Larynx Flashcards

1
Q

List the functions of the Larynx (3)

A

Transport of air
Protective sphincter
Phonation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What and where is the larynx?

A

The larynx is a membranous (fibro-elastic) tube suspended between cartilages

found between oropharynx and trachea (C3-C6) vertebrae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How is the nasopharynx divided from the oropharynx?

A

soft palate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

List the laryngeal cartilages:

A
Epiglottis
Thyroid cartilage
Cricoid Cartilage
Arytenoid cartilage
Corniculate cartilage
Cuneiform cartilage
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the ligamentous attachments of the epiglottis?

A

attaches to hyoid bone by the Hyoepiglottic ligament

attaches to the thyroid cartilage by the thyroepiglottic ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe the thyroid cartilage:

A

Has two laminae (L & R) where they fuse they create the SUPERIOR THYROID NOTCH

Has thyroid angle called LARYNGEAL PROMINENCE

Has an OBLIQUE LINE for muscle attachments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe the cricoid cartilage:

A

Has the lamina posteriorly

cricoid cartilage is the only complete ring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does the cricoid cartilage articulate with?

A

articulates with the arytenoids (has ‘sloping shoulder’ with facets for arytenoids to sit on top)
and articulates with inferior horns of the thyroid cartilage (has facets on lateral sides)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe the ridge and depressions of the cricoid cartilage:

A

Has a ridge for the attachment of the oesophagus

and has two depressions on either side of ridge for attachment of posterior crico-arytenoid muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the two processes of the arytenoid cartilage?

A

Vocal process (anteriorly): for the attachment of the vocal ligament

Muscular Process (posteriorly) for the attachment of the post and lat circa-arytenoid muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe the ridge and depressions of the arytenoid cartilage:

A

The ridge separates two depressions:

superior depression: for the attachment of the vestibular ligament

inferior depression: for the attachment of the vocalis muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the fibro-eleasic tube divided into:

A

divided into two sections by the LARYNGEAL VENTRICLE

superiorly: quadrangular membrane
inferiorly: Conus Elasticus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the edges of the quadrangular membrane?

A

aryepiglottic ligament (fold) & the vestibular ligament (aka false vocal cord)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the Conus elasticus also called?

A

Cricovocal membrane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What does the conus elasticus blend with anteriorly?

A

cricothyroid ligament (site of emergency access to the airway- tracheotomy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How is the thyro-hyoid membrane pierced?

A

pierced on either side by the superior laryngeal vessels and superior laryngeal nerve (internal branch)

17
Q

What makes the upper edge of the conus elasticus?

A

vocal cords

18
Q

Describe the laryngeal ventricle?

A

between the vestibular (false vocal cords) and the vocal folds(cords)

leads to the saccule( which provides the lubricating mucus for the vocal folds)

19
Q

What is the laryngeal inlet bound by?

A

aryepiglottic folds

20
Q

What is the rims glottis (glottidis) bound by?

A

vocal cords and muscular process of the arytenoid

21
Q

Describe & list the extrinsic laryngeal muscles:

A

extend between the skull to larynx & pharynx

act as elevators & depressors of the larynx and pharynx

elevators: mylohyoid- geniohyoid- stylohyoid- thyrohyoid- digastric- salpingopharyngeus- stylopharyngeus- palatopharyngeus
depressors: sternothyroid- thyrohyiod- sternohyoid

22
Q

What are the functions of the intrinsic laryngeal muscles?

A
  • Open/close the laryngeal inlet
  • Open/close vocal folds or rims glottis
  • Lengthen/shorten the vocal folds to alter tension
23
Q

Describe the vascular supply of the larynx:

A

Superior thyroid artery—-> superior laryngeal artery
Inferior thyroid artery—> inferior laryngeal artery

Veins:

superior laryngeal vein—-> superior thyroid vein—-> internal jugular vein

inferior laryngeal vein—-> inferior thyroid vein—> brachiocephalic vein

24
Q

Describe the lymphatic drainage of the larynx:

A

Above vocal cord: superior deep cervical lymph nodes

Below the vocal cord: 
prelaryngeal,
pretracheal,
inferior deep cervical,
supraclavicular lymph nodes
25
Q

what are the neural supply of the larynx:

A

The superior laryngeal nerve

the recurrent laryngeal nerve (inferior laryngeal nerve)

(branch of the vagus:

26
Q

What does the superior laryngeal nerve give off:

A

Internal branch (internal laryngeal nerve)

external branch(external laryngeal nerve) - supplies the cricothyroid muscle

27
Q

What does the recurrent laryngeal nerve give off:

A

Left recurrent laryngeal nerve: passes inferior to the aorta and the ligament arterisoum, close to left lung hilum

Right recurrent laryngeal nerve: passes inferior to the subclavian artery

supplies all the intrinsic laryngeal muscles except cricothyroid muscle