00:01
Now we're going to take a look
at the regions that
make up the pharynx.
00:08
The pharynx
collectively is this space behind
the nasal and oral cavities.
00:15
The choana is the aperture
between the nasal cavity
and the nasal pharynx.
00:21
And we see that it opens
up right at the same time
the hard palate becomes
the soft palate.
00:27
So this area posterior
to the choana
is called the nasopharynx.
00:33
And it's innervated by
the maxillary division
of trigeminal, cranial nerve V2.
00:41
Further down in the neck,
we have the hyoid bone
and that area between the
soft palate and the hyoid
but posterior to the oral
cavity is the oropharynx.
00:50
And that's innervated by
the glossopharyngeal nerve
or cranial nerve IX.
00:56
Further down, we
see the esophagus.
01:00
And between the oropharynx
and the esophagus
is the last part of the pharynx
that we call the
laryngealpharynx or hypopharynx.
01:09
And that's going to be
innervated by the vagus nerve
or cranial nerve X.
01:18
So let's take a closer
look at the nasopharynx.
01:23
Here we see the roof
of the nasal pharynx
formed by the basosphenoid
and basiocciput areas.
01:31
And then posteriorly,
we have the mucosal layer,
followed by something called
the pharyngobasilar fascia,
a thick sheet of
connective tissue here.
01:43
Then we have our
pharyngeal muscles
such as the superior
constrictor muscle,
and then we get into the
pre-vertebral musculature
as we move further posterior.
01:54
Eventually, we're going to
hit the cervical vertebra
and here we can see the
arch of the atlas or C1.
02:02
The nasopharynx is where we
also find a type of tonsil
called the pharyngeal tonsil
also called an adenoid.
02:10
The floor of the nasal pharynx
is composed of the soft palate,
the portion just posterior
to the hard palate.
02:18
And this narrowing called
the pharyngotympanic isthmus.
02:23
Anteriorly,
we're bounded by the choana,
and then laterally we see
this lateral wall here
where we find the opening of
the pharyngotympanic tube,
more commonly called
the Eustachian tube.
02:37
And it's pharyngotympanic
because it's the tube
that conveys stuff from the
pharynx to the tympanic area.
02:45
Tympanic refers to the tympanic
membrane or the eardrum.
02:50
So, that's a way to
remember that this tube
is connecting to the
middle ear cavity.
02:58
Beyond this, we
have the oropharynx.
03:02
Again, limited by
the hard palate above
and the hyoid bone below,
we have these two
imaginary lines
as our superior and inferior
borders of the oropharynx.
03:15
Here we see the
oropharyngeal isthmus.
03:18
Anterior to which we
have the oral cavity.
03:21
Inferiorly, we see we have
the base of the tongue,
where we find the
lingual tonsils,
and then that little gap
or tiny valley or vallecula
between the base of the
tongue and the epiglottis.
03:37
Posteriorly, we have more of those
pharyngeal constrictor muscles.
03:41
And then here we see
the lateral wall.
03:44
And we have these
bumps or arches
formed by the muscles
beyond the mucosa here,
such as the palatoglosall arch
in the area of the palatoglossus,
and the palatopharyngeal arch in
the area of the palatopharyngeus.
03:57
And in between is where we
find the tonsillar fossa
for the palatine tonsil.
04:06
And this area here superiorly
is where we transition from the
nasal pharynx into the oropharynx.
04:13
Inferiorly, this is where
we're going to have an opening
into the laryngeal
pharynx or hypopharynx.
04:20
And there's this
little ridge here
as serving as a landmark
called passavant ridge.
04:29
Here we have the laryngopharynx
starting around the
area of the epiglottis
which is the protector
of the larynx.
04:39
And this keeps food from entering
the larynx and into the trachea.
04:43
And this way we only have air
going down into the lungs.
04:47
Instead, the epiglottis will
flop down during swallowing
and force food or liquids
posteriorly into the esophagus.
04:57
The area between the
epiglottis and the esophagus
is that hypopharynx
or laryngopharynx.
05:06
Here's a posterior view,
where we can see
the oral cavity,
we're looking at it from behind.
05:12
So anteriorly is where we would
find the oral cavity from here.
05:16
And we find the epiglottis
protecting the laryngeal inlet
or the opening for the airway.
05:24
And we would feel some
cartilage in this area
in the posterior aspect, we
would feel the cricoid cartilage.
05:31
And on either side of
that laryngeal cartilage,
we would have a little space
called the pyriform recess.