PHARYNX / LARYNX Flashcards
WHAT ARE THE 3 DIVISIONS OF THE PHARYNX
nasopharynx
oropharynx
laryngopharynx
WHAT ARE THE BOUNDARIES OF THE NASOPHARYNX
extends from posterior border of nasal septum to the soft palate
WHAT EPITHELIUM IS THE NASOPHARYNX LINED WITH
respiratory epithelium - ciliated columnar
WHAT ORIFICE IS CONTAINED WITHIN THE NASOPHARYNX
orifice of pharyngotympanic tube - opening to middle ear
WHAT ARE THE BOUNDARIES OF THE OROPHARYNX
soft palate to superior border of epiglottis
WHAT EPITHELIUM IS THE OROPHARYNX LINES WITH
same as oral cavity - stratified squamous
VALLECULA
small recess between posterior 1/3 of tongue and epiglottis - small bits of food/ fishbones may get trapped here
BOUNDARIES OF THE LARYNGOPHARYNX
superior border of epiglottis to inferior border of cricoid cartilage
HOW DOES THE LARYNGOPHARYNX AND LARYNX COMMUNICATE
laryngeal inlet
WHAT ARE THE 4 PAIRS OF TONSILS AND WHERE ARE THEY FOUND
pharyngeal tonsils - nasopharynx
tubal tonsils - nasopharynx
palatine tonsils - fauces/ oropharynx
lingual tonsils - posterior 1/3 of tongue
WHAT IS THE INTERIOR OF THE PHARYNX LINES WITH
Stiff fascia known as pharyngobasilar fascia
WHERE ARE THE PHARYNGEAL CONSTRICTORS FOUND
found wrapping around pharynx, all (superior, middle and inferior) are bilateral and meet at the posterior of pharynx at the pharyngeal raphe
WHAT INNERVATES THE PHARYNGEAL CONSTRICTORS
CN X via pharyngeal plexus
CRICOPHARYNGEUS
sphincter found on inferior pharyngeal constrictor around the upper oesophagus - prevents air entering stomach during inhalation
WHAT IS THE FUNCTION OF THE PHARYNGEAL ELEVATORS
elevate the pharynx and larynx
palatopharyngeus also draws the soft palate downwards
WHAT ARE THE PHARYNGEAL ELEVATORS
palatopharyngeus, stylopharyngeus and salpingopharyngeus
ATTACHMENT AND INSERTION (ROUGH) OF PHARYNGEAL ELEVATORS
descend from skull and fan out into inner surface of pharynx
WHAT ARE THE 3 PHASES OF DEGLUTITION
oral, pharyngeal and oesophageal
ORAL PHASE OF DEGLUTITION
food chewed, bolus formed, tongue pushes bolus to oropharynx
PHARYNGEAL PHASE OF DEGLUTITION
soft palate elevates closing nasopharynx , pharyngeal elevators elevate pharynx to recieve bolus, pharyngeal constrictors contract sequentially to push bolus towards oesophagus
epiglottis closes laryngeal inlet
OESOPHAGEAL PHASE OF DEGLUTITION
inferior pharyngeal constrictor contraction sees opening of cricopharyngeus sphincter allowing bolus to enter oesophagus
FUNCTION OF LARYNX
organ of phonation
protective sphincter preventing foreign bodies entering trachea
allows air passage in and out of trachea
HOW MANY CARTILAGES MAKE UP THE LARYNGEAL SKELETON AND WHAT ARE THEY
epiglottis
thyroid
cricoid
arytenoids (2)
cuneform (2)
corniculate (2)
LARYNGEAL PROMINENCE
found on anterior surface of thyroid cartilage (Adam’s apple) where plates fuse in midline
SUPERIOR THYROID NOTCH
v shaped depression on antero-superior thyroid cartilage
CRICOTRACHEAL LIGAMENT
connects cricoid cartilage and 1st tracheal ring
THYROHYOID MEMBRANE
extrinsic
attaches hyoid to superior horn and border of thyroid cartilage
anteriorly and posteriorly the thyrohyoid membrane is thickened as the median and lateral thyrohyoid ligament s
WHAT DO THE SUPERIOR AND INFERIOR HORNS OF THYROID CARTILAGE INTERACT WITH
superior horn - attachment point for thyrohyoid membrane
inferior horn articulated with cricoid cartilage
WHAT TYPE OF CARTILAGE IS THE LARYNX CARTILAGE
epiglottis = elastic , everything else = hyaline
WHAT ARE THE 2 INTRINSIC LIGAMENTS OF THE LARYNX
quadrangular membrane and cricothyroid ligament
QUADRANGULAR MEMBRANE
runs from arytenoid cartilages to thyroid cartilage to epiglottis
free inferior margin = vestibular ligament and fold
free superior margin = aryepiglottic ligament and fold
CRICOTHYROID LIGAMENT
runs from cricoid to arytenoid to thyroid cartilage
superior free edges form vocal ligaments and folds
thickened anteriorly as median cricothyroid ligament
WHERE ARE THE ARYTENOID CARTILAGES FOUND
sit on top of cricoid cartilage
SHAPE OF ARYTENOID CARTILAGES
3 sided pyramids
apex - has articular facet for corniculate cartilage
anterior vocal process - attachment point for posterior vocal ligament
muscular process - muscle attachments
ARY-EPIGLOTTIC FOLD
formed by the superior free border of the quadrangular membrane
continuous with epiglottis and forms lateral and posterior sides of laryngeal inlet
RIMA GLOTTIS
space between vocal folds
VOCAL FOLDS
formed from superior free edge of cricothyroid ligament
control sound production from larynx
WHAT MUSCLES OPEN RIMA GLOTTIS
posterior cricoarytenoid muscle does abduction of vocal folds
WHAT MUSCLES CLOSE RIMA GLOTTIS
adduction is by transverse arytenoid muscle
WHAT EFFECT DOES ALTERING THE TENSION OF THE VOCAL FOLDS HAVE
alters pitch of voice
HOW IS A HIGHER PITCH OF VOICE ACHIEVED
higher pitch = increased tension of vocal folds = lengthened vocal folds
lengthening of vocal folds done by tensors - cricothyroid muscles
HOW IS A LOWER PITCH OF VOICE ACHIEVED
lower pitch = decreased tension on vocal folds = shortened vocal folds
caused by relaxor muscles - thyroarytenoids
WHAT MUSCLE CLOSES THE LARYNGEAL INLET
oblique arytenoid (X) shape
WHAT SUPPLIES THE INTRINSIC MUSCLES OF THE LARYNX AND WHAT ARE THEY
all supplied by recurrent laryngeal nerve except cricothyroid which is supplied by external branch of superior laryngeal nerve (both branches of CN X)
oblique arytenoid - closes laryngeal inlet
transverse arytenoid - closes rima glotis
posterior cricoarytenoid - opens rima glotis
cricothyroids - increase vocal fold tension
thyroarytenoids - decrease vocal fold tension
WHAT GIVES SENSORY INNERVATION TO THE LARYNX
Superior larynx (above vocal folds) = internal branch of superior laryngeal
inferior larynx (below vocal folds) = recurrent laryngeal nerve
both are branches of CN X