Waldeyer's tonsillar ring

Last updated
Waldeyer's ring
Lymph node regions.svg
Regional lymphatics. Waldeyer ring labeled at center top.
Details
System Lymphatic system
Identifiers
Latin anulus lymphoideus pharyngis
Anatomical terminology

Waldeyer's tonsillar ring (pharyngeal lymphoid ring, Waldeyer's lymphatic ring, or tonsillar ring) is a ringed arrangement of lymphoid organs in the pharynx. Waldeyer's ring surrounds the naso- and oropharynx, with some of its tonsillar tissue located above and some below the soft palate (and to the back of the mouth cavity).

Contents

Structure

The ring consists of the (from top to bottom):

Terminology

Some authors speak of two pharyngeal tonsils/two adenoids. These authors simply look at the left and right halves of the pharyngeal tonsil as two tonsils. Many authors also speak of lingual tonsils (in the plural), because this accumulation of lymphoid tissue consists of a number of little prominences – many smaller rounded masses. Whether to collectively call all these a single tonsil or separate tonsils is to an extent an arbitrary decision.[ citation needed ]

Variation

There also normally is a good amount of mucosa-associated lymphoid tissue (MALT) present between all these tonsils (intertonsillar) around the ring, and more of this lymphoid tissue can variably be found more or less throughout at least the naso- and oropharynx.[ citation needed ]

Development

The tubal tonsils usually develop from an accumulation of lymphoid tissue in the pharyngeal tonsil.[ citation needed ]

Clinical significance

The palatine tonsils when inflamed/swollen, more common in children, can obstruct respiration. [1]

Inflammation of the tonsils is called tonsillitis and removal is called tonsillectomy. [1]

Etymology of Waldeyer's ring

Waldeyer's ring was named after the nineteenth-century German anatomist Heinrich Wilhelm Gottfried von Waldeyer-Hartz. [2]

Other animals

Some animals, but not humans, have one or two additional tonsils:

Related Research Articles

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The uvula, also known as the palatine uvula, is a conic projection from the back edge of the middle of the soft palate, composed of connective tissue containing a number of racemose glands, and some muscular fibers. It also contains many serous glands, which produce thin saliva. It is only found in humans.

<span class="mw-page-title-main">Palatine tonsil</span> Lymphoid organs at the back of the throat on both sides

Palatine tonsils, commonly called the tonsils and occasionally called the faucial tonsils, are tonsils located on the left and right sides at the back of the throat, which can often be seen as flesh-colored, pinkish lumps. Tonsils only present as "white lumps" if they are inflamed or infected with symptoms of exudates and severe swelling.

<span class="mw-page-title-main">Adenoid</span> Type of tonsil

In anatomy, the pharyngeal tonsil, also known as the nasopharyngeal tonsil or adenoid, is the superior-most of the tonsils. It is a mass of lymphatic tissue located behind the nasal cavity, in the roof of the nasopharynx, where the nose blends into the throat. In children, it normally forms a soft mound in the roof and back wall of the nasopharynx, just above and behind the uvula.

<span class="mw-page-title-main">Herpangina</span> Medical condition

Herpangina, also called mouth blisters, is a painful mouth infection caused by coxsackieviruses. Usually, herpangina is produced by one particular strain of coxsackie virus A, but it can also be caused by coxsackievirus B or echoviruses. Most cases of herpangina occur in the summer, affecting mostly children. However, it occasionally occurs in adolescents and adults. It was first characterized in 1920.

<span class="mw-page-title-main">Tonsil stones</span> Mineralized debris within the crevices of the tonsils

Tonsil stones, also known as tonsilloliths, are mineralizations of debris within the crevices of the tonsils. When not mineralized, the presence of debris is known as chronic caseous tonsillitis (CCT). Symptoms may include bad breath, foreign body sensation, sore throat, pain or discomfort with swallowing, and cough. Generally there is no pain, though there may be the feeling of something present. The presence of tonsil stones may be otherwise undetectable, however some people have reported seeing white material in the rear of their throat.

<span class="mw-page-title-main">Lingual tonsils</span> Lymphatic tissue in the tongue

The lingual tonsils are a collection of lymphatic tissue located in the lamina propria of the root of the tongue. This lymphatic tissue consists of the lymphatic nodules rich in cells of the immune system (immunocytes). The immunocytes initiate the immune response when the lingual tonsils get in contact with invading microorganisms.

<span class="mw-page-title-main">Palatoglossus muscle</span> Muscle of the soft palate

The palatoglossal muscle is a muscle of the soft palate and an extrinsic muscle of the tongue. Its surface is covered by oral mucosa and forms the visible palatoglossal arch.

<span class="mw-page-title-main">Levator veli palatini</span> Muscle of the soft palate

The levator veli palatini is a muscle of the soft palate and pharynx. It is innervated by the vagus nerve via its pharyngeal plexus. During swallowing, it contracts, elevating the soft palate to help prevent food from entering the nasopharynx.

