Oropharynx Anatomy
Nasopharynx Anatomy
Hypopharynx Anatomy
Staging and Management
Potpourri
100
The subsites of the oropharynx
What are the soft palate, the tongue base, the tonsils, and the lateral and posterior pharyngeal walls
100
The subsites of the nasopharynx
What are the posterosuperior wall, the lateral walls, and the posterosuperior surface of the soft palate
100
The subsites of the hypopharynx
What are the Pyriform sinus, Pharyngeal wall, and Posterior cricoid
100
The N-staging of oropharyngeal and hypopharyngeal cancer
What is: N1=single, ipsilateral node <3cm N2a=single ipsilateral node, 3-6cm N2b=multiple ipsilateral nodes, 0-6cm N2c=bilatl or contralat lymph nodes, 0-6cm N3=node(s)>6cm
100
These were the four identified risk factors for pharyngeal cancer portrayed in the video (hint: Kramer showed 3).
What are smoking, drinking, ENVIRONMENTAL EXPOSURE (bartender), and REVERSE SMOKING.
200
These are the borders of the oropharynx
What are the hard palate line superiorly, the hyoid line inferiorly, the circumvallate papillae and the hard/soft palate junction anteriorly, and posterolaterally the pharyngeal walls.
200
This is the site most frequently associated with NPC
What is the fossa of Rosenmuller?
200
This % of people with hypopharyngeal ca have stage III dz at presentation.
What is 70%
200
The N-staging of nasopharyngeal cancer
What is N1=unilat node(s), <6cm, above the supraclavicular fossa N2=bilat node(s),<6cm, above the supraclavicular fossa N3a=>6cm N3b=in the supraclavicular fossa
200
Dr. Durham's son's nickname before he had a name.
Who is Scoot?
300
The 6 pharyngeal muscles
What are the 3 constrictors (sup/mid/inf), palatopharyngeus, salpingopharyngeus, and stylopharyngeus.
300
The dimensions of the nasopharynx
What is 3cm long, 4cm wide and 4cm high?
300
What jugular node levels do hypopharyngeal nodes primarily drain into?
What are upper (II) mid (III) and lower (IV) jugular nodes
300
T-staging of the Oropharynx
What is: T1= <2cm T2= 2-4cm T3= >4cm T4a= larynx, deep/extrinsic muscles of tongue, med pterygoid, hard palate, mandible T4b= lat pterygoid, nasopharynx, skull base, carotid
300
A prominence on the posterior wall of the naso-pharynx formed by contraction of the superior constrictor of the pharynx during swallowing
What is Passavant's Ridge?
400
The blood supply to the inferior constrictor muscle
What is the pharyngeal branch of the inferior thyroid artery (from the subclavian a.)?
400
This is the node at the midline skull base in the retropharyngeal space; the first echelon node for lymphatic drainage of the nasopharynx.
What is the node of Rouviere?
400
This is the order of subsites in the hypopharynx most commonly affected with SCC.
What is the pyriforms, the pharyngeal wall, and the postcricoid area.
400
All TNM possibilities for Stage IVa Oropharyngeal Ca
What is: T1,2,3 and N2 and M0 T4a and N0, N1, N2, and M0
400
3 definitive procedures for intractable aspiration
What are: total laryngectomy, laryngeal closure + tracheotomy, laryngeal diversion, laryngotracheal separation.
500
The boundaries of the retropharyngeal space
What are the skullbase superiorly, the mediastinum inferiorly, the carotid sheaths laterally, the buccopharyngeal fascia anteriorly, and the alar fascia posteriorly.
500
This is the gap left at the skull base, through which NPC tumors can access the parapharyngeal space.
What is the sinus of Morgagni?
500
The innervation of the hypopharyx, located on the surface of the middle pharyngeal constrictor. Bonus 50pts: It's comprised of pharyngeal branches of these two nerves.
What is the pharyngeal plexus. CN IX and X.
500
The minimum stage grouping for a T3 nasopharyngeal cancer
What is stage III?
500
The name of Dr. Durham & Dr. Berean's golf group at last year's ENT tournament.
Who are the Squamous Casanovas?
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