Larynx Flashcards
larynx lies at what level?
c4-c6
what covers larynx from the front?
infrahyoid strap muscles
how many cartilages does larynx have?
9
which cartilage is signet ring shaped?
cricoid cartilage
what is the only completely circular element of the respiratory tract?
cricoid cartilage
which cartilage is pyramid shaped?
arytenoid cartilage
arytenoid cartilage’s base articulates with?
cricoid cartilage
arytenoid cartilage’s apex articulates with?
corniculate cartilage
what are the two processes of arytenoid cartilage?
- vocal process which attaches with vocal ligaments
- muscular process which attaches with posterior and lateral cricoarytenoid muscles
which pair of cartilage is rod shaped?
cuneiform cartilages
what are the two pairs of joints in larynx?
cricothyroid and cricoarytenoid
laryngeal joints allow what type of movement?
multiaxial rotation and gliding
thyrohyoid membrane is pierced on either side by:
superior laryngeal vessels
internal laryngeal vein
cricotracheal ligament attaches cricoid cartilage to?
1st tracheal ring
quadrangular membrane is present b/w?
epiglottis and arytenoid cartilage
quadrangular ligament forms which ligament?
vestibular ligament
cricothyroid ligament connects which structures?
cricoid, thyroid and arytenoid cartilage
vocal ligament is formed by which ligament?
cricothyroid ligament
anterior end of vocal ligament attaches to?
thyroid cartilage
posterior end of vocal ligament attaches to?
arytenoid cartilage
laryngeal inlet is formed on the front by:
epiglottis
laryngeal inlet is formed laterally by:
aryepiglottic folds
laryngeal inlet is formed on the back by
arytenoid and corniculate cartilages
vestibular folds
- formed by quadrangular membrane
- fixed
- vascular
- pink
vocal folds
- formed by cricothyroid ligament
- mobile
- avascular
- white
rima glottidis
aperture between vocal folds
glottis
rima glottidis + vocal folds
narrowest part of larynx in adults?
glottis
narrowest part of larynx in children?
lower part of larynx within the cricoid cartilage
parts of laryngeal cavity
vestibule - upper part (extends from inlet to vestibular folds)
middle region - central space between vocal and vestibular folds
infraglottic cavity - vocal folds & cricoid cartilage
suprahyoid extrinsic muscles
digastric, geniohyoid, mylohyoid, stylohyoid, stylopharyngeus, salpingopharyngeus, palatopharyngeus
extrinsic infrahyoid muscles
sternothyroid
sternohyoid
omohyoid
cricothyroid muscle is supplied by which nerve?
external laryngeal nerve
besides cricothyroid muscle all other intrinsic laryngeal muscles are supplied by which nerve?
recurrenrt laryngeal nerve
which muscle narrows laryngeal inlet?
oblique arytenoid
which muscle widens laryngeal inlet?
thyroepiglottis
which muscles tense vocal cords?
cricothyroid and vocalis
which muscle relaxes vocal cords?
thyroarytenoid
which muscle adducts vocal cords?
lateral cricoarytenoid muscle
which muscle abducts vocal cords?
posterior cricoarytenoid muscle
opening of rima glottidis
contraction of posterior cricoarytenoid which rotation of arytenoid cartilage
abduction of vocal process
closure of rima glottidis
contraction of lateral cricoarytenoid which rotation of arytenoid cartilage
adduction of vocal process
quiet inspiration
vocal folds abduct
rima glottidis triangular
expiration
vocal folds abduct
deep inspiration
vocal folds maximally abduct
glottis diamond shaped because of the maximal lateral rotation of arytenoid cartilages
laryngeal sphincter at the inlet is used during
swallowing
rima glottidis acts as a sphincter during
coughing or sneezing
bilateral complete section of the recurrent laryngeal nerve
both vocal folds assume a midway position between adduction and abduction
speech is lost
breathing is impaired
unilateral partial section of the recurrent laryngeal nerve
greater degree of paralysis of abductor muscles than of adductor muscles
valsalva manoeuvre
forced expiration takes place against a closed glottis
frequency or pitch of sound is determined by
changes in length and tension of the vocal ligaments
quality of sound depends on
resonators (pharynx mouth paranasal sinuses)
vowel sounds
-purely oral with the soft palate raised so that air is channeled through the mouth rather than the nose
speech involves
intermittent release of expired air between the adducted vocal folds
in whispering
vocal folds are adducted
arytenoid cartilages are separated
mucous membrane of larynx is covered with
ciliated columnar epithelium
mucous membrane of vocal cords is covered by
stratified squamous epithelium
sensory innervation above the vocal folds
internal laryngeal nerve
bilateral partial section of the recurrent laryngeal nerve
bilateral paralysis of abductor muscles
acute breathlessness
stridor
cricothyroidotomy or tracheostomy is necessary
sensory innervation below the vocal cords
inferior laryngeal nerve
all intrinsic muscles except cricothyroid are supplied by
recurrent laryngeal nerve
unilateral complete section of the recurrent laryngeal nerve
vocal fold on the affected side assumes a midway position between adduction and abduction
speech isnt affected much
blood supply of upper half of larynx
superior laryngeal branch of superior thyroid artery
blood supply of lower half of larynx
inferior laryngeal branch of inferior thyroid artery
section of external laryngeal nerve
weakness of voice, cricothyroid muscle paralyzed