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Sinus Of Morgagni (pharynx)
In the pharynx, the sinus of Morgagni is the enclosed space between the upper border of the superior pharyngeal constrictor muscle, the base of the skull and the pharyngeal aponeurosis.Gray's Anatomy 1918, ChapterThe Pharynx Contents Structures passing through this sinus are: # Cartilaginous part of auditory tube # Levator veli palatini muscle # Ascending palatine artery # Palatine branch of Ascending pharyngeal artery # Tensor veli palatini muscle Clinical significance In nasopharyngeal carcinoma, the tumor may extend laterally and involve this sinus involving the mandibular nerve. This produces a triad of symptoms known as Trotter's Triad. These symptoms are: # Conductive deafness (due to Eustachian tube obstruction) # Ipsilateral immobility of the soft palate # Trigeminal neuralgia Trigeminal neuralgia (TN or TGN), also called Fothergill disease, tic douloureux, trifacial neuralgia, is a chronic pain, long-term pain disorder that affects the trigeminal nerve, the nerve r ...
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Pharynx
The pharynx (: pharynges) is the part of the throat behind the human mouth, mouth and nasal cavity, and above the esophagus and trachea (the tubes going down to the stomach and the lungs respectively). It is found in vertebrates and invertebrates, though its structure varies across species. The pharynx carries food to the esophagus and air to the larynx. The flap of cartilage called the epiglottis stops food from entering the larynx. In humans, the pharynx is part of the Digestion, digestive system and the conducting zone of the respiratory system. (The conducting zone—which also includes the nostrils of the Human nose, nose, the larynx, trachea, bronchus, bronchi, and bronchioles—filters, warms, and moistens air and conducts it into the lungs). The human pharynx is conventionally divided into three sections: the nasopharynx, oropharynx, and laryngopharynx (hypopharynx). In humans, two sets of pharyngeal muscles form the pharynx and determine the shape of its lumen (anatomy), ...
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Superior Pharyngeal Constrictor Muscle
The superior pharyngeal constrictor muscle is a quadrilateral muscle of the pharynx. It is the uppermost and thinnest of the three pharyngeal constrictors. The muscle is divided into four parts according to its four distincts origins: a pterygopharyngeal, buccopharyngeal, mylopharyngeal, and a glossopharyngeal part. The muscle inserts onto the pharyngeal raphe, and pharyngeal spine. It is innervated by pharyngeal branch of the vagus nerve via the pharyngeal plexus. It acts to convey a bolus down towards the esophagus, facilitating swallowing. Anatomy The superior constrictor muscle is a quadrilateral, sheet-like muscle. It is thinner than the middle and inferior constrictor muscles. Origin The sites of origin of the muscles collectively are the pterygoid hamulus (and occasionally the adjoining posterior margin of the medial pterygoid plate) anteriorly, (the posterior margin of) the pterygomandibular raphe, the posterior extremity of the mylohyoid line of mandible, a ...
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Base Of The Skull
The base of skull, also known as the cranial base or the cranial floor, is the most inferior area of the skull. It is composed of the endocranium and the lower parts of the calvaria. Structure Structures found at the base of the skull are for example: Bones There are five bones that make up the base of the skull: *Ethmoid bone *Sphenoid bone *Occipital bone *Frontal bone *Temporal bone Sinuses * Occipital sinus * Superior sagittal sinus * Superior petrosal sinus Foramina of the skull * Foramen cecum *Optic foramen * Foramen lacerum * Foramen rotundum * Foramen magnum * Foramen ovale *Jugular foramen * Internal auditory meatus * Mastoid foramen * Sphenoidal emissary foramen * Foramen spinosum Sutures * Frontoethmoidal suture * Sphenofrontal suture * Sphenopetrosal suture * Sphenoethmoidal suture * Petrosquamous suture * Sphenosquamosal suture Other * Sphenoidal lingula * Subarcuate fossa * Dorsum sellae * Jugular process * Petro-occipital fissure * Condylar canal * J ...
