larynx Flashcards
3 regions of the larynx
vestibule (1)
ventricle (3)
infraglottic cavity
laryngeal cartilages (from superior to inferior)
epiglottic cartilage triticeal cartilage corniculate cartilage (posterior view) arytenoid cartilage (posterior view) thyroid cartilage cricoid cartilage
epiglottic cartilage is anchored to the posterior surface of the ____ by the ____ and the hyoid bone by the ____
thyroid cartilage; thyro-epiglottic ligament
hyo-epiglottic ligament
2 ____ unite anteriorly, forming a single thyroid cartilage
lamina
____ sits superior to the laryngeal prominence
superior thyroid notch
the oblique line on the lamina of thyroid cartilage is the attachment site for ____
extrinsic muscles of the larynx (sternothyroid, thyrohyoid, and inferior constrictor mm)
the superior horn of the thyroid cartilage attaches via the ____ to the hyoid bone
lateral thyrohyoid ligaments
thyroid cartilage lies between ____ vertebral levels and is composed of ____
C4-C6; hyaline cartilage
cricoid cartilage has facets for articulation with ____ and ____
arytenoid cartilage; inferior horn of thyroid cartilage
small horn shaped cartilages that rest on apices of arytenoid cartilages
corniculate cartilages
corniculate cartilages lie in ____ and are ____
aryepiglottic fold; elastic cartilage
triticeal cartilages lie in posterior fold of ____ also called the ____
thyrohyoid membrane; lateral thyrohyoid ligament
cricothyroid joints are ____ joints between cricoid and thyroid cartilages and are held together by _____
synovial; cricothyroid ligaments
cricothyroid joints allow ____ and ____; ____ run just posterior to joints
anterior movement; tilting of thyroid cartilage; inferior laryngeal nerves
superior opening or inlet
aditus
area superior to vestibular folds (false vocal cords)
vestibule
area between vestibular folds and vocal folds
ventricle
area inferior to vocal folds (true vocal cords)
infraglottic cavity
space between the 2 folds right and left of the same pair
rima
in forced inspiration, vocal folds are ____ and ____ is wide open; vestibule is open
abducted; rima glottidis
in phonation, vocal folds are ____ and ____ as air is forces between them ; vestibule is open
adducted; stridulating
in forced closure , ____ and ____ are adducted (closed); ____ and ____ are also closed
vocal folds; vestibular folds; rima glottidis and vestibule
action of transverse arytenoid muscles
adduction of vocal ligaments
action of vocalis and thyroarytenoid muscles
shortening (relaxation) of vocal ligaments
the larynx is suspended from the _____ superiorly to extends to the ____ inferiorly; it lies between ____ vertebral levels
hyoid bone; trachea; C3-C6
arytenoid cartilages have a ____ anteriorly and a ____ posteriorly
vocal process; muscular process
thickened inferior portion of quadrangular membrane is the ____ or ____ which extends from the ____ to the ____
vestibular ligament; false vocal cord; arytenoid cartilage; thyroid cartilage
inferior laryngeal n. (branch of recurrent laryngeal n.) supplies:
all intrinsic mm. of the larynx except cricothyroid m.
recurrent laryngeal n. becomes inferior laryngeal n. when:
it passes the cricothyroid joint
space between vestibular folds
rima vestibuli
space between vocal folds
rima epiglottidis
action of cricothyroid m.
tilts thyroid cartilage anteriorly at cricothyroid joint, lengthening and increasing tension of vocal ligaments affecting types of sounds you can make
action of posterior crico-arytenoid m.
pulls muscular processes of arytenoid cartilages together, opening the rima glottidis; ONLY muscle that opens the airway
____ and ____ muscles close rima glottidis (adduct vocal ligaments)
transverse ; oblique arytenoid
muscle that closes the laryngeal inlet
ary-epiglottic part of oblique arytenoid muscle
action of vocalis and thyro-arytenoid muscles
shortening (relaxation) of vocal ligaments
arterial supply of the larynx
superior laryngeal a. from superior thyroid a. - supplies upper larynx
inferior laryngeal a. from inferior thyroid a. - supplies lower larynx
superior laryngeal a. runs with ____ and inferior laryngeal a. runs with ____
internal laryngeal n. (from superior laryngeal n. from vagus)
inferior laryngeal n. (from recurrent laryngeal n. from vagus)
superior thyroid a. branches to give ____ and ____
superior laryngeal a. ; cricothyroid a.
recurrent laryngeal n. ascends along trachea and goes underneath ____ and then branches into anterior and posterior inferior laryngeal nerves
cricopharyngeus m. (part of inferior pharyngeal constrictor m.)
injury to internal laryngeal nn. causes:
sensory loss to superior larynx, may enable food to more easily enter larynx
injury to inferior laryngeal nn. causes:
paralyzes muscles ipsilateral, therefore paralysis of ipsilateral vocal folds; leads to hoarseness