Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
132 Cards in this Set
- Front
- Back
the pharynx extends from ________ to the level of the ______________ of the larynx and esophagus
|
the basilar portion of the occipital bone to the cricoid cartilage of the larynx and the esophagus
|
|
nasopharynx extends from the _______ to _______ and communicates anteriorly with ____________
|
base of skull to soft palate; communicates anteriorly with posterior nasal aperture (choane)
|
|
structures of the nasopharynx
|
ostium of the auditory tube
choanae torus tubarius salpingopharyngeal fold pharyngeal tonsisls pharyngeal recess |
|
oropharynx extends from the _____ to _________, communicates anterior with ______ through the _________________
|
soft palate to upper border of epiglottis; communicates with oral cavity through the arches of the palate
|
|
the area where the oral cavity is continuous with oropharynx
|
fauces
|
|
arches of the palate
|
palatoglossal arch (fold)
patatopharyngeal arch (fold) |
|
where the palatine tonsils are housed
|
between the 2 arches of the palate
|
|
2 soft tissues of the oropharynx
|
soft palate and uvula
|
|
laryngopharynx extends from ________ to _____ and communicates with this
|
cranial border of epiglottis to esophagus (C4-C6)
communicates with larynx |
|
components of laryngopharynx
|
- laryngeal inlet
- epiglottis - piriform recesses - vallecula |
|
4 layers of the pharynx
|
- mucosa
- fibrous later (pharyngobasilar fascia) - muscular layer - areolar layer (buccopharyngeal fascia) |
|
where the pharyngobasilar fasica is visible
|
in the gap between superior constrictor muscle and base of skull
|
|
longitudinal (internal) muscles of the pharynx
|
stylopharyngeus
palatopharyngeus salpingopharyngeus |
|
contained in the areolar layer of the pharynx
|
the pharyngeal plexus of nerves and veins
|
|
blood supply to the pharynx
|
- maxillary artery (pharyngeal branch)
- facial artery (ascending palatine and tonsillar arteries) - lingual artery: dorsal branches - ascending pharyngeal artery |
|
motor innervation to the stylopharyngeus:
salpingopharyngeus and palatopharyngeus: constrictor: |
CN IX
XI via X XI via X and efferent autonomics |
|
sensory innervation to nasopharynx
oropharynx laryngopharynx |
primarily maxillary nerve V2
glossopharyngeal IX vagus nerve X |
|
the gag reflex involves sensory fibers from ______ and ____ motor fibers
|
CNIX sensory
XI via X motor fibers |
|
cough reflex is a contraction of these muscles
triggered by stiulation of nerves in these organs |
- laryngeal muscles, diaphragm and external intercostal muscles
- larynx, trachea, larger bronchii (internal and recurrent laryngeal nerves) |
|
palatine tonsils located on sides of ____________ between ____________
|
oropharynx
palatine arches/ pillars |
|
pharyngeal tonsils are located in __________ wall of nasopharynx
|
posterior wall
|
|
located on pharyngeal portion of tongue
located adjacent to each auditory tube adenoids are what tonsils? |
lingual tonsils
tubal tonsils pharyngeal and tubal tonsils |
|
features of the thryoid cartilage
|
the largest
incomplete has laryngeal prominence and thryoid notch |
|
characteristics of the cricoid cartilage
shaped like: has a narrow ______ arch and a wider ______ plate |
shaped like a signet ring
has a narrow anterior arch and a wider posterior plate, or lamina |
|
connects laryngeal cartilages to external structures and ligaments
|
extrinsic: thyrohyoid membrane
|
|
connects laryngeal cartilages to each other
|
cricothyroid ligament (intrinsic)
|
|
where the ventricles of the supraglottic cavity are found
|
laterally between vestibular and vocal folds
|
|
3 components of the true vocal folds
|
- vocal ligament
- vocalis muscle - mucosal covering |
|
consists of the true vocal folds and the space between them
|
glottis
|
|
abductor of the larynx
|
posterior cricoarytenoid muscle
|
|
tensors of the larynx
|
cricothyroid muscle
vocalis (minute adjustments for high tones) |
|
external laryngeal nerve gives _________ innervation to
|
motor to cricothyroid muscle
|
|
internal laryngeal nerve gives _______ innervation to:
|
sensory to larynx above vocal folds
|
|
the recurrent laryngeal nerve gives motor innervation to _________ and sensory to ___________
|
all intrinsic muscles of larynx except cricothyroid
sensory to larynx below vocal folds |
|
terminal branches of the recurrent laryngeal nerve
|
inferior laryngeal nerves
|
|
blood supply to the larynx
|
- superior laryngeal a. from superior thyroid a.
