MRCEM Notes

Pharynx: Innervation

The pharynx is a hollow muscular tube forming part of the aero-digestive tract that connects the oral and nasal cavities to the larynx and oesophagus. It extends from the skull base to the inferior border of the cricoid cartilage (C6 spinal level)

Image showing the three sections of the pharynx

Sensory supply
Each section has a different sensory supply:
Section of pharynxSensory nerve supply
NasopharynxMaxillary nerve (CN V2)
OropharynxGlossopharyngeal nerve (CN IX)
LaryngopharynxVagus nerve (CN X)

Motor supply
Motor supply to the pharynx is via the pharyngeal plexus. The plexus is formed via branches of the vagus and glossopharyngeal nerve. As can be seen from the table below all of the muscles of the pharynx are innervated by the vagus nerve (CN X) except for stylopharyngeus muscle which is innervated by the glossopharyngeal nerve (CN IX)

MuscleLayerInnervation
Inferior constrictor muscleouter circularvagus nerve (CN X)
Middle constrictor muscleouter circularvagus nerve (CN X)
Superior constrictor muscleouter circularvagus nerve (CN X)
Stylopharyngeus muscleinner longitudinalglossopharyngeal nerve (CN IX)
Salpingopharyngeus muscleinner longitudinalvagus nerve (CN X)
Palatopharyngeus muscleinner longitudinalvagus nerve (CN X)

Seretomotor
Mucus secretion is stimulated via parasympathetic fibres from the pterygopalatine ganglion

Image showing muscles of the pharynx

Lateral view

Dorsal view with overlying constrictors cut
Full-size image