Pharynx Flashcards
____ muscolofacial 1/2 cylinder
pharynx
___ links oral and nasal cavities
pharynx
the pharynx links __ and __
oral cavity and nasal cavity
the pharynx is common for __ and __
respiration and digestive tract
nasopharynx is from __ and __
base of skull to soft palate
oropharynx is from __ to __
soft palate to epiglottis
laryngopharynx is from __ to __
epiglottis to C6 vertebral levels
What is after the laryngopharynx?
esophagus
What are the 5 main structures found in the nasopharynx?
- auditory (/eustachian/pharyngotympanic) tube orifice
- torus tubarius
- pharyngeal recess
- pharyngeal tonsils
- salpingopharyngeal fold
What are all of the names for the auditory tube orifices
auditory tube orifice
eustachian tube orifice
pharygotympanic tube orifice
part of nasopharynx
Auditory tube orifice is posterior to ___
inferior concha
part of nasopharynx
Auditory tube orifice serves as a connection between __ and __
pharynx and middle ear
part of nasopharynx
Torus tubarius is composed of ___
auditory tube cartilage
part of nasopharynx
Torus tubarius is found posterior to ___
auditory tube orifice
part of nasopharynx
The posterior extent of torus tubarius is ___
the beginning of the salpingopharyngeal fold
part of nasopharynx
The pharyngeal recess is posterior to ___
torus tubarius
part of nasopharynx
What is the pharyngeal recess?
a groove along the lateral wall of the pharynx
part of nasopharynx
The pharyngeal recess is a groove along the __ wall of the pharynx
lateral
part of nasopharynx
The pharyngeal tonsils are ___ to torus tubarius
posterosuperior
part of nasopharynx
What is the salpingopharyngeal fold
a mucous membrane covering salpingopharyngeal muscle
part of nasopharynx
The oropharynx is __ to the oral cavity
posterior
part of nasopharynx
What are the 5 main structures found in the oropharynx
- palatoglossal arch
- palatopharyngeal arch
- palatine tonsils
- valleculae
- pallatopharyngeal sphincter
What is the palatoglossal arch?
mucosal fold over the palatoglossal muscle
first arch; anteriorly
part of oropharynx
What is the palatopharyngeal arch?
mucosal fold over the palatopharyngeal muscle; second arch; posteriorly
part of oropharynx
Where are the palatine tonsils located?
in tonsilar bed between 2 arches (palatopharyngeal arch and palatoglossal arch)
part of oropharynx
The vallecula is a fold posterior to ____ and anterior to ____
posterior to tongue
anterior to epiglottis
part of oropharynx
What is considered the “roof of the spit gutter” (holds saliva while breathing)
the vallecula of the oropharynx
How does the valecula of the oropharynx drain when the epiglottis is down?
laterally into the “lateral spit gutters” (piriform recess of laryngopharynx)
The palatopharyngeal sphincter is found within what muscle?
superior pharyngeal constrictor muscle
What does the palatopharyngeal sphincter do when swallowing?
closes around the end of the soft palate and seals off the opening between the oropharynx and nasopharynx to bush bolus up against roof before pushing it down
Palatopharyngeal sphincter is a structure of the __pharynx
oro
What are the 7 mains tructures/vessels/nerves of the laryngopharynx
- epiglottis
- laryngeal cartilage
- piriform recess
- internal laryngeal nerve
- superior laryngeal vessels
- recurrent laryngeal nerve
- inferior laryngeal vessels
Laryngopharynx route air and food to the ____
esophagus and trachae
What are the 4 functions of the larynx?
