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Anatomy

The Auditory Tube

  • This is a funnel-shaped tube connecting the nasopharynx to the tympanic cavity.
  • Its wide end is towards the nasopharynx, where it opens posterior to the inferior meatus of the nasal cavity.
  • The auditory tube is 3.5 to 4 cm long; its posterior 1/3 is bony and the other 2/3 is cartilaginous.
  • It bony part lies in a groove on the inferior aspect of the base of the skull, between the petrous part of the temporal bone and the greater wing of the sphenoid bone.
  • The function of the auditory tube is to equalise pressure of the middle ear with atmospheric pressure.

Smooth Muscle

Light microscopic Structure:

cells - long - spindle shaped,  nucleus lies in the widest widest part of the fiber,  when the fiber contract the nucleus become folded, 30 - 200 µm long,between fibres lie endomycium

Electron microscopic structure:

 Mitochondria, ribosomes, golgi, rough EPR, myofilaments are present but no sarcomeres and no Z lines,thin filaments - actin and tropomyosin (7nm), thick filaments - myosin (17nmØ)

- intermediate filaments (10 nm)

- actin and myosin overlap more than in skeletal muscle and can therefore contract more

 A rudimentary sacroplasmic reticulum is present in the form of invaginations on the surface called caveolae , So there are no T-tubules,  Cells communicate through gap junctions.

Dense bodies

Filaments are attached to dense bodies which take the place of the Z line in skeletal muscle

There are two types of dense bodies - cytoplasmic and membrane

contains a percentage actinin (like the Z line)

dense bodies transmit contractile force to adjacent fibres

 

Arrangement:

Fibres can be single or in groups, normally arranged in sheaths,  In the GIT are 2 or 3 layers

Nerve supply:

2 types:

Where it is arranged in layers a few fibres are innervated together

impulse spread through the gap junctions between fibres (slow contraction)

In the iris and the vas deferens each fiber is individually supplied (quick contraction)

  • Ossification

  • Intramembranous-found in the flat bones of the face
    • Mesenchymal cells cluster and form strands
    • Strands are cemented in a uniform network. Which is known as osteoid
    • Calcium salts are deposited; osteoid is converted to bone
    • Trabeculae are formed and make cancellous bone with open spaces known as marrow cavities
    • Periosteum forms on the inner and outer surfaces of the ossification centers
    • Surface bone becomes compact bone
  • Endochondral-primary type of ossification In the human

  • 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

  • Long bones (e.g.. femur and humerus)
  • Short bones (e.g.. wrist and ankle bones)
  • Flat bones (e.g.. ribs)
  • Irregular bones (e.g.. vertebrae)

The Pharynx

  • The pharynx is the continuation of the digestive system from the oral cavity.
  • It is a funnel-shaped fibromuscular tube that is the common route for both food and air.
  • The pharynx is located posterior to the nasal and oral cavities, and the larynx.
  • For the convenience of description, the pharynx is divided into three parts: (1) the nasopharynx, posterior to the nose and superior to the soft palate; (2) the oropharynx, posterior to the mouth; and (3) the laryngopharynx, posterior to the larynx.
  • The pharynx is about 15 cm long.
  • It extends from the base of the skull to the inferior border of the cricoid cartilage anteriorly, and to the inferior border of C6 vertebra posteriorly.
  • It is widest (about 5 cm) opposite the hyoid bone and narrowest (about 1.5) at its inferior end, where it is continuous with the oesophagus.
  • The posterior wall of the pharynx lies against the prevertebral fascia, with the potential retropharyngeal space between them.

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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