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Anatomy

The Laryngopharynx

  • The laryngeal part of the pharynx lies posterior to the larynx.
  • It extends from the superior border of the epiglottis to the inferior border of the cricoid cartilage, where it narrows to become continuous with the oesophagus.
  • Posteriorly, the laryngopharynx is related to the bodies of C4 to C6 vertebrae.
  • Its posterior and lateral walls are formed by the middle and inferior constrictor muscles, with the palatopharyngeus and stylopharyngeus internally.
  • The laryngopharynx communicates with the larynx through the aditus or inlet of the larynx.
  • The piriform recess is a small, pear-shaped depression of the laryngopharyngeal cavity on each side of the inlet of the larynx.

  • Bones begin to form during the eighth week of embryomic life in the fibrous membranes (intramembranous ossification) and hyaline cartilage (endochondral ossification)

The Palate

  • The palate forms the arched roof of the mouth and the floor of the nasal cavities.
  • The palate consists of two regions: the anterior 2/3 or bony part, called the hard palate, and the mobile posterior 1/3 or fibromuscular part, known as the soft palate.

 

The Hard Palate

  • The anterior bony part of the palate is formed by the palatine process of the maxillae and the horizontal plates of the palatine bones.
  • Anteriorly and laterally, the hard palate is bounded by the alveolar processes and the gingivae.
  • Posteriorly, the hard palate is continuous with the soft palate.
  • The incisive foramen is the mouth of the incisive canal.
  • This foramen is located posterior to the maxillary central incisor teeth.
  • This foramen is the common opening for the right and left incisive canals.
  • The incisive canal and foramen transmit the nasopalatine nerve and the terminal branches of the sphenopalatine artery.
  • Medial to the third molar tooth, the greater palatine foramen pierces the lateral border of the bony palate.
  • The greater palatine vessels and nerve emerge from this foramen and run anteriorly into two grooves on the palate.
  • The lesser palatine foramen transmits the lesser palatine nerve and vessels.
  • This runs to the soft palate and adjacent structures.

The Submandibular Glands

  • Each of these U-shaped salivary glands is about the size of a thumb and lies along the body of the mandible.
  • It is partly superior and partly inferior to the posterior 1/2 of the base of the mandible.
  • It is partly superficial and partly deep to the mylohyoid muscle.
  • The submandibular duct arises from the portion of the gland that lies between the mylohyoid and hyoglossus muscle.
  • The duct passes deep and then superficial to the lingual nerve.
  • It opens by one to three orifices on a small sublingual papilla beside the lingual frenulum.
  • The submandibular gland is supplied by parasympathetic, secretomotor fibres from the submandibular ganglion (preganglionic fibres from the chorda tympani via the lingual nerve).

The Articular Capsule

  • The capsule of this joint is loose.
  • The thin fibrous capsule is attached to the margins of the articular area on the temporal bone and around the neck of the mandible.

First pouch

Auditory tube, which comes in contact

    with epithelial line of first pharyngeal

    cleft, where future external acoustic

    meatus will form.

Distal portion will form tympanic   

    cavity (lining will become eardrum)

Proximal portion will become auditory tube

Second pouch

Forms buds that penetrate surrounding

    mesenchyme, which together form the 

    palatine tonsils

Third pouch

Forms thymus and inferior parathyroid

    glands

Fourth pouch

Forms superior parathyroid glands

Fifth pouch

Forms utlimobranchial body

Classification

Epitheliums can be classified on appearance or on function

Classification based on appearance

- Simple - one layer of cells

- Pseudostratified - looks like more than one layer but is not

- Stratified - more than one layer of cells

Simple epitheliums

Simple squamous epithelium

 Cells are flat with bulging or flat nuclei.  Lines the insides of lung alveoli and certain ducts in the kidney

 Forms serous membranes called mesothelium that line cavities like: pericardial ,  peritoneal,  plural

 Lines blood vessels - known as endothelium

Simple cuboidal epithelium

It appears square in cross section,  Found in: - Ducts of salivary glands,  Follicles of the thyroid gland,  Pigment layer in the eye,  Collecting ducts of the kidney, In the middle ear is ciliated type.

Simple columnar

  • Lines the gastrointestinal tract from the stomach to the anal canal,  Some columnar cells have a  secretory function – stomach, peg cells in the oviduct,  Some columnar cells have microvilli on their free border (striated border) – gall bladder, duodenum
  • Microvilli increase the surface area for absorption
  • Some columnar cells have cilia – oviduct, smaller bronchi
  • Cilia transport particles

Pseudostratified

Appears as stratified epithelium but all cells are in contact with the basement membrane.  Has a thick basement membrane. Different cell types make up this epithelium,  Cells that can be found in this type of epithelium are:

  • Columnar cells with cilia or microvilli.
  • Basal cells that do not reach the surface.
  • Goblet cells that secrete mucous.
  • Found in the trachea, epididymus, ductus deferens and female urethra

Stratified epithelium

Classified according to the shape of the surface cells

Stratified squamous epithelium

Has a basal layer that varies from cuboidal to columnar cells that divide to form new cells. Two types are found:

Keratinized:  Mostly forms a dry covering, The middle layers consists of cells that are forming- and filling up with keratin. The superficial cells form a tough non living layer of keratin,  Keratin is a type of protein,  The skin is of this type has  thick skin - found on the hand palms and soles of the feet,  thin skin - found on the rest of the body

Non-keratinized:  Top layer of cells are living cells with nuclei  Forms a wet covering,  The middle layers are polyhedral,  The surface layer consists of flat squamous cells

  • Is found in:  mouth,  oesophagus,  vagina

Stratified cuboidal epithelium

Found: - in the ducts of sweat glands

Stratified columnar epithelium

Found at the back of the eyelid (conjunctiva)

Transitional epithelium

- Sometimes the surface cells are squamous, sometimes cuboidal and sometimes columnar

- The superficial cells are called umbrella cells because they can open and close like umbrellas, when the epithelium stretch and shrink

- Umbrella cells can have 2 nuclei

- Found in the bladder and ureter

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