Larynx Flashcards
larynx is also known as the ____ ___
voice box
larynx is situated ____ in the neck, below the ____ bone and ____
anteriorly
hyoid
tongue
larynx has a marked projection called the ___ ___ or ___ ___
laryngeal prominence
adams apple
anterior to the larynx is ___ and ___
skin
fasciae
lateral to the larynx are ____, ____ gland, ____ ___ of the neck, and the ___ nerves
muscles
thyroid
great vessels
vagus
posterior to the larynx is the ___ ___ and ___ ___ separated from them by the laryngopharynx
vertebral column
prevertebral muscles
3 fxns of the larynx
organs of vocalization or phonation
air passage
sphincter
the larynx is between the root of the ____ and the ___
tongue
trachea
in the adult, the larynx extends from what vertebrae?
C3-C6`
the larynx communicates superiorly with the ____ through the laryngeal inlet
laryngopharynx
larynx communicates superiorly with the laryngopharynx through the ___ ___
laryngeal inlet
larynx communicates with the ____ inferiorly
trachea
larynx has a skeleton framework of cartilages connected by ______ and _____, and moved by ___
membranes
ligaments
muscles
3 unpaired cartilages of the larynx
thyroid
cricoid
epiglottis
3 paired cartilages of the larynx
arytenoids
corniculates
cuneiforms
extrinsic membranes and ligaments attach structures inside the larynx to those ____
outside
intrinsic membranes and ligaments attach structures of the larynx ____
together
thyroid cartilage is a ____ cartilage located under the ___ bone
hyaline
hyoid
thyroid cartilage is made up of two ____ meeting in the middle
laminae
posterior border of thyroid cartilage extends upward to form the ___ __ and downward to form the ___ ___
superior horn
inferior horn
oblique line of the thyroid cartilage serves as ___ ___
muscle attachment
cricothyroid is between the ___ ___ of the hyoid cartilage and the lateral side of the ___ ___
inferior cornu
cricoid cartilage
thyroid cartilage attaches to the cricoid by the ____ ligament
cricothyroid
thyroid cartilage attaches to the epiglottis by the ____ ligament
thyroepiglottic
thyroid cartilage attaches to the vocal process of arytenoid by the ___ ligament
vocal
thyroid cartilage attaches to the hyoid bone by the ___ membrane
thryohyoid
cricoid cartilage is at the level of ___
C6
cricoid cartilage is a ___ cartilage shaped like a signet ring
hyaline
cricoid cartilage consists of an anterior ___ and posterior ___ ____
arch
quadrangular lamina
cricoid cartilage attaches to thyroid by ____ ligament
cricothyroid
cricoid cartilage attaches to the trachea by the ___ ligament
cricotracheal
arytenoid cartilages are a pair of cartilages located on the lateral side of the superior border of ___ ___
cricoid lamina
arytenoid cartilages has ___ sides, with ___ surface; a ____, a ____, and _ processes: ____ and ____
3 3 base apex 2 vocal muscular
arytenoid cartilages has 2 articulations
cricoid lamina
corniculate cartilage
arytenoid cartilages has attachment to the thyroid cartilage by the ___ ligament
vocal
arytenoid cartilages has attachment to the epiglottis by the _____ membrane
quadrangular
aryepiglottic ligament + mucous membrane = ____ ___
aryepiglottic fold
what is the lateral boundary of the laryngeal inlet?
aryepiglottic fold
___ lies anterior to the laryngeal inlet
epiglottis
the ____ cartilage lies posterior to the laryngeal inlet
corniculate
2 articulations of the cricoid cartilage
cricothyroid
cricoarytenoid
epiglottic cartilage is a leaf like ____ cartilage which projects upward behind the ___ and ___ bone
elastic
tongue
hyoid
epiglottic cartilage is attached to the back of the ___ cartilage
thyroid
during deglutition, the epiglottic cartilage bends back over the ____ ___
laryngeal inlet
epiglottic cartilage has 4 attachments
thyroid
hyoid
arytenoid
tongue
epiglottic cartilage attaches to the hyoid anteriorly through the _____ ligaments
hyoidepiglottic
epiglottic cartilage attaches to the arytenoids by the ____ ligaments
aryepiglottic
epiglottic cartilage attaches to the tongue by the ____ ____
glossoepiglottic folds
___ ___ lies between the median and lateral ligs of the glossoepiglottic folds
epiglottic vallecula
corniculate cartilages are __ small conical nodules of yellow ___ cartilage
2
elastic
corniculate lie on the apices of the ___ cartilages and serve to prolong them ____ and ____
arytenoid
backward
medialward
corniculate cartilage are enclosed within the posterior part of the ____ folds
aryepiglottic
cuneiform cartilages are yellow ___ cartilage, small, rod-like bodies in the ____ fold anterior to the _____ cartilage
elastic
aryepiglottic
corniculate
tritiate cartilage are __ small nodules of ___ cartilage situate one on either side above the ___ within the posterior free edge of the ____ membrane
2
elastic
larynx
thyrohyoid
3 extrinsic cartilages and membranes of the larynx
