Lesson 3 Flashcards
Phonation
- a product of vibrating vocal folds
- AKA voicing
hyoid bone
- location: level of 3rd cervical vertibrae
- STRUCTURES:
1. body
2. greater corni
3. lesser cornu - very mobile
- doesnt connect to any other bone in body
greater cornu
articulates with the superior horns (cornu) of thyroid cartilage
lesser cornu
cone shape
rise superiorly
larynx - FUNCTION
- protects lower passageway from foreign materials
- can be used to hold air in lungs
- generates sounds
what are the laryngeal cartilages?
- thyroid cartilage
- cricoid cartilage
- arytenoid cartilage
- corniculate cartilages
- cuneiform cartilage
- epiglottic cartilage
TACCCE
thyroid cartilage
laryngeal cartilage
- largest laryngeal cartilage
- articulates inferiorly with cricoid cartilage
- STRUCTURES:
1. thyroid laminae
2. thyroid angle
3. thyroid notch
4. thyroid prominance
5. cornu
thyroid laminae (thyroid cartilage structure)
aka quadrilateral plates (square shape)
thyroid angle (thyroid cartilage structure)
point at which the 2 thyroid laminae come together
thyroid notch (thyroid cartilage structure)
superior point of thyroid angle
thyroid prominence (thyroid cartilage structure)
adams apple (sticks out)
cornu
thyroid cartilage structure
- located on the posterior portion of thyroid
- 2 sets:
1. superior- points towards hyoid bone
2. inferior- rest on cricoid cartilage
cricoid cartilage
laryngeal cartilage
- most inferior cartilage of larynx
- unpaired, ring shaped
- STRUCTURES
1. arch
2. posterior quadrate lamina
arch
cricoid cartilage structure
- low narrow portion front
- provides clearance for the vocal folds
posterior quadrate lamina
cricoid cartilage structure
- wide and thick portion back
- provides point of articulation for arytenoid cartilages
arytenoid cartilages
laryngeal cartilage
- location: superior surface of cricoid cartilage
- allows for rocking gliding and rotating (important for onset and offset voicing)
- STRUCTURES: pyramidal shape
1. base
2. apex
3. vocal process
4. muscular process
vocal process
arytenoid cartilage
- projects anteriorly toward the thyroid notch
- location of vocal fold attachment
muscular process
arytenoid cartilage
- projects laterally on arytenoid
- point where muscles adduct and abduct vocal folds (open close vocal folds)
corniculate cartilage
laryngeal cartilage
- small horn shaped, extension of arytenoids
- supports aryepiglottic fold
cuneiform cartilages
laryngeal cartilage
- small cartilages embedded within the aryepiglottic fold
- anterior to corniculate cartilages
- provide support for laryngeal covering
epiglottic cartilage [epiglottis]
laryngeal cartilage
- leaf like structure
- stem arises from inner surface of thyroid angle,below notch
- attaches by means of thyroepiglottic ligament
- protects airway by deflecting food and liquids from being swallowed
- epiglottis attaches to hyoid bone via epiglottic lig
- surface of epiglottis is covered w/ mucous membrane lining
what are the laryngeal joints?
- cricothyroid joint
2. cricoarytenoid joint
cricothyroid joint (laryngeal joint)
- synovial (diarthrodial) joint that allows thryoid to tilt downard.
- stretches and tenses vocal folds
- joint provides major adjustments for chagne in vocal pitch
cricoarytenoid joint (laryngeal joint)
- saddle joint
- concave portion of arytenoids articulates with convex portion of cricoid lamina
- synovial joint allows for rocking, gliding, and minimal rotation
- involved in adduction and abduction of vocal folds
EXTRINSIC laryngeal membranes and ligaments
- group of ligaments and membranes that connect the cartilages of larynx to each other and to the hyoid bone and trachea
- structures:
1. thyroid membrane
2. hyoepiglottic ligament
3. thyroepiglottic ligament
4. cricotracheal membrane
thyroid membrane
extrinsic laryngeal membranes and ligaments
- hyothyroid
- connects hyoid bone to thyroid cartilage
hyoepiglottic ligament
extrinsic laryngeal membranes and ligaments
connects epiglottis to the hyoid bone
thyroepiglottic ligament
extrinsic laryngeal membranes and ligaments
connects epiglottis to thyroid
cricotracheal membrane
extrinsic laryngeal membranes and ligaments
connects cricoid cartilage to the first tracheal ring
INTRINSIC laryngeal membranes and ligaments
- continuous sheet of connective tissue *elastic membrane
- quadrangular membranes (upper portion)
- conus elasticus (lower portion)
aryepiglottic folds
quadrangular membrane
- completley seal off spaces in laryngeal structures
- directs the airstream into the aditus and upward into the resonatory passagways
- first line of defense against foreign objects
- closes during swallowing and vomiting/ prevents food/liquid from entering respiratory tracts
ventricular folds
quadrangular membrane
- aka false vocal folds
- pink and plump
- found between laryngeal vestibule & laryngeal ventricle
- when ventricular folds contract, they meet at midline, closing or sealing off airway
- close during swallowing, during effortful activites such as lifting heavy objects
conus elasticus (intrinsic laryngeal membranes and ligaments)
- lower portion
- vocal folds
- cricothyroid ligament
vocal folds
conus elasticus
- white cus of lack of vascular supply
- third line of defense in keeping foreign objects out of lungs
cricothyroid ligament
conus elasticus
connects cricoid cartilage to thyroid cartilage
What are the cavities and spaces of the larynx ? (6)
- laryngeal vestibule
- laryngeal ventricle
- inferior laryngeal ventricle
- valleculae
- pyriform sinus
- glottis
laryngeal vestibule
cavities and spaces of the larynx
- area in larynx above ventricular folds
- opening in called aditus
laryngeal ventricle
cavities and spaces of the larynx
space between vocal folds and ventricular folds
inferior laryngeal ventricle
cavities and spaces of the larynx
- portion below the true folds
- extend through to the trachea
valleculae
cavities and spaces of the larynx
- area between tongue root and epiglottis
- impaired swallow can cause food/liquid to pool in valleculae which increases risk for aspiration
pyriform sinus
cavities and spaces of the larynx
- between lateral wall of thyroid cartilage & aryepiglotic folds
- impaired swallow can cause food/liquid to pool in pyriform sinus which increases risk for aspiration
glottis
cavities and spaces of the larynx
- opening between vocal folds
- triangular shape during quiet respiration
- anterior commissure: anterior most region of glottis
- posterior commissure: posterior most region of glottis
what are layers of the vocal folds
- cover
- transition/vocal ligament
- body
cover
layers of the vocal folds
- epithelium
- superficial lamina propria (aka reinke’s space)
epithelium
cover layer of vocal fold
- mucosal covering of stratified squamous cells
- needs a thin layer of mucous lubrication for best oscillation
superficial lamina propria
cover layer of vocal fold
- extracellular gelatin matrix
- helps cushion the vocal folds
transition/ voice ligament
layer of vocal fold
- intermediate lamina propria
- deep lamina propria