Larynx Flashcards

1
Q

what is the main function of the larynx

A

act as a protective sphincter by stopping food entering the respiratory tract

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2
Q

what 3 single cartilages are found in the larynx

A

thyroid cartilage
circoid cartilage
epiglottis

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3
Q

what pair of cartilages articulate with the circoid cartilage

A

arytenoid cartilages

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4
Q

what does movement at the articulation between the arytenoid and circoid cartilage allow

A

movement of the vocal cords

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5
Q

what is the quadrangular membrane

A

ligament connecting the epiglottis to the arytenoid cartilage

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6
Q

what are the aryepiglottic folds

A

the mucus membrane lined quadrangular membrane - this forms the boundary of the laryngeal inlet

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7
Q

what epithelia covers the larynx

A

pseudo stratified columnar epithelia

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8
Q

what epithelia covers the vocal cords

A

stratified squamous

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9
Q

what is the name of the false vocal cords

A

vestibular ligament

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10
Q

what is the vestibular ligament

A

thickening of the lower border of the quadrangular ligament

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11
Q

what makes up the vocal ligament

A

thickening of the upper border of the circothyroid ligament

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12
Q

what is the space between the vocal ligament and vestibular ligament called and what does it contain

A

the laryngeal ventricle contains mucus glands to keep the vocal cords moist

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13
Q

what 2 methods can be used to see the larynx

A

laryngoscope and a nasoendoscopy

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14
Q

what muscle acts to open/abduct the vocal cords

A

cricoarytenoid

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15
Q

what nerve supplies the intrinsic laryngeal muscle

A

recurrent laryngeal

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16
Q

which intrinsic laryngeal muscle is not supplied by the recurrent laryngeal nerve and what is it supplied by

A

the cricothyroid muscle is supplied by the external branch of the laryngeal nerve

17
Q

what do the intrinsic muscles of the larynx do

A

causes movement of the arytenoid/cricoid joint to allow movement of the vocal cords

18
Q

what happens to the vocal cords when speaking

A

they are adducted

19
Q

what happens to the vocal cords when coughing

A

they are initially adducted but the rise in intra-thoracic pressure causes them to suddenly abduct to expel a force of air

20
Q

what happens to the vocal cords when breathing

A

they remain abducted

21
Q

describe the root of the recurrent laryngeal nerves

A

L loops under arch of aorta
R loops under subclavian
both ascend up the trachea-oesophageal groove

22
Q

what is the motor and sensory innervations of the recurrent laryngeal nerve

A
sensory = infra-epiglottis 
motor = all intrinsic laryngeal muscles except cricothyroid
23
Q

what is the motor and sensory innervation of the external branch of the superior laryngeal nerve

A
motor = cricothyroid 
sensory = supra-epiglottis
24
Q

what does a lesion of the external branch of the superior laryngeal nerve cause

A

hoarse voice when in a higher pitch

25
what does the cricothyroid muscle do
stretched and tightens the vocal cords to allow higher pitches
26
what does a unilateral lesion of the recurrent laryngeal nerve result in
hoarse voice and ineffective cough
27
what does bilateral lesion of the recurrent laryngeal nerve result in
paralysis of both vocal cords giving a severe airway obstruction
28
what is laryngitis
inflammation of the larynx
29
what is epiglottitis
inflammation of the epiglottis
30
what is croup
a viral infection leading to swelling/inflammation
31
what nerve roots make up the cervical plexus
C1-4
32
what is the ansa cervicalis
where the nerve roots C1-3 join and loop to form the nerve supply to the infra-hyoid muscles
33
what structure do the infra-hyoid muscles overly
the thyroid gland
34
what nerve roots does the phrenic nerve have
C3-5
35
what is the motor innervation of the phrenic nerve
diaphragm
36
what dermatomes does the cervical plexus supply sensory innervation
C2-4
37
what areas are supplied sensory innervation by the cervical plexus
external ear anterior neck posteriosuperior scalp suprascapular fossa