Pharynx And Pre-Vertebral Region Flashcards
Pharynx at the base of the skull
Funnel shaped
Where does the pharynx join the oesophagus
C6
What does the mucous membrane cover
Nasal, oral, larynx and tympanic cavities
What is the pharynx lined by
Ciliated columnar epithelium
What does the epithelium of the pharynx connect it to
The base of the skull and submucosal coat of the oesophagus
Muscles under the fibrous layer of the pharynx
Almost circular constrictor muscles and longitudinal muscles
What are the three divisions of the pharynx
Nasopharynx, oropharynx and laryngopharynx
Where is the nasopharynx
Behind the nasal cavities, above the soft palate
Roof of the nasopharynx
Sphenoid, occipital and pharyngeal tonsil
Floor of the nasopharynx
Soft palate and pharyngeal isthmus
Anterior boundary of the nasopharynx
Nasal passage
Posterior boundaey of the nasopharynx
Roof and level of C1
Lateral boundary of nasopharynx
Auditory tube and salpingopharyngeal folds
Where does the oropharynx run from/to
The soft palate to the upper border of the epiglottis
Roof of the oropharynx
Soft palate
Anterior boundary of the oropharynx
Mouth
Posterior boundary of oropharynx
C3-C6
What supports the lateral boundary of the oropharynx
Thyroid cartilage, aryepiglotic fold and thyroid membrane
Attachment of the superior constrictor
Lower part of the medial pytergoid plate, ptyergomandibular ligament, mandible and side of the tongue
Insertion of the superior constrictor
Pharyngeal tubercle of the occipital bone, fibrous raphe and middle constrictor
Function of the upper fibres of the superior constrictor
Pull the posterior pharyngeal wall anteriorly to close off the nasopharyx
Propels food into the middle costrictor
Innervation of the superior constrictor
Pharyngeal plexus (Vagus)
Attachment of the middle constrictor
The lower part of the stylohyoid ligament
Insertion of the middle constrictor
Greater and lesser cornua of the hyoid bone
What does the middle constrictor blend with
The superior and inferior constrictors
Function of the middle constrictor
It propels food towards the inferior constrictor
Innervation of the middle constrictor
Pharyngeal plexus (Vagus)
Attachment of the inferior constrictor
Lamina of the thyroid cartilage and cricoid cartilage
Insertion of the inferior constrictor
Raphe and blends with the middle constrictor and oesophagus
Function of the inferior constrictor
Propel food into the oesophagus
Innervation of the inferior constrictor
Pharyngeal plexus (Vagus)
What can the inferior constrictor be split into
Thyropharyngeus and cricopharyngeus
What are thyropahryngeus and cricopharyngeus innervated by
External laryngeal nerves
What are the longitudinal muscles
Stylopharyngeus, salpingopharyngeus and palatopharngeus
Attachment of stylopharyngeus
Base of the styloid process of the temporal bone
Insertion of stylopharyngeus
The posterior border of the thyroid cartilage
Function of stylopharyngeus
Elevates the larynx and pahrynx during swallowing
Innervation of stylopharyngeus
Glossopharyngeal nerve
Attachment of salpingopharyngeus
Cartilage of the auditory tube and then blends with palatopharyngeus
Function of stylopharyngeus
Elevates the pharynx
Innervation of salpingopharyngeus
Pharyngeal plexus (Vagus)
Attachment of palatopharyngeus
The hard palate and the palatine aponeurosis
Insertion of plataopharyngeus
Lamina of the thyroid cartilage
Function of the palatopharyngeus
Elevates the pharynx
Innervation of palatopharyngeus
Pharyngeal plexus (Vagus)
Supply of the pharynx
Pharyngeal branches from the maxillary artery and the ascending pharyngeal artery
What drains the pharynx
The pharyngeal veins
What is the pharyngeal plexus composed of
Glossopharyngeal, vagus and sympathetic fibres
What are the pre-vertebral muscles
Longus colli, longus capitis, rectus capitis anterior and rectus capitis lateralis
Where are other pre-vertebral structures located
In between the muscular sheath covering longus colli and longus capitis and the carotid sheath
Attachment of longus capitis
Transverse processes of the anterior tubercle of cervical vertebrae C3-C6
Insertion of longus capitis
Base of the occipital bone
What is longus capitis involved in
Flexion of the head
Innervation of longus capitis
Ventral rami from the cervical spinal nerve C1-C3
Parts of longus colli
Superior oblique, inferior oblique and vertical
Attachment of longus colli
Superior oblique - anterior tubercles of C3-C5
Inferior oblique - T2/T3
Vertical - anterior aspect of T1-T3
Insertion of longus colli
Superior oblique - atlantal anterior tubercle
Inferior oblique - anterior tubercles on the transverse processes of C5/6
Vertical - C4-C6
Function of longus colli
Flexion of the neck and rotation to opposite side via the inferior oblique
Innervation of longus colli
Ventral rami of the spinal nerves C2-C6
Attachment of rectus capitis anterior
Anterior surface and root of transverse processes of atlas
Insertion of rectus capitis anterior
Occipital bone
Function of rectus capitis anterior
Anterior flexion of the atlanto-occipital joint
Attachment of rectus capitis lateralis
Transverse process of atlas
Insertion of rectus capitis lateralis
Occipital bone
Function of rectus capitis lateralis
Lateral flexion of the head
Where does the sympathetic ganglia run from/to
The base of the skull to join the thoracic chain
What is the sympathetic ganglia embedded in
Deep fascia between the carotid sheath and fascia over the surface of longus capitis and longus colli
What is the sympathetic ganglia composed of
Superior, middle and inferior cervical ganglia
Where does the superior cervical ganglia run from/to
Internal carotid nerve to the carotid canal
What does the superior cervical sympathetic ganglia form
Internal carotid plexus
What is the superior cervical sympathetic ganglia composed of
Grey rami communicants to C1-C4 ventral rami
What do the branches of the superior cervical ganglia form
Plexuses of the common and external carotid arteries
What are the cranial branches within the superior cervical ganglia
CN XI, X and XII
Where do the pharyngeal branches join CN IX and CN X
The pharyngeal plexus
Where is the middle cervical ganglion
At the level of the cricoid cartilage
What is the middle cervical ganglion composed of
Grey rami communicants to C5,6 ventral rammi
What is usually in either the middle or inferior cervical ganglia
Two or more nerve bundles
What does the anterior nerve bundle form
Ansa subclavia
What does the inferior cervical ganglion fuse with and what does it form
The 1st thoracic ganglion
Stellate ganglion
what is the inferior cervical ganglion composed of
Grey rami communicants to ventral rami of C7,8