Special senses: Pharynx & Larynx Flashcards
Portion of the pharynx lie posterior to nasal cavity
Nasopharynx
Fibromuscular tube. Extends from the base of skull to the lower border of the cricoid cartilage (at which point it becomes esophagus) Behind nasal cavity cavities, mouth & larynx. Funnel-shaped. Musculo membranous wall.
Pharynx
Portion of the pharynx lie posterior to oral cavity
Oropharynx
Portion of the pharynx lie posterior to larynx
Laryngopharynx
Continuous with nasal cavity, mouth, larynx and tympanic cavity.
Mucous membrane
LE of upper mucous membrane
Ciliated columnar
LE of lower mucous membrane
Stratified squamous
Thicker, stronger & connected to base of skull.
Fibrous layer above
Continuous with submucous coat of esophagus.
Fibrous layer below
The muscular wall of the pharynx are comprised of an outer layer made up to 3 circularly disposed muscles known as
Constrictors
Contract and pull post pharyngeal wall forward during swallowing aid soft plate in closing off nasopharynx. Origin is at medial pterygoid plate, pterygoid hamulus, pterygomandibular ligament & mylohyoid bone. Insertion at upper is pharyngeal tubercle and at lower is median fibrous raphe.
Superior Constrictor Muscle
Superior Constrictor Muscle nerve supply
Pharyngeal plexus
Origin is at stylohyoid ligament lesser and greater cornua of hyoid. Insertion at median raphe.
Middle Constrictor Muscle
Roof is at soft palate & pharyngeal isthmus. Floor is at posterior 1/3 tongue and epiglottis, lingual tonsil, median glossoepiglottic fold, 2 lateral glossoepiglottic fold vallecula.
Oropharynx
Anterior wall of the oropharynx
Mouth & tongue
Posterior wall of oropharynx
C2 & C3
Lateral wall of the oropharynx
Palatoglossal, Palatopharyngeal arches/folds and Palatine tonsil “P3”
Upper epiglottis and cricoid. Pyriform fossa.
Laryngopharynx
Anterior to laryngopharynx
Inlet of pharynx
Posterior to Laryngopharynx
C3-C6
Lateral to laryngopharynx
Thyroid cartilage
Nerve supply of Pharynx
Pharyngeal plexus CN 9 & 10
Motor innervation of pharynx
CN 10 & 11
Sensory innervation of pharynx
Maxillary nerve CN 9 & 10
Arterial supply of the Pharynx
Facial, Lingual, Ascending pharyngeal, Maxillary & Ascending palatine “FLAMA”
Venous supply of the pharynx
Pharyngeal venous plexus & IJV
Lymphatic supply of the Pharynx
Deep cervical/Paratracheal
For swallowing, successive contraction of the superior, middle and inferior constrictor muscles. Helps to propel the bolus of food down i to the esophagus.
Pharyngeal muscle
Contracts and propels food bolus down into esophagus.
Middle Constrictor Muscle
Nerve supply of the Middle Constrictor Muscle
Pharyngeal plexus
Propel bolus of food into esophagus cricopharyngeus muscle to sphincteric effect. Origin is thyroid cartilage & cricoid cartilage. Insertion of superior fibers is at MCM & lower fibers to esophagus median fibrous raphe.
Inferior Constrictor Muscle
Nerve supply of the Inferior Constrictor Muscle
Pharyngeal plexus
Elevate larynx and pharynx during swallowing. Origin is styloid process and temporal bone. Insertion is between SCM & MCM.
Stylopharyngeus muscle
Nerve supply of Stylopharyngeus muscle
Glossopharyngeal nerve
Assists in elevating pharynx. Origin is at lower part, auditory tube. Insertion blends with palatopharyngeus.
Salpingopharyngeus muscle
Nerve supply of Salpingopharyngeus muscle
Pharyngeal plexus
Takes origin from the soft palate and runs down the length of the pharynx. Intermingling with fibers of the stylopharyngeus below the inferior border of the superior constrictor.
