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Anatomy - NEETMDS- courses
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Anatomy

Muscles of the Pharynx

  • This consists of three constrictor muscles and three muscles that descend from the styloid process, the cartilaginous part of the auditory tube and the soft palate.

External Muscles of the Pharynx 

  • The paired superior, middle, and inferior constrictor muscles form the external circular part of the muscular layer of the wall.
  • These muscles overlap each other and are arranged so that the superior one is innermost and the inferior one is outermost.
  • These muscles contract involuntarily in a way that results in contraction taking place sequentially from the superior to inferior end of the pharynx.
  • This action propels food into the oesophagus.
  • All three constrictors of the pharynx are supplied by the pharyngeal plexus of nerves, which lies on the lateral wall of the pharynx, mainly on the middle constrictor of the pharynx.
  • This plexus is formed by pharyngeal branches of the glossopharyngeal (CN IX) and vagus (CN X) nerves.

The Superior Constrictor Muscle

  • Origin: pterygoid hamulus, pterygomandibular raphe, posterior end of the mylohyoid line of the mandible, and side of tongue.
  • Insertion: median raphe of pharynx and pharyngeal tubercle.
  • Innervation: though the pharyngeal plexus of nerves.
  • The pterygomandibular raphe is the fibrous line of junction between the buccinator and superior constrictor muscles.

The Middle Constrictor Muscle

  • Origin: stylohyoid ligament and greater and lesser horns of hyoid bone.
  • Insertion: median raphe of pharynx.
  • Innervation: through the pharyngeal plexus of nerves.

The Inferior Constrictor Muscle

  • Origin: oblique line of thyroid cartilage and side of cricoid cartilage.
  • Insertion: median raphe of pharynx.
  • Innervation: through the pharyngeal plexus of nerves.
  • The fibres arising from the cricoid cartilage are believed to act as a sphincter, preventing air from entering the oesophagus. 

Gaps in the Pharyngeal Musculature

  • The overlapping arrangement of the three constrictor muscles leaves 4 deficiencies or gaps in the pharyngeal musculature.
  • Various structures enter and leave the pharynx through these gaps.
  • Superior to the superior constrictor muscle, the levator veli palatini muscle, the auditory tube, and the ascending palatine artery pass through a gap between the superior constrictor muscle and the skull.
  • Superior to the superior border of the superior constrictor, the pharyngobasilar fascia blends with the buccopharyngeal fascia to form, with the mucous membrane, the thin wall of the pharyngeal recess.
  • Between the superior and middle constrictor muscles, the gateway to the mouth, though which pass the stylopharyngeus muscle, the glossopharyngeal nerve (CN IX), and the stylohyoid ligament.
  • Between the middle and inferior constrictor muscles, the internal laryngeal nerve and the superior laryngeal artery and vein pass to the larynx.
  • Inferior to the inferior constrictor muscles, the recurrent laryngeal nerve and inferior laryngeal artery pass superiorly into the larynx.

  • This is the posterior curtain-like part, and has no bony support. It does, however, contain a membranous aponeurosis.
  • The soft palate, or velum palatinum (L. velum, veil), is a movable, fibromuscular fold that is attached to the posterior edge of the hard palate.
  • It extends posteroinferiorly to a curved free margin from which hangs a conical process, the uvula (L. uva, grape).
  • The soft palate separates the nasopharynx superiorly and the oropharynx inferiorly.
  • During swallowing the soft palate moves posteriorly against the wall of the pharynx, preventing the regurgitation of food into the nasal cavity.
  • Laterally, the soft palate is continuous with the wall of the pharynx and is joined to the tongue and pharynx by the palatoglossal and palatopharyngeal folds.
  • The soft palate is strengthened by the palatine aponeurosis, formed by the expanded tendon of the tensor veli palatini muscle.
  • This aponeurosis attaches to the posterior margin of the hard palate.

