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59 Cards in this Set

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  • Back
What muscle fills in the pterygoid fossa? What makes the pterygoid fossa?
Pterygoid fossa is the space between the lateral and medial pterygoid plates. The <b>tensor palati</b> muscle fills it in.
Where is the tensor and levator palati muscles located with respect to the superior constrictor muscle?
Superior.
What structures are found between the superior and middle constrictors?
Stylopharyngeus m., CN IX (it innervates the stylopharyngeus), and Stylohyoid lig
What structures are found between the middle and inferior constrictors?
Internal branch of sup laryngeal n., superior laryngeal artery (branch of superior thyroid artery)
What is the pterygoid hamulus? What muscle is associated with it?
It's a curvature of the <b>medial</b> pterygoid plate. The tendon of the Tensor veli palatini glides over it.
What does the pharynx receive superiorly?
Nasal choanae (posterior part). This part is called the nasopharynx
What is the region of the pharynx that can be visualized when a human opens its mouth?
Oropharynx. Basically, the back of the throat.
What is the structure between the larynx and pharynx? (Lateral to larynx, medial to pharynx)
Piriform recess
What structure extends inferiorly from the torus tubarus?
Salpingopharyngeal fold
What are the two spaces between the median and lateral glossoepiglottic folds?
Valleculae
What muscles attach to the pterygomandibular raphe?
Anteriorly - buccinator
Posteriorly - Superior pharyngeal constrictor
What structures pass superior to superior constrictor?
Levator veli palatine and auditory tube
What structure passes inferior to inferior constrictor m.?
Recurrent laryngeal n
What are the three longitudinal muscles of the pharynx?
Salpingopharyngeus, Palatopharyngeus, and Stylopharyngeus
From the medial view, what muscle looks like it is being poured out of a tube?
Levator veli palati
What nerves are in the pharyngeal plexus?
A combination of cranial nerves and sympathetics
What nerves do motor innervation of pharynx?
Mostly vagus.
Exceptions:
1) Stylopharyngeus: CN IX
2) Tensor palati: CN V3
What does sensory innervation for the superior aspect of nasopharynx? Most of the remaining?
Pharyngeal n., branch of V2. Most of remaining is done by glossopharyngeal.
What innervates the entrance to the larynx, including aryepiglottic folds?
Internal laryngeal n., branch of vagus.
What arteries supply the pharynx?
1) Ascending pharyngeal (branch of external carotid a.)

2) Small tonsilar and palatine branches of Facial a.

3) descending palating (branch of maxillary)

4) Pharyngeal a (from maxillary)

5) Superior thyroid (from external carotid)

6) Inferior thyroid (thyrocervical trunk)
What are the 3 functions of the larynx?
1) Vocalization
2) Connects with oropharynx with trachea for respiration (conducts air)
3) Serves as valve to protect airway during swallowing
What membrane extends from the hyoid to thyroid cartilage?
Thyrohyoid membrane
What muscle covers the thyrohyoid membrane?
Thyrohyoid m
What n and a pierce the thyrohyoid membrane?
Superior laryngeal a.; Internal laryngeal n. (branch of superior laryngeal n., which is a branch of the vagus)
What part of the thyroid cartilage projects prominently in men?
Laryngeal prominence (the base of the thyroid notch)
What membrane extends superiorly from the inside of the cricoid cartilage and contributes to the conus elasticus of the vocal fold?
Cricothyroid membrane
What are the paired pyramidal shaped cartilages integral for vocal production?
Arytenoid cartilages
Name the structures
Name the structures
1. Epiglottis
2. Arytenoid cartilage
3. Corniculate cartilage
4. Aryepiglottic fold
What is the space between the vocal folds called?
Rima glottidis
What is the area between the true and false vocal folds?
Ventricle of larynx
What is the quadrangular membrane?
A membrane extending up from the false vocal folds. Superior boundary is aryepiglottic fold, anterior boundary is epiglottic cartilage, posterior boundary is arytenoid cartilage
What is the only extrinsic muscle of larynx?
Cricothyroid
What does the cricothyroid do? Is it found anterior or posterior to arytenoid cartilage?
Tenses the vocal cord by rocking the thyroid cartilage forward on the cricoid. Found anterior to aryternoid cartilage
What is the relationship of these muscles to each other (which one is anterior and posterior)?