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Pharyngeal Aponeurosis
The pharyngobasilar fascia is a fascia of the pharynx. It is situated between the mucous and muscular layers of the pharynx. It is formed as a thickening of the pharyngeal mucosa superior to the superior pharyngeal constrictor muscle. It attaches to the basilar part of occipital bone, the petrous part of the temporal bone (medial to the pharyngotympanic tube), the (posterior border of the) medial pterygoid plate, and the pterygomandibular raphe The pterygomandibular raphe (pterygomandibular fold or pterygomandibular ligament) is a thin tendinous band of buccopharyngeal fascia. It is attached superiorly to the pterygoid hamulus of the medial pterygoid plate, and inferiorly to the poster .... It diminishes in thickness inferiorly. Posteriorly, it is reinforced by the pharyngeal raphe. It reinforces the pharyngeal wall where muscle is deficient. Additional images File:Slide1kuku.JPG, Larynx, pharynx and tongue. Deep dissection, posterior view. File:Slide2kuku.JPG, Larynx, pha ...
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Eustachian Tube
The Eustachian tube (), also called the auditory tube or pharyngotympanic tube, is a tube that links the nasopharynx to the middle ear, of which it is also a part. In adult humans, the Eustachian tube is approximately long and in diameter. It is named after the sixteenth-century Italian anatomist Bartolomeo Eustachi. In humans and other tetrapods, both the middle ear and the ear canal are normally filled with air. Unlike the air of the ear canal, however, the air of the middle ear is not in direct contact with the atmosphere outside the body; thus, a pressure difference can develop between the atmospheric pressure of the ear canal and the middle ear. Normally, the Eustachian tube is collapsed, but it gapes open with swallowing and with positive pressure, allowing the middle ear's pressure to adjust to the atmospheric pressure. When taking off in an aircraft, the ambient air pressure goes from higher (on the ground) to lower (in the sky). The air in the middle ear expands as ...
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Levator Veli Palatini
The levator veli palatini () is a muscle of the soft palate and pharynx. It is innervated by the vagus nerve (cranial nerve X) via its pharyngeal plexus. During swallowing, it contracts, elevating the soft palate to help prevent food from entering the nasopharynx. Structure The levator veli palatini muscle occurs in the soft palate of the mouth. It forms a sling superior and immediately posterior to the palatine aponeurosis. Origin The primary site of origin of the muscle is a quadrangular roughened area upon the medial extremity of the inferior aspect of the petrous part of the temporal bone; here, the muscle arises by a small tendon. Additional fibres of the muscle arise from the inferior aspect of the cartilaginous part of pharyngotympanic tube, and the vaginal process of sphenoid bone. Insertion In the medial third of the soft palate, its fibers spread out between the two strands of the palatoglossus muscle to attach to the superior surface of the palatine aponeur ...
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Ascending Palatine Artery
The ascending palatine artery is an artery is a branch of the facial artery which ascends along the neck before splitting into two terminal branches; one branch supplies the soft palate, and the other supplies the palatine tonsil and pharyngotympanic tube. Structure Origin The ascending palatine artery arises from the proximal facial artery (close to the facial artery's origin). Course It passes superior-ward between the styloglossus muscle and stylopharyngeus muscle to reach the side of the pharynx. It ascends along the side of the pharynx between the superior pharyngeal constrictor and the medial pterygoid muscle to near the base of the skull. Near the levator veli palatini muscle, the artery splits into its two terminal branches. Branches One terminal branch passes along the levator veli palatini muscle, winding around the superior border of the superior pharyngeal constrictor to provide arterial supply to the soft palate and anastomose with the greater palatine ...
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Ascending Pharyngeal Artery
The ascending pharyngeal artery is an artery of the neck that supplies the pharynx. Its named branches are the inferior tympanic artery, pharyngeal artery, and posterior meningeal artery. inferior tympanic artery, and the meningeal branches (including the posterior meningeal artery). Anatomy The ascending pharyngeal artery is a long and slender vessel. It is deeply seated in the neck, beneath the other branches of the external carotid and under the stylopharyngeus muscle. It lies just superior to the bifurcation of the common carotid arteries. Origin It is the smallest and first medial branch of proximal external carotid artery, arising from the medial surface of the artery. Typically the ascending thyroid artery arises from the external carotid before the ascending pharyngeal, but in variant anatomy the thyroid may arise earlier from the bifurcation or common carotid. Course and relations The artery ascends vertically in between the internal carotid artery and th ...
