Pharynx and Esophagus Flashcards
Skull base to the soft palate
Nasopharynx
Soft palate to the hyoid bone
Oropharynx
Hyoid bone to cricophrayngeus muscle
Hypopharynx
Anterior boundary of the oropharynx
Base of the tongue
Contains the taste buds
Circumvallate papillae
Separate the larynx from the orophraynx and hypopharynx
Epiglottis and aryepiglottic folds
Extension of esophagus
From the cricopharyngeus muscle (C5-C6) to the GEJ (T11)
Length of esophagus
25cm
Muscle group of esophagus
IC-OL lined by stratified squamous epi
Extrinsic inpressions on the esophagus
Aortic arch
Left mainstem bronchus
Left atrium
Normal thickness of the wall of the esophagus in CT and MRI
2-4mm
Saccular termination of the esophagus
Esophageal Vestibule
Tubulovestibular junction
SYMMETRICAL
A ring
ASYMMETRICAL ring in the junction of esophaeal squamous and gastric columnar
B ring
Squamocolumnar junction
Z line
Radiographic markers of the GEJ
B ring and Z line
LES length
2-4 cm, physiologic structure
Composed of rapid wave of inhibition that opens the sphincters followed by a slow wave of contraction that moves the bolus
Primary peristalsis
Initiated by distension of the esophageal lumen
Secondary peristalsis
Non productive contractions associated with motility disorders
Tertiary wave