Palatopharyngeus
Roof is the body of sphenoid, pharyngeal tonsil & basilar part of occipital bone. Floor is at soft palate & pharyngeal isthmus. Anterior is post nasal apertures, posterior is anterior arch of atlas. Lateral is auditory tube, tubal elevation, salpingo fold and tubal tonsil.
Nasopharynx
Pharyngeal muscle action: contraction of the ________________ of the pharynx helps to raise the pharynx, effectively aiding it in engulfing the bolus of food.
3 longitudinal muscle
Pharyngeal muscle action: In swallowing, the lowest fiber of the _________ are thought to act as a sphincter, guarding the entrance to the esophagus and preventing the entry of air into the digestive system.
Inferior constrictor
Motor innervation of the muscles of the Pharynx & Larynx
Accessory nerve (CN XI)
Exception to CN XI motor innervation because this is innervated by the Glossopharyngeal muscle (CN IX). The only muscle innervated by this nerve.
Stylopharyngeus muscle
Sensory innervation of the Pharynx
Glossopharyngeal nerve
Parasympathetic innervation of the Pharynx
Vagus nerve
The pharynx contains a _____ of specialized lymphatic tissue designed to prevent the entry of pathogens into the GI & Respi tract.
Ring
Specialized lymphatic tissue that is organized in three groups.
Tonsil
Special lymphatic tissue the is located in the nasal pharynx
Nasopharyngeal tonsils (adenoids)
Special lymphatic tissue the is located in between the palatoglossal and palatopharyngeal folds in the oral pharynx
Palatine tonsil
Special lymphatic tissue the is located on the posterior surface of the tongue
Lingual tonsil
Apparatus made up of cartilage, ligaments, muscle & mucous membrane which guards the entrance to the lower respiratory passages and houses the vocal cords. For protection, respiration & phonation.
Larynx
Consists of epiglottis, AE folds, arytenoids and FVCs.
Supraglottis
Consists of TVCs, ant & post commissure.
Glottis
Consists of lower limit of glottis to lower margin of cricoid.
Subglottis
Laryngeal membranes: between arytenoids & epiglottis. Upper is AE folds & Lower is Vestibular fold.
Quadrangular membrane
Laryngeal membranes: between thyroid & cricoid & arytenoid. Upper is vocal ligament.
Conus Elasticus
Role in localization of laryngeal pathologies. Upper & lower parts of epiglottis, between superior surface of vocal fold & ventricle, between inferior face of vocal fold & lower larynx & lower trachea. Fragile in nature.
Laryngeal mucosa
Nonvibratory mass complex
Vocalis muscle
Regulation of vocal cord tension is accomplished primarily by pivoting the _________ forward or backward at the _________.
Thyroid cartilage. Cricothyroid joint.
Vocal cords on each side are covered with a __________, so that when they are abducted, relatively little air can pass either between them or around them.
Mucous membrane
Innervated by recurrent laryngeal nerve, thyroartenoid vocalis, posterior cricoarytenoid, lateral cricoarytenoid and intearytenoid. Innervated by superior laryngeal nerve cricothyroid.
Intrinsic muscle
Muscles of the Quadrangular membrane
Thyroarytenoid, Aryepiglottic & Thyroepiglottic “TAT”
Muscles of Conus Elasticus & Arytenoid
Posterior cricoarytenoid, Arytenoid & Lateral cricoarytenoid “PAL”
Muscles primarily responsible for regulating the tension of the vocal cords.
Cricothyroid muscle
Lie parallel and inferior to the vocal cords control fine adjustment of vocal cord tension.
Small Vocales muscle
Is the only abductor of the vocal cords
Posterior Cricoarytenoid
Major abductors of the vocal cords are
Lateral cricoarytenoid, Arytenoideus muscles & Thyroarytenoid “LAT”
The muscles which are mainly responsible for the closing of the vestibule
Thyroepiglotticus, Aryepiglotticus & Thyroarytenoid