- phonation
- regulate size of opening between vocal cords
- prevent foreign bodies from entering the airway
- act as a sphincter
What is the “lateral spit gutter”
piriform recess of the laryngopharynx
What is the piriform recess?
lateral spit gutters located in the laryngopharynx
The piriform recess extends laterally to the _____ (within the laryngopharynx)
thyroid cartilage
Internal laryngeal nerve descends beneath ____
mucous membrane
in laryngopharynx
Superior laryngeal vessels descend beneath ___
mucous membrane
in laryngopharynx
What nerves/vessels DESCEND beneath the mucous membrane in laryngopharynx?
internal laryngeal nerve
superior laryngeal vessels
Superior laryngeal nerve is a branch off of ____
CN 10
Recurrentl aryngeal nerve ascends beneath ____
mucous membrane
in laryngopharynx
What nerves/vessels ASCEND underneath the mucous membrane?
recurrent laryngeal nerve
Recurrent laryngeal nerve is a branch off of ___. Describe it’s course relative to subclavian artery.
Branch off of CN 10
loops under subclavian artery and ASCENDS underneath mucous membrane
Recurrent laryngeal nerve loops around ___.
subclavian artery
recurrent laryngeal nerve = branch of CN 10
Recurrent laryngeal nerve runs in what groove?
trachae-esophageal groove
When the recurrent laryngeal nerve enters the internal larynx it changes names to ___
inferior laryngeal nerve
When does recurrent laryngeal nerve change names to inferior laryngeal nerve?
when it enters the internal larynx
Inferior laryngeal vessels runs with ____
recurrent laryngeal nerve (& therefore inferior laryngeal nerve)
What are the 5 pharyngeal layers?
- mucous membrane
- submucosa
- pharyngobasilar fascia
- muscular layer
- buccopharyngeal fascia
Which layer is the “lining” for the pharynx
mucous membrane
Which pharyngeal layer is directly below the mucous membrane
submucosa
Which pharyngeal layer is directly under the submucosa
pharyngobasilar layer
Which pharyngeal layer is directly under pharygobasilar layer
muscular layer
Which pharyngeal layer is directly under the muscular layer
buccopharyngeal layer
What 2 groups of muscles are found in the muscular pharyngeal layer?
- elevator muscles
2. constrictor muscles
What are the 3 elevator muscles found in the muscular pharyngeal layer?
stylopharyngeus muscle
salpingopharyngeus muscle
palatopharyngeus muscle
The 3 elevator muscles of the muscular pharyngeal layer are all ___ oriented
longitudinally
Elevator muscles/constrictor muscles
Which are on the outside of the pharynx vs inside of the pharynx
constrictor = outside
elevator = inside
*stylopharyngeal muscle
What are the 3 constrictor muscles within the muscular pharyngeal layer?
superior pharyngeal constrictor muscle
middle pharyngeal constrictor m
inferior pharyngeal constrictor m
The buccopharyngeal fascia is found on the ____ of the pharynx
posterior extent
Pharyngeal tubercle is found where?
at the superior extent of the posterior pharynx
How far down the posterior extent of the the pharynx does the pharyngeal raphe go?
runs down ENTIRE midline of the pharynx
The superior pharyngeal constrictor muscle arises from the ____
pterygomandibular raphe
Describe where the pterygomandibular raphe is
aka pterygomandibular ligament
ligamentous band of buccopharyngeal fascia
runs from pterygoid hamulus of medial pterygoid plate to mylohyoid line of the mandible.
The pterygomandibular raphe is where the ____ arises
superior pharyngeal constrictor muscle
Superior pharyngeal constrictor muscle meets up with ___ muscle anteriorly
buccinator
The superior pharyngeal constrictor muscle is anchored to ____ superiorly
pharyngeal tubercle
Middle pharyngeal constrictor muscle arises from ____
greater horn of hyoid bone and inferior portion of stylohyoid ligament
Superior pharyngeal constrictor muscle overlaps with _____ muscle
middle pharyngeal constrictor muscle
& palatopharyngeal muscle
What passes in between superior pharyngeal constrictor muscle and middle pharyngeal constrictor muscle?
stylohyoid ligament
stylopharyngeal muscle
CN 9
Inferior pharyngeal cosntrictor muscle overlaps with ____ muscle
middle pharyngeal constrictor muscle
Inferior pharyngeal constrictor muscle arises from ___
thyroid and cricoid cartilage
What passes in between middle pharyngeal constrictor muscle and inferior pharyngeal constrictor muscle?
internal laryngeal nerve
superior laryngeal nerve
both internal laryngeal nerve and superior laryngeal nerve pass between __ and __.
they also both pierce ____ membrane
superior and middle pharyngeal constrictor muscles
both pierce the thyrohyoid membrane
What is the oropharyngeal isthmus
part of the oropharynx
behind oral cavity,
bounded by the soft palate, palatoglossal arches, and tongue.
