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Anatomy

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.

  •  Provides a rigid support system
  • Protects delicate structures (e. g., the protection provided by the bones of the vertebral column to the spinal cord)
  • Bones supply calcium to the blood; are involved In the formation of blood cells (hemopoiesis)
  • Bones serve as the basis of attachment of muscles; form levers in the joint areas, aIlowing movement

The Tongue

  • The tongue (L. lingua; G. glossa) is a highly mobile muscular organ that can vary greatly in shape.
  • It consists of three parts, a root, body, and tip.
  • The tongue is concerned with mastication, taste, deglutition (swallowing), articulation (speech), and oral cleansing.
  • Its main functions are squeezing food into the pharynx when swallowing, and forming words during speech.

 

Gross Features of the Tongue

  • The dorsum of the tongue is divided by a V-shaped sulcus terminalis into anterior oral (presulcal) and posterior pharyngeal (postsulcal) parts.
  • The apex of the V is posterior and the two limbs diverge anteriorly.
  • The oral part forms about 2/3 of the tongue and the pharyngeal part forms about 1/3.

 

Oral Part of the Tongue

  • This part is freely movable, but it is loosely attached to the floor of the mouth by the lingual frenulum.
  • On each side of the frenulum is a deep lingual vein, visible as a blue line.
  • It begins at the tip of the tongue and runs posteriorly.
  • All the veins on one side of the tongue unite at the posterior border of the hyoglossus muscle to form the lingual vein, which joins the facial vein or the internal jugular vein.
  • On the dorsum of the oral part of the tongue is a median groove.
  • This groove represents the site of fusion of the distal tongue buds during embryonic development.

 

The Lingual Papillae and Taste Buds

  • The filiform papillae (L. filum, thread) are numerous, rough, and thread-like.
  • They are arranged in rows parallel to the sulcus terminalis.
  • The fungiform papillae are small and mushroom-shaped.
  • They usually appear are pink or red spots.
  • The vallate (circumvallate) papillae are surrounded by a deep, circular trench (trough), the walls of which are studded with taste buds.
  • The foliate papillae are small lateral folds of lingual mucosa that are poorly formed in humans.
  • The vallate, foliate and most of the fungiform papillae contain taste receptors, which are located in the taste buds.

 

The Pharyngeal Part of the Tongue

  • This part lies posterior to the sulcus terminalis and palatoglossal arches.
  • Its mucous membrane has no papillae.
  • The underlying nodules of lymphoid tissue give this part of the tongue a cobblestone appearance.
  • The lymphoid nodules (lingual follicles) are collectively known as the lingual tonsil.

The Inferior Wall of the Orbit

  • The thin inferior wall of the orbit or the floor is formed mainly by the orbital surface of the maxilla and partly by the zygomatic bone, and orbital process of the palatine bone.
  • The floor of the orbit forms the roof of the maxillary sinus.
  • The floor is partly separated from the lateral wall of the orbit by the inferior orbital fissure.

Mesodermal Origin

Muscles

Innervation

Somitomeres 1, 2

Superior, medial and ventral recti

Oculomotor (III)

Somitomere 3

Superior oblique

Trochlear (IV)

Somitomere 4

Jaw-closing muscles

Trigeminal (V)

Somitomere 5

Lateral rectus

Abducens (VI)

Somitomere 6

Jaw-opening and other 2nd arch muscles

Facial (VII)

Somitomere 7

Stylopharyngeus

Glossopharyngeal (IX)

Somites 1, 2

Intrinsic laryngeals

Vagus (X)

Somites 2-5

Tongue muscles

Hypoglossal (XII)

->The two parietal bones (L. paries, wall) form large parts of the walls of the calvaria.
->On the outside of these smooth convex bones, there are slight elevations near the centre called parietal eminences.
->The middle of the lateral surfaces of the parietal bones is crossed by two curved lines, the superior and inferior temporal lines.
->The superior temporal line indicates an attachment of the temporal fascia; the inferior temporal line marks the superior limit of the temporalis muscle.
->The parietal bones articulate with each other in the median plane at the sagittal suture. The medial plane of the body passes through the sagittal suture.
->The inverted V-shaped suture between the parietal bones and the occipital bones is called the lambdoid suture because of its resemblance to the letter lambda in the Greek alphabet.
->The point where the parietal and occipital bones join is a useful reference point called the lambda. It can be felt as a depression in some people.
->In addition to articulation with each other and the frontal and occipital bones, the parietal bones articulate with the temporal bones and the greater wings of the sphenoid bone.
->In foetal and infant skulls, the bones of the calvaria are separated by dense connective tissue membranes at sutures.
->The large fibrous area where several sutures meet are called fonticuli or fontanelles.
->The softness of these bones and looseness of their connections at these sutures enable the calvaria to undergo changes of shape during birth called molding. Within a day or so after birth, the shape of the infant’s calvaria returns to normal.
->The loose construction of the new-born calvaria also allows the skull to enlarge and undergo remodelling during infancy and childhood.

->Relationships between the various bones are constantly changing during the active growth period.
->The increase in the size of the cranium is greatest during the first 2 years, the period of most rapid postnatal growth of the brain.
->The cranium normally increases in capacity until about 15 or 16 years of age; thereafter the cranium usually increases only slightly in size as its bones thicken for 3 to 4 years.

 

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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