- inferior laryngeal a. from inferior thyroid a. |
|
2 emergency entries to airway
|
1. cricothyrotomy
2. tracheostomy |
|
area of the larynx that is subject to edema and why?
|
supraglottic area- the mucous membrane here is loose
|
|
3 cartilages of the laryngeal skeleton
|
1. thyroid
2. cricoid 3. epiglottic |
|
general structure of the nose (5)
|
root, dorsum, nares, ala, columella
|
|
bones/ cartilages that make up the nasal cavity
|
nasal, forntal, maxillary bones
septal, lateral nasal and alar cartilages |
|
blood supply to exterior nose
|
facial: lateral nasal and angular arteries
ophthalmic: dorsal nasal artery |
|
innervation to exterior nose
|
infratrochlear and external nasal nerves (CN V1)
infraorbtial nerve (CN V2) |
|
the nasal cavity is divided into right and left nasal fossae by _______ with each opening anteriorly through the _______ and posteriorly through the ______.
|
the nasal septum
nares choane |
|
boundaries of the nasal cavity
roof floor median wall lateral wall |
roof: cribriform plate of ethmoid + nasal, frontal, sphenoid bones
floor: hard palate (maxillary + palatine bones) medial wall: cartilaginous nasal septum, vomer, perpendicular plate of ethmoid (nasal septum) lateral wall: conchae and meatuses |
|
superior and middle concache are part of what bone(s)?
|
ethmoid
inferior is its own bone |
|
the superior meatus is the opening of what
opening of sphenoid sinus opening of naso lacrimal duct middle meatus opening of what? |
sphenoethmoidal recess
inferior meatus ethmoidal, maxillary and frontal sinuses |
|
structures of the middle meatus
|
ethmoidal bulla
hiatus semilunaris |
|
blood supply to nasal cavity
|
ophthalmic artery: anterior ethmoid and posterior ethmoid
maxillary artery: sphenopalatine facial artery: superior labial |
|
venous drainage from nasal cavity via what veins
|
ophthalmic v., facial v., pterygoid plexus
|
|
innervation of the olfactory area of nose (superior 1/3)
|
olfactory nerve CNI (specia sense
|
|
innervation of the respiratory area of nose
nasal septum: lateral wall: |
anterior ethmoid (V1 branch)
nasopalatine nerve (V2 branch) lateral wall: later nasal nerves and anterior ethmoid nerve |
|
preganglionic parasympathetic innervation to nasal glands travel this pathway:
|
CNVII via greater petrosal --> nerve of pterygoid canal --> pterygopalatine ganglion --> nasal branches (postganglionic)
|
|
postganglionic sympathetic innervation to nose travels this pathway
|
superior cervical ganglion --> deep petrosal nerve --> nerve of pteryagoid canal --> pterygopalatine ganglion (just passing through) --> nasal branches
|
|
blood supply to nasal sinuses
|
maxillary sinus: superior alveolar artery
rest: ethmoidal branches of ophthalmic artery |
|
frontal sinus empties via ____ duct into _____ meatus
|
frontonasal duct into middle meatus
|
|
opens into the superior meatus
|
posterior ethmoidal sinuses
|
|
innervation to the nasal cavities
max: frontal: ethmoid: sphenoid: |
maxillary: superior alveolar n (V2)
frontal: frontal and nasociliary n (V1) ethmoid: ethmidal n (V1), orbital and nasal n (V2) sphenoid: posterior ethmoidal n (V1) |
|
important structures of the pterygopalatine fossa
|
pterygopalatine ganglion, maxillary n(V2), and maxillary artery
|
|
boundaries of pterygopalatine fossa
lateral wall medial wall anterior posterior roof floor |
lateral wall: opens via pterygomaxillary fissure
medial wall: palatine bone anterior: maxilla posterior: pterygoid process of sphenoid roof: greater wing of sphenoid floor: opens via palatine canal |
|
communications of the pterygopalatine fossa
lateral medial anterior posteriorly (3) inferiorly |
lateral: ITF through pterygomaxillary fissure
medial: nasal cavity through sphenopalatine foramen anterior: orbit through inferior orbital fissure posterior: middle cranial fossa through foramen rotundum and pterygoid canal. Through pharyngeral canal (palatovaginal canal) inferiorly: oral cavity through palatine canal |
|
branches of the 3rd part of the maxillary artery
