00:01
The next group of muscles
we're gonna look at
are the pharyngeal muscles.
00:07
So here's a sagittal view
where we can look at the
layers of the pharynx.
00:12
Now the layer that lines
the cavity of the pharynx,
it's going to be
the mucous membrane.
00:18
And it's mostly
going to be composed
of stratified
squamous epithelium.
00:24
Further up in the nasal pharynx,
we're gonna have ciliated
columnar epithelium,
very similar to the rest
of the nasal cavity.
00:35
Now, if we go a little
bit deeper to the mucosa,
we're going to have the
pharyngeal aponeurosis,
aponeurosis is just a term
for a wide flat sheet
of connective tissue.
00:44
We also call this the
pharyngobasilar fascia.
00:48
That's gonna have a superior
portion and an inferior portion.
00:53
Then we're going to
have a muscular coat.
00:57
Then a buccopharyngeal fascia.
01:01
And because of all
of these layers,
we're going to create
different spaces.
01:06
So in order to
visualize these spaces,
we're going to look at a cross section
in a sort of transverse view here.
01:13
The first thing we're
going to see is this space
beyond the fascia here called
the retropharyngeal space.
01:21
And again, here we see the
buccopharyngeal fascia.
01:25
And then we have the
prevertebral fascia
beyond that
retropharyngeal space.
01:33
Lateral to this,
we have the
parapharyngeal space.
01:40
Let's look at the muscles
that make up the pharynx,
namely the constrictor muscles.
01:49
Here we can see a little bit
of that pharyngobasilar fascia.
01:54
And then we have the
superior constrictor,
middle constrictor and
inferior constrictor muscles.
02:01
The fibers on both sides
meet in the midline
to form a little bit of a scene
called the pharyngeal raphe.
02:09
Let's start with the superior
constrictor and its attachments.
02:14
Well, it's going to attach to that
median pharyngeal raphe, posteriorly.
02:19
And then it's going to attach
to the side of the tongue.
02:22
And that portion
of the mandible,
we call the mylohyoid line.
02:30
It's also going to attach to
the pterygomandibular raphe
that's part of the
buccopharyngeal fascia.
02:39
It's all also going to
attach to a little hook thing
called the pterygoid hamulus
that's on the medial
pterygoid plate.
02:48
The next muscle is going to
be the middle constrictor.
02:52
And it will again attach posteriorly
to the median pharyngeal raphe.
02:57
But it's also going to
attach to a ligament
between the styloid
process and the hyoid bone
called the stylohyoid ligament.
03:06
It's also going to attach to the
horn or cornua of the hyoid bone.
03:12
The inferior constrictor
is again going to attach
to the median pharyngeal
raphe as they all do,
and then anteriorly,
it's going to attach
to part of the fibroid
cartilage of the larynx.
03:24
And the other
cartilage of the larynx
that goes all the way
around circumferentially
called the cricoid cartilage.
03:31
So the portion of the
inferior constrictor
that attaches to the
thyroid cartilage
called the thyropharyngeus
and the portion attaching
to the cricoid cartilage,
we call the cricopharyngeus.
03:44
We also have some what
we call potential spaces
between the external
pharyngeal muscles
or pharyngeal
constrictor muscles.
03:53
There are potential spaces
because there's not actually
a lot of space between them,
but there can be in
cases of pathology.
04:02
So here we have a
couple of spaces
between the base of the skull
and the superior constrictor
such as the sinus of
morgagni, a bit of an eponym.
04:12
And here we also see where the
pharyngotympanic tube would be.
04:17
We also have another
potential space
between the superior
and middle constrictor.
04:23
And we can actually
see some things in here
such as the
glossopharyngeal nerve
and the stylopharyngeus muscle.
04:33
The next space between the middle
and inferior constrictor muscles,
we can see a little bit of
the internal laryngeal nerve
and the superior
laryngeal vessels
that are covered in
the neck portion.
04:47
Then the fourth space here is
beyond the inferior constrictor
and this is where we can see
the inferior laryngeal vessels
entering along with the
recurrent laryngeal nerve
coming up from below.
05:05
Here we have a posterior view,
where we see the components of
the inferior constrictor muscle,
the superior thyropharyngeus
and the inferior
cricopharyngeus.
05:16
And we see that there's this little
bit of connective tissue here
called Killian's dehiscence.
05:23
And this is the potential site
for a weakening and expansion,
when we have weakening
and expansion,
we call that a diverticulum.
05:31
And in this location if it were
to become weak and expand outward,
this would be called
Zenker diverticulum.
05:40
Let's look at the superior
constrictor again,
the middle and inferior.
05:47
We again see the relationship
to the Eustachian tube,
and there's a very small
muscle in this area
that connects to
that Eustachian tube,
called the salpingopharyngeus.
05:58
Now pharyngeus tells us that
we're in the area of the pharynx,
but salpingo is
another word for tube
that tells us that it's
actually connecting
to the opening of
the eustachian tube.
06:09
Here we see the styloid process
and a muscle running between
the styloid in the pharynx
called stylopharyngeus.
06:18
We also have the aptly
named palatopharyngeus
as it's attaching
to soft palate.