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Tensor Veli Palatini
The tensor veli palatini muscle (tensor palati or tensor muscle of the velum palatinum) is a thin, triangular muscle of the head that tenses the soft palate and opens the Eustachian tube to equalise pressure in the middle ear. Structure The tensor veli palatini muscle is thin and triangular in shape. Origin It arises from the scaphoid fossa of the pterygoid process of the sphenoid anteriorly, the (medial aspect of the) spine of sphenoid bone posteriorly, and - between the aforementioned anterior and posterior attachments - from the anterolateral aspect of the membranous wall of the pharyngotympanic tube. At the muscle's origin, some of its muscle fibres may be continuous with those of the tensor tympani muscle. Insertion Inferiorly, the muscle converges to form a tendon of attachment. This tendon winds medially around the pterygoid hamulus (with a small bursa interposed between the two) to insert into the palatine aponeurosis and into the bony surface posterior to ...
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Carcinoma
Carcinoma is a malignancy that develops from epithelial cells. Specifically, a carcinoma is a cancer that begins in a tissue that lines the inner or outer surfaces of the body, and that arises from cells originating in the endodermal, mesodermal or ectodermal germ layer during embryogenesis. Carcinomas occur when the DNA of a cell is damaged or altered and the cell begins to grow uncontrollably and becomes malignant. It is from the (itself derived from meaning ''crab''). Classification As of 2004, no simple and comprehensive classification system has been devised and accepted within the scientific community. Traditionally, however, malignancies have generally been classified into various types using a combination of criteria, including: The cell type from which they start; specifically: * Epithelial cells ⇨ carcinoma * Non-hematopoietic mesenchymal cells ⇨ sarcoma * Hematopoietic cells ** Bone marrow–derived cells that normally mature in the bloodstream ⇨ leuke ...
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Tumor
A neoplasm () is a type of abnormal and excessive growth of tissue. The process that occurs to form or produce a neoplasm is called neoplasia. The growth of a neoplasm is uncoordinated with that of the normal surrounding tissue, and persists in growing abnormally, even if the original trigger is removed. This abnormal growth usually forms a mass, which may be called a tumour or tumor.'' ICD-10 classifies neoplasms into four main groups: benign neoplasms, in situ neoplasms, malignant neoplasms, and neoplasms of uncertain or unknown behavior. Malignant neoplasms are also simply known as cancers and are the focus of oncology. Prior to the abnormal growth of tissue, such as neoplasia, cells often undergo an abnormal pattern of growth, such as metaplasia or dysplasia. However, metaplasia or dysplasia does not always progress to neoplasia and can occur in other conditions as well. The word neoplasm is from Ancient Greek 'new' and 'formation, creation'. Types A neopla ...
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Mandibular Nerve
In neuroanatomy, the mandibular nerve (V) is the largest of the three divisions of the trigeminal nerve, the fifth Cranial nerves, cranial nerve (CN V). Unlike the other divisions of the trigeminal nerve (ophthalmic nerve, maxillary nerve) which contain only Afferent nerve fiber, afferent fibers, the mandibular nerve contains both afferent and Efferent nerve fiber, efferent fibers. These nerve fibers innervate structures of the lower jaw and face, such as the tongue, lower lip, and chin. The mandibular nerve also innervates the muscles of mastication. Structure Course The large sensory root of mandibular nerve emerges from the lateral part of the trigeminal ganglion and exits the cranial cavity through the Foramen ovale (skull), foramen ovale. The motor root (Latin: ''radix motoria'' s. ''portio minor''), the small motor root of the trigeminal nerve, passes under the trigeminal ganglion and through the Foramen ovale (skull), foramen ovale to unite with the sensory root just out ...
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