|
PSA a.,
infraorbital artery --> anterior and middle superior alveolar descending palatine a. --> greater and lesser palatine sphenopalatine artery, pharyngeal a., artery of the pterygoid canal |
|
maxillary division of CNV
|
- zygomatic nerve (zygomaticotemporal and zygomatical facial n)
- PSA nerve - infraorbital nerve - greater and lesser palatine nerves - nasal nerve - pharyngeal n |
|
the pterygopalatine ganglion is the site of synapse of parasympathetic fibers from facial nerve for innervation to these glands
|
lacrimal,
nasal, palatal, pharyngeal glands |
|
pterygopalatine ganglion is located just inferior to:
|
maxillary nerve
|
|
course of preganglionic parasympathetic fibers in PPF
|
facial nerve (VII) --> greater petrosal nervethrough hiatus of the facial canal and along groove for greater petrosal n --> nerve of the pterygoid canal (vidian nerve)
|
|
course of postganglionic parasympathetic fibers in PPF
to lacrimal: nasal: palatal: pharyngeal: vasculature and mucosa: |
lacrimal: via maxillary n --> zygomatic n --> zygomaticotemporal (V2) --> lacrimal n (V1)
nasal: branches of V2 through sphenopalatine foramen to palatal glands: branches of V2 through greater and lesser palatine nerves to pharyngeal glands: V2 through pharyngeal canal vasculature and mucosa: PSA, MSA, ASA (no parasymp to teeth) |
|
sympathetic postganglionic fibers come from _________ plexus to form the ________ nerve which joints the ________ nerve just superior to the ________ to become this nerve.
|
internal carotid plexus to form the deep petrosal nerve which joins greater petrosal nerve just superior to foramen lacerum
--> becomes nerve of the pterygoid canal |
|
the hard palate is covered by __________ inferiorly and by ___________ superiorly
|
mucoperiosteam inferiorly and mucosa of nasal cavity superiorly
|
|
mucoperiosteaum presents these 3 things which aid in gripping food against the tongue
|
median raphe, transverse palatine folds, rugae
|
|
the soft palate is suspended from _________ of hard palate; laterally attached to :
|
posterior edge
laterally attached to walls of pharynx |
|
anterior and posterior arches of the soft palate combine to form passageway between these 2 places
|
latatoglossal and palatopharyngeal folds
passageway between the oral cavity and oropharynx |
|
framework of soft palate is formed by
|
the aponeurotisis of tensor veli palatini muscle
|
|
function of soft palate
|
close of nasopharynx from oropharynx in speech and swallowing
|
|
foramina of the hard palate
|
insicive, greater and lesser palatine
|
|
blood supply to the palate
|
greater and lesser palatine arteries (from descending palatine branch of max artery),
ascending palatine artery (branch of facial) & sphenopalatine (branch of max) |
|
palatal muscles
|
palatoglossus
palatopharyngeus levator veli palatini tensor veli palatini musculus uvulae |
|
motor innervation to the palate and the exception
|
all by CN XI via X except tensor veli palatini which is innervated by V3
|
|
sensory innervation to the palate
|
all branches of V2
greater palatine (most of hard palate) lesser palatine (soft palate) nasopalatine (small portion of anterior hard palate) |
|
palatine tonsil lies within the mucosa in the ________ sinus between ___________ and _________
|
tonsillar sinus between the palatoglossal and palatopharyngeal folds
|
|
blood supplly and innervation to the palatine tonsil
|
tonsillar artery (facial branch)
tonsillar plexus formed by branch of glossopharyngeal |
|
submandibular region lies between these 2 things
|
body of the mandible and the hyoid bone
|
|
what triangles are included in the submandibular region
|
submental and submandibular
|
|
contents of the submandibular region
|
submandibular and sublingual glands, suprahyoid muscles, submandibular ganglion, lingual/facial arteires, ligual/hypoglossal nerves
|
|
3 parts of the tongue
attached to these 4 things composed chiefly of _____ muscle; partly covered by _______ important in these 5 things |
tip, body, root.