thyrohyoid membrane
cricotracheal lig
hyoepiglottic lig
quadrangular membrane is an ___ membrane between the ___ and ___ cartilages
intrinsic
epiglottis
arytenoid
quadrangular membrane’s inferior border forms the ___ ligaments
vestibular
at the superior border of the quadrangular membrane is the ___ ligs
aryepiglottic
upper edge of the lateral portion of the cricothyoid ligament is the _____ lig
vocal
together the lateral cricothyroid and vocal ligs form the ____ ___
conus elasticuls
anterior boundary of the laryngeal inlet is the ___
epiglottis
lateral boundary of the laryngeal inlet is the ___ ___
aryepiglottic folds
posterior boundary of the laryngeal inlet is the mucous membrane between the ___ ___
arytenoid cartilages
___: space between the inlet and vesticular folds
vesticule
____: space between the vesticular folds and the vocal folds
ventricle
ventricle extends anteriorly to form the ___
saccule
saccule contains mucous glands to lubricate the __ ___
vocal folds
____ ____: space between the vocal folds and the inferior border of the cricoid cartilage
infraglottic cavity
_____ _____: space between the right and left vesticular folds
rima vestibuli
___ ___: space between the right and left vocal folds
rima glottidis
7 elevators of the larynx
digastric stylohyoid mylohyoid geniohyoid stylopharyngeus salpingopharyngeus palatopharyngeus
3 depressors of the larynx
sternothyroid
sternohyoid
omohyoid
O of the cricothyroid
arch of cricoid
I of the cricothyroid
inferior horn and lower border of thyroid cartilage
A of the cricothyroid
chief tensor of the vocal ligament
O of the posterior cricoarytenoid
posterior surface of lamina of cricoid
I of the posterior cricoarytenoid
muscular process of arytenoid cartilage
A of the posterior cricoarytenoid
abductor of vocal folds
O of transverse and oblique arytenoids
arytenoid
I of transverse and oblique arytendoids
opposite arytenoids
A of transverse and oblique arytenoids
close rima glottidis
O of lateral cricoarytenoid
upper border of cricoid arch
I of lateral cricoarytenoid
muscular process of arytenoid cartilage
A of lateral cricoarytenoid
adducts vocal folds
O of thyroarytenoid
inner surface of thyroid lamina
I of thyroarytenoid
anterolateral surface of arytenoid cartilage
A of thyroarytenoid
slackens vocal folds and closes rima glottidis
O of vocalis
anteromedial surface of thyroid lamina
I of vocalis
vocal process of arytenoid cartilage
A of vocalis
adjusts tension of vocal ligament
tension of vocal lig by cricothyroid makes a ___ pitch sound
high
cricothyroid muscles is innervated by ___ ___ n and ___ ___ a
external laryngeal
superior thyroid
posterior crico-arytenoids cause the arytenoids to pivot and cause vocal ligs to ___
abduct
transverse and oblique arytenoid come together to make vocal ligs ____
adduct
lateral crico-arytenoid cause the vocal cords to ___
add
thyro-arytenoid cause the vocal lig becomes relaxed for ____ pitch sounds
low
sounds are modified by 4 things
tongue
soft palate
mouth
uvula
during forced respiration the vocal ligs ___
abduct
during phonation the vocal ligs ___
adduct
when you whisper, the vocal lig ___. the superior pole of the arytenoids ____
add
add
internal laryngeal n is a branch of the ___ ___ n of the vague
superior laryngeal
laryngeal mucosa down to the level of the vocal folds is supplied by the ___ ___n
internal laryngeal
___ ___ n supplies the laryngeal mucosa below the level of the vocal folds
recurrent laryngeal
which nerve supplies the cricothyroid muscle
external laryngeal n
which nerve supplies all the intrinsic laryngeal muscles, except the cricothyroid muscle
recurrent laryngeal
which artery runs with the internal laryngeal n?
superior laryngeal a
which artery runs with the external laryngeal n?
superior thyroid a
which artery runs with the recurrent laryngeal n?
inferior thyroid
superior laryngeal a is a branch of the ___ ___ a
superior thyroid
which artery supplies the upper half of the larynx
superior laryngeal
inferior laryngeal artery is a branch of the ____ ____ artery
inferior thyroid
which artery supplies the lower half of the larynx?
inferior laryngeal
the veins accompanying the superior laryngeal artery drains into the superior thyroid vein which drains into the ____ ___ v
internal jugular
the veins accompanying the inferior laryngeal artery drains into the inferior thyroid vein which drains into the _______ v
brachiocephalic
_____: clinical examination of patients larynx (laryngeal endoscopy) or indirectly through mirrow reflection
laryngoscopy
____: surgical procedure to introduce air into lower larynx and trachea
e.g. in case of laryngeal edema or impacted foreign body
laryngotomy
_____: surgical resection of the larynx
e.g. malignant laryngeal tumor or tumors contiguous to the larynx
laryngectomy