What Are the Fauces? Anatomy, Boundaries, and Clinical Relevance

The fauces, pronounced “faw-sees,” is an anatomical term that refers to the opening at the back of the mouth leading into the throat. This archway represents a significant transition point in the upper digestive and respiratory systems. It is a narrow passage bounded by distinct features that facilitate the initial phases of swallowing and contribute to immune defense.

Defining the Fauces: Location and Boundaries

The fauces acts as the isthmus, or narrow channel, connecting the oral cavity to the oropharynx, which is the middle portion of the throat. This passage marks the posterior limit of the mouth, serving as a gateway for both food and air. It is structured like a vaulted archway and is defined by several clear anatomical borders.

The superior boundary is formed by the soft palate, the muscular, flexible part at the back of the roof of the mouth. Below, the passage is limited by the root of the tongue. Laterally, the fauces is framed by a pair of muscular folds, known as the pillars of the fauces. Contraction of the muscles within these arches helps constrict the passage during swallowing.

Key Anatomical Components

The lateral borders are defined by two arches on each side, covered by mucous membrane and containing muscle tissue. The arch located toward the front, closer to the tongue, is the palatoglossal arch, or the anterior pillar. The palatoglossus muscle within this fold helps elevate the tongue and narrow the opening.

The second arch, positioned behind the first and closer to the pharynx, is the palatopharyngeal arch, or the posterior pillar. This fold contains the palatopharyngeus muscle, which assists in elevating the pharynx and larynx during the act of swallowing. The two arches diverge slightly as they extend downward from the soft palate toward the side of the tongue and the pharynx.

A triangular recess, the tonsillar fossa, is situated between the anterior and posterior arches on each side. The palatine tonsils, prominent masses of lymphoid tissue, are lodged within this recess. These tonsils are surrounded by the muscular pillars that form the gateway to the throat.

Clinical Relevance and Examination

The fauces is a primary site for infections and a common checkpoint for medical examinations. As a high-traffic area, the associated palatine tonsils function as an early immunological surveillance station. These tonsils sample antigens from food and air, initiating immune responses when necessary.

When examining the throat, a physician uses a tongue depressor and light to inspect the fauces and its associated structures. Inflammation of the arches or tonsils is a common indication of illness, often associated with pharyngitis or tonsillitis. Signs like redness, swelling, or the presence of a white or yellow exudate (pus) are observed to help diagnose conditions like strep throat. Pronounced swelling of the palatine tonsils can obstruct the passage, making swallowing difficult.