Larynx Flashcards
provides a protective sphincter at the inlet of the air passages and is responsible for voice production.
It is situated below the tongue and hyoid bone and between the great blood vessels of the neck and lies at the level of the fourth, fifth, and sixth cervical vertebrae
Larynx
Is larynx continuous with the trachea?
Yes
The larynx is covered in front by the ____ and at the sides by the ____
Infrahyoid muscles , thryoid gland,
How many hyaline cartilage elements make up the skeleton of the larynx
Nine hyaline cartilage
largest cartilage of the larynx and consists of two laminae that meet in the midline in the deep-set
Thyroid cartilage
projects forward from the apex of the thyroid notch (adam’s apple)
Laryngeal prominence
This cartilage lies below the thyroid cartilage and is shaped like a signet ring, having a broad lamina behind and a shallow arch in front
Cricoid cartilage
The cricoid cartilage has an _____ on each side of the lateral surface for articulation with the inferior cornu of the thyroid cartilage. Posteriorly, the lamina has an articular facet on its upper border on each side for articulation with the _______
Articular facet , arytenoid cartilage
Paired, small, pyramid-shaped arytenoid cartilages located at the back of the larynx articulate with the upper border of the lamina of the cricoid cartilage.
Arytenoid cartilage
Each arytenoid cartilage has an apex above that articulates with the?
Small corniculate cartilage
The base of the arytenoid cartilage, articulates with the ____ , and a _____ that projects forward and gives attachment to the vocal ligament.
Lamina of cricoid cartilage , vocal process
projects laterally gives attachment to the posterior and lateral cricoarytenoid muscles.
Muscular process
___ Two small, conical-shaped corniculate cartilages articulate with the apices of the arytenoid cartilages. They give attachment to the ___
Corniculate cartilages , aryepiglottic fold
These two small rod-shaped cartilages are in the aryepiglottic folds and serve to strengthen them.
Cuneiform cartilages
This leaf-shaped lamina of elastic cartilage lies behind the root of the tongue.
Epiglottic cartilage
The sides of the epiglottis are attached to the arytenoid cartilages by the __ of mucous membrane
Aryepiglottic folds
Two pairs of synovial joint in the larynx
Cricothyroid and cricoarytenoid joint
A joint that is between the inferior cornu of the thyroid cartilage and the lateral side of the cricoid cartilage
Cricothyroid joint
A joint that. Is Between the base of the arytenoid cartilage and the superior border of the lamina of the cricoid cartilage
This connects the upper margin of the thyroid cartilage to the hyoid bone
Thyrohyoid membrane
This connects the inferior end of the epiglottic cartilage to the posterior median aspect of the thyroid lamina.
Thyroepiglottic ligament
This connects the cricoid cartilage to the first tracheal ring
Cricotracheal ligament
This extends between the epiglottis and the arytenoid cartilages. Its thickened inferior margin forms the vestibular ligament, and the ____ form the interior of the ____.
Quadrangular membrane
Vestibular ligament
Vestibular folds
interconnects the cricoid, thyroid, and arytenoid cartilages
Cricothyroid cartilage
opening from the pharynx into the larynx and is formed by the epiglottis and the aryepiglottic folds.
Laryngeal inlet
What forms the laryngeal inlet
Epiglottis and the aryepiglottic folds
a recess on either side of the inlet. The aryepiglottic fold is the medial boundary, and the thyroid cartilage plus the thyrohyoid membrane are the lateral boundaries.
Piriform fossa
is a fixed fold on each side of the larynx It is formed by mucous membrane covering the vestibular ligament and is vascular and pink in color.
Vestibular fold
is a mobile fold on each side of the larynx and is concerned with voice production. It is formed by mucous membrane covering the vocal ligament and is avascular and white in color.
Vocal fold
aperture between the vocal folds.
Rima glottidis
narrowest part of the larynx and measures about 2.5 cm from front to back
Glottis
Three divisions of laryngeal cavity
Vestibule (upper region)
Middle region
Infraglottic cavity (lower region)
Division of a laryngeal cavity where the area between the inlet and the vestibular folds
Vestibule (upper region)
Division of the laryngeal cavity where it is the central space (airway) situated between the opposite vestibular folds and vocal folds.
