Anatomy of larynx Flashcards

1
Q

What is the larynx basically?

A

Tube created by membranes, cartilages and muscles

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2
Q

How does the larynx relate to the hyoid bone?

A

It lies below the hyoid bone

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3
Q

Where does the larynx begin?

A

Laryngeal inlet

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4
Q

Where does the larynx end?

A

Lower border of cricoid cartilage

C6 vertebral level

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5
Q

What is the continuation of the larynx?

A

Trachea

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6
Q

How many important cartilages of the larynx are there? What are the different groups?

A

Three single cartilages

One paired cartilage

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7
Q

What are the three single cartilages of the larynx?

A

Thyroid cartilage

Cricoid cartilage

Epiglottis

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8
Q

What is the paired cartilage of the larynx?

A

Aretynoid cartilages

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9
Q

What are the parts of the thyroid cartilage?

A

Lateral plates

Laryngeal prominence

Inferior horn

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10
Q

What is the laryngeal prominence?

A

Where the two lateral plates of the thyroid cartilag meet in the anterior midline

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11
Q

What is the laryngeal prominence of the thyroid cartilage commonly known as?

A

Adam’s apple

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12
Q

What is the inferior horn of the thyroid cartilage?

A

Postero-inferior projection

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13
Q

What does the inferior horn of the thyroid cartilage do?

A

Articulates with the cricoid cartilage

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14
Q

What is the signifiance of the inferior horn of the thyroid cartilage articulating with the cricoid cartilage in a synovial joint?

A

Thyroid cartilage can move on cricoid cartilage

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15
Q

What is different about the cricoid cartilage compared to other cartilages of the larynx and trachea?

A

Forms a complete ring

others are incomplete

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16
Q

What type of joint connects the inferior horn of the thyroid cartilage to the cricoid cartilage?

A

Synovial joint

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17
Q

What is the shape of the cricoid cartilage?

A

Wider and flatter at the back

than at the front

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18
Q

What shape is the epiglottis?

A

Leaf-shaped

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19
Q

What is the relative position of the aretynoid cartilages in the larynx?

A

Posteriorly

Superior to cricoid cartilage on either side

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20
Q

What do the aretynoid cartilages attach to?

A

The cricoid cartilage on either side

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21
Q

How do the aretynoid cartilages attach to the cricoid cartilage?

A

Synovial joints

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22
Q

What does the epiglottis attach to?

A

Postero-superior surface of thyroid cartilage inferiorly

Body of hyoid bone superiorly

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23
Q

How many membranes of the larynx are there?

24
Q

What are the membranes of the larynx?

A

Thyro-hyoid membrane

Crico-thyroid membrane

Crico-tracheal membrane

Quadrangular membrane

25
What does the thyro-hyoid membrane attach to?
Superiorly the hyoid bone Inferiorly the thyroid cartilage
26
What does the crico-thyroid membrane attach to?
Superiorly the thyroid cartilage Inferiorly the cricoid cartilage
27
What does the crico-tracheal membrane attach to?
Superiorly the cricoid cartilage Inferiorly the first ring of cartilage of the trachea
28
What is the clinical signifiance of the cricothyroid membrane?
Cricothyroidotomy
29
When is a cricothyroidotomy done?
Patient cannot breathe | cannot be intubated or ventilated
30
How is a cricothyroidotomy done?
Palpate for the cricothyroid membrane | make an incision into it
31
What does the quadrangular membrane attach to?
Sides of epiglottis superiorly Posterior surface of thyroid cartilage antero-inferiorly Aretynoid cartilages postero-inferiorly
32
What is the free superior border of the quadrangular membrane called?
Aryepiglottic fold
33
How does the free superior border of the quadrangular membrane form the aryepiglottic fold?
Thickens at this point
34
What is the laryngeal inlet?
Opening into the larynx
35
What forms the laryngeal inlet?
The aryepiglottic folds
36
What is the free inferior border of the quadrangular membrane called?
The vestibular ligament/false vocal cord
37
How does the free inferior border of the quadrangular membrane frorm the vestibular ligament/false vocal cord?
Thickens at this point
38
What is the free superior border of the crico-thyroid membrane called?
The vocal ligament/true vocal cord
39
How does the free superior border of the crico-thyroid membrane form the vocal ligament/true vocal cord?
Thickens at this point
40
What lines the surface of the larynx?
Mucous membrane
41
What are the three areas of the larynx?
Supraglottis Glottis Infraglottis
42
What is the supraglottis?
Area of the larynx above the vestibular ligament/false vocal cords
43
What is the glottis?
Area of the larnx that contains the vestibular ligament/false vocal cords and the vocal ligament/true vocal cords
44
What is the infraglottis?
Area of the larynx below the vocal ligament/true vocal cords
45
What is located between the vestibular ligament/false vocal cords and the vocal ligament/true vocal cords?
Ventricle posteriorly Saccule anteriorly
46
What are the ventrcle and saccule?
Recesses between the vestibular ligament/false vocal cords and the vocal ligament/true vocal cords
47
What is the function of the ventricle and saccula?
Contain mucous glands produce mucus keep larynx mois
48
What type of epithelium lines the larynx?
Respiratory epithelium - psueodostratified ciliated columnar epithelium
49
What is the exception to psueodostratified ciliated columnar epithelium lining the respiratory tract?
Vocal ligament/true vocal cords is lined with stratified squamous epithelium
50
Why are the vocal ligaments/true vocal cords lined with stratified squamous epithelium?
To protect against of abrasion of air moving into and out of larynx
51
What is the rima glottidis?
The opening between the vocal ligaments/true vocal cords
52
How can you tell the orientation of a view of the larynx?
Point of rima glottidis is anterior
53
How can the larynx be viewed?
Laryngoscope Nasoendoscopy
54
When is a laryngoscope used to view the larynx?
Intubation - placing a tube in the infraglottis
55
When is a nasoendoscope used to view the larynx?
To visualise the larynx
56
What body system is the larynx a part of?
Respiratory system
58
What are the functions of the larynx? Which is its main function?
Ventilation - air in and out of lungs Airway protection - preventing aspiration - main function Cough Phonation - producing sound