  • Cartilage model is covered with perichondrium that is converted to periosteum

  • Diaphysis-central shaft
  • Epiphysis-located at either end of the diaphysis
  • Growth in length of the bone is provided by the emetaphyseal plate located between the epiphyseal cartilage and the diaphysis
  • Blood capillaries and the mesenchymal cells infiltrate the spaces left by the destroyed chondrocytes

  • Osteoblasts are derived from the undifferentiated cells; form an osseous matrix in the cartilage
  • Bone appears at the site where there was cartilage

      Microscopic structure

  • Compact bone is found on the exterior of all bones; canceIlous bone is found in the interior
  • Surface of compact bone is covered by periosteum that is attached by Sharpey's fibers
  • Blood vessels enter the periosteum via Volkmann's canals and then enter the haversian canals that are formed by the canaliculi and lacunae
  •  

  • Marrow
    • FiIls spaces of spongy bone
    • Contains blood vessels and blood ceIls in various stages of development
    • Types
  • Red bone marrow
    • Formation of red blood ceIls (RBCs) and some white blood cells (WBCs) in this location
    • Predominate type of marrow in newborn
    • Found in spongy bone of adults (sternum, ribs, vertebrae, and proximal epiphyses of long bones)
  •  Yellow bone marrow
    • Fatty marrow
    • Generally replaces red bone marrow in the adult, except in areas mentioned above
  •  
  • Ossification is completed as the proximal epiphysis joins with the diaphysis between the twentieth and twenty-fifth year

Nerves of the Face

Innervation of the Muscles of Facial Expression

The Facial Nerve (CN VII)

 

  • The seventh cranial nerve supplies the superficial muscle of the neck (platysma), the muscles of facial expression, the auricular muscles and the scalp muscles.
  • CN VII is the sole motor supply to the muscles of facial expression.
  • The facial nerve emerges from the skull though the stylomastoid foramen.
  • Almost immediately, it enters the parotid gland. It runs superficially in this gland before giving rise to its five terminal branches: temporal, zygomatic, buccal, marginal mandibular, and cervical.
  • These nerve emerge from the superior, anterior and inferior margins of the gland and spread out like the abducted digits of the hand to supply the muscles of facial expression.
  • The temporal branches of CN VII cross the zygomatic arch to supply all the superficial facial muscles superior to it, including the orbital and forehead muscles.
  • The zygomatic branch of CN VII passes transversely over the zygomatic bone to supply the muscles in the zygomatic, orbital and infraorbital regions.
  • The buccal branches of CN VII pass horizontally, external to the masseter muscle, to supply the buccinator and the muscles of the upper lip.
  • The marginal mandibular branch of CN VII supplies the muscles of the lower lip and chin.
  • The cervical branch of CN VII supplies the platysma and the superficial muscles of the neck.

Muscles Around the Nose

The Nasalis Muscle

  • This muscle consists of a transverse (compressor naris) and alar (dilator naris) parts.
  • It is supplied by the buccal branch of the facial nerve.

Muscles Moving the Auditory Ossicles

The Tensor Tympani Muscle

  • This muscle is about 2 cm long.
  • Origin: superior surface of the cartilaginous part of the auditory tube, the greater wing of the sphenoid bone, and the petrous part of the temporal bone.
  • Insertion: handle of the malleus.
  • Innervation: mandibular nerve (CN V3) through the nerve to medial pterygoid.
  • The tensor tympani muscle pulls the handle of the malleus medially, tensing the tympanic membrane, and reducing the amplitude of its oscillations.
  • This tends to prevent damage to the internal ear when one is exposed to load sounds.

 

The Stapedius Muscle

  • This tiny muscle is in the pyramidal eminence or the pyramid.
  • Origin: pyramidal eminence on the posterior wall of the tympanic cavity. Its tendon enters the tympanic cavity by traversing a pinpoint foramen in the apex of the pyramid.
  • Insertion: neck of the stapes.
  • Innervation: nerve to the stapedius muscle, which arises from the facial nerve (CN VII).
  • The stapedius muscle pulls the stapes posteriorly and tilts its base in the fenestra vestibuli or oval window, thereby tightening the anular ligament and reducing the oscillatory range.
  • It also prevents excessive movement of the stapes.

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

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