Laringe Flashcards

1
Q

functii

A

conduct aero-vector
organ fonator

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2
Q

localizare

A

reg ant-mediana a gatului
in dreptul ultimelor 4 vertebre cervicale
inaintea laringofaringelui
inapoia globulilor tiroidieni si a muschilor subhioidieni

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3
Q

baza

A

com cu larigno-faringe prin aditus laringian
ant- epiglota
post - cartilaje aritenoide
lat - pliuri epigloto-aritenoidiene
in grosimiea plicilor - cartilaje cuneiforme

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4
Q

varful

A

se continua in jos cu traheea

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5
Q

fetele ant-lat

A

cele 2 lame ale cartilajului cricoid si tiroid
intre se afla muschi si lig tirocricoidian
deasupra se afla mb tirohioidian a
raport cu gl tiroida si muschii infrahioidieni

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6
Q

fata post

A

form din cele 2 cartilaje aritenoide si lama cartilaj cricoid
santuri piriforme = santuri laringo-faringiene
sup - plica laringelui - mucoasa recesului ridicata de nervul laringeu superior
fata post - mucoasa faringelui , form din cartilaj corniculate,aritenoide,lama cart tiroid si lig crocotraheal

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7
Q

marg ant

A

=marul lui Adam
muchia unde se unesc cele 2 lame ale cart tiroid
rap cu istmul gl tiroide

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8
Q

marg post

A

marg post ale lamelor cart tiroid
rap cu artera carotida comuna , nerv vag si vena jugulara interna

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9
Q

cartilaje neperechi

A

tiroid
epiglota
cricoid

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10
Q

cartilaje perechi

A

aritenoide
corniculate
cuneiforme
sesamoide

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11
Q

din ce sunt formate cartilajele

A

cartilaj de tip hialin
EXCEPTIE ! epiglota - cartilaj hialin de tip elastic

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12
Q

epiglota

A

froma de frunza cu petiol in jos
sit inapoia cartilaj tiroid
de la baza epiglotei pleaca lig glosoepiglotice si lig hioepiglotic
varful legat de cartilaj tiroid prin ligament tireoepiglotic

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13
Q

cartilaj tiroid

A

forma de carte deschisa
2 lame unite pe linie mediana
inaintea epiglotei, sub hioid ,deasupra cricoidului
fata ant - ins m sternotiroidian si tirohioidian
fata post - sup - incizura tiroidiana
marg inf - arc cricoid , insertie m si lig tirocricoidian
marg post - se prelungesc cu coarne sup si inf (cele inf se art cu cartilaj cricoid)

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14
Q

cartilaj cricoid

A

forma de inel
intercalat intre tiroid si trahee
arc situat ant si lama
lama prez 2 supr art pt baza aritenoidelor si 2 spr inf pt coarne inf cartilaj tiroid

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15
Q

cartilaje aritenoide

A

forma de piramida triunghiulara
partea post a laringelui
desupra lamei cricoidului
3 fete
fata post - fata post laringe
fata med - priveste spre int laringe
fata lat - creasta arcuata
2 procese - muscular - muschi cricoaritenoidieni
proces vocal - plica vocala

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16
Q

cartilaje corniculate

A

la vafrul cartilajelor aritenoidiene

17
Q

cartilaje cuneiforme

A

plici ariteno-epiglotice

18
Q

cartilaje sesamoide

A

plici vocale

19
Q

muschii laringelui

A

striati
extrinseci si intrinseci

20
Q

muschi extrinseci

A

se insera cu un capat pe faringe si cu celalalt pe oragnele vecine
constrictor inf al faringelui -leaga cartilaje tiroid si cricoid de faringe
long sup al limbii - porneste de pe cartilaj epiglotic si patrunde in limba
palatofaringian - intra in valul palatin
stilofaringian - insertii inf pe cartilajr epiglotic,tiroid si cricoid
tirohioidian
sternotiroidian

21
Q

muschi extrinseci

A

se insera cu un capat pe faringe si cu celalalt pe oragnele vecine
constrictor inf al faringelui -leaga cartilaje tiroid si cricoid de faringe
long sup al limbii - porneste de pe cartilaj epiglotic si patrunde in limba
palatofaringian - intra in valul palatin
stilofaringian - insertii inf pe cartilajr epiglotic,tiroid si cricoid
tirohioidian
sternotiroidian

22
Q

muschii intrinseci

A

ambele capete inserate pe cartilaje ale laringelui
formeaza 3 grupe functionale
a - constrictori ai fantei glotice /adductori ai plicilor vocale
b - dilatatori ai fantei glotice abductori ai plicilor vocale
c- tensori ai plicilor vocale

23
Q

muschii constrictori ai fantei glotice

A

cricoaritenoidian
aritenoidian trnasvers
aritenoidian oblic
tiroaritenoidian
tiroepiglotic
ariepiglotic

24
Q

muschii dilatatori ai fantei glotice

A

cricoaritenoidian post - rol important in respiratie (paralizia lui face imposibila adductia corzilor vocale , fenomen insotit de dispnee sau chiar asfixie )

25
Q

muschii tensori ai plicilor vocale

A

vocal - sit in plica vocala
cricotiroidian - sit antlat de laringe

26
Q

tunica mucoasa

A

epiteliu + corion
continua mucoasa faringelui, se continua cu cea a traheei
epiteliu cilindric ciliat
la nivelul plici vocale - ep pluristratificat pavimentos
gl care secreta mucus
in corion-tesut limfoid - bogat la niv ventriculilor laringieni

27
Q

submucoasa

A

tesut conj lax

28
Q

confix interioara

A

3 etaje
supraglotic = vestibulul laringelui
glota
infraglotic =cav infraglotica

29
Q

glota

A

pereti lat - 2p de plici cu directie ant-post,
plici sup = plici vestibulare
intre plici - se delim fanta vestibulararima vestibulara
plici inf = plici vocale/coarde vocale

30
Q

intre plici vestibulare si vocale

A

ventriculii laringelui
prez o prelungire = saculet laringian - plin cu aer care intervine in modelarea timbrului sunetului laringian

31
Q

in timpul inspiratiei

A

plici vocale in abductie
fanta glotica larg deschisa
vizualizare cav infraglotica si primele inele traheale

32
Q

in timpul fonatiei

A

plicile vocale sea ting prim mag lor libere
fanta glotica - fisura liniara

33
Q

vascularizatie

A

art tiroidiana sup - art laringiana sup
art tiroidiana inf - art laringiana inf
vena laringiana sup - vena jug int

34
Q

limfaticele

A

grup sup - dren in noduri cervicale profunde
grup ant-inf - limfa glotei si a port ant- inf , dreneaza in noduri limfatice traheale si nodul prelaringian (Engel)
grup post-inf - in noduri limfatice traheale

35
Q

inervatie

A

somatomotoare, somatosenzitiva si vegetativa
nerg laringeu sup + inf+ vag

36
Q

nerv laringeu sup

A

se bifurca la nivelul hioidului
ram int -epiglota,vestibul laringian plica vestibulara - inerv senzitiva
ram ext - ventricul,plica vocala si cav infraglotica - inerv senzitiva
mucoasa laringelui si muschi tirocricoidian

37
Q

nerv laringeu inf

A

nerv lar recurent
ram musc
ram comunicante cu laringeu sup = ansa lui Galen
fibre senzitive dest laringe si port laringiene a faringelui
fibre somatomotoare pt m intrinseci

38
Q

fibre vegetative

A

fibre vegetative ,vasomotorii - postgg din gg cervicali sup si inf
fibre vegetative secretorii - parasimpatice provin din laringeu sup si inf