The mucosa-associated lymphoid tissue (MALT), also called mucosa-associated lymphatic tissue, is a diffuse system of small concentrations of lymphoid tissue found in various submucosal membrane sites of the body, such as the gastrointestinal tract, nasopharynx, thyroid, breast, lung, salivary glands, eye, and skin. MALT is populated by lymphocytes such as T cells and B cells, as well as plasma cells, dendritic cells and macrophages, each of which is well situated to encounter antigens passing through the mucosal epithelium. In the case of intestinal MALT, M cells are also present, which sample antigen from the lumen and deliver it to the lymphoid tissue. MALT constitute about 50% of the lymphoid tissue in human body. Immune responses that occur at mucous membranes are studied by mucosal immunology.

<span class="mw-page-title-main">Heinrich Wilhelm Gottfried von Waldeyer-Hartz</span> German neuroscientist (1836–1921)

Heinrich Wilhelm Gottfried von Waldeyer-Hartz was a German anatomist, known for summarizing neuron theory and for naming the chromosome. He is also remembered by anatomical structures of the human body which were named after him: Waldeyer's tonsillar ring and Waldeyer's glands.

<span class="mw-page-title-main">Ascending palatine artery</span>

The ascending palatine artery is an artery is a branch of the facial artery which ascends along the neck before spliting into two terminal branches; one branch supplies the soft palate, and the other supplies the palatine tonsil and pharyngotympanic tube.

<span class="mw-page-title-main">Palatal lift prosthesis</span>

A palatal lift prosthesis is a prosthesis that addresses a condition referred to as palatopharyngeal incompetence. Palatopharyngeal incompetence broadly refers to a muscular inability to sufficiently close the port between the nasopharynx and oropharynx during speech and/or swallowing. An inability to adequately close the palatopharyngeal port during speech results in hypernasalance that, depending upon its severity, can render speakers difficult to understand or unintelligible. The potential for compromised intelligibility secondary to hypernasalance is underscored when consideration is given to the fact that only three English language phonemes – /m/, /n/, and /ng/ – are pronounced with an open palatopharyngeal port. Furthermore, an impaired ability to effect a closure of the palatopharyngeal port while swallowing can result in the nasopharyngeal regurgitation of liquid or solid boluses.

<span class="mw-page-title-main">Head and neck anatomy</span>

This article describes the anatomy of the head and neck of the human body, including the brain, bones, muscles, blood vessels, nerves, glands, nose, mouth, teeth, tongue, and throat.

<span class="mw-page-title-main">Tubal tonsil</span> Tonsil by the Eustachian tube

The tubal tonsil, also known as Gerlach tonsil, is one of the four main tonsil groups forming Waldeyer's tonsillar ring.

<span class="mw-page-title-main">Tonsil</span> Lymphoid organs in the mouth and throat

The tonsils are a set of lymphoid organs facing into the aerodigestive tract, which is known as Waldeyer's tonsillar ring and consists of the adenoid tonsil, two tubal tonsils, two palatine tonsils, and the lingual tonsils. These organs play an important role in the immune system.

<span class="mw-page-title-main">Fauces (throat)</span> Opening at the back of the mouth into the throat

The fauces, isthmus of fauces, or the oropharyngeal isthmus is the opening at the back of the mouth into the throat. It is a narrow passage between the velum and the base of the tongue.

<span class="mw-page-title-main">Pharynx</span> Part of the throat that is behind the mouth and nasal cavity

The pharynx is the part of the throat behind the mouth and nasal cavity, and above the esophagus and trachea. It is found in vertebrates and invertebrates, though its structure varies across species. The pharynx carries food to the esophagus and air to the larynx. The flap of cartilage called the epiglottis stops food from entering the larynx.

<span class="mw-page-title-main">Tonsillar crypts</span> Deep indentations in human tonsils

The human palatine tonsils (PT) are covered by stratified squamous epithelium that extends into deep and partly branched tonsillar crypts, of which there are about 10 to 30. The crypts greatly increase the contact surface between environmental influences and lymphoid tissue. In an average adult palatine tonsil the estimated epithelial surface area of the crypts is 295 cm2, in addition to the 45 cm2 of epithelium covering the oropharyngeal surface.

Passavant's ridge is a mucous elevation situated behind the floor of the naso-pharynx.

Carcinoma of the tonsil is a type of squamous cell carcinoma. The tonsil is the most common site of squamous cell carcinoma in the oropharynx. It comprises 23.1% of all malignancies of the oropharynx. The tumors frequently present at advanced stages, and around 70% of patients present with metastasis to the cervical lymph nodes. . The most reported complaints include sore throat, otalgia or dysphagia. Some patients may complain of feeling the presence of a lump in the throat. Approximately 20% patients present with a node in the neck as the only symptom.

References

  1. 1 2 "Tonsillitis - Symptoms and causes". Mayo Clinic. Retrieved 2020-11-09.
  2. synd/2061 at Who Named It?