Overview and topographic anatomy
General information
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Pharynx— 5-inch muscular tube from base of the skull (posterior portion of the body of the sphenoid bone and basilar portion of the occipital bone) to the lower border of the cricoid cartilage (C6), where it is continuous with the esophagus
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Is funnel shaped
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Posterior portion of the pharynx lies against the prevertebral fascia
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The retropharyngeal and parapharyngeal spaces surround the pharynx
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Lies posterior to the nasal and oral cavities and the larynx and thus is divided into 3 parts:
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Nasopharynx
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Oropharynx
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Laryngopharynx
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Responsible for properly conducting food to the esophagus and air to the lungs
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Composed of:
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3 constrictor muscles
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3 longitudinal muscles
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Cartilaginous part of the pharyngotympanic tube
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Soft palate
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The wall of the pharynx has 5 layers:
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Mucous membrane—the innermost layer
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Submucosa
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Pharyngobasilar fascia—the fibrous layer attached to the skull anchoring the pharynx
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Muscular—3 inner longitudinal and 3 outer circular (constrictor) muscles that overlap such that the superior constrictor is the innermost, whereas the inferior constrictor is the outermost muscle
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Buccopharyngeal fascia—loose layer of connective tissue continuous with the fascia over the buccinator and pharyngeal muscles, and the location of the pharyngeal plexus of nerves and the pharyngeal plexus of veins
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Waldeyer’s ring is the anatomic name for the ring of lymphatic tissue in the pharynx and oral cavity:
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Lingual tonsil (posterior 1/3 of tongue)
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Palatine tonsil (oropharynx)
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Tubal tonsil (nasopharynx)
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Pharyngeal tonsil (nasopharynx)
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Parts of the pharynx
Nasopharynx, oropharynx, laryngopharynx
Nasopharynx
Boundaries | Major Anatomic Features | Comments | Vertebral Level |
---|---|---|---|
|
|
|
C1 and dens of C2 |
Oropharynx
Boundaries | Major Anatomic Features | Comment | Vertebral Level |
---|---|---|---|
|
|
Has a respiratory and a digestive function | C2–C3 |
Laryngopharynx
Boundaries | Major Anatomic Features | Comment | Vertebral Level |
---|---|---|---|
|
|
|
C4–C6 |

Muscles
Overview
Muscle | Origin | Insertion | Actions | Nerve Supply |
---|---|---|---|---|
Superior constrictor |
|
|
Constricts the upper portion of the pharynx | Pharyngeal plexus (the motor portion of this plexus is formed by the pharyngeal branch of the vagus n.) |
Middle constrictor |
|
Pharyngeal raphe |
|
|
|
Oblique line of thyroid cartilage Side of cricoid cartilage |
Constricts the lower portion of the pharynx |
|
|
Palatopharyngeus |
|
Posterior border of the lamina of the thyroid cartilage |
|
Pharyngeal plexus (the motor portion of this plexus is formed by the pharyngeal branch of the vagus n.) |
|
|
|
||
Stylopharyngeus | Medial aspect of base of styloid process |
|
Glossopharyngeal n. |

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