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Complications of ventilation tubes: - Dr. Nassem Talaat

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Blood Supply<br />

a- Arterial<br />

b- Venous: pharyngeal & pterygoid plexus ……… common facial ……IJV<br />

Nerve supply<br />

a- Motor: Cranial accessory (11), via vagus (10).<br />

b- Sensory glosso pharyngeal n. (9).<br />

Lymphatic drainage: retropharyngeal & lateral pharyngeal then UDCLN<br />

Waldayer’s ring :<br />

Def : ring <strong>of</strong> subepithelial lymphoid tissue that surrounds the pharynx<br />

Consists <strong>of</strong> :<br />

- Nasopharyngeal tonsil. -Tubal tonsils around orifice <strong>of</strong> E.T.<br />

- Palatine tonsils (the largest). -Lingual tonsils.<br />

- Discrete lymphoid nodules on lateral & posterior pharyngeal walls<br />

Characterized by :<br />

- lymphoid tissue lie in direct contact e mucosa<br />

- No afferent<br />

- <strong>Dr</strong>ain to retropharyngeal & UDCLN<br />

* Anatomy <strong>of</strong> the palatine tonsils<br />

- Two ovoid masses <strong>of</strong> lymphoid tissue lying in tonsillar fossa on each side <strong>of</strong><br />

oropharynx<br />

- Tonsillar fossa lies between ant. pillar , post. pillar & postero lat. third <strong>of</strong> the<br />

tongue<br />

- Tonsil has two surfaces :<br />

. Lat. surface covered by tonsillar capsule, which separates it from sup.<br />

constrictor muscle ( bed )<br />

. Med. Surface is free & covered by st. sq. epithelium that invaginates to form 12-<br />

15 crypts, largest is called crypta magna which is present near upper pole

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