Ascending Pharyngeal
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The ascending pharyngeal artery is an
artery An artery () is a blood vessel in humans and most other animals that takes oxygenated blood away from the heart in the systemic circulation to one or more parts of the body. Exceptions that carry deoxygenated blood are the pulmonary arteries in ...
of the neck that supplies the
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 ...
. Its named branches are the
inferior tympanic artery The inferior tympanic artery is a small branch of the ascending pharyngeal artery which passes through the tympanic canaliculus alongside the tympanic branch of glossopharyngeal nerve (CN IX) to reach and provide arterial supply to the medial wal ...
, pharyngeal artery, and posterior meningeal artery.
inferior tympanic artery The inferior tympanic artery is a small branch of the ascending pharyngeal artery which passes through the tympanic canaliculus alongside the tympanic branch of glossopharyngeal nerve (CN IX) to reach and provide arterial supply to the medial wal ...
, 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 The stylopharyngeus muscle is a muscle in the head. It originates from the temporal styloid process. Some of its fibres insert onto the thyroid cartilage, while others end by intermingling with proximal structures. It is innervated by the glosso ...
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 The external carotid artery is the major artery of the head and upper neck. It arises from the common carotid artery. It terminates by splitting into the superficial temporal and maxillary artery within the parotid gland. Structure Origin T ...
, arising from the
medial Medial may refer to: Mathematics * Medial magma, a mathematical identity in algebra Geometry * Medial axis, in geometry the set of all points having more than one closest point on an object's boundary * Medial graph, another graph that repr ...
surface of the
artery An artery () is a blood vessel in humans and most other animals that takes oxygenated blood away from the heart in the systemic circulation to one or more parts of the body. Exceptions that carry deoxygenated blood are the pulmonary arteries in ...
. 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 In anatomy, the left and right common carotid arteries (carotids) () are arteries that supply the head and neck with oxygenated blood; they divide in the neck to form the external and internal carotid arteries. Structure The common carotid a ...
.


Course and relations

The artery ascends vertically in between the
internal carotid artery The internal carotid artery is an artery in the neck which supplies the anterior cerebral artery, anterior and middle cerebral artery, middle cerebral circulation. In human anatomy, the internal and external carotid artery, external carotid ari ...
and the
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 ...
to reach the base of the skull. The artery is crossed by the styloglossus muscle and
stylopharyngeus muscle The stylopharyngeus muscle is a muscle in the head. It originates from the temporal styloid process. Some of its fibres insert onto the thyroid cartilage, while others end by intermingling with proximal structures. It is innervated by the glosso ...
. The
longus capitis muscle The longus capitis muscle (Latin for ''long muscle of the head'', alternatively rectus capitis anticus major) is broad and thick above, narrow below, and arises by four tendinous slips, from the anterior tubercles of the transverse processes of t ...
is situated posterior to the artery.


Branches

The artery most typically bifurcates into embryologically distinct pharyngeal and neuromeningeal trunks. The pharyngeal trunk usually consists of several branches which supply the
middle Middle or The Middle may refer to: * Centre (geometry), the point equally distant from the outer limits. Places * Middle (sheading), a subdivision of the Isle of Man * Middle Bay (disambiguation) * Middle Brook (disambiguation) * Middle Creek ...
and
inferior pharyngeal constrictor The inferior pharyngeal constrictor muscle is a skeletal muscle of the neck. It is the thickest of the three outer pharyngeal muscles. It arises from the sides of the cricoid cartilage and the thyroid cartilage. It is supplied by the vagus ner ...
muscles and the stylopharyngeus, ramifying in their substance and in the
mucous membrane A mucous membrane or mucosa is a membrane that lines various cavities in the body of an organism and covers the surface of internal organs. It consists of one or more layers of epithelial cells overlying a layer of loose connective tissue. It ...
s lining them. These branches are in
hemodynamic Hemodynamics or haemodynamics are the dynamics of blood flow. The circulatory system is controlled by homeostatic mechanisms of autoregulation, just as hydraulic circuits are controlled by control systems. The hemodynamic response continuously ...
equilibrium with contributors from the
internal maxillary artery The maxillary artery (eg, internal maxillary artery) supplies deep structures of the face. It branches from the external carotid artery just deep to the neck of the mandible. Structure The maxillary artery, the larger of the two terminal branche ...
. The neuromeningeal trunk classically consists of jugular and hypoglossal divisions, which enter the jugular and hypoglossal foramina to supply regional meningeal and neural structures, being in equilibrium with branches of the vertebral, occipital, posterior meningeal, middle meningeal, and internal carotid arteries (via its caroticotympanic branch, meningohypophyseal, and inferolateral trunks). Also present is the inferior tympanic branch, which ascends towards the middle ear cavity; it is involved in internal carotid artery reconstitution via the "aberrant carotid artery" variant. The muscular branch of the ascending pharyngeal artery is in equilibrium with the odontoid arcade from the vertebral artery. It typically has two branches: the
inferior tympanic artery The inferior tympanic artery is a small branch of the ascending pharyngeal artery which passes through the tympanic canaliculus alongside the tympanic branch of glossopharyngeal nerve (CN IX) to reach and provide arterial supply to the medial wal ...
, and the posterior meningeal artery.


Anastomoses

The artery forms anastomoses with the palatin branch of facial artery, and ascending cervical arch of
inferior thyroid artery The inferior thyroid artery is an artery in the neck. It arises from the thyrocervical trunk and passes upward, in front of the vertebral artery and longus colli muscle. It then turns medially behind the carotid sheath and its contents, and a ...
.


Development

The artery develops from the proximal part of the embryonic second
aortic arch The aortic arch, arch of the aorta, or transverse aortic arch () is the part of the aorta between the ascending and descending aorta. The arch travels backward, so that it ultimately runs to the left of the trachea. Structure The aorta begins ...
.


References


External links

* http://neuroangio.org/anatomy-and-variants/ascending-pharyngeal-artery/ {{Authority control Arteries of the head and neck Pharynx