attached to hyoid bone, mandible, styloid process and pharynx composed of skeletal muscle/ partly covered by mucous membrane. taste, mastication, swallowing, oral cleansing and speech |
|
the dorsum of the tongue is divided by the ____________ into anterior 2/3 (oral) and posterior 1/3 (pharyngeal) portions
apex of this structure |
sulcus terminalis
apex of sulcus terminalis is foramen cecum |
|
oral part of tongue attached to floor of mouth by:
dorsum of oral part has: lingual tonsils are located on ______ portion |
lingual frenulum. median groove. pharyngeal portion of tongue
|
|
types of papillae
|
circumvallate (just anterior to sulcus terminalis), filiform, fungiform, foliate
|
|
intrinsic muscles of the tongue are concerned primarily with the ________ of the tongue
arranged in these planes: |
shape of the tongue. longitudinal, transverse, vertical
|
|
genioglossus m. arises from: and acts to:
|
superior genial tubercle and acts to protrude and depress tongue
|
|
hyoglossus muscle arises from: and acts to:
|
body and greater horn of hyoid and acts to flatten and depress the tongue ((not considered a suprahyoid muscle))
|
|
styloglossus m. arises from: and acts to:
|
arises from the styloid process, acts to pull tongue backward and upward
|
|
palatoglossus m. arises from: and acts to:
|
arises from palatine aponeurosis of soft palate and acts to elevate the tongue toward the palate
|
|
motor innervation to the tongue muscles and the exception
|
hypoglossal nerve to all but one muscle of the tongue. palatoglossus is supplied by pharyngeal plexus (XI via X)
|
|
general sensation to anterior 2/3 and posterior 1/3 of tongue
|
anterior: lingual n...
posterior: glossopharyngeal n. |
|
special taste sensation to the anterior 2/3 and posterior 1/3 of the tongue
|
anterior: chorda tympani// posterior: glossopharyngeal n.
|
|
small area of mucosa of the tongue just _______ to epiglottis receives both general and special sensation via this branch of the vagus nerve
|
anterior to epiglottis- internal laryngeal nerve
|
|
parasympathetic secretomotor fibers to the serous glands of the tongue are carried with the (motor/sensory) nerves of the tongue. These postganglionic fibers originate in the __________ ganglion
|
carried with sensory nerves of the tongue. originate in the submandibular ganglion
|
|
blood vessels of the tongue
arteries/ veins- principle vein? where does it drain |
lingual artery.
- dorsal lingual, deep lingual and sublingual artery. lingual veins- 2 accompany the lingual artery. deep lingual vein is principle --> drains into the internal jugular vein |
|
4 routes lymph drains from the tongue
tip: lateral ant 2/3 medial ant 2/3 posterior 1/3 (some drainage to opposite side) |
1. tip of tongue--> submental nodes
2. lateral anterior 2/3 --> submandibular nodes 3. medial anterior 2/3 --> directly to inferior deep cervical nodes 4. posterior 1/3 --> directly to superior deep cervical nodes |
|
superficial part of submandibular gland is located in ________________.
deep part located between these two muscles ____________ & _________. both parts joined along posterior edge of this muscle: submandibular duct extends from deep part _________ to ___________ papilla |
submandibular triange// deep between mylohyoid and hyoglossal muscles/// joined along the posterior edge of the mylohyoid m. ///extends from deep part anteriorly to sublingual papilla (caruncle)
|
|
sublingual gland is located within ______ fold, ______ to the mylohyoid; lies between ________ and _______ muscle.///
has _________ ducts which open separately into oral cavity on ___________ fold. some may unite and open into __________ duct |
sublingual fold, superior to mylohyoid, between mandible and genioglossus muscle.//
10-30 ducts. on sublingual fold. some may unite open into the submandibular duct |
|
submandibular and sublingual glands receive parasympathetic & secretomotor fibers from this ganglion: post ganglionic fibers reach the glands by joining this nerve________ sympathetic comes from
|
submandibular ganglion. postganglionic hitch hike on lingual n.. superior cervical ganglion
|
|
vascular supply to sublingual and submandibular glands
|
adjacent branches of facial and lingual arteries
|
|
lingual nerve passes through TIF then across __________ muscle to reach _______ surface of _______ muscle.
crosses submandibular duct these 3 directions: ascends ________ to duct on surface of this muscle then breaks up into terminal branches. joined by _______ in ITF |
styloglossus mucle to reach lateral surface of hyoglossus.
first laterally, inferiorly, medially. ascends medially to duct on surface of genioglossus m. chorda tympani |
|
hypoglossal nerve lies of this muscle, inferior to these two things.
goes deep to _________ to reach rest of tongue muscles |
lies of hyoglossus, inferior to submandibular duct and lingual nerve
sublingual gland |
|
ganglion for parasympathetic secretomotor innervation of submandibular/sublingual glands as well as minor salivary glands. located on ________ muscle suspended from ________ nerve
|
submandibular ganglion. on hyoglossus muscle suspended from lingual nerve (CNV3)
|
|
course of parasmapthetic fibers of submandibular ganglion to submandibular: to sublingual
|
pre- chorda tympani (CNVII)
post: submandibular gland by direct glandular branches and to sublingual by joining the lingual nerve |
|
portions of the submandibular ganglion may be found within:
|
the submandibular gland
|
|
lingual artery arises from ________ artery at level of __________. passes deep to _______ muscle. 3 major branches:
|
external carotid at hyoid bone. hyoglossus muscle.
