambiguus

33
Q

superior laryngeal n (internal)

A

chief sensory n to the interior of larynx and piriform recess

34
Q

superior thyroid a

A

distributes to interior of the larynx

35
Q

superior laryngeal n (external)

A

inn cricothyroid m

36
Q

external carotid a

A

supplies lobes of thyroid gland

37
Q

vagus n

A

inn all laryngeal mm except cricothyroid

38
Q

inferior thyroid a

A

supplies the thyroid gland and parathyroids