Friday, January 16, 2015

PHARYNX QUESTIONS




Name and describe the main the cartilaginous skeleton of the larynx and the position of the vocal cord in relation to the palpable landmarks. Relate laryngeal structure to function and innervation. Explain the movement of the vocal cords through muscle actions. Identify and describe the main structures and parts of the pharynx. Name the muscles of the pharyngeal wall.









The Pharynx

fibromuscular tube which extends from the base of the skull to the lower border of the cricoid cartilage C6

walls of the pharynx are attached anteriorly

the nasopharynx, oropharynx, and laryngopharynx

opening of nasal,oral,ad lrynx

choanae
oropharyngeal isthmus
laryngeal inlet

pharyngeal raphe

a cord - like ligament extends from the phrayngeal turbecle on the base of the skull to the level of the cervical vertebra C6

muscular walls of the pharynx are comprised of an outer layer made up of 3 constrictors

the SUPERIOR, MIDDLE and inferior PHARYNGEAL CONSTRICTORS

The inner muscular layer of the pharynx is made up of 3 small longitudinally

STYLOPHARYNGEUS, PALATOPHARYNGEUS, salpingopharyngeus

STYLOPHARYNGEUS origin

outside of the pharynx, from the styloid process, and gains access to the interior of the pharynx by passing between the superior and middle constrictors

PALATOPHARYNGEUS origin

from the soft palate, and runs down the length of the pharynx, intermingling with fibres of the stylopharyngeus below the inferior border of the superior constrictor

SALPINGOPHARYNGEUS

usually considered as a slip of palatopharyngeus which has a separate origin from the posterior part of the cartilage at the opening of the auditory tube (salpinx=tube

During swallowing, successive contraction of the superior, middle, and inferior constrictor muscles helps to

to propel the bolus (ball) of food down into the oesaphagus

, contraction of the 3 longitudinal muscles of the pharynx helps to

raise the pharynx, effectively aiding it in engulfing the bolus of food.

In between acts of swallowing, the lowest fibres of the inferior constrictor are thought to act as

spchinter,guarding the entrance to the oesophagus

The LARYNX

apparatus made up of cartilage, ligaments, muscles, and mucous membrane, which guards the entrance to the lower respiratory passages (trachea, bronchi, and lungs) and houses the vocal cords

The unpaired cartilages of the larynx are

thyroid,cricoid,epiglottis cartilage

Cricoid Cartilage

ring of hyaline cartilage that forms the inferior wall of the larynx. It is attached to the top of trachea

EpiglottisDuring swallowing

the pharynx and larynx rise.

Elevation of the pharynx

widens it to receive food and drink

elevation of the larynx

causes the epiglottis to move down and form a lid over the glottis, closing it off

The paired cartilages of the larynx

artenoid cartilage, corniculate,cuneiform

Arytenoid Cartilage

they influence the position and tension of the vocal folds

Corniculate Cartilage

Horn-shaped pieces of hyaline cartilage located at the apex of each arytenoid cartilage.

Cuneiform Cartilage

Club-shaped pieces of elastic cartilage located anterior to the corniculate cartilages

boundaries formed by the vestibular and vocal folds divide the cavity of the larynx into three parts

1)the vestibulewhich is the area above the vestibular fold
2)the ventricle.which is a pocket-like recess between the vestibular and vocal folds on both sides.
3)infraglottic cavity,area below the vocal folds.

Phonation or voicing

Vibrating the vocal folds in the larynx

MUSCLES OF THE LARYNX

1)cricothyroid muscles-regulate tension of vocal cords
2)muscles which open rima glottidis

Abductor

The posterior cricoarytenoid

Adductors:

LATERAL CRICOARYTENOID, THYROARYTENOID, and arytenoids muscles

Thyroarytenoid muscles sphincter

, narrowing the laryngeal inlet.

Transverse arytenoid muscle

adducts the arytenoid cartilages, resulting in adducted vocal cords

Oblique arytenoid muscles

narrow the laryngeal inlet by constricting the distance between the arytenoid cartilages.

function of Cricothyroid Muscle

1)Pulls the thyroid cartilage forward, increasing the distance between the thyroid and arytenoid cartilages
2)Tenses the vocal cord

Cricothyroid Muscle innervated by

external laryngeal branch of the superior laryngeal nerve (X)

Lateral Cricoarytenoid Muscle

-Draws the muscular process of the arytenoid cartilage anteriorly, which
-pivots the arytenoid cartilage and
-adducts. the vocal folds

BLOOD SUPPLY TO THE LARYNX AND PHARYNX are branches of

superior and inferior thyroid arteries

Motor innervation of the muscles of the pharynx and larynx arises mainly from the

vagus nerve C10

exception: The STYLOPHARYNGEUS MUSCLE receives its motor innervation from the

glossopharygeal nerve

Most of the muscles of the larynx receive their innervation via

the RECURRENT LARYNGEAL BRANCH of the vagus nerve

Exception:The CRICOTHYROID MUSCLE, which receives its innervation vi

EXTERNAL LARYNGEAL NERVE

SENSORY INNERVATION pharynx

GLOSSOPHARYNGEAL NERVE

sensory innervation of Larynx

branches of the VAGUS NERVE

Above the vocal folds the sensory innervation of the larynx is via

the INTERNAL LARYNGEAL NERVE

Below the vocal folds it is by way of branches

RECURRENT LARYNGEAL NERVE

Parasympathetic innervation of the larynx and pharynx is mainly by way of branches of the

vagus nerve

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