Dorsal lingual, sublingual, and deep lingual arteries |
|
dorsal lingual a. supplies:
sublingual a supplies: deep lingual a. supplies: |
base of the tongue, the anterior floor of the mouth, anterior portion of the tongue
|
|
facial artery arises from _______ just above _______
passes through ________ before crossing the mandible to reach the face. major branches in submandibular region: |
external carotid just above lingual a. passes through submandibular gland.
glandular and submental branches major |
|
all veins on one side of tongue form ______ vein which drains into either of these 2 veins
|
lingual vein drains into --> facial or internal jugular vein
|
|
the retromolar fossa is bound medially and laterally by:. at the apex, posteriorly, attaches the:
|
crests of the postmolar alveolar process
attaches to pterygomandibular raphe |
|
defines the anterior boundary of the oropharynx
|
pterygomandibular raphe and palatoglossus muscle
|
|
retromolar region boundaries- lateral: posterior: medial: inferior:
|
lateral: buccinator m.,
posterior: superior constrictor m. even deeper is medial pterygoidm medial: palatoglossal arch, inferior: styloglossus muscle, lingual nerve and submandibular gland |
|
the external auditory meatus is a canal bounded _________ by the tympanic membrane (eardrum)
|
medially
|
|
tympanic membrane faces slightly:
composed of these two laters and what is in between them? |
inferiorly and posteriorly
2 epithelial layers (skin externally/ mucosa internally) w/ fibrous tissue in between |
|
external tympanic membrane is innervated by:
external meatus is innervated by these three things: internal tympanic membrane and middle ear mucosa innervated by: |
auriculotemporal
auriculotemporal, facial, and vagus glossopharyngeal |
|
boundaries of the tympanic cavity
roof floor anterior (carotid) wall posterior wall lateral wall medial wall |
roof: tegmen tympani (in middle cranial fossa)
floor: jugular wall anterior: opening of auditory tube, tensor tympani, internal carotid artery posterior wall: aditus to mastoid air cells, stapedius m., facial canal lateral wall: tympanic membrane medial wall: oval window (fenestra vestibuli), round iwndow (fenestra chochleae), and promontory (site of the tympanic plexus) |
|
contents of tympanic cavity
|
ossicles: malleus, incus, stapes
muscles: tensor tympani, stapedius chorda tympani |
|
tensor tympani is attached to:
innervated by: stapes is attached to: innervated by: |
malleus, CNV3
attached to stapes, innervated by CNVII |
|
chorda tympani runs across ___________ and _______ to the malleus
|
tympanic membrane and medial to the malleus
|
|
the cochlea is _______, responsible for _______, _______ window opens from it
|
anterior, responsible for audition, round window opens from it
|
|
the semicircular canals are _______ to vestibule, responsible for _________
|
posterior to vestibule, responsible for balance
|
|
vestibulocochlear nerve (CNVIII) branches
|
cochlear n. (hearing) and vestibular n. (equilibrium)
|
|
facial nerve branches in the ear
|
- geniculate ganglion
- greater petrosal n. - nerve to stapedius - chorda tympani |
|
clinical correlates for the ear
|
middle ear infection (otitis media), fractures of meatus, TMJ disease, referred sensation involving V3, IX, or X
|
|
parasympathetics for the ciliary (III) ganglion arise from this nucleus:
for the submandibular (VII) ganglion arise from: for the pterygopalatine (VII) ganglion arise from: for the otic ganglion (IX) arise from: |
edinger-westphal
superior salivatory nucleus lacrimal inferior salivatory nucleus |
|
innervation to the tympanic cavity
|
glossopharyngeal n (IX)
tympanic plexus (CN IX and sympathetics) |
|
blood supply to tympanic cavity
|
maxillary a (anterior tympanic branches)
|
|
malleus is attached to this:
|
tympanic membrane (umbo)
|