Larynx Flashcards

1
Q

What is the primary function of the larynx?

A

Protect the tracheobronchial tree
phonation
speech
crucial for valsalva manoeuvre

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2
Q

How could you sue the cricothyroid membrane in an emergency?

A

Emergency airway - put tube directly down throat without damaging trachea

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3
Q

What type of epithelium covers the vocal ligaments?

A

Stratified squamous - constantly banging against each other

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4
Q

What mucosa lines most of larynx, oropharynx and laryngopharynx?

A

respiratory mucosa

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5
Q

What is between the vocal ligament and vestibular ligament?

A

Ventricle and Saccule

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6
Q

What forms the vestibular ligament?

A

Free lower border of the aryepiglotic membrane

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7
Q

What forms the vocal ligament?

A

Free upper border of the cricovocal membrane

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8
Q

What forms the vestibular and vocal FOLDS?

A

Vestibular and Vocal ligament WHEN covered in mucosa

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9
Q

What is the Rima Glottidis?

A

Space between vocal folds

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10
Q

Where is the aryepiglottic muscle found? What does it do?

A

Within the aryepiglottic fold (superior part of the membrane)
Around the laryngeal inlet and contracts - reduces size of laryngeal inlet

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11
Q

What is the main motor and sensory innervation of the larynx?

A

CN X

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12
Q

What are the rules of the nerve supply of the Recurrently laryngeal nerve?

A

Supplies all sensory to below vocal folds and all laryngeal muscles
EXCEPT cricothyroid muscle (ext laryngeal n)

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13
Q

What does the cricothyroid muscle do?

A

Pulls thyroid cartilage forwards and down
Lengthens and tightens vocal cords
Raises pitch of voice

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14
Q

What do the lateral and posterior cricoarytenoid muscles do? What does the thyroarytenoid and vocalis muscle do? Hint (PAB is a LAD)

A

Posterior cricoarytenoid m - Abducts vocal ligaments
Lateral cricoarytenoid m - adducts vocal ligaments
thyroarytenoid and vocalis m - relax vocal folds and lower pitch

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15
Q

How could the superior laryngeal n be damaged and what are the consequences?

A

Thyroid surgery
Internal branch - aspiration
External branch - lower pitch of voice

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16
Q

How could the recurrent laryngeal n be damaged and what are the consequences of unilateral and bilateral damage?

A

Thyroid and neck surgery, lung tumours, aortic aneur
Unilateral damage - weak, thready, hoarse voice
Bilateral damage - cords paralysed in mid ab/ad duction

17
Q

What are the ventricle and saccule?

A

Mucosal pouch between vestibular ligament and vocal ligament. Allows vocal ligament to move independently/freely from the vestibular fold above.