pharynx and tonsils :) Flashcards

1
Q

what is the pharynx partial surrounded by

A

muscle

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2
Q

shape of pharynx

A

inverted cone

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3
Q

what is the pharynx shared by

A

respiratory and GI tract

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4
Q

where does the pharynx run

A

behind nasal and oral cavity

continuous with oesophagus

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5
Q

where is the uvula

A

back of the soft palate

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6
Q

what is continuous with the nasal cavity

A

posterior nasal aperture

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7
Q

descriptive divisions of the pharynx

A

nasopharynx
oropharynx
laryngopharynx

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8
Q

nasopharynx

A
extends from nose to soft palate
contains
- pharyngeal tonsil
- opening of auditory tubes
- tubal tonsisl
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9
Q

oropharynx

A

soft palate to top of epiglottis

level with bodies of 2nd and upper part of 3rd cervical vertebra

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10
Q

lateral wall of oropharynx

A

palatopharyngeal arch and palatine tonsil

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11
Q

how does the oropharynx opening into the mouth

A

through oropharyngeal isthmus

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12
Q

laryngopharynx

A

epiglottis to cricoid cartilage (continuous with oesophagus)
extends from 2rd to 6th cervical bodies
inlet in upper anterior wall

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13
Q

how does the laryngopharyx change

A

during swallowing elevated by hyoid elevators

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14
Q

circular muscles of the phayrnx

A

superior constritor
middle constrictor
inferior constrictor

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15
Q

superior constricotor insertions and attachments

A

inserts into the pterygoid plate buccinator and mandible

posteriorly attaches to the raphe

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16
Q

middle constrictor insertions

A

hyoid bone pharyngeal raphe

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17
Q

inferior constrictor

A

split into 2 parts inc cricopharyngeus

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18
Q

inferior constrictor attacments

A

thyroid and cricoid cartilages

pharyngeal raphe

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19
Q

what does the cricopharyngeus act as

A

sphincter to stop ingestion of air

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20
Q

where do all the circular muscles join at

A

pharyngeal raphe posterioally

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21
Q

function of the circular muscles

A

act to propel food through pharynx by muscular action

22
Q

longitudinal muscles of phayrn

A

stylopharyngeus
salpingophayngeus
palatopharyngeus

run on outside and merge with circualr

23
Q

stylopharyngeus

A

decends from styloid process, runs lateral to superior constrictors, fuse with middle constructors then go to thyroid cartilage

24
Q

salpingopharyngus

A

arises from eustation tube

25
palatopharyngeus
from soft palate to merge with thyroid cartilage
26
function of the longituinal muscles
elevate the larynx | shorten and widen pharynx during swallowing
27
innervation of the pharyngeal muscles
pharyngeal plexus/ vagus spreads under lining and to muscles APART from stylopharyngeus 9
28
what is the pharyngeal plexus composed of
pharyngeal branches of glossopharyngeal nerves pharyngeal branches of vagus nerves branches from external pharyngeal nerves sympathetic fibres from superior cervical ganglion
29
what is glossopharyngeal CN IX generally supply type
sensory
30
what does vagus generally supply type
motor
31
sensory innervation to nasopharynx
maxillary nerve V2 of trigeminla CN V
32
sensory innervation to orophaynx
glossopharyngeal nerve 9
33
sensory innervation to laryngopharns
vagus
34
motor innervation to muscles of pharynx
all muscles innervate by vagus and plexus | expect for stylopharyngeus CN IX
35
what happens if nerve supply of pharynx is damaged
dysphagia glossopharyngeal - difficultily initiating swallowing (sensory) vagus - (motor) difficulty in smooth transit
36
what opens into the nasopharynx
auditory tube
37
why ar children more prone to ear infectons
tube is horizontal (-pressure allows bacteria to be dwarn in)
38
the groups of tonsillar tissue
palatine tonsils pharyngeal tonsils (adenoids) lingual tonsils tubal tonsils
39
where do the palatine tonsils lie
either side of the arches in the mouth (palatopharyngeal and palatoglossal arch) in oropharynx
40
what happens when tonsils are infected
accumulations of lymphoid tissue(lymphocytes) lying under mucosa that lines the pharynx -can be enlarged
41
purpose of the lymphoid tissue
protective to GI tract and respiratory tracts by lymphocytes producing antibodies
42
where are the pharyngeal tonsils
posterior wall of nasopharynx
43
tubal tonsisl
may or may not be present | around entrance to auditory tube
44
lingual tonsisl
under mucosa of posterior third of tongue
45
what is the tonsillar ring
protective ring protecting the opening of the pharynx
46
tonsillitis
viral or bacterial inflammed increased production of lympocyes in tonsillar tissues
47
what does pharyngeal tonsil (adenoids) enlargement interfere with
soft palate elevation
48
interference with soft palate elevation can lead to
sinisitis auditory tube dysfunction middle ear infections
49
what can enlargement of palatine tonsils lead to
interference with soft palate elevation leading to hypernasilaity
50
what can pharyngeal and tubal tonsillar enlargement do
prevent auditory tube opening | - middle ear infections
51
what is tonsillectomy used for
chronic tonsillitis