Larynx Flashcards
these two structures of the neck are found at the same region the thyroid cartilage is found
pharynx and larynx
in the posterior part of larynx, what is in between corniculate cartilage around C4 and the cricoid cartilage around C6
arytenoid cartilage
what cartilage is connected to the vocal cord in anterior part of larynx and also connected to the corniculate cartilage in posterior part of larynx
arytenoid cartilage
2 parts of the arytenoid cartilage
vocal process
muscular process
what connects the vestibule of the epiglottis to the cricoid cartilage (2 folds)
vestibular fold
true vocal fold
what is in between the two folds of interior larynx
ventricle
spot between vestibular and vocal folds
rima
the mucous membrane of the vestibule (supraglottic) region
Quandragular membrane
mucous membrane of the infraglottic region
Conus elasticus
innervation to the supraglottic region
internal laryngeal n. (branch of CN X)
sensory to the infraglottic region
inferior laryngeal n. (branch of CN X)
motor innervation of the intrinsic muscles of larynx
CN X
only intrinsic muscle NOT innervated by inferior laryngeal n.
Cricothyroid
innervation to cricothyroid
external laryngeal n.
this muscle tenses the vocal ligament
Cricothyroid
this muscle is innervated by the inferior laryngeal n. and abducts the focal ligaments (gets air in to breathe)
Posterior Cricoarytenoid
this muscle is innervated by the inferior laryngeal n. and adducts the vocal ligaments
Lateral Cricoarytenoid
this muscle is innervated by the inferior laryngeal n. and adducts the vocal ligament
also closes glottis posteriorly
Transverse Arytenoid
this muscle is innervated by inferior laryngeal n. and adducts vocal ligaments
closes glottis posteriorly along with transverse arytenoid
Oblique Arytenoid
this muscle is innervated by the inferior laryngeal n. and relaxes the vocal ligaments
Thyroartenoid
most medial fibers and responsible for changing pitch
Vocalis m.
muscle that is innervated by the inferior laryngeal n. and adducts the vestibule posteriorly
Aryepiglottic
cranial nerve that provides both afferent and efferent innervation to the cough reflex
CN X
these 3 nerves provide somatic efferent innervation to the cough reflex
phrenic
intercostal nerves
thoracoabdominal nerves
lymph flow of larynx
to the deep cervical nodes:
jugulodigastric
juguloomohyoid
2 motor ganglia of the vagus n.
nucleus ambiguus
dorsal motor nucleus
this motor ganglia innervates skeletal muscle of pharynx, larynx, and soft palate
nucleus ambiguus
this motor ganglia sends parasympathetics to digestive system
dorsal motor nucleus
brainstem
skull base
carotid
thyroid
aorta
sites of injury for vagus n. or its branches
vagal nerve branches that could be injured during ligation of arteries to the thyroid gland
internal laryngeal n.
inferior laryngeal n.
recurrent laryngeal n.
external laryngeal n.
2 main things that can happen during vocal fold paralysis
vocal cord doesn’t close completely (both for bilateral paralysis and 1 side for unilateral paralysis)
labored breathing
dyspnea
high pitched wheezing due to obstruction of airway
stridor
upper airway infection causes barking cough- can lead to stridor
croup
inflammation of epiglottis
epiglottitis
looks like thumbprint in X-Ray; swollen epiglottis
sign of epiglottitis
when plane of face is parallel to spine (what is this a sign of)
epiglottitis
most common congenital anomaly of larynx
Laryngomalacia
this is due to inspiration obstruction and leads to stridor
laryngomalacia
2 symptoms of laryngomalacia
cyanosis
apnea
turning blue
cyanosis
larynx remains blocked by cartilage or other tissue
infant has to get immediate tracheostomy at birth to survive
laryngeal atresia (CHAOS)
CHAOS stands for
Congenital High Airway Obstruction Syndrome