Larynx Flashcards

(35 cards)

1
Q

Function of the larynx

A

Airway protection, cough reflex, sounds production

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

What bone is the larynx suspended from

A

Hyoid

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

When does the larynx end

A

At lower border of cricoid cartilage then it’s the trachea

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

What are the 3 cartilages

A

Thyroid, arytenoid, cricoid

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

What are the membranes

A

Thyrohyoid, cricothyroid, cricotracheal

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

What forms margins of inlet

A

Epiglottis and Aryepiglottic folds.

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

What makes up the false cords

A

Free lower border of the Quadrangular membrane

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

What makes up the true cords

A

Free upper border of cricothyroid membrane

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

What makes up the supraglottis

A

Inlet to false cords

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

What makes up the glottis

A

True cords + 1 cm

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

What makes up the subglottis

A

To end of cricoid cartilage

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

What is the purpose of the saccule between cords

A

Mucous glands to keep voice folds moist- strat squamous

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

What is a vallecula

A

Notch to put the scope when intubating

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

What are the purpose of the larynx muscles

A

Alter size and shape of inlet, and tension and position of cords.

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

What muscles abducts the vocal cords

A

Posterior cricoarytenoid

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

What nerve supplies most of the muscles

A

Recurrent laryngeal nerve of CN X

17
Q

What does the external branch of superior laryngeal nerve supply

A

Cricothyroid muscles motor

18
Q

What does the internal branch of superior laryngeal nerve supply

A

Sensory to supraglottis

19
Q

What does the recurrent laryngeal nerve supply

A

Intrinsic muscles except cricothyroid and sensory to sub and glottis

20
Q

What is the path of the left RLN

A

under aorta the ascends in tracheoesophageal groove close to thyroid and inferior thyroid arteries

21
Q

What position are the vocal cords when swallowing

22
Q

What happens to larynx during swallowing

A

Hyoid bone elevates and moves anteriorly by contraction of suprahyoid muscles
This causes larynx to move up and forwards and tongue pushes epiglottis horizontally.

23
Q

What happens to vocal cords when talking

A

Partially open but mostly adducted and air forced through to create vibration

24
Q

What position of the vocal cords produces high pitch

25
What does contraction of cricothyroid muscle do
Tilts thyroid cartilage forwards on cricoid to increase vocal cord tension
26
What happens to vocal cords in coughing
Adducted to build intrathoracic pressure the abducted to produce explosive outflow of air
27
Complication of thyroid surgery
External branch of superior laryngeal nerve sits close to superior thyroid artery. Cricothyroid not innervated Hoarseness at high pitch
28
What happens in vocal cord in vocal cord palsies
RLN damaged from surgery, aneurysm, cancer, disease Unilateral- hoarseness as stuck in paramedian position Bilateral = narrow glottis = emergency
29
What happens in laryngitis
Inflammation Hoarse/ weak voice URTI hx Self limiting
30
What causes nodules
Acute trauma, chronic irritation, hoarseness for 3 weeks
31
What is a common cause of epiglottitis
Haemophilus influenzae
32
What does epiglottitis present like
``` Sniffing position Still 2-6 years Not vaccinated Quick deterioration ```
33
How to treat epiglottitis
Secure airway and antibiotics
34
Presentation of Croup
Viral 6month to 3 years Barking cough Adrenaline nebs and steroids if bad
35
What is an example of a definitive airway
ETT | Secure and protects lower respiratory tract