The pharynx and palate Flashcards

1
Q

What is the pharynx?

A

Fibromuscular tube which extends from base of skull to oesophagus. Has a common entrance for respiratory and alimentary tracts
Naso->oro->laryngopharynx

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2
Q

What are the 5 layers of the pharyngeal wall?

A

Mucosa, submucosa, fibrous CT (pharyngobasilar fascia muscularis w/ inner longitudinal and outer circular), thin areolar layer

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3
Q

What is found in the posterior and lateral walls of the pharynx?

A

Paired superior, middle and inferior constrictor muscles that overlap eachother. Forms the outer circular layer of pharynx

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4
Q

What forms the inner longitudinal layer of the pharynx?

A

Stylopharyngeus, palatopharyngeus, salpingopharyngeus

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5
Q

What innervates the constrictors of the pharynx?

A

Vagus nerve

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6
Q

What cranial nerves are found between the internal carotid artery and the internal jugular vein in the neck?

A

CNIX, X, XI, XII

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7
Q

What structures does the glossopharngeal nerve supply in the neck?

A

After passing through the pharyngeal plexus it supplies the tonsils and pharyngeal mucosa

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8
Q

What does the vagus supply in the neck?

A

Pharyngeal constrictor muscles, carotid body and carotid sinus

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9
Q

What is the hard palate composed of?

A

Fused palatal processes of the maxilla and the palatine bones

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10
Q

How do you test CN IX (glossopharyngeal)?

A

Touch spatula against posterior wall of the pharynx on either side
This will elicit the gag reflex if the palate is tensed

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11
Q

Name the 5 palatal muscles

A

Tensor and levator palatini, palatoglossus, palatopharyngeas and musculus uvulae.

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12
Q

Where do the tensor and levator palatini muscles lie?

A

Above the soft palate

Tensor palatini spreads out horizontally in the soft palate to form an aponeurosis for other palatine muscle attachment

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13
Q

Function of the palatine canals?

A

To transmit palatine nerves (branches of maxillary CNV2) from pterygopalatine fossa to hard palate

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14
Q

Tensor palatini is innervated by what?

A

Medial pterygopalatine nerve (branch of mandibular)

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15
Q

Levator palatini is innervated by what?

A

Pharyngeal branch of vagus (CNX)

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16
Q

What innervates most of the palatine muscles?

A

Pharyngeal branch of vagus (apart from tensor palatini)

17
Q

What is the sensory innervation of the palate?

A

Maxillary nerve (except tiny part glossopharyngeal)

18
Q

What is the innervation of the glands of the palate?

A

Parasympathetic fibres that run with the maxillary palatine nerves, come from pterygopalatine ganglion

19
Q

Name the 4 tonsils

A

Pharyngeal, lingual and two palatine

20
Q

Why is the paratonsillar vein important?

A

Passes from soft palate across tonsillar capsule, may cause haemorrhage in a tonsillectomy

21
Q

What is the lymphatic drainage of the tonsils?

A

Through superior constrictor to jugulodigastric node

22
Q

What is quinsy?

A

Peritonsillar tissue infection-> abscess