What functions to close the oropharyngeal isthmus?
palatoglossus muscle
think: palatoglossal arch is PART of orpharyngela isthmus
What makes up the palatoglossus sphincter
Where is this sphincter?
Palatoglossus muscle
originates anterolateral to soft palate, encircles inner pharyngeal wall
Palatoglossus muscle interdigitates with _____ muscle
superior constrictor muscle
Stylopharyngeus muscle arises from ___
styloid process
Stylopharyngeus muscle passes between ____
superior and middle constrictor muscles
Stylopharyngeus muscle interdigitates with _____
inferior constrictor muscle
Salpingopharyngeal muscle arises from ___
auditory tube
Salpingopharyngeal muscle descends with fibers from ____
palatopharyngeal muscle
Salpingopharyngeal muscle is covered by ___
salpingopharyngeal fold
What are the boundaries of the oropharyngeal triangle?
mylohyoid muscle
superior constrictor muscle
middle constrictor muscle
What are the 4 components of the pharyngeal plexus?
- superior cervical ganglion
- pharyngeal branches of CN 10
- pharyngeal brnaches of CN 9
- external laryngeal branches (from CN 10)
Superior cervical ganglion supplies ___ innervation to the pharynx
sympathetic
Pharyngeal branches of CN 10 supply __ innervation tot he pharynx
motor innervation to all muscles of pharynx
except stylopharyngeus = CN 9
Pharyngeal branches of CN 9 supply ___ innervation to the pharynx
sensory innervation to “most” of the pharynx
(just oropharynx)
also supplies motor innervation to stylopharyngeus muscle
CN sensory innervation to::
Nasopharynx:
Oropharynx:
Laryngopharynx:
Nasopharynx: CN V2
Oropharynx: CN 9
Laryngopharynx: CN 10
What are the 5 arteries (& branches) supplying the PHARYNX
All ECA branches
- superior thyroid artery (br: superior laryngeal artery)
- lingual artery
- ascending pharyngeal
- facial artery (br: ascending palatine -> tonsilar br)
- maxillary artery
What are the 5 TONSILAR branch arteries?
- lingual tonsilar br
- facial tonsilar brach
- ascending pharyngeal tonsilar brach*
- maxillary -> descending pallatine tonsilar branch
- maxillary -> lesser pallatine tonsilar branch
*remmeber ascneidng pharyngeal is branch off of facial artery
Pharyngeal venous plexus surrounds __ muscle
constrictor muscles
Pharyngeal venous plexus drains into __-
IJV
Paratonsilar veins drain into ___
tonsilar bed
What are pharyngeal tonsils composed of?
Where are they?
lymph tissue on top of nasopharynx
When ___ are enlarged, they are called adenoids
pharyngeal tonsils
When pharyngeal tonsils are enlarged, what are they called?
adenoids
Adenoids constrict airway from ___
from nose to nasopharynx
Adenoids cause what symptoms?
mouth breathing
Adenoids impinge on _____ (2 things)
- torus tubarius and auditory tube orifice
2. obstruct airflow between nasopharynx and middle ear
If you accidentally swallow an object, it could get trapped in ___
piriform recess
An object trapped in piriform recess induces ___ because of what innervation?
chocking sensation because of internal laryngeal nerve and recurrent laryngeal nerve
Sharp objects caught in the piriform recess can ____
pierce piriform recess
causing infection or injury to underlying nn/vessels
What is deglutition?
swallowing