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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.

Sternum

o    Forms the medial part of the anterior chest wall
o    Manubrium (upper part)-clavicle and first rib articulate with the manubrium .
o    Body (middle blade)-second and tenth ribs articulate with the body via the costal cartilages
o    Xiphoid (blunt cartilaginous tip)

Ribs (12 pairs)

o    Each rib articulates with both the body and the transverse process of its corresponding
o    thoracic vertebra
o    The second to ninth ribs articulate with the body of the vertebra above'
o    Ribs curve outward, forward, and then downward
o    Anteriorly, each of the first seven ribs joins a costal cartilage that attaches to the sternum
o    Next three ribs (eighth to tenth) join the cartilage of the rib above
o    Eleventh and twelfth ribs do not attach to the sternum; are called "floating ribs"

 

EPITHELIUMS

Epithelial Tissue Epithelial tissue covers surfaces, usually has a basement membrane, has little extracellular material, and has no blood vessels. A basement membrane attaches the epithelial cells to underlying tissues. Most epithelia have a free surface, which is not in contact with other cells. Epithelia are classified according to the number of cell layers and the shape of the cells.

 

  • Epitheliums contain no blood vessels.  There is normally an underlying layer of connective tissue
  • Almost all epitheliums lie on a basement membrane.The basement membrane consists of  a basal lamina and  reticular lamina. The reticular lamina is connected to the basal lamina by anchoring fibrils. The reticular lamina may be absent in which case the basement membrane consist only of a basal lamina. The basal lamina consists of a   - lamina densa in the middle (physical barrier) with a lamina lucida on both sides (+charge barrier),The basement membrane is absent in ependymal cells.The basement membrane is not continuous in sinusoidal capillaries.
  • Epitheliums always line or cover something
  • Epithelial cells lie close together with little intercellular space
  • Epithelial cells are strongly connected to one another especially those epitheliums that are subjected to mechanical forces.  

Functions of Epithelium:

→ Simple epithelium involved with diffusion, filtration, secretion, or absorption

→ Stratified epithelium protects from abrasion

→ Squamous cells function in diffusion or filtration

  • 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.

Internal Muscles of the Pharynx

  • The internal, chiefly longitudinal muscular layer, consists of 3 muscles: stylopharyngeus, palatopharyngeus, and salpingopharyngeus.
  • They all elevate the larynx and pharynx during swallowing and speaking.

The Stylopharyngeus Muscle

  • This is a long, thin, conical muscles that descends inferiorly between the external and internal carotid arteries.
  • It enters the wall of the pharynx between the superior and middle constrictor muscles.
  • Origin: styloid process of temporal bone.
  • Insertion: posterior and superior borders of thyroid cartilage with palatopharyngeus muscle.
  • Innervation: glossopharyngeal nerve (CN IX).
  • It elevates the pharynx and larynx and expands the sides of the pharynx, thereby aiding in pulling the pharyngeal wall over a bolus of food.

The Palatopharyngeus Muscle

  • This is a thin muscle and the overlying mucosa form the palatopharyngeal arch.

The Salpingopharyngeus Muscle

  • This is a slender muscle that descends in the lateral wall of the pharynx.
  • The over lying mucous membrane forms the salpingopharyngeal fold.
  • Origin: cartilaginous part of the auditory tube.
  • Insertion: blends with palatopharyngeus muscle.
  • Innervation: through the pharyngeal plexus.
  • It elevates the pharynx and larynx and opens the pharyngeal orifice of the auditory tube during swallowing.

Geniohyoid Muscle

  • Origin: Inferior genial tubercles of the mandible.
  • Insertion: Anterior surface of the body of the hyoid bone.
  • Nerve Supply: Branch of C1 through the hypoglossal nerve (CN XII).
  • Arterial Supply: Sublingual branch of the lingual artery.
  • Action: Elevates the hyoid bone and depresses the mandible.

Pharyngeal Arch

Arch Artery

Cranial Nerve

Skeletal elements

Muscles

1

Terminal Branch of maxillary artery

Maxillary and mandibular division of trigemenial (V)

Derived from arch cartilages (originating from neural crest):

From maxillary cartilages:

Alispenoid, incus

From mandibular:

Mackel’s cartilage, malleus

 

Upper portion of external ear (auricle) is derived from dorsal aspect of 1st pharyngeal arch.

 

Derived by direct ossification from arch dermal mesenchyme:

Maxilla, zygomatic, squamous portion of temporal bone, mandible

 

Muscles of mastication (temporalis, masseter, and pterygoids), mylohyoid, anterior belly of digastric, tensor tympani, tensor veli palatini (originate from cranial somitomere 4)

2

Stapedius artery (embryologic) and cortiotympanic artery (adult)

Facial nerve (VII)

Stapes, styloid process, stylohyoid ligament, lesser horns and upper rim of hyoid (derived from the second arch cartilage; originate from neural crest).

 

Lower portion of external ear (auricle) is derived from 2nd pharyngeal arch.

Muscles of facial expression (orbicularis oculi, orbicularis oris, auricularis, platysma, fronto-ooccipitalis, buccinator), posterior belly of digastric, stylohyoid, stapedius (originate from cranial somitomere 6)

3

Common carotid artery, most of internal carotid

Glossopharyngeal (IX)

Lower rim and greater horn of hyoid (derived from the third arch cartilage; originate from neural crest cells)

Sytlopharyngeus (originate from cranial somitomere 7)

4

Left: Arch of aorta;

Right: Right subclavian artery;

Original sprouts of pulmonary arteries

Superior laryngeal branch of vagus (X)

Laryngeal cartilages (Derived from the 4th arch cartilage, originate from lateral plate mesoderm)

Constrictors of pharynx, cricothyroid, levator veli palatine (originate from occipital somites 2-4)

6

Ductus arteriosus; roots of definitive pulmonary arteries

Recurrent laryngeal branch of vagus (X)

Laryngeal cartilages (derived from the 6th-arch cartilage; originate from lateral plate mesoderm)

Intrinsic muscles of larynx (originate from occipital somites 1 and 2)

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