larynx Flashcards

1
Q

3 regions of the larynx

A

vestibule (1)
ventricle (3)
infraglottic cavity

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2
Q

laryngeal cartilages (from superior to inferior)

A
epiglottic cartilage
triticeal cartilage 
corniculate cartilage (posterior view)
arytenoid cartilage (posterior view)
thyroid cartilage
cricoid cartilage
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3
Q

epiglottic cartilage is anchored to the posterior surface of the ____ by the ____ and the hyoid bone by the ____

A

thyroid cartilage; thyro-epiglottic ligament

hyo-epiglottic ligament

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4
Q

2 ____ unite anteriorly, forming a single thyroid cartilage

A

lamina

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5
Q

____ sits superior to the laryngeal prominence

A

superior thyroid notch

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6
Q

the oblique line on the lamina of thyroid cartilage is the attachment site for ____

A

extrinsic muscles of the larynx (sternothyroid, thyrohyoid, and inferior constrictor mm)

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7
Q

the superior horn of the thyroid cartilage attaches via the ____ to the hyoid bone

A

lateral thyrohyoid ligaments

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8
Q

thyroid cartilage lies between ____ vertebral levels and is composed of ____

A

C4-C6; hyaline cartilage

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9
Q

cricoid cartilage has facets for articulation with ____ and ____

A

arytenoid cartilage; inferior horn of thyroid cartilage

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10
Q

small horn shaped cartilages that rest on apices of arytenoid cartilages

A

corniculate cartilages

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11
Q

corniculate cartilages lie in ____ and are ____

A

aryepiglottic fold; elastic cartilage

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12
Q

triticeal cartilages lie in posterior fold of ____ also called the ____

A

thyrohyoid membrane; lateral thyrohyoid ligament

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13
Q

cricothyroid joints are ____ joints between cricoid and thyroid cartilages and are held together by _____

A

synovial; cricothyroid ligaments

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14
Q

cricothyroid joints allow ____ and ____; ____ run just posterior to joints

A

anterior movement; tilting of thyroid cartilage; inferior laryngeal nerves

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15
Q

superior opening or inlet

A

aditus

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16
Q

area superior to vestibular folds (false vocal cords)

A

vestibule

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17
Q

area between vestibular folds and vocal folds

A

ventricle

18
Q

area inferior to vocal folds (true vocal cords)

A

infraglottic cavity

19
Q

space between the 2 folds right and left of the same pair

A

rima

20
Q

in forced inspiration, vocal folds are ____ and ____ is wide open; vestibule is open

A

abducted; rima glottidis

21
Q

in phonation, vocal folds are ____ and ____ as air is forces between them ; vestibule is open

A

adducted; stridulating

22
Q

in forced closure , ____ and ____ are adducted (closed); ____ and ____ are also closed

A

vocal folds; vestibular folds; rima glottidis and vestibule

23
Q

action of transverse arytenoid muscles

A

adduction of vocal ligaments

24
Q

action of vocalis and thyroarytenoid muscles

A

shortening (relaxation) of vocal ligaments

25
Q

the larynx is suspended from the _____ superiorly to extends to the ____ inferiorly; it lies between ____ vertebral levels

A

hyoid bone; trachea; C3-C6

26
Q

arytenoid cartilages have a ____ anteriorly and a ____ posteriorly

A

vocal process; muscular process

27
Q

thickened inferior portion of quadrangular membrane is the ____ or ____ which extends from the ____ to the ____

A

vestibular ligament; false vocal cord; arytenoid cartilage; thyroid cartilage

28
Q

inferior laryngeal n. (branch of recurrent laryngeal n.) supplies:

A

all intrinsic mm. of the larynx except cricothyroid m.

29
Q

recurrent laryngeal n. becomes inferior laryngeal n. when:

A

it passes the cricothyroid joint

30
Q

space between vestibular folds

A

rima vestibuli

31
Q

space between vocal folds

A

rima epiglottidis

32
Q

action of cricothyroid m.

A

tilts thyroid cartilage anteriorly at cricothyroid joint, lengthening and increasing tension of vocal ligaments affecting types of sounds you can make

33
Q

action of posterior crico-arytenoid m.

A

pulls muscular processes of arytenoid cartilages together, opening the rima glottidis; ONLY muscle that opens the airway

34
Q

____ and ____ muscles close rima glottidis (adduct vocal ligaments)

A

transverse ; oblique arytenoid

35
Q

muscle that closes the laryngeal inlet

A

ary-epiglottic part of oblique arytenoid muscle

36
Q

action of vocalis and thyro-arytenoid muscles

A

shortening (relaxation) of vocal ligaments

37
Q

arterial supply of the larynx

A

superior laryngeal a. from superior thyroid a. - supplies upper larynx
inferior laryngeal a. from inferior thyroid a. - supplies lower larynx

38
Q

superior laryngeal a. runs with ____ and inferior laryngeal a. runs with ____

A

internal laryngeal n. (from superior laryngeal n. from vagus)
inferior laryngeal n. (from recurrent laryngeal n. from vagus)

39
Q

superior thyroid a. branches to give ____ and ____

A

superior laryngeal a. ; cricothyroid a.

40
Q

recurrent laryngeal n. ascends along trachea and goes underneath ____ and then branches into anterior and posterior inferior laryngeal nerves

A

cricopharyngeus m. (part of inferior pharyngeal constrictor m.)

41
Q

injury to internal laryngeal nn. causes:

A

sensory loss to superior larynx, may enable food to more easily enter larynx

42
Q

injury to inferior laryngeal nn. causes:

A

paralyzes muscles ipsilateral, therefore paralysis of ipsilateral vocal folds; leads to hoarseness