Throat anatomy and physiology Flashcards
Wha are the 2 parts of the mouth cavity?
Oral vestibule
Oral cavity proper
What are the boundaries of the oral cavity?
Lips to palatoglossal arch
Palate to floor of mouth
Buccal mucosa
What does the parotid duct pierce?
Buccinator
Where does the parotid duct open into?
Opposite maxillary 2nd molar on inner surface of cheek
Where does the submandibular duct lie?
Superior to digastric muscle
How is the submandibular duct divided?
Into suberficial and deep lobes which are separated by mylohyoid muscle
What is the lingual nerve a branch of?
Mandibular division of trigeminal nerve
Whatdoes the lingual nerve supply?
General somatic afferent innervation from anterior 2/3 of tongue
What does the lingual nerve carry and what is the function of this?
Nerve fibres of the chorda tympani branch of the facial nerve
Provides taste to anterior 2/3 of tongue
What are the functions of the oral cavity?
Taste Mastication Speech Digestion Swallowing
What are the 2 parts of the tongue?
Anterior 2/3
Posterior 1/3
What is the anterior 2/3 of the tongue innervated by?
Lingual nerve fron CN V
What gives taste innervation to the anterior 2/3 of tongue?
Chorda tympani
What gives the blood supply to the anterior 2/3 of the tongue?
1st brachial arch
What gives the posterior 1/3 of the tongue its blood supply?
3rd brachial arch
What gives the posterior 1/3 tongue its nerve supply?
CN IX
What are the 4 forms of papillae on the tongue?
Filliform
Fungiform
Folliate
Circumvallate
What are the 2 types of muscle in the tongue?
Intrinsic
Extrinsic
What is the function of intrinsic muscles of the tongue?
Alter shape
What is the function of extrinsic muscles of the tongue?
Alter position
What are the extrinsic muscles of the tongue?
Genioglossus
Styloglossus
Hypoglossus
Palatoglossus
What is the motor innervation of the tongue?
Hypoglossal supplies all except for palatoglossus- pharyngeal plexus
What are the functions of the tongue?
Taste
Mastication
Swallowing
Speech
What are the 4 muscles of mastication?
Lateral pterygoid
Medial pterygoid
Tempralis
Masseter
What is the nerve supply of mastication?
Mandibular nerve
What are the boundaries of the oropharynx?
Lower border of soft palate to upper margin of epiglottis
Palatoglossal arch to posterior pharyngeal wall
Faucial pillars and palatine tonsils
Wha is the epithelium of the oropharynx?
Stratified squamous non keratinised epithelium
What is the nerve supply of the oropharynx?
Pharyngeal plexus
What are the boundaries of the hypopharynx?
Superior margin of epiglottis to lower border of cricoid cartilage
Continuous with oesophagus
Back of larynx
What is the hypopharynx divided into?
Pyriform sinus
Post cricoid area
Posterior pharyngeal wall
What is the blood supply of the hypopharynx?
Superior thyroid
Lingual artery
Ascending pharyngeal artery
What is the nerve supply of the hypopharynx?
Pharyngeal plexus
What are the phases of swallowing?
Oral
Pharyngeal
Oesophageal
What happens in the oral phase of swallowing?
Tongue propels bolus towards pharynx, triggering the swallowing reflex
What is the afferent nerve control of the swallowing reflex?
CN V, IX, X
What is the efferent nerve control of the swallowing reflex?
CN VII, X, XII
What happens in the pharyngeal phase of swallowing?
Soft palate pulled upwards
Epiglottis covers larynx, vocal cord approximate and larynx moves upwards
UOS relaxes
Respiration reflex inhibited
What happens in the oesophageal phase of swallowing?
UOS contracts
Bolus propelled downwards via peristalsis
What is the nerve supply of the oesophageal phase of swallowing?
Reflex via myenteric plexus
What are the functions of the larynx?
Part of res tract
Voice
Swallowing
What are the 3 parts of the larynx?
Supraglottis
Glottis
Subglottic
What are the 7 cartilage segments of the larynx?
Cricoid
Thyroid
Epiglottis
Corniculate and cuneiform paired cartilages
What is the structure of the supra glottis?
Extends from superior tip of epiglottis to floor of ventricular fold
What is the structure of the glottis?
Begins at true vocal fold and extends to horizontal plane 5mm inferior to vocal cord
What is the structure of the sub glottis?
Begins 5mm below free edge of truth vocal cord and proceeds to inferior border of cricoid cartilage
What are the 3 types of extrinsic muscle of the larynx?
Infrahyoid
Suprahyoid
Thyrohyoid
What is the function of extrinsic muscles of the larynx?
Move entire laryngeal complex
What is the function of intrinsic muscles of the larynx?
Regulate movement of the vocal cords
What is he motor innervation of the larynx?
CN X- recurrent laryngeal nerve, except for cricothyroid muscle which is innervated by external laryngeal nerve
What is the sensory innervation of the supraglottic region of the larynx?
Internal laryngeal nerve
What is the sensory innervation of the glottic and subglottilc regions of the larynx?
Recurrent laryngeal
What are the 4 parts of speech?
Respiration
Phonation
Resonation
Articulation