Laryngeal Anatomy Flashcards

1
Q

What are the borders of the larynx?

A

superior - hyoid bone
inferior - trachea
posterior - pharynx

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2
Q

List out the cartilage of the larynx

A

single
epliglottis
thyroid
cricoid

paired
arytenoid
corniculate
cuneiform

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3
Q

what kind of cartilage is in the larynx?

A

hyaline cartilage

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4
Q

give me three properties of hyaline cartilage

A
  1. large amt of collagen
  2. poor blood supply
  3. !!! gets calcified with age
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5
Q

what attaches the thyroid cartilage to the hyoid bone?

A

the thyrohyoid membrane

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6
Q

What are the landmark features of the thyroid cartilage?

A

superior cornu
lamina
laryngeal prominence (adams apple)
thyroid notch
thyroid angle
inferior cornu

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7
Q

how is the epiglottis attached to the thyroid?

A

via the thyroepiglottic ligament

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8
Q

how is the epiglottis attached to the hyoid?

A

via the hyoepligottic ligament

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9
Q

what are the two main features of the epiglottis?

A

the lingual and laryngeal surface

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10
Q

what structure attaches the cricoid to the thyroid?

A

the median cricothyroid ligament

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11
Q

what structure attaches the cricoid cartilage to the trachea?

A

the cricotracheal membrance

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12
Q

two main features of the cricoid?

A

cricoid arch (anterior)

cricoid lamina (posterior)

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13
Q

what ligament assists cricoid-thyroid movement?

A

the anterior and posterior cricothyroid ligaments

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14
Q

where do the cuneiform cartilages sit?

A

on the aryepiglottic folds

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15
Q

what two joints are located on the cricoid?

A

the cricothyroid joint (clicks on bottom)

the cricoarytenoid joint (clicks on top)

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16
Q

Provide three characteristics of vocal folds when adducted

A
  1. protects airway
  2. expends energy
  3. allows speech production
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17
Q

what is the region called that forms the collar-lining of the larynx?

A

the laryngeal aditus

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18
Q

what are the major spaces of larynx, from superior to inferior?

A

larygneal vestibule

and laryngeal ventricle

(and glottis)

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19
Q

what are the two types of glottis around arytenoid and thyroid cartilages?

(and their percentages)

A

cartilaginous glottis (40%)

membranous glottis (60%)

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20
Q

What nerve supplies the larynx?

A

cranial nerve x (vagus)

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21
Q

What are the two nerve branches that supply the larynx?

A

the superior laryngeal nerve

and recurrent laryngeal nerve

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22
Q

What are the two subdivisions of superior laryngeal nerve and function?

A

internal = sensory (base of tongue to vocal folds)

external = motor (JUST cricothyroid muscle)

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23
Q

what are the two main functions of the recurrent laryngeal nerve?

A

motor (ALL intrinsic muscles EXCEPT cricothyroid)

sensory (vocal folds and below)

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24
Q

what structure does the RIGHT recurrent nerve initially hook under?

A

the right subclavian artery

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25
what structure does the LEFT recurrent nerve initially hook under
the aortic arch
26
What are the major intrinsic muscles of the larynx?
thyroarytenoid muscles LAT cricoarytenoid muscles interarytenoid muscles (oblique+transverse) POST cricoarytenoid muscles cricothyroid muscles
27
What are the main functions of the thyroarytenoid muscles?
1. increases tension (w/o changing its length) 2. shortens the vocal folds 3. adducts the vocal folds
28
what is the innervation of the thyroarytenoid muscles?
the recurrent laryngeal nerve
29
what are the attachments of the lateral cricoarytenoid muscles?
upper lateral arch of cricoid anter surface of muscular process of arytenoid
30
what is the function of the lateral cricoarytenoid muscles?
1. only vocal fold adduction
31
What are the attachments of the transverse interarytenoid muscles?
apex to base of 1st arytenoid to apex to base of 2nd arytenoid
32
What is the function of the transverse interarytenoid muscles?
1. only vocal fold adduction
33
What is the attachment for the oblique interarytenoid muscles?
apex of arytenoid 1 to base of arytenoid 2
34
What are the main functions of the posterior cricoarytenoid muscles?
1. vocal fold abduction 2. permits rocking
35
What are the points of attachment for the cricothyroid muscles?
cricoid arch and caudal margin of thyroid cartilage
36
What's the only intrinsic muscle that the superior laryngeal branch innvervates?
the cricothyroid muscle
37
what that cricothyroid muscle do?
1. lengthen and tense vocal folds
38
What attachment conditions would classify a muscle as "extrinsic laryngeal"
one attachment INSIDE larynx one attachment OUTSIDE larynx
39
What are the functions of the thyrohyoid muscle?
1. depress hyoid 2. elevate whole larynx
40
what are the innervations of the thyrohyoid muscle?
cervical nerve 1
41
what is the functions of the sternothyroid muscle?
1. depress the whole larynx
42
what are the innervations of the sternothyroid muscle
cervical nerves 1-3
43
What are the main suprahyoid muscles?
the digastric muscles (anterior and posterior bellies) the stylohyoid muscle the mylohyoid muscle the geniohyoid muscle
44
What are the attachments of the anterior digastric muscle?
mandible intermediate tendon of hyoid bone
45
Function of the anterior digastic?
moves hyoid upwards and forwards
46
Innervation of the anterior digastric muscle?
cranial nerve 5 (trigeminal)
47
Attachments of the posterior digastric muscle?
mastoid process intermediate tendon of hyoid
48
function of the posterior suprahyoid muscle?
move hyoid upwards and backwards
49
innervation of the posterior suprahyoid muscle?
cranial nerve 7 (facial)
50
function of stylohyoid muscle?
move hyoid upwards and backwards
51
attachments of stylohyoid muscle?
body of hyoid styloid process
52
innervation of stylohyoid muscle?
cranial nerve 7 (facial)
53
function of mylohyoid muscle?
moves hyoid upwards and forwards
54
attachments of mylohyoid muscle?
hyoid bone interior edge of mandible midline raphe
55
what is the innervation of the mylohyoid muscle?
cranial nerve fiiivee (five is a chive)
56
what is the function of the geniohyoid muscle?
hyoid goes upwards and forwards
57
attachment of geniohyoid muscles?
middle of the mandible hyoid
58
innervation of geniohyoid muscle?
cervical nerve 1
59
what are the infrahyoid muscles?
sternohyoid muscle omohyoid muscle
60
what are the attachments of the sternohyoid muscle?
manubrium hyoid bone
61
what is the function of the sternohyoid muscle?
move hyoid downwards
62
what is the innervation of the sternohyoid muscle?
cervical nerve 1-3
63
what is the attachments of the omohyoid muscle?
hyoid bone to intermediate tendon (anterior belly) intermediate tendon to scapula
64
what is the function of the omohyoid muscle?
move hyoid downwards AND backwards
65
what is the innervation of the omohyoid muscle?
cervical nerves 1-3
66
main functions of the intrinsic laryngeal muscles?
1. change shape of the glottis
67
main functions of the extrinsic laryngeal muscles?
1. support and stabilize the larynx 2. change larynx position in neck
68
main functions of the suprahyoid muscles?
1. elevate the hyoid/larynx
69
main functions of the infrahyoid muscles?
1. depress the hyoid/larynx