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Anatomy of the Posterior Oropharyngeal Wall

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Hello everyone, Sidney Levy here rounding out

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our discussion on the anatomy of the oropharynx.

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In particular, I'd like to look at the

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posterior oropharyngeal wall briefly.

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I have axial and sagittal

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projections with T1-weighted imaging.

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And I'd just like to draw the

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posterior oropharyngeal wall for you.

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So where does it begin?

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On the sagittal projection it's easy because

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where it begins is where the nasopharynx ends

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superiorly, and where it ends is where the posterior

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hypopharyngeal wall begins as part of the hypopharynx.

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These are indirect relations because we

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tend to define the level of the posterior

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wall according to anterior structures.

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So what I mean by that is the junction of the posterior

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oropharyngeal wall and the nasopharynx is at the

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level of the pharyngeal isthmus, which is a line

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drawn between the tip of the uvula of the soft palate

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and the posterior pharyngeal wall at that level.

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Similarly, inferiorly, the posterior oropharyngeal wall

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ends at the level of the junction of the lingual and

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laryngeal surfaces of the epiglottis, which is here.

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And we just draw a line to the

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posterior pharyngeal wall at this level.

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And that is the junction of the posterior oropharyngeal

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wall and the posterior hypopharyngeal wall.

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The relationships of the posterior oropharyngeal wall

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laterally are best appreciated on the axial projection.

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So on the axial projection, anterolateral to the posterior

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oropharyngeal wall, which I'll draw here, we have the

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tonsils, or more specifically, the palatine tonsils.

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You can look for the exact junction if you can identify

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the posterior tonsillar pillar, which is just here.

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It connects the soft palate to

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the lateral oropharyngeal wall.

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So in summary, the posterior oropharyngeal wall is

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defined according to the level of the pharyngeal isthmus

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superiorly and the site at which the junction of the

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lingual and laryngeal surfaces of the epiglottis is.

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And its relationships are the nasopharynx

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superiorly, hypopharynx inferiorly, and

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the palatine tonsils anterolaterally.

Report

Description

Faculty

Sidney Levy, PhD, MBBS

Radiologist and Nuclear Medicine Specialist

I-MED

Tags

Oral Cavity/Oropharynx

Neuroradiology

Neuro

Neoplastic

MRI

Head and Neck

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