Muscles Of The Larynx Flashcards
What are the extrinsic muscles that depress the larynx?
Omohyoid, sternohyoid, sternothyroid
What are the extrinsic muscles that elevate the larynx?
Thyrohyoid, stylohyoid, mylohyoid, digastric, stylopharyngeus, palatopharyngeus
Which intrinsic muscle of the larynx is visible externally?
Cricothyroid
What is the origin of cricothyroid?
Cricoid cartilage
What is the insertion of cricothyroid?
Inferior horn and lower lamina of thyroid cartilage
What is the nerve supply for cricothyroid?
External laryngeal nerve
What is the function of cricothyroid?
Tilts thyroid cartilage downward or cricoid cartilage upward thereby tensing the vocal cords
What effect does the cricothyroid muscle have on pitch?
Increase
What is the origin of the posterior cricoarytenoid muscle?
Posterior surface of lamina of cricoid cartilage
What is the insertion of the posterior cricoarytenoid muscle?
Muscular process of arytenoid cartilage
What is the nerve supply for the posterior cricoarytenoid muscle?
Recurrent laryngeal nerve
What is the function of the posterior cricoarytenoid muscle?
Abducts the vocal folds
What is the neutral position of the vocal cords like and why?
Partially abducted to avoid the risk of suffocation during possible injury
What type of movement does the posterior cricoarytenoid muscle allow?
External rotation
What is the origin of the lateral cricoarytenoid muscle?
Arch of cricoid cartilage
What is the insertion of the lateral cricoarytenoid muscle?
Muscular process of arytenoid cartilage
What is the nerve supply of the lateral cricoarytenoid muscle?
Recurrent laryngeal nerve
What is the function of the lateral cricoarytenoid muscle?
Adducts the vocal folds
What type of movement does the lateral cricoarytenoid muscle allow?
Internal rotation
What intrinsic muscle of the larynx is responsible for the action of whispering?
Lateral cricoarytenoid muscle
What is the origin of the transverse arytenoid muscle?
Posterior surface of arytenoid cartilage
What is the insertion of the transverse arytenoid cartilage?
Posterior surface of opposite arytenoid cartilage
What is the nerve supply for the transverse arytenoid cartilage?
Recurrent laryngeal nerve
What is the function of the transverse arytenoid cartilage?
Adducts vocal folds
Which intrinsically laryngeal muscles function in coughing?
Transverse arytenoid and oblique arytenoid muscles
What is the origin of the oblique arytenoid muscle?
Muscular process of arytenoid cartilage
What is the insertion of the oblique arytenoid muscle?
Apex of opposite arytenoid cartilage
What is the nerve supply of the oblique arytenoid muscle?
Recurrent laryngeal nerve
What is the function of the oblique arytenoid muscle?
Adducts the focal folds
Which intrinsic muscle of the larynx helps pull the epiglottis downward?
Aryepiglottic muscle
What is the origin of the aryepiglottic muscle?
Apex of the arytenoid cartilage
What is the insertion of the aryepiglottic muscle?
Side of epiglottic cartilage
What is the nerve supply of the aryepiglottic muscle?
Recurrent laryngeal nerve
What is the function of the aryepiglottic muscle?
Closes the laryngeal inlet
Which intrinsic laryngeal muscle is a continuation of the oblique arytenoid and lies within the aryepiglottic fold?
Aryepiglottic muscle
What is the origin of the thyroepiglottic muscle?
Inner surface of thyroid lamina
What is the insertion of the thyroepiglottic muscle?
Lateral margin of epiglottis
What is the nerve supply of the thyroepiglottic muscle?
Recurrent laryngeal nerve
What is the function of the thyroepiglottic muscle?
Opens the laryngeal inlet
Which intrinsic laryngeal muscle pulls the epiglottis upright?
Thyroepiglottic muscle
What is the origin of the thyroarytenoid muscle?
Inner surface of thyroid lamina
What is the insertion of the thyroarytenoid muscle?
Arytenoid cartilage
What is the nerve supply of the thyroarytenoid muscle?
Recurrent laryngeal nerve
What is the function of the thyroarytenoid muscle?
Shortens and relaxes vocal folds by drawing the arytenoid cartilages forward toward the thyroid cartilage
Which intrinsic laryngeal muscle is responsible for major drops in pitch?
Thyroarytenoid muscle
Which intrinsic laryngeal muscle is responsible for the “fine-tuning” control for the vocal cords?
Vocalis
What is the origin of vocalis?
Inner surface of thyroid lamina
What is the insertion of vocalis?
Vocal process of arytenoid cartilage
What is the nerve supply of vocalis?
Recurrent laryngeal nerve
What is the function of vocalis?
Adjusts tension on the vocal cords during phonation
What is phonation?
Sound production
Which intrinsic muscle of the larynx draws the arytenoid cartilage forward?
Vocalis
Why are the vocal cords important during phonation?
They control the stream of air passing through the rima glottidis
How is the size and shape of the rima glottidis altered during phonation and respiration?
By the movements of the arytenoid cartilages
During inspiration, is the rima glottidis wide or narrow?
Wide
During expiration and phonation, is the rima glottidis wide or narrow?
Narrow (and wedge-shaped)
What determines the pitch (frequency) of the sound produced during phonation?
Degree of tension on the vocal folds
Which muscle raises pitch during phonation by increased tension of vocal folds?
Cricothyroid
Which muscle(s) lower pitch during phonation by decreased tension of vocal folds?
Thryoartytenoid and vocalis
Is phonation a product of inspiration or expiration?
Expiration
What determines voice dimorphism?
Length of vocal cords, size of resonating chamber, and thickness of vocal cords
What is different about males that attributes to their typically lower voices?
Longer vocal cords, larger and deeper resonating chamber, thicker vocal cords
What makes up the resonating chamber for phonation?
Larynx and pharynx
Why do males have thicker vocal cords?
Androgen receptors
What nerve is motor to all of the intrinsic muscles of the larynx except the cricothyroid?
Recurrent laryngeal
What is the most important nerve of the larynx?
Recurrent laryngeal
What is the recurrent laryngeal nerve sensory to?
Mucosa of the larynx below the vocal fold
What are the two branches of the superior laryngeal nerve?
Internal and external laryngeal nerves
Which branch of the superior laryngeal nerve is sensory to the mucosa of the larynx above the vocal folds?
Internal laryngeal
What two structures piece the thyrohyoid membrane to enter the larynx?
Internal laryngeal nerve and superior laryngeal artery
Which branch of the superior laryngeal nerve is purely sensory?
Internal laryngeal nerve
Which branch of the superior laryngeal nerve is purely motor?
External laryngeal nerve
Which branch of the superior laryngeal nerve is motor to the cricothyroid and inferior constrictor muscles?
External laryngeal
What two arteries make up the blood supply to the larynx?
Superior and inferior laryngeal arteries
Where does the superior laryngeal artery branch from?
Superior thyroid artery
Where does the inferior laryngeal artery branch from?
Inferior thyroid artery