Larynx Module Flashcards
The larynx is responsible for what 3 things
respiration, phonation, protection
number of cartilages in the laryngeal framework
9
how many cartilages in the laryngeal framework are paired
3
the largest cartilage in the larynx
thyroid cartilage
cartilage that forms the front and sides of the larynx
thyroid cartilage
Thyroid ______ fuse together to create the ____ _____ in the middle. v-shaped
laminae, thyroid notch
another name for the Adam’s apple
Thyroid Prominence
Vocal cords attach to the inside of the ____ _____
thyroid notch
the lowest part of the larynx
cricoid cartilage
the ring that fully encircles the trachea
cricoid cartilage
the lower horns of the thyroid cartilage fit into the _____ cartilage to form a ______
cricoid, joint
Vocal folds attach here and aid in the movement of
them
Arytenoid cartilages
the arytenoid cartilages are articulated with the _______ ______
cricoid cartilage
cap the top of the arytenoids
corniculate cartilages
where the aryepiglottic fold inserts and how the nodule-shape in the fold is made
corniculate cartilages
supports the lateral aspects of the epiglottis and the vocal folds
cuneiform cartilages
move with the arytenoids and are located above and in front of the corniculate cartilages
cuneiform cartilages
the whiteish bulge through the mucosa when viewed laryngoscopically
cuneiform cartilages
cartilage positioned behind the hyoid bone and the base of the tongue
epiglottis
The epiglottis attaches to the inside of the ______ _____ just below the thyroid notch
thyroid cartilage
the only floating bone in the body
hyoid
the hyoid bone is protected by the ____ and the ____ ____
mandible and the cervical spine
_____ = horn of the hyoid bone
cornu
joins cricoid with thyroid cartilages
cricothyroid joint
the cricothyroid joint ____ and ______ to control the ______ of the vocal folds
rotates and glides to control the tension
changing the tension of the vocal folds affects what
pitch
joins the cricoid cartilage with arytenoids
cricoarytenoid joint
the cricoarytenoid joint _____ and ______ to ____, _____, and ____ the vocal folds
rocks and glides to open, close, and tighten
the only functionally mobile points in the larynx
the cricothyroid and cricoarytenoid joints
extends from the bottom of the cricoid cartilage to the laryngeal aditus (opening of the cavity of the larynx)
laryngeal cavity
The _____ _____ comprises the tops of arytenoid and corniculate cartilages, sides of epiglottis, and aryepiglottic folds
laryngeal cavity
The _______ ______ run between the arytenoid cartilages and epiglottis and envelop the aryepiglottic muscles and cuneiform cartilages
aryepiglottic folds
these structures sometimes can produce phonation and cause the growly sound in a jazz singers voice
aryepiglottic folds
The laryngeal vestibule is the hallway between the ______ _____ and the ______ ______
laryngeal aditus and the ventricular folds
space located between the true and false vocal cords that houses more than 60 mucous glands
laryngeal ventricle
vocal folds are comprised of what 5 layers
epithelium, superficial lamina propria, intermediate lp, deep lp, thyroarytenoid muscle
the free margin of VFs are approx. ___mm in men and ___mm in women
15, 12
Membranous portion of vfs (anterior) makes up ____ of the length
60%
Cartilaginous portion of vfs(posterior) makes up _____ of the length
40%
At rest, the posterior glottis is approximately _____ wide except during forced respiration
8 mm
Thyrohyoid membrane: spans between the thyroid cartilage and the ______ _______
hyoid bone
Hyo-epiglottic ligament: Connects the hyoid bone to the ______ aspect of the _____
anterior aspect of the epiglottis
________ ligament: connects to the stalk of the epiglottis to the inside of the thyroid prominence (just below the notch)
Thyroepiglottic
Cricothyroid ligament: originates from the cricoid cartilage and extends _______ where it terminates with a free unattached upper margin
superiorly
cricothyroid membrane: upper free margin forms the vocal _______
ligament
vocal ligament
_______ ______ work as a unit to elevate and depress the entire larynx
extrinsic muscles
have one point of attachment outside of the larynx
extrinsic muscles
______ _______: responsible for elevating the larynx
suprahyoid muscles
the _____ muscles contribute to the floor of the mouth which bridges the mandible and assist with chewing, swallowing, and speech
suprahyoid
_____ ______: responsible for depressing the larynx
infrahyoid muscles
only infrahyoid muscle that depresses the larynx by way of the thyroid cartilage
sternohyoid
________ _______ work together to close, open, tense, and relax the larynx (specifically the vocal folds)
intrinsic muscles
insertion and origin are both in the larynx (laryngeal cartilages)
intrinsic muscles
the laryngeal ______ is the space going down into the larynx
inlet
type of intrinsic muscle that controls the laryngeal inlet
sphincters
type of intrinsic muscle that increases length and tension of vocal folds
tensors
type of intrinsic muscle that decrease length and tension of vocal folds
muscles that relax
type of intrinsic muscle that bring the vocal folds together
adductors
type of intrinsic muscles that pulls the vocal folds apart
abductors
only abductor muscle
posterior cricoarytenoid muscle
muscle that makes up the bulk of the vocal folds
thyroarytenoid muscle
what happens perceptually when vocal cords get shorter
pitch gets deeper
slack of vocal folds with reduced air flow causes what?
