Ch. 19 Larynx Flashcards
Cartilaginous organ located at the superior end of the trachea
Larynx
Functions of the larynx
- As a valve to guard the air passages, especially during swallowing food
- In maintaining an open air passage
- In vocalization
Four major types of cartilages comprising the larynx
- Thyroid cartilage
- Cricoid cartilage
- Arytenoid cartilage
- Epiglottic cartilage
Largest cartilage of the larynx
Thyroid cartilage
two flat plates in the thyroid cartilage fusing anteriorly and diverging posteriorly
laminae of the thyroid cartilage
Formed by where the laminae of the thyroid cartilage fuses anteriorly
Laryngeal prominence (Adam’s apple)
Superior border of thyroid cartilage forms a palpable ___
superior thyroid notch
part of the thyroid cartilage that attaches via ligaments to the hyoid bone
Superior horn
Part of the thyroid cartilage that articulates with the cricoid cartilage
inferior horn
Crosses the lateral surface of the thyroid cartilage of which the strap muscles of the neck attach
oblique line
Complete ring of cartilage that forms a shape similar to a ring
Cricoid cartilage
Posterior part of the cricoid cartilage in the form of a flat plate
lamina
Anterior narrow part of the cricoid cartilage which lies at the level of C6
arch
Upper part of the cricoid cartilage articulates with the ______
arytenoid cartilages
Lower border of the cricoid cartilage is connected to the first ring of the trachea via the
Cricotracheal ligament
Pair of cartilages located at the upper border of the lamina of the cricoid cartilages.
Arytenoid cartilages
Arytenoid cartilages are in the shape of a ____ and have ____ above and ___ below
pyramids; apex; base
Processes of the Base of the arytenoid cartilage
Vocal process
Muscular process
Process of the arytenoid cartilage that extends forward from the base and serves as an attachment for the vocal ligament
Vocal process
Process of the arytenoid cartilage that extends laterally and serves as an attachment for the muscles of the larynx
Muscular process
Leaf shaped cartilage that extends superiorly and posteriorly from the thyroid cartilage
Epiglottic cartilage
Cartilage in which the upper end is quite broad and the lower end narrows
Epiglottic cartilage
Narrow end of the epiglottic cartilage that attaches to the thyroid cartilage
stalk (petiolus)
Functions in closing the opening into the laryngeal cavity during swallowing
Epiglottic cartilage
Smaller cartilage set upon the apices of the arytenoid cartilages
Corniculate cartilages
Smaller cartilage located within the fold of the mucous membrane between the arytenoid and the epiglottic cartilages.
Cuneiform cartilage
Folds of mucous membrane between the arytenoid and the epiglottic cartilages
aryepiglottic folds
Functions of the extrinsic muscles of the larynx
Elevators
Depressors
Extrinsic elevator muscles of the larynx
Thyrohyoid, stylohyoid, mylohyoid, digastric
the style might die
Extrinsic depressor muscles of the larynx
Omohyoid, sternohyoid, sternothyroid
Oh! SternoHYOID, sternoTHYROID
Intrinsic muscles of the larynx
Cricothyroid Posterior cricoarytenoid Lateral cricoarytenoid Arytenoideus Thyroarytenoid Vocalis
CP LAT V
Intrinsic muscle of the larynx that extends from the arch of the cricoid to the lamina of the thyroid and inferior horn of thyroid cartilage.
Cricothyroid
Intrinsic muscle of the larynx extending from the posterior surface of the lamina of the cricoid to the muscular process of the arytenoid.
posterior cricoarytenoid
Intrinsic muscle of the larynx coursing from the arch of the cricoid to the muscular process of the arytenoid
Lateral cricoarytenoid
Intrinsic muscle of the larynx connecting the posterior surfaces of the two anytenoids
Arytenoideus
Intrinsic muscle of the larynx that extends from the medial surface of the lamina of the thyroid cartilage to the muscular process of the arytenoid
Thyroarytenoid
Intrinsic muscle of the larynx that courses from the internal surface of the thyroid cartilage posteriorly to the vocal process of the arytenoid cartilage.
