AnaPhy of Phonation Flashcards
More commonly known as the “Voice box” as it houses the vocal folds
Larynx
Larynx is located at the middle of the _____ and the ____
Hyoid bone and the trachea
3 Unpaired Cartilages (ETC)
Epiglottis, Thyroid, and Cricoid
Drops to cover the larynx opening during swallowing via aryepiglottic muscle
Epiglottis
Largest laryngeal cartilage
Thyroid
Laryngeal Prominence is more commonly known as _____
Adam’s apple
Below the thyroid cartilage
Cricoid
3 Paired Cartilages (CCA)
Cuneiform, Corniculate, Arytenoid
Provides additional degree of integrity to the larynx
Cuneiform
Sits on top of the arytenoid cartilage
Function: more for structure and rigidity
Corniculate
Paired cartilage that looks like a pyramid
Arytenoid
Anterior process of the Arytenoid that attaches to the vocal ligament of the vocal folds
Vocal Process
Anterior process of the Arytenoid that forms attachment to important muscles for abduction and adduction of the vocal folds
Muscular Process
Allows gliding and rocking motion of the arytenoid cartilage against the cricoid cartilage which helps tense/adduct the vocal folds
Cricoarytenoid joint
Muscles wherein both its origin and insertion are on laryngeal cartilages
Muscles affect VF movement
Intrinsic Muscles
Sole abductors
Clue: Pag mag-isa ka, mas gusto mo nasa likod ka → POSTERIOR
Posterior Cricoarytenoid Muscle
Posterior Cricoarytenoid Muscle aids in ____ and ____
Movement of air and production of voiceless consonants
ADDUCTS Vocal Folds
Aids in medial compression
Lateral Cricoarytenoid Muscle
ADDUCTS Vocal Folds
Aids in medial compression
Looks like a band
Brings two arytenoid cartilages together
Transverse Arytenoid
ADDUCTS Vocal Folds
Aids in medial compression
Aids in pulling epiglottis to close
CLUE: WAKANDA FOREVER
Oblique Arytenoid
Depresses thyroid relative to cricoid
Stretches & stiffens vocal folds
Cricothyroid
Innervation of the
Vagus (CN 10), Superior Laryngeal Nerve
From thyroarytenoid muscle
Tenses vocal folds
Thyrovocalis
Innervation of all intrinsic laryngeal muscles, except Cricothyroid
Vagus (CN 10), RLN
Opening of the vocal folds
CLUE: (B)ukas
aBduction
Closing of the vocal folds
CLUE: (D)ikit
aDduction
Muscles with only one attachment on laryngeal cartilages
Extrinsic Muscles
List muscles that elevates the larynx
CLUE: Got Good Moves Super Happy Dances
Geniohyoid, Genioglossus, Stylohyoid, Mylohyoid, Hyoglossus, Digastricus Anterior/ Posterior
List muscles that depresses the larynx
CLUE: TOSS
Thyrohyoid, Omohyoid, Sternohyoid, Sternothyroid
Key in gaining laryngeal control
Laryngeal Stability
The larynx is intimately linked via the hyoid bone to the tongue - therefore, _____ is translated directly to the larynx
tongue movement
During infancy, larynx is e____.
elevated
Elevation of the larynx during infancy helps facilitate __________ needed for nursing
anterior tongue protrusion
At what age does the larynx start to descend
2 years old
Modulate the flow of air expelled from the lungs during phonation
Vocal folds
Space in the middle of the VF
Rima glottidis / glottis
What is the most important function of the larynx?
Protection of the airway
Deep inhalation through widely abducted vocal folds → high pressure of forced expiration blows the adducted vocal folds apart
Coughing
Build pressure in the subglottal region (under the VF) and clamp the vocal folds shut to restrain the pressure
Throat Clearing
When the reflex is triggered, the larynx elevates, and the epiglottis drops down to cover the opening
Swallowing
Determined by the frequency of vocal fold vibration
Pitch
Strength of the forces within a given material
Stiffness
↑ stiffness _____ frequency
↑
Amount of matter in material
Mass
↑ mass ___ frequency
↓
Length
↑ length __ frequency
↑
An individual’s typical pitch; lowest frequency produced by the vocal folds
Fundamental Frequency
Why do males have a lower fundamental frequency than females?
Because they have greater muscle mass, longer vocal fold length
Fundamental frequency increase comes from stretching and tensing the vocal folds using the ____ and the ____ muscles. [TENSORS]
Cricothyroid and thyrovocalis
Determined by the intensity of vocal fold opening during a cycle of vibration
Loudness
Theory that states that increased speed of air passing between the vocal folds creates a suction effect that brings the vocal folds together.
Bernoulli Effect
Bernoulli Effect states that VF movement is not only driven by muscular effort (adduction and abduction of muscles), but it is also greatly driven by what?
Air pressure (subglottal pressure)
Myoelastic-Aerodynamic Theory - Mechanism of phonation underlies what 2 elements?
Muscles and Airflow = sustained vibration of the VF during phonation
Theory that states wave-like movement of the vocal fold cover (epithelium and superficial layer of the lamina propria) during vibration
Mucosal Wave Action
Movement of the VF
Inferior to superior
VF that vibrates to produce sounds
True vocal folds
Separate the laryngeal vestibule from the pharynx and help preserve the airway
Aryepiglottic folds
Vibrate only at low freq.
Compresses during coughing and lifting
Ventricular (false) vocal folds