Pharynx and Pre-vertebral Flashcards
Pharynx
Shape
Upper funnel end shaped at base of skull - joins oesophagus at C6
Pharynx
Mucous membrane
Nasal, mouth, larynx, tympanic cavity
Pharynx
Ciliated columnar epithelium
Superiorly to stratified squamous inferiorly
Pharynx
Fibrous layer
Under epithelium - connects to base of skull and into submucous coat of oesophagus
Pharynx
Muscular layer
Under fibrous layer and has almost circular constrictor muscles and longitudinal muscles
Pharynx Divisions


Nasopharynx
Position

Behind nasal cavities, above soft palate

Nasopharynx
Boundaries

Roof - Sphenoid, occipital and pharyngeal tonsil
Floor - Soft palate - pharyngeal isthmus
Anterior - Nasal passages
Posterior - Roof and CI level
Lateral - Auditory/Eustacian tube, salpingopharyngeal fold

Oropharynx
Position

From soft palate to upper border of epiglottis

Oropharynx
Boundaries

Roof - soft palate
Floor - Posterior third of tongue, lingual tonsil and glossoepigottic folds
Anterior - Mouth
Posterior - C2/3 level
Lateral - Palatoglossal and palatopharyngeal folds with palatine tonsil

Palatoglossus, palatine tonsil and palatopharyngeus


Laryngopharynx
Position

Behind larynx and laryngeal opening

Laryngopharynx
Boundaries

Anterior - Larynx
Posterior - C vertebrae 3-6
Lateral - Supported by thyroid cartilage, aryepiglottic fold and thyrohyoid membrane

Superior Constrictor
Attachments

Lower part (posterior) medial pterygoid plate, hamulus, pterygomandibular ligament, mandible, side of tongue
To pharyngeal tubercle of occipital bone, fibrous raphe and middle constrictor

Superior Constrictor
Function

Upper fibres pull posterior pharyngeal wall anteriorly to close off nasopharynx
Propel food to middle constrictor.

Superior Constrictor
Innervation

Pharyngeal plexus (vagus)

Middle Constrictor
Attachments

Lower part of the stylohyoid ligament to the greater and lesser cornua of the hyoid bone
To raphe but also blend with superior and inferior constrictor

Middle Constrictor
Function

Propel food towards inferior constrictor

Middle Constrictor
Innervation

Pharyngeal plexus (vagus)

Inferior Constrictor
Attachments

Lamina of thyroid cartilage and cricoid cartilage
To raphe and blend with middle constrictor and oesophagus

Inferior Constrictor
Functon

Propels food to oesophagus

Inferior Constrictor
Innervation

Pharyngeal plexus (vagus)

Inferior Constrictor


Longitudinal Muscles - Stylopharyngeus
Attachments

Base of styloid process of temporal bone to posterior border of thyroid cartilage, across the internal carotid artery.
Passes between superior and middle constrictors.

Longitudinal Muscles - Stylopharyngeus
Function

Elevates larynx and pharynx during swallowing

Longitudinal Muscles - Stylopharyngeus
Innervation

Glossopharyngeal nerve

Longitudinal Muscles - Salpingopharyngeus
Attachments

Cartilage of auditory tube to blend with palatopharyngeus

Longitudinal Muscles - Salpingopharyngeus
Function

Elevates pharynx

Longitudinal Muscles - Salpingopharyngeus
Innervation

Pharyngeal plexus (vagus)

Longitudinal Muscles - Palatopharyngeus
Attachments

Hard palate and palatine aponeurosis to the lamina of thyroid cartilage (posterior)

Longitudinal Muscles - Palatopharyngeus
Function

Elevates pharynx

Longitudinal Muscles - Palatopharyngeus
Innervation

Pharyngeal plexus (vagus)

Posterior View


Features of Pharynx


Pharynx Arterial Supply


Pharynx Veins and Lymph


Pharynx Innervation


Pharyngeal Plexus


Pre-vertebral (anterior muscles)
Longus Colli
Longus Capitis
Rectus Capitis Anterior
Rectus Capitis Lateralis
Longus Capitis
Attachments

Transverse processes of cervial vertebrae anterior tubercles C3-6 to base of occipital bone

Longus Capitis
Function

Flexion of head

Longus Capitis
Innervation

Ventral rami cervical spinal nerves (C1-3)

Longus Colli
Attachments (3)

From atlas to T3
Inferior and superior oblique, and vertical parts
Inferior oblique: T2/3 to anterior tubercle of cervical transverse processes C5,6
Superior Oblique: Anterior tubercle C3-5 to atlantal anterior tubercle
Vertical: Anterior aspect T1-3 to C4-6

Longus Colli
Function

Flexion of neck and rotation to opposite side via inferior oblique

Longus Colli
Innervation

Ventral rami cervial spinal nerves (C2-6)

Recus Capitis Anterior and Lateralis
Attachments (2)

Anterior: From anterior surface and root of transverse process of atlas to occipital bone
Lateralis: From transverse process of atlas to occipital bone

Recus Capitis Anterior and Lateralis
Function

Anterior: Flex atlanto-occipital joint
Lateralis: Gives lateral flexion of the head (crossed by internal jugular vein)

Recus Capitis Anterior and Lateralis
Innervation

Ventral rami of cervical nerves (C1-C2 loop)

Sympathtic Ganglia

From base of skill to join to thoracic
Chain behind internal and common carotid arteries
Medial to vagus nerve
Embedded in deep fascia between carotid sheath and fascia over surface of longus capitis and longus colli
Superior, middle and inferior cervical ganglia

Superior Cervical Ganglia

Large, immediately below skill
Internal carotid nerve into carotid canal toform internal carotid plexus
Gray rami communicantes to C1-4 ventral rami
Branches to form plexus of common and external carotid arteris
Cranial nerve branches (CN IX, X, XII)
Pharyngeal branches join CN IX and CN X in pharyngeal plexus
Superior cardiac - plexus in throat

Middle Cervical Ganglion

Small, at level of cricoid cartilage
Related to loop of inferior thyroid artery
Gray rami communicantes to C5,6 ventral rami
Thyroid branches along artery to gland
Middle cardiac branch to cardiac plexus
Middle to inferior usually 2 or more nerve bundles – anterior bundle pass anterior to 1st part subclavian artery and then behind it = ansa subclavia

Inferior Cervical Ganglion

Usually fused with 1st thoracic ganglion to form stellate ganglion
Lies behind vertebral artery between transverse process of C7 and head of 1st rib
Grey rami communicantes to ventral rami of C7,8
Arterial branches to subclavian and vertebral arteries
Inferior cardiac branch to cardiac plexus
