Pharynx & Larynx Lab Flashcards
What fascia lies in between the
pharyngeal muscles & the pharyngeal mucosa
pharyngobasilar fascia
the superior pharyngeal
constrictor only attaches to the skull base at the _________ in the midline
pharyngeal tubercle
the pharyngobasilar fascia has a wider attachment along
the
skull base
The sympathetic trunk runs from the ______ to the _______
skull base ; coccyx
the sympathetic trunk travels medial to CN ____
X
Enlargement variably located between the C1 – C5 vertebral levels
Superior cervical ganglion
Branches directly from CN X just inferior to the jugular foramen
pharyngeal nerve of CN X
The pharyngeal nerve of CN X travels in between the ________ and __________ arteries
internal carotid ; external carotid
the pharyngeal nerve of CN X travels to reach the ________ to supply almost all of the _________ muscles except the ____________ muscle
pharynx ; pharyngeal ; stylopharyngeus
CN _____ travels directly on the stylopharyngeus muscle and supplies it
IX
what muscle courses from the styloid process toward the gap
in between the superior & middle pharyngeal constrictor muscles
Stylopharyngeus muscle
CN IX travels on the posterior aspect of the __________ muscle to merge into the ____________ plexus
stylopharyngeus ; pharyngeal
The common carotid artery is ________ to the internal jugular vein
medial
Internal carotid artery = ____ branches in the neck
no
External carotid artery = ____ branches in the neck
has
The internal jugular vein lies _______ to the common carotid artery
lateral
CN X lies between the ________ vein and ________ artery
IJV ; common carotid artery
The superior laryngeal nerve branches directly from CN
X
The superior laryngeal nerve travels posterior to the ______ & _______ arteries
internal and external carotid arteries
The superior laryngeal nerve divides into the ____ & _____ nerves
internal & external laryngeal nerves
The internal laryngeal nerve travels superior to the ________ nerve
external laryngeal
The internal laryngeal nerve pierces the __________ to travel along the mucosa of the ______
thyrohyoid membrane ; piriform recess
The internal laryngeal nerve supplies _____ from
vestibule of the _____
sensory ; larynx
The external laryngeal nerve travels inferior to the ________ nerve
internal laryngeal
The external laryngeal nerve supplies the _______ muscle
cricothyroid
CN XII lies ____ to CN X
lateral
CN XII only descends to the level of the _____ & then curves anteriorly to travel through the
________
tongue ; carotid triangle
CN XI exits through the
jugular foramen
CN XI travels _____ to the internal jugular vein
lateral
CN XI pierces the ________ muscle
SCM
“doorway” between the nasal cavities and the nasopharynx
Choana
opening in the nasopharynx superior to the soft palate
opening of auditory tube
medial blunt end of the cartilaginous portion of the auditory tube covered by mucosa
torus tubarius
the torus tubarius lies posterosuperior to the opening of the _________
auditory tube
extends inferiorly from the posterior aspect of the torus tubarius blending with the pharyngeal wall
salpingopharyngeal fold
space located posterosuperior to the torus tubarius
pharyngeal recess
located in the mucous membrane of the roof and posterior wall of the nasopharynx
pharyngeal tonsil
the pharyngeal tonsil lies posterosuperior to the
torus tubarius
small mucosal-lined depression on either side of
the laryngeal inlet
piriform recess
the piriform recess is bounded
_____ by the aryepiglottic golds, ______ by thyroid cartilage & thyrohyoid membrane
medially ; laterally
What membrane extends between the hyoid bone & the superior border of the thyroid
cartilage
thyrohyoid membrane
fusion of the inferior 2/3rd of the two sides of the thyroid cartilage in the midline
Laryngeal prominence
What becomes more pronounced under the influence of testosterone
Laryngeal prominence
What membrane spans the gap between the inferior margin of the thyroid cartilage and the superior border of the arch of the cricoid cartilage
cricothyroid membrane
the cricoid cartilage is the only complete ring of the airway - this is the anterior, less vertical component
arch of cricoid cartilage
What muscle courses from the anterolateral cricoid cartilage to the inferior margin &
horn of the thyroid cartilage
cricothyroid muscle
The cricothyroid muscle stretches & tenses the
vocal ligament
The cricothyroid muscle is innervated by the ________ nerve
external laryngeal nerve
What nerve pierces the thyrohyoid membrane and enters the lateral aspect of the piriform recess
internal laryngeal nerve
The internal laryngeal nerve supplies ______ fibers to the ______ vestibule
sensory ; laryngeal
The ______ nerve is a continuation (name change) of
the recurrent laryngeal nerve at the inferior border of the
inferior pharyngeal constrictor
inferior laryngeal nerve
The inferior laryngeal nerve travels _____ to the thyroid cartilage along the lateral aspect of the posterior crico-arytenoid ascending to the piriform recess
medial
The inferior laryngeal nerve supplies ______ fibers to the ______ cavity
sensory ; infraglottic