Vocalis
All intrinsic muscles of the larynx are ____ of the vocal folds with the exception of the _____ which is an _____
Adducters, Posterior cricoarytenoid, abducter
All intrinsic muscles of the larynx are supplied by the _______ with the exception of the _______ which is supplied by the ______
recurrent laryngeal nerve; cricothyroid; superior laryngeal nerve
Direct branch of the vagus nerve that divides into two branches that supply the larynx
superior laryngeal nerve
External branch of the superior laryngeal nerve courses on the _____ to innervate the _____
external surface of the larynx; cricothyroid muscle
The internal branch of the superior laryngeal nerve pierces the membrane between the ___ and the ___
hyoid bone and the thyroid cartilage (thyrohyoid membrane)
The internal branch of the superior laryngeal nerve supplies sensory innervation to the _________-
mucous membrane lining the larynx above the vocal folds
Direct branch of the vagus that begins in the throax
Recurrent laryngeal nerve
The right recurrent laryngeal nerve loops around the ____
subclavian artery
The left loop of the recurrent laryngeal nerve loops around the ___
aorta
Both R and L recurrent laryngeal nerves ascend to the ___ in the ______
larynx; groove between the esophagus and the trachea
Recurrent laryngeal nerve supplies sensory innervation to the ____
mucous membrane below the vocal folds.
Recurrent laryngeal nerve supplies the majority of the _____ muscles of the larynx
intrinsic
Arterial supply to the larynx comes from what two primary vessels?
- Superior laryngeal artery
2. Inferior laryngeal artery
Artery arising from the superior thyroid artery from the external carotid arterysupplying the larynx
Superior laryngeal artery
Artery arising from the inferior thyroid artery from the thyrocervical turn which arises from the subclavian artery
Inferior laryngeal artery
Cavity of the larynx is divided into three portions:
Vestibule
Ventricle
Infraglottic cavity
Portions of the cavity of the larynx are separated from one another by two horizontal folds of mucous membranes:
False oval fold
true vocal fold
Extends from the aditus or inlet down to the vestibular folds
vestibule
Opening into the larynx from the laryngopharynx
aditus or inlet
Bounded by the epiglottis anteriorly on each side by the aryepiglottic folds
aditus/inlet
Function of the closure of the inlet by the epiglottis
Protects respiratory passages against invasion of food and FBs
Extends from the thyroid cartilage in front to the arytenoid cartilages behind
False fold
Ligament in each false fold
Vestibular ligament
Are the false folds involved in voice production?
No
The space between the two false folds of either side
rima vestibuli
Muscles that adduct the vocal folds also adduct the ____, obliterating the ___
vestibular folds; rima vestibuli
Adduction of the vestibular folds allows an increase in ______-
intrathroacic pressure or intraabdominal pressure during urination, dedication or parturition.
Space located on either side of the larynx between the vestibular fold and the true vocal fold below
Ventricle of Morgagni
Functions in allowing free movement of the vocal folds
Ventricle of Morgagni
bind the ventricle of Morgagni inferiorly
true vocal folds
Folds of mucous membrane that contain the vocals muscle and the vocal ligament
True vocal folds
Extend from the angle of the thyroid cartilage in front to the vocal process of the arytenoid cartilages behind
true vocal folds.
Space that lies between the two true vocal folds, representing the narrowest part of the laryngeal cavity
rima glottidis
True vocal fods control the air passing through the ____ and thus are important for voice production
rima glottidis
attaches the epiglottis to the posterior tongue
Median glossoepiglottic fold
of median glossoepiglottic folds
1
Attaches the epiglottis to the pharynx
lateral glossoepiglottic folds
of lateral glossoepiglottic folds
2
Between the median and lateral folds are depressions called ___ in which saliva collects from the posterior tongue
epiglottic valleculae
Important landmarks during intubation
epiglottic valleculae