Pharynx/Larynx Flashcards
pharynx extends from:
cranial base to C6
lateral attachments of pharynx
part 1 at posterior edge of medial ptergyoid plate, part 2 at inferior portion of stylohyoid ligament, and part 3 at thyroid cartilage
buccopharyngeal fascia
thin layer surrounding outside of pharynx and is a component of pretracheal fascia
pharyngobasilar fascia
much thicker layer lining internal surface and found between cranial base and superior constrictor muscle
constrictor muscle innervation:
vagus
palatopharyngeal sphincter
special band of muscle blending with superior constrictor fibers
cricopharyngeus
part of inferior constrictor muscle
longitudinal muscle innervation:
vagus nerve except for sylopharyngeus which is by glossopharyngeal nerve
valleculae
pair of mucosal pouches in laryngopharynx between median and lateral glossopepiglottic folds
arterial supply to upper pharynx:
branches of ECA: ascending pharyngeal, ascending palatine and tonsillar branches of facial, and numerous branches of lingual and maxillary
arterial supply to lower pharynx:
pharyngeal branches from inferior thyroid artery of thyrocervical trunk from subclavian artery
venous drainage of pharynx:
superiorly to pterygoid plexus or inferiorly to facial and internal jugular veins
lymph drainage of pharynx
to deep cervical nodes
tonsils drain to:
deep cervical nodes, primarily the jugulodigastric nodes
what nerve is vulnerable to injury during tonsillectomy?
glossopharyngeal nerve
adenoiditis
inflammation of pharyngeal tonsils
otitis media
infection of middle ear caused by spread of adenoiditis
pharyngeal plexus
formed by branches of vagus and glossopharyngeal nerves; privides motor and most sensory to the pharynx
pharyngeal branch of vagus nerve:
motor to pharynx and sensory to laryngopharynx
glossopharyngeal nerve:
motor to stylopharyngus and sensory to oropharynx
sensory to nasopharynx from:
pharyngeal branch of maxillary nerve
larynx is in anterior neck at vertebral level:
C3-C6
unpaired laryngeal cartilages:
cricoid, thryoid, and epiglottis
epiglottis
prevents food from entering trachea during swallowing
thyroid cartilage
2 broad lamina jointed by laryngeal prominence; superior and inferior thyroid notch and cornua
cricoid cartilage
most inferior, completely encircles airway
paired laryngeal cartilages:
arytenoid, corniculate, and cuneiform
arytenoid cartilages
pyramid-shaped; muscular and vocal process
extrinsic laryngeal ligaments
thyrohyoid membrane, hyo-epiglottic membrane, and cricotracheal ligament
intrinsic laryngeal ligaments
fibro-elastic memrbane, quadrangular membrane, and conus elasticus
true vocal cord
conus elasticus
false vocal cord
quadrangular membrane
cricothyroid joint allows:
thyroid cartilage to move forward and tilt downward, lengthening and putting tension on vocal ligaments
crico-arytenoid joint allows:
abduction and adduction of vocal ligaments for vocal processes
vestibule of laryngeal cavity
upper chamber between laryngeal inlet and vestibular folds
middle part of laryngeal cavity
between vestibular and vocal folds
infraglottic space of laryngeal cavity:
inferior chamber located between vocal folds and cricotracheal ligament
rima vestibuli
opening between vestibular folds with little to no role in voice production; protective role
rima glottidis
inferior to rima vestibuli; separates middle from infraepiglottic space; formed by vocal folds and arytenoid cartilages
intrinsic laryngeal muscles are innervated by:
recurrent laryngeal nerve except for cricothyroid which is by external laryngeal nerve (vagus)
cricothyroid action
stretch and tenses vocal ligament to increase pitch of voice
posterior crico-arytenoid function
opens vocal folds
lateral crico-arytenoid function
closes vocal folds
transverse arytenoid action
closes inlet and vocal folds
oblique arytenoid action
closes inlet
thyro-arytenoid action
closes inlet and relaxes vocal ligaments decreasing pitch of voice
vocalis action
adjusts tension in vocal folds
what muscles tighten vocal folds:
cricothyroid and vocalis
what muscles adduct the vocal folds
thyroarytenoid and transverse arytenoid
what muscles abduct vocal folds
posterior cricoarytenoid
what muscles adduct vocal folds
lateral cricoarytenoid
superior laryngeal artery
branch from superior thyroid artery; pierces thyrohyoid membrane and supplies larynx above vocal folds
inferior laryngeal artery
branch from inferior thyroid branch of thyrocervical trunk; runs with recurrent laryngeal nerve and supplies larynx below vocal folds
superior laryngeal vein drains into:
superior thyroid vein then IJV
inferior laryngeal vein drains into:
inferior thyroid vein then left brachiocephalic vein
internal laryngeal nerve
sensory above vocal folds
external laryngeal nerve
motor to cricothyroid
inferior laryngeal nerve
sensory below vocal folds and motor to all intrinsic muscles except cricothyroid