Larynx & Pharynx Flashcards

1
Q

Which muscle abducts the vocal folds and opens the glottis?

A

Posterior cricoarytenoid m.
*PABlo escobar

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2
Q

the larynx houses the vocal folds essential for phonation. T or F.

A

T

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3
Q

Vocal folds located just above where the tract of the pharynx splits into trachea and esophagus. T or F.

A

F- located below

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4
Q

location of the larynx?

A
  • posteriorly to the thyroid gland and anteriorly to the pharynx
  • vertebral levels C3-C6
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5
Q

Joints? hint: 2

A
  • cricothyroid joint (synovial)
  • cricoarytenoid joint (synovial joint)
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6
Q

Ligaments n membranes? hint: 7

A
  • thyrohyoid membrane
  • hypoepiglottic ligament
  • thyroepiglottic ligament
  • cricotracheal membrane
  • quadrangular membrane (epiglottis to arytenoid c.)
  • cricothyroid ligament
  • cricovocal membrane
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7
Q

Quadrangular membrane lower n upper border?

A
  • lower: false vocal cords/vestibular ligament
  • upper: mucous membrane makes the aryepiglottic fold
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8
Q

Which intrinsic muscles are responsible for adducting?

A
  • lateral cricoarytenoid m
  • arytenoid ms. (oblique n transverse)
    note: close the vocal folds/ close glottis
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9
Q

Which intrinisic muscles are responsible for tensing/relaxing the vocal folds?

A
  • cricothyroid m (lengthens and tenses the vocal folds- increases pitch)
  • thyroarytenoid m (shortens and relaxes the vocal folds- decreases pitch)
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10
Q

medial fibres of thyroarytenoid m run parallel to the vocal ligament to form which muscle?

A

vocalis muscle (right under the vocal ligament and right above the thyroarytenoid m)

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11
Q

What are the 3 parts of the laryngeal cavity?

A
  • Vestibule: superior to the vestibular folds
  • Ventricle: depression between vestibular and vocal folds
  • Infraglottic cavity: inferior to the vocal folds
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12
Q

Branches of external carotid artery? hint: 8

A
  • Superior thyroid a (anterior)
  • ascending pharyngeal a (medially)
  • lingual a (anterior)
  • facial a (anterior)
  • occipital a (posterior)
  • posterior auricular a (posterior)
  • maxillary a
  • superficial temporal a
    Some anatomists like freaking out poor med students
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13
Q

Branches of subclavian artery? hint: 5

A
  • vertebral artery
  • internal thoracic artery
  • thyrocervical trunk
  • costocervical trunk
  • dorsal scapular artery
    VIT CD
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14
Q

injury to the external laryngeal n causes what?

A

weakened phonation because the vocal folds cannot be tightened.
note: external laryngeal n supplies the cricothyroid m

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15
Q

Injury to one of the recurrent laryngeal nerves produces what?

A

hoarseness

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16
Q

if both recurrent laryngeal nerves are damaged, what will happen?

A

voice may or may not be preserved but breathing becomes difficult

17
Q

Functions of the larynx?

A
  • protection when swallowing by the aryepiglottic muscles and closure of the glottis
  • phonation
  • coughing
18
Q

what are the 3 layers of the pharyngeal wall?

A
  • buccopharyngeal fascia
  • muscular layer
  • mucous membrane
19
Q

What are the pharyngeal constrictor muscles?

A
  • superior pharyngeal m
  • middle pharyngeal m
  • inferior pharyngeal m (thyropharyngeus n cricopharyngeus)
    note: all innervated by vagus nerve
20
Q

what are the small longitudinal muscles of the pharynx?

A
  • salpingopharyngeus m
  • palatopharyngeus m
  • stylopharyngeus m (only one innervated by glassopharyngeal n.)
    note: the other 2 are innervated by the vagus nerve and these muscles help the main 3 muscles
21
Q

which arteries supply the pharynx?

A
  • Ascending pharyngeal a
  • Ascending palatine and tonsillar a (from facial)
  • Greater palatine and pharyngeal a (from maxillary)
  • Lingual a
  • Superior and inferior pharyngeal arteries
22
Q

which arteries supply the larynx

A
  • superior laryngeal a
  • inferior laryngeal a
23
Q

3 main features of the nasopharynx?

A
  • auditory tube (pharyngotympanic tube)
  • pharyngeal recess
  • pharyngeal tonsil
24
Q

nasopharynx communicates with the nose by what?

25
main structures in the oropharynx?
- palatine tonsils (projecting into oropharynx from tonsillar fossa between palatopharyngeal fold behind and palatoglossal fold in front) - valleculae (Between epiglottis and posterior surface of tongue)
26
laryngopharynx features?
- upper part: laryngeal inlet - piriform recesses lie beside aperture of larynx - At each side of epiglottis: lateral glossoepiglottic fold separates oropharynx from laryngeal part
27
locations of nasopharynx, oropharynx and laryngopharynx?
- nasopharynx: base of skull to C1 (upper border of soft palate) - oropharynx: lower surface of soft palate to C3 (upper border of epiglottis) - laryngopharynx: upper border of epiglottis to C6 (lower border of cricoid cartilage)
28
epithelium of the nasopharynx?
pseudostratified coloumnar epithelium with goblet cells
29
which structures are found in the oropharynx?
- Posterior 1/3 of the tongue. - Lingual tonsils – lymphoid tissue at the base of the tongue. - Palatine tonsils – lymphoid tissue located in the tonsillar fossa (between the palatoglossal and palatopharyngeal arches of the oral cavity). - Superior constrictor muscle
30
laryngopharynx contains which muscles?
middle and inferior pharyngeal constrictors
31
which cartilage provide support for the larynx?
Hyaline cartilage and cricoid cartilage provide support for larynx
32
Epithelium in lower larynx changes back to pseudostratified ciliated columnar. T or F.
T
33
nasopharynx is lined with what kind of epithelium?
respiratory epithelium
34
what 2 processes are on the arytenoid cartilage?
- vocal process - muscular process (intrinsic muscles attach here)
35
space between the vocal folds is the rima glottidis while the space between the vestibular folds is the ______?
rima vestibuli
36
which intrinsic muscle protects the inlet during swallowing of food?
aryepiglottic muscles (& closure of the glottis helps)
37
Laryngeal cartilages developed from which arches?
fourth and sixth arches
38
What does the larynx develop from?
Develops from laryngotracheal groove at caudal end of floor of primitive pharynx
39
Where is a laryngotomy performed?
Entry through cricothyroid ligament between cricoid cartilage and lower border of thyroid cartilage. note: not longer than 48 hours- can lead to subglottic stenosis