The inferior laryngeal nerve supplies ______ fibers to all the ______ muscles of the _____ except the ______ muscle
motor ; intrinsic ; larynx ; cricothyroid
The posterior, more vertical, component of the cricoid cartilage that lies inferior to the arytenoid cartilages
Lamina of cricoid cartilage
leaf-shaped cartilage placed posterior to the root of the tongue & the hyoid bone and
anterior to the laryngeal inlet
epiglottis
largest of the laryngeal cartilages forming an anterior shield of the larynx
thyroid cartilage
What cartilage lies inferior to the epiglottis & thyrohyoid
membrane and superior to the arch of the cricoid cartilage
thyroid cartilage
What cartilage = paired, pyramidal cartilages that articulate with the superior border of the lamina of the cricoid cartilage
Arytenoid cartilage
The vocal process of arytenoid cartilage extends _______ and provides the posterior attachment of the _____ ligament
anteriorly ; vocal
The muscular process of what cartilage extends laterally and permits attachments of the
arytenoid, posterior crico-arytenoid, and lateral
crico-arytenoid muscles
arytenoid cartilage
What muscle courses from the posterior surface of the lamina of the cricoid cartilage to the muscular process of the arytenoid cartilage
Posterior crico-arytenoid muscle
What muscle is the only abductor of the vocal fold
Posterior crico-arytenoid muscle
The posterior crico-arytenoid muscle is innervated by the _________ nerve
inferior laryngeal
What muscle courses from one
arytenoid cartilage to the other one
Arytenoid muscle
What muscle is an adductor
of the vocal fold
Arytenoid muscle
The arytenoid muscle is innervated by the_________ nerve
inferior laryngeal
lies in between the laryngeal inlet and the vestibular folds
vestibule
lies in between the vestibular and vocal folds
ventricle
inferior aspect of the larynx in between the vocal folds and the inferior border of the cricoid cartilage
infraglottic cavity
the ________ fold lies superior to the vocal fold
vestibular
the vestibular fold serves a ________ function
protective
What fold lies inferior to the vestibular fold and extends between the vocal process of the arytenoid cartilage and the thyroid cartilage
vocal fold
what produces audible vibrations when the two vocal folds are close together during phonation
vocal fold
The __________ fascia is the most superficial layer of the pharyngeal wall
buccopharyngeal
The pharyngeal constrictors contract ________ so that contraction takes place sequentially from the
_______ to the ________ end of the pharynx, propelling
food into the esophagus
involuntarily ; superior ; inferior
What are the 3 pharyngeal constrictor muscles and what do they all attach in the midline to?
superior, middle, inferior ; pharyngeal raphe
The upper edge of the superior pharyngeal constrictor muscle is separated from the skull base by a gap filled by ________ fascia
pharyngobasilar
the _______ of the pharyngeal wall is the most deep layer
mucosa
The pharyngeal plexus of nerves that is formed by pharyngeal branches of the vagus (motor) and glossopharyngeal nerves (sensory) and by sympathetic branches from the ________
superior cervical ganglion
The motor limb of the gag reflex is carried by the ____________
pharyngeal branch of CN X
The stylopharyngeus muscle makes up the __________ muscles
internal longitudinal muscles
The _______ muscle lies between superior and middle constrictors
stylopharyngeus
CN _____ acts as the sensory limb of the gag reflex
IX
The __________ muscles helps to elevate the hyoid and larynx
stylopharyngeus
The _______ is supplied by CN IX (gag/swallow reflexes)
Oropharynx
The _________ is supplied by CN X (internal laryngeal nerve)
laryngopharynx
The superior laryngeal
nerve arises in the carotid
triangle and divides into what sensory nerve
internal laryngeal nerve
The superior laryngeal
nerve arises in the carotid
triangle and divides into what motor nerve
external laryngeal nerve
The ___________ nerve pierces the thyrohyoid membrane supplying sensation to larynx above true vocal folds
internal laryngeal
The __________ nerve supplies the cricothyroid muscle
external laryngeal
Paralysis of the________ nerve causes anesthesia of the superior laryngeal mucosa
superior laryngeal
Injury to the _____________ nerve results in a voice that is monotonous in character because the paralyzed cricothyroid muscle supplied by it is unable to vary the length and tension of the vocal fold
external branch of the superior laryngeal
The nasopharynx has a _______ function
respiratory
The auditory tube functions to equalize air pressure between the _________ and the atmosphere
middle ear
Cartilaginous elevation created by and arching superior to the auditory tube
torus tubarius
Lymphoid tissue on the mucosa of the torus tubarius
tubal tonsil
The internal laryngeal nerve is between the ______ and ________ constrictors
middle and inferior
the __________ nerve is the primary motor nerve of the larynx
inferior laryngeal
paralysis of the vocal fold results when injury to __________ nerve occurs
inferior laryngeal
what is the true vocal fold
vocal fold
what is the false vocal fold
vestibular fold