Pharynx
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View Craig Hacking's current disclosures- Pharynges
- Pharynxes
The pharynx (plural: pharynges or pharynxes) is the superior dilated part of the alimentary tract that connects the nasal and oral cavities to the esophagus. It also forms part of the upper respiratory tract.
On this page:
Gross anatomy
The pharynx is composed of three parts:
-
nasopharynx: posterior to the nasal choanae, extending from the vault of the pharynx superiorly to the soft palate inferiorly
communicates with the nasal cavity anteriorly
-
oropharynx: posterior to the base of tongue, inferior to the soft palate, bounded laterally by the palatoglossal and palatopharyngeal arches, and superior to the superior tip of the epiglottis
communicates with the oral cavity anteriorly
-
laryngopharynx (or hypopharynx): inferior to the superior border of the epiglottis and the pharyngoepiglottic folds, superior to the cricoid cartilage
communicates with the larynx anteriorly
Musculature
There are two groups of pharyngeal muscles, the external circular layer and the internal longitudinal layer.
The external circular layer is composed of the three pharyngeal constrictor muscles:
The internal longitudinal layer is composed of the three paired muscles:
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Arterial supply
Numerous branches anastomose in the pharynx, providing it with a rich arterial supply:
ascending pharyngeal artery (from the external carotid artery (ECA))
ascending palatine artery (from the facial artery)
lingual artery (from the ECA)
tonsillar artery (from the facial artery)
greater palatine artery (from the maxillary artery)
artery of the pterygoid canal (from the maxillary artery)
superior laryngeal artery (from the superior thyroid artery)
inferior laryngeal artery (from the inferior thyroid artery, off the thyrocervical trunk)
Venous drainage
Veins of the same name drain either into the pterygoid venous plexus or directly into the internal jugular vein.
Lymphatic drainage
Most lymph drains back to the retropharyngeal nodes.
Innervation
The muscles of the pharynx are supplied by the pharyngeal plexus, a network of nerves from pharyngeal branches of the vagus and glossopharyngeal nerves.
Sensory innervation is primarily from the glossopharyngeal nerve with a few notable exceptions:
the superior nasopharynx is supplied by the pharyngeal nerve of the maxillary division of the trigeminal nerve (V2)
the valleculae are supplied by the internal laryngeal nerve (a branch of the vagus nerve)
the rest of the laryngopharynx is supplied by the recurrent laryngeal nerve (a branch of the vagus nerve)
References
- 1. McMinn. Last's Anatomy. (2003) ISBN: 9780729537520 - Google Books
- 2. Keith L. Moore, Arthur F. Dalley. Clinically Oriented Anatomy. (1999) ISBN: 9780683061413 - Google Books
Incoming Links
- Vertebral levels (anatomical landmarks)
- Aerodigestive tract
- Spinal nucleus of the trigeminal nerve
- Superior pharyngeal constrictor muscle
- Cervical lung hernia
- Inferior pharyngeal constrictor muscle
- Point-of-care ultrasound (curriculum)
- Nucleus ambiguus
- Oesophageal fibrovascular polyp
- Ariboflavinosis
- Passavant cushion
- Common carotid artery
- Tensor veli palatini muscle
- Pharyngeal muscles
- Nasopharynx
- Oropharynx
- Jugulodigastric lymph nodes
- Esophagus
- Head and neck anatomy
- Respiratory tract
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