Unit I Pharynx Flashcards
List the three parts that constitue the pharynx
naso, oro, and laryngopharynx
What is the nasopharynx posterior to?
the nasal cavity
What is the oropharynx poasterior to?
the oral cavity
What is the laryngopharynx posterior to?
the larynx
Superior boundary of the nasopharynx
roof of pharynx
Inferior boundary of nasopharynx
soft palate
Anterior boundary of nasopharynx
posterior border of the inferior nasal concha
Posterior boundary of nasopharynx
posterior wall of the pharynx
Describe the clinical significance of the pharyngeal tonsils
can become enlarged and cause difficulty breathing through the nose
What is the second most common tonsils removed?
pharyngeal tonsils
What are the most common tonsils removed?
palatine tonsils
What equalizes pressure between the nasopharynx and tympanic cavity?
the pharyngotmpanic tube
A small tonsil that lies immediately behind the opening of the pharyngotmpanic tube
tubal tonsil
What structure allows spread of infection from the nasopharynx to the middle ear?
pharyngotympanic tube
A fold which descends from the torus tubularis to the wall of the pahrynx
salpingopharyngeal fold
What carilaginous structure limits the pharyngotmpanic tube as it open into the lateral wall of the nasopharynx?
the torus tubularis
What muscle is deep the salpingopharyngeal tube?
the salpingopharyngeus muscle
Superior boundary of the oropharynx
soft palate
Inferior boundary of oropharynx
superior border of the epiglottis
Anterior boundary of orophayrnx
palatoglossal fold
Posterior boundary of oropharynx
posterior wall of the pharynx
At what vertebral levels does the oropharynx lie?
between C2-C3
Which tonsils are found in the oropharynx?
palatine tonsils
Between what two folds in the oropharynx are the palatine tonsils found?
the palatoglossal and palatopharyngeal folds
What is the space called between the palatoglossal and palatopharyngeal folds?
tonsillar fossa
Arrangement of tonsils around oropharynx formed by the lingual, palatine, tubal, and pharyngeal tonsils
tonsillar ring
Superior boundary of laryngopharynx
superior border of epiglottis
Inferior boundary of laryngopharynx
lower border of cricoid cartilage where it meets the esophagus
Anterior boundary of laryngopharynx
posterior surface of larynx
Posteior Boundary of laryngopharynx
posterior wall of the pharynx
An opening into the larynx and is found within the laryngopharynx
laryngeal inlet
A recess in the anterior wall of the laryngopharynx, on either side of the laryngeal inlet
Piriform fossa
Foreign objects stuck here can cause halitosis
piriform fossa
List the two muscular layers of the pharynx
External and longitudinal layers
Constrictor muscles of the pharynx are synonymous with
the external layer of muscle
Origin of inferior constrictor muscle
cricoid and thyroid cartilage
Insertion of inferior constrictor muscle
pharyngeal raphe
Innervation to inferior constrictor muscle
vagus via pharyngeal plexus and external laryngeal nerve
Function of inferior constrictor muscle
contracts pharynx during swallowing
Origin of middle constrictor muscle
greater and lesser horns of hyoid
Insertion of middle constrictor muscle
pharyngeal raphe
Innervation of middle constrictor muscle
vagus nerve via the pharyngeal plexus
Function of middle constrictor muscle
contracts pharynx during swallowing
Origin of superior constrictor muscle
medial pterygoid plate, alveolar part of mandible, and side of tongue
Insertion of superior constrictor muscle
pharyngeal raphe
Innervation of superior constrictor muscle
vagus nerve via the pharyngeal plexus
Function of superior constrictor muscle
contracts pharynx during swallowing
Specialized band of muscle formed by superior constrictor muscle that helps seal the pharyngeal isthmus during swallowing
Palatopharyngeal sphincter
Origin of stylopharyngeus
styloid process
Insertion of stylopharyngeus
thyroid cartilage
Innervation of stylopharyngeus
glossopharyngeal nerve
Function of stylopharyngeus
elevates pharynx
Origin of palatopharyngeus
soft palate
Insertion of palatopharyngeus
wall of pharynx and thyroid cartilage
Innervation of palatopharyngeus
vagus nerve via pharyngeal plexus
Function of palatopharyngeus
elevates pharynx and narrows oropharynx
Origin of salpingopharyngeus
torus tubularis and opening of pharyngotympanic tube
Insertion of salpingopharyngeus
wall of pharynx
Innervation of salpingopharyngeus
vagus nerve via pharyngeal plexus
Function of salpingopharyngeus
elevates pharynx and opens pharyngotympanic tube
The pharyngeal plexus is formed by
pharyngeal branch of vagus
pharyngeal branch of glossopharyngeal
sympathetic fibers from the superior cervical ganglion
List the arteries of the pharynx
ascending pharyngeal and maxillary arteries
A layer of fascia surrounding the pharynx external to its muscles
Buccopharyngeal fascia
What is the buccopharyngeal fascia continuous with?
the pretracheal fascia below it
A layer of fascia which lies internal to the muscles of the pharynx and external to its mucosa
Pharyngobasilar fascia
A potential space between the buccopharyngeal and prevertebral fascia
retropharyngeal space
What extends down into the thorax and permits free movement of the pharynx and esophagus during swallowing?
retropharyngeal space
A hemorrhage from cervical trauma or abcesses from pharyngeal infection here may cause the posterior wall of the pharynx to expand forward potentially leading to suffocation
retropharyngeal space
In radiology, look for the widen of this in cases of cervical trauma or pharyngeal abcesses
retropharyngeal space
The common term for deglutition
swallowing
Describe the first stage of deglutition
the tongue moves the bolus back into the oropharyngeal isthmus
Describe the second stage of deglutition
The palatoglossus and palatopharyngeus move the bolus into the oropharynx. Simultaneously, the levator and tensor veli palatini muscles elevate the soft palate and close off the pharyngeal isthmus
The stylopharygeus, palatopharyngeus, and salpingopharyngeus elevate the walls of the pharynx. At the same time, the suprahyoid muscle elevates the hyoid and larynx under the bulge of the tongue, which flexes the epiglottis over the laryngeal inlet. What stage of deglutition does this describe?
the third tage
The superior, middle, and inferior constrictor msucles contract in sequence to move the bolus through the oropharynx and laryngopharynx and into the esophagus. Peristalsis pushes the bolus into the stomach. What stage of deglutition does this describe?
the fourth stage