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The Eustachian tube (/ j uː ˈ s t eɪ ʃ ən /), also called the auditory tube or pharyngotympanic tube, [1] is a tube that links the nasopharynx to the middle ear, of which it is also a part. In adult humans, the Eustachian tube is approximately 35 mm (1.4 in) long and 3 mm (0.12 in) in diameter. [ 2 ]
The auditory tube, which connects the middle ear to the pharynx, opens into the nasopharynx at the pharyngeal opening of the auditory tube. The opening and closing of the auditory tubes serves to equalize the barometric pressure in the middle ear with that of the ambient atmosphere. Details of torus tubarius
The oropharyngeal airway was designed by Arthur Guedel. [2]Oropharyngeal airways come in a variety of sizes, from infant to adult, and are used commonly in pre-hospital emergency care and for short term airway management post anaesthetic or when manual methods are inadequate to maintain an open airway.
In medicine, a nasopharyngeal airway (NPA), nasal trumpet (because of its flared end), or nose hose, is a type of airway adjunct, a tube that is designed to be inserted through the nasal passage down into the posterior pharynx to secure an open airway. It was introduced by Hans Karl Wendl in 1958. [1]
The middle ear and its components develop from the first and second pharyngeal arches. [20] The tympanic cavity and auditory tube develop from the first part of the pharyngeal pouch between the first two arches in an area which will also go on to develop the pharynx. This develops as a structure called the tubotympanic recess. [20]
It is innervated by vagus nerve (cranial nerve X) via the pharyngeal plexus. It raises the pharynx and larynx during deglutition (swallowing) and laterally draws the pharyngeal walls up. It opens the pharyngeal orifice of the Eustachian tube during swallowing to allow for the equalization of pressure between it and the pharynx.
Behind the ostium of the eustachian tube (ostium pharyngeum tuba auditiva) is a deep recess, the pharyngeal recess (fossa of Rosenmüller). Clinical significance
The torus tubarius (or torus of the auditory tube) is an elevation of the mucous membrane of the nasal part of the pharynx formed by the underlying base of the cartilaginous portion of the Eustachian tube (auditory tube). The torus tubarius is situated behind the pharyngeal orifice of the auditory tube. [1]