Middle region
Division of the laryngeal cavity where the area between the vocal folds above and the lower border of the cricoid cartilage below
Infraglottic cavity
Two groups of laryngeal muscle
Extrinsic attachments outside the larynx
and
intrinsic origin and insertion onto laryngeal elements
Narrows the laryngeal inlet
Oblique arytenoid m.
M that widens the laryngeal inlet
Thyroepiglottis M
Five muscles that move the vocal cords
Cricothyroid and vocalis
Transverse arytenoid
Thyroarytenoid
Lateral cricoarytenoid
Posterior cricoarytenoid
Tenses the vocal cord
Cricothyroid and vocalis m
Relaxes the vocal cord
Thyroarytenoid
Adducting the vocal cords
Lateral cricoarytenoid m
Abducting the vocal cords
Posterior cricoarytenoid m
Approximates the arytenoid cartilage
Transverse arytenoid M.
Rima glottidis opens by the contraction of the ____, which rotates the _____ cartilage and abducts the vocal process.
Posterior cricoarytenoid, arytenoid
Rima glottidis closes by contraction of ____, which rotates the ___ cartilage and adducts the vocal process.
Lateral cricoarytenoid M, arytenoid
The posterior part of the glottis is narrowed when the arytenoid cartilages are drawn together by contraction of the?
Transverse arytenoid M
Vocal folds are stretched by contraction of the ____ muscle and slackened by contraction of the ____ muscle
Cricothyroid muscle, thyroarytenoid muscle
On quiet inspiration, the vocal folds ____ and the rima glottidis is ___ in shape with the apex in front. On expiration, the vocal folds ___ leaving a small gap between them
Abduct, Triangular, adduct
On deep inspiration, the vocal folds maximally _____, and the triangular shape of the glottis becomes a ___shape because of the maximal lateral rotation of the arytenoid cartilages.
Abduct, diamond
Two sphincters exist in the larynx are located where?
One at the inlet and one at the rima glottidis
The sphincter that is used only during swallowing
Sphincter at the inlet
Serves as a sphincter in coughing or sneezing
Rima glottidis
Quality of voice is controlled by what muscles?
Soft palate, tongue, flor of mouth, cheeks, lips and jaws
Vowel sounds are usually purely oral with the ______ raised so that the air is channeled through the mouth rather than the nose.
Soft palate
involves the intermittent release of expired air between the adducted vocal folds.
Speech
the vibrations of speech are given to a constant stream of expired air that passes through the ___
Posterior part of the rima glottidis
The mucous membrane of the larynx lines the cavity and is covered with ___ epithelium
Ciliated columnar epithelium
On the vocal cords, however, where the mucous membrane is subject to repeated trauma during phonation, the mucous membrane is covered with ___
Stratified squamous epithelium
Supplies the entire larynx
Vagus Nerve. Through its SUPERIOR and RECURRENT branches
Superior laryngeal nerve divides into ___ and __ above the larynx
External and internal laryngeal nerves
Nerve that descends on the exterior of the larynx and extends to the cricothyroid muscle.
External laryngeal nerve
nerve that penetrates the lateral aspect of the thyrohyoid membrane (in company with the superior laryngeal artery) and enters the larynx.
Internal laryngeal nerve
The ______ ascends the neck and becomes the _____ nerve when it passes the inferior border of the cricoid cartilage and enters the larynx.
Recurrent laryngeal nerve
Inferior laryngeal nerve
Sensory nerves above the vocal cords
Internal laryngeal nerve
Sensory nerve below the level of the vocal cords
Inferior laryngeal nerve
Motor nerve that supplies the cricothyroid m
External laryngeal nerve
Motor nerve that supplies all of the intrinsic muscles of the larynx except the cricothyroid m
Recurrent laryngeal nerve
Blood supply of the upper half of the larynx
Superior laryngeal branch of superior thyroid artery
Blood supply of the lower half of the larynx
Inferior laryngeal branch of the inferior thyroid A