vocal fry
The ______ is moved downward by elevation of the larynx
epiglottis
the larynx needs good excursion. What is excursion
the ability to close everything off to prevent aspiration
the larynx helps to control _________ and __________ pressures
thoracic and abdominal
4 laryngeal control variables
glottal size and configuration, airway resistance, stiffness of vocal folds, and effective mass of vocal folds
_____ ______ _____ is the opposition provided by the larynx to the mass flow of air through it. Provided by the vocal folds. Allows us to speak and helps us build up pressure
laryngeal airway resistance
Increased stiffness of VFs= ______ frequency of vibration = a _______ pitch
increased, higher
______ ______ can change the effective mass of the vocal folds
Medial compression
this non-speech laryngeal function increases pressure for heaving, lifting, pushing, etc.
adduction
The process by which the vocal folds produce sound
phonation
Occurs by way of vocal fold approximation and air passing through to create vibration
phonation
vocal folds coming together at the midline but not ALL the way together. Still leaves room for air to come through
vocal fold approximation
the rate of vibration of vocal folds
frequency
The amount of air passing through out vocal chords dictates _____
intensity
intensity is perceptually registered as _______
loudness
5 steps to the production of speech
- vocal folds adduct
- air pressure increases in tracheal airspace
- abrupt release of adductory force followed by abrupt release of tracheal pressure
- rapid flow of air through the glottis and generation of turbulence noise
- air is shaped by structure in the oral and nasal cavities
during vocal fold vibrations, the medial surface of the vocal folds separate at the ________ first and return to midline at the ______ first
bottom, bottom
the wave-like motion of the vocal cords during vibration is referred to as mucosal wave or ______ ______ _____
vertical phase difference
High ________ pressure pushes vocal folds away from the midline creating a convergent glottis
intraglottal
3 theories of phonation
neurochronaxic theory, myoelastic-aerodynamic theory, cover-body theory
the earliest theory of phonation which hypothesized that vibration occurred as a result of pulsed muscular contractions. Gave total control to the nervous system
the neurochronaxic theory
theory of phonation proposed by Van Den Berg. The vibration occurs as a result of tissue elasticity and the Bernoulli effect
myoelastic-aerodynamic theory
Theory of phonation proposed by Titze. the tissues of the VFs are loosely bound and therefore oscillate freely to produce vibrations.
Cover-body theory
the rate and quality of vocal fold vibration is influenced by what 4 qualities
elasticity, mass, stiffness, and strength/amount of airflow
Vocal fold vibration does not necessarily occur as a neurological event and is largely ______
passive
To increase vocal intensity of phonation, the speaker must increase the ________ ________ through the muscles of _______
medial compression, medial compression
The larynx descends in your throat until you are about ___
20
The larynx continues to _____ throughout your life
grow
Fundamental frequency _______ across infancy and childhood in both boys and girls
decreases
Fundamental frequency is related to vocal fold mass which is related to overall size (mostly height) and angle of the _____ cartilage (shaper angle in males)
thyroid cartilage
As we age, a breathy/raspy/creaky voice can come from a lack of _______ _______ which allows more air through
medial compression
5 examples of pathologies to your vocal folds
polyps, nodules, cysts, growths, and tumors
If one vocal fold was paralyzed but the other did not, the voice would be very ______
breathy
1 treatment for vocal fold paralysis/weakness
injecting collagen into the paralyzed vocal fold so that it will swell to midline
Makes someone’s voice sound incredibly shaky and hoarse. Voice sounds like it is dropping out while they are speaking
Spasmodic Dysphonia
treatment for spasmodic dysphonia
injecting botox into the muscles of the vocal cords causing the spasms to weaken.
most superior structure of the larynx
hyoid bone
when the thyroarytenoid muscle contracts and the arytenoids rock forward just enough to have adduction in the middle but the bottom is open to allow some vibration
medial compression
which muscle is on the back of the larynx and is an x shape
oblique arytenoid
when there is some kind of change and the body is freaking out a little bit and forces you to take a breath
drive to breathe