1) Cricothyroid
2) Cricoarytenoid
Cricothyroid is anterior to Cricoarytenoid
What does posterior cricoarytenoid do?
It pulls the aryternoids outwardly, thus opening the rima glottidis (space between vocal folds).
What does lateral cricoarytenoid do?
Rotates arytenoids in direction opposite to that of posterior cricoarytenoids, thus closing the rima glottidis
What does the arytenoideus (transverse and oblique) do?
It stretches from the posterior border of the arytenoid cartilages.It slides the aryternoids together in a medial motion, closing the rima glottidis
What muscle tenses the aryepiglottic fold, drawing it to the opposite aryepiglottic fold thereby assisting in closing the entrance to the larynx? (Impt for swallowing without choking)
Aryepiglotticus
What is the motor innervation for all intrinsic muscles of larynx?
Vagus via Recurrent Laryngeal N
What is the motor innervation for the extrinsic muscle of larynx? (Hint: there's only one)
External Laryngeal N. from the superior laryngeal n.

This innervates the cricothyroid
What is the blood supply of larynx?
Above true vocal folds: <b>Superior Laryngeal, a branch of Superior Thyroid a</b>, from external carotid.

Area below true vocal folds: <b>Inferior laryngeal a., branch of thyrocervical trunk</b>.
What is the roof of the nasal cavity?
Cribriform plate of ethmoid bone, body of sphenoid. Basically the floor of the anterior fossa.
What is the floor of the nasal cavity?
Superior aspect of hard palate, with contributions from maxillary and palatine bones.
What is the medial wall of nasal cavity?
The nasal septum, found in midline.
What is the blood supply of septum?
Anterior and posterior ethmoid artery (from Ophthalmic A)

Medial posterior nasal a.

nasopalatine a.

Septal branch of superior labial a.

What is the nerve supply of the septum?
Anterior ethmoid n (from V1)

Nasopalatine n. and Medial (septal) posterior nasal n (from sphenopalatine n) from V2

CN I (olfactory) superiorly
What are the nasal conchae/turbinates?
Projectsion of the lateral nasal wall itno the nasal cavity. They have a bony core and are covered witha highly vascularized mucosa that aids in warming and moistening inspired air. There are three of them.
What are the meati?
The spaces inferior and lateral to each turbinate.
Where is:
1:sphenoethmoidal recess?
2: Superior meatus?
3: Middle meatus?
4: Inferior meatus?
1: Above superior turbinate
2: Below superior turbinate
3: Below middle turbinate
4: Below inferior turbinate
Where does the sphenoethmoidal recess open into?
The sphenoid sinus
Where does the superior meatus open into?
Posterior ethmoid sinus
What does the hiatus semilunaris open into?
Anterior ethmoid sinuses; Frontal sinus via frontonasal duct to anterior portion of hiatus; Maxillary sinus thru posterior portion of hiatus
What does the sphenopalatine foramen transmit?
Sphenopalatine a and n
What are the 4 paranasal sinuses?
1) Maxillary sinus (from hiatus semilunaris)
2) Ethmoid sinus
3) Frontal sinus
4) Sphenoid sinus
What does the frontal sinus drain into?
Middle meatus
What is a possible cause of anosmia from traumatic brain injury?
Shearing of olfactory nerves as they pass thru cribriform plate.
What nerve supplies the antero-superior nasal septum?
Anterior ethmoidal nerve (branch of V1)
What nerve supplies the postero-inferior nasal septum?
Nasopalatine nerve. It's coming out of the pterygopalatine ganglion, ultimately from V2
What is above and below (sup and inf) the semilunar hiatus?
SUPERIOR: Ethmoidal bulla (contains ethmoidal air cells)

INFERIOR: Uncinate process of ethmoid bone