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MUSCLE LAYER




  inner longitudinal
             outer
  circular



  stylopharyngeus
  palatopharyngeus
   salpingopharyngeus
superior, middle
and inferior
constrictors.









1.

2.

3.
The palatine tonsil:

              The palatine
               tonsil is located
               between the
               diverging
               palatopharynge
               al and
               palatoglossal
               folds.
              A sulcus usually
               separates the
               tonsil from the
               base of the
               tongue, the
               tonsillolingual
               sulcus.
Lymph Drainage

Jugulodigastric
Lymphoid tissue of the
     pharynx:
 The nasopharyngeal, tubal,
  palatine and lingual tonsils form
  a ring of GALT at the level of the
  oropharyngeal and
  nasopharyngeal isthmus, known
  as Waldeyer's ring.
 Lymphatic efferents leave this
  tissue and drain to regional
  lymph nodes.
movei
movei
 Deglutition is the act of swallowing, through which a
  food or liquid bolus is transported from the mouth
  through the pharynx and esophagus into the stomach.
 Normal deglutition is a smooth coordinated process that
  involves a complex series of voluntary and involuntary
  neuromuscular contractions and typically is divided into
  three distinct phases:
      Oral
      Pharyngeal
      Esophageal
      Total swallow time from oral cavity to stomach is no
       more than 20 seconds
Oral phase
 The process begins with contractions of the
  tongue and striated muscles of mastication.
 In the oral phase, a formed bolus is positioned in
  the middle of the tongue. The bolus is then
  pressed firmly against the tonsillar
  pillars, triggering the pharyngeal phase.
 The oral preparatory phase refers to processing of the
  bolus to render it swallowable.

 The oral propulsive phase refers to the propelling of food
  from the oral cavity into the oropharynx.
pharyngeal phase
 The pharyngeal phase of swallowing is the shortest
    but is the most complex.

 The soft palate elevates closing off the nasopharynx .

    The superior constrictor muscle contracts, beginning
    pharyngeal peristalsis while the tongue base drives
    the bolus posteriorly.

 Respiration ceases during expiration-the larynx
    elevates and the epiglottis retroflexes, driving the
    bolus around the opening of the larynx. The
    arytenoids adduct and are approximated to the base
    of the epiglottis.

 The cricopharyngeal and inferior constrictor muscles
    then relax, allowing food to pass into the upper
    esophagus.

    The upper esophageal sphincter relaxes during the
    pharyngeal phase of swallowing and is pulled open by
    the forward movement of the hyoid bone and larynx.
    This sphincter closes after passage of the food, and
    the pharyngeal structures then return to reference
    position.
 The pharyngeal phase of swallowing is
  involuntary and totally
  reflexive, so no pharyngeal activity
  occurs until the swallow reflex is
  triggered. This swallowing reflex lasts
  approximately 1 second and involves
  the motor and sensory tracts from
  cranial nerves IX (glossopharyngeal)
  and X (vagus).
Esophageal phase
  The bolus is propelled about 25 cm from
   the cricopharyngeus through the thoracic
   esophagus via peristaltic contractions.
  The lower esophageal sphincter relaxes
   and the bolus moves into the gastric
   cardia.
1movei
2 movei

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E.N.T.Anatomy of pharynx & neck spaces(dr.muaid)

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  • 5. MUSCLE LAYER inner longitudinal outer circular stylopharyngeus palatopharyngeus salpingopharyngeus
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  • 15. The palatine tonsil: The palatine tonsil is located between the diverging palatopharynge al and palatoglossal folds. A sulcus usually separates the tonsil from the base of the tongue, the tonsillolingual sulcus.
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  • 25. Lymphoid tissue of the pharynx:
  • 26.  The nasopharyngeal, tubal, palatine and lingual tonsils form a ring of GALT at the level of the oropharyngeal and nasopharyngeal isthmus, known as Waldeyer's ring.  Lymphatic efferents leave this tissue and drain to regional lymph nodes.
  • 27. movei
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  • 30. movei
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  • 36.  Deglutition is the act of swallowing, through which a food or liquid bolus is transported from the mouth through the pharynx and esophagus into the stomach.  Normal deglutition is a smooth coordinated process that involves a complex series of voluntary and involuntary neuromuscular contractions and typically is divided into three distinct phases:  Oral  Pharyngeal  Esophageal  Total swallow time from oral cavity to stomach is no more than 20 seconds
  • 37. Oral phase  The process begins with contractions of the tongue and striated muscles of mastication.  In the oral phase, a formed bolus is positioned in the middle of the tongue. The bolus is then pressed firmly against the tonsillar pillars, triggering the pharyngeal phase.
  • 38.  The oral preparatory phase refers to processing of the bolus to render it swallowable.  The oral propulsive phase refers to the propelling of food from the oral cavity into the oropharynx.
  • 39. pharyngeal phase  The pharyngeal phase of swallowing is the shortest but is the most complex.  The soft palate elevates closing off the nasopharynx .  The superior constrictor muscle contracts, beginning pharyngeal peristalsis while the tongue base drives the bolus posteriorly.  Respiration ceases during expiration-the larynx elevates and the epiglottis retroflexes, driving the bolus around the opening of the larynx. The arytenoids adduct and are approximated to the base of the epiglottis.  The cricopharyngeal and inferior constrictor muscles then relax, allowing food to pass into the upper esophagus.  The upper esophageal sphincter relaxes during the pharyngeal phase of swallowing and is pulled open by the forward movement of the hyoid bone and larynx. This sphincter closes after passage of the food, and the pharyngeal structures then return to reference position.
  • 40.  The pharyngeal phase of swallowing is involuntary and totally reflexive, so no pharyngeal activity occurs until the swallow reflex is triggered. This swallowing reflex lasts approximately 1 second and involves the motor and sensory tracts from cranial nerves IX (glossopharyngeal) and X (vagus).
  • 41. Esophageal phase  The bolus is propelled about 25 cm from the cricopharyngeus through the thoracic esophagus via peristaltic contractions.  The lower esophageal sphincter relaxes and the bolus moves into the gastric cardia.