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Pharynx
Term | Definition |
---|---|
Pharynx sections | Nasopharynx (post nasal cavity), oropharynx (post oral cavity), laryngopharynx (post larynx) -> oesophagus |
Pharynx location | Base of skull -> lower border of cricoid cartilage |
Outer layer of pharyngeal muscles, innervation, function | Superior/middle/inferior constrictors -> CN X -> circular muscles -> pharyngeal constriction to aid swallowing |
Superior constrictor attachments | Outer pharyngeal muscle -> pterygomandibular raphe (ligament) -> pharyngeal raphe |
Middle constrictor attachments | Outer pharyngeal muscle -> stylohyoid ligament -> pharyngeal raphe |
Inferior constrictor attachments | Outer pharyngeal muscle -> thyroid/cricoid cartilages -> pharyngeal raphe -> constriction as upper oesophageal sphincter |
Inner layer of pharyngeal muscles, function | Stylopharyngeus, palatopharyngeus, salpingopharyngeus -> longitudinal muscles -> elevate pharynx/larynx when swallowing |
Inner pharyngeal muscle innervation | CN X xcp stylopharyngeus (branchiomotor -> IX) |
Stylopharyngeus attachments | Inner pharyngeal muscle -> styloid process -> pharyngeal wall |
Palatopharyngeus attachments | Inner pharyngeal muscle -> palatine aponeurosis (hard palate) -> pharyngeal wall |
Salpingopharyngeus attachments | Inner pharyngeal muscle -> medial cartilaginous Eustachian tube -> pharyngeal wall |
Pharyngeal plexus | CN IX pharyngeal branch (stylopharyngeus), CN X pharyngeal branch, CN X superior laryngeal nerve external laryngeal branch, CN XI (cranial root gives some motor fibres to CN X), convey parasympathetic preganglionic fibres for pharyngeal glands |
CN IX pharyngeal branch course | Passes through oropharyngeal triangle -> inferior to palatine tonsil -> afferent limb of gag reflex |
Oropharyngeal triangle borders | Superior = inferior border of superior constrictor, anterior = posterior border of mylohyoid, posterior = anterior border of middle constrictor |
Oropharyngeal triangle contents | Hyoglossus/styloglossus muscles, lingual artery/vein, CN IX pharyngeal branch/XII, submandibular gland |
Nasopharynx sensory innervation | Maxillary nerve CN Vb -> passes through sphenoid palatovaginal canal |
Oropharynx sensory innervation | CN IX |
Laryngopharynx sensory innervation | CN X |
Waldeyer’s ring | 4 groups of 6 specialised lymphatic tissue at entrance of digestive/respiratory tract -> 1 adenoid/nasopharyngeal, 2 tubal tonsils, 2 palatine tonsils, 1 lingual tonsil |
Adenoid tonsil | Unpaired -> roof of nasopharyngeal cavity posterior to choanae -> enlargement will obstruct children nasopharynx |
Tubal tonsil | Paired -> medial to Eustachian tube opening -> removed in persistent tonsilitis -> enlargement will obstruct Eustachian tube and lead to middle ear secretion accumulation |
Palatine tonsil | Paired -> btwn palatoglossal (ant)/palatopharyngeal (post) arches -> largest tonsils -> in tonsilectomy, facial artery/ECA/CN IX endangered |
Lingual tonsil | Unpaired -> post 1/3 of dorsal tongue -> inflammation will lead to painful swelling |