Session 10- Anatomy of the Larynx Flashcards

1
Q

where is the larynx

A

between the hyoid bone above and the trachea below

begins at the laryngeal inlet and ends at the lower border of cricoid cartilage- C6

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2
Q

what is the most imortant function of the larynx

A

ventilation and airway protection

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3
Q

what are the other impostant finctions of the larynx

A

phonation

cough

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4
Q

what forms the structual framework of the larynx

A

epiglottis
thyroid
cricoid
arytenoid cartilages

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5
Q

what connects the thyroid cartilage to the hyoid bone

A

thyrohyoid membrane

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6
Q

where is the cricothyroid membrane

A

runs upwards from the crocoid cartilage but deep to the thyrod cartilage

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7
Q

what is a cricothyroidotomy

A

puncture through cricothyroid membrane allowing access to the infraglottic area

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8
Q

what is the larynx split into

A

supraglottis
glottis
subglottis

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9
Q

what are the functions of the muscles of the larynx

A

open the glottis in inspiraton
close the vestible and vocal cords during swallowing
alter the tone of the true vocal cords in phonation

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10
Q

function of the infrahyoid ad suprahoid muscles- not intrinsic muscles of the larynx

A

depress and elevate the hyoid and larynx

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11
Q

function of cricothyroid muscle

A

tensing and slightly adducting the true vocal cords by its tilting action of the thyroid cartilage on the cricoid cartilage

therefore higher pitched sounds can be made

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12
Q

what nerve innervates the cricothyroid muscle

A

external laryngeal nerve- branch of superior laryngeal nerve- branch of vagus

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13
Q

what nerve innervates all the intrinsic muscles of the larynx except cricothyroid

A

recurrent laryngeal nerve- branch of vagus

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14
Q

what do all of the intrinsic muscles do

A

alter size and shape of laryngeal inlet

alter tension in and position of true vocal cords

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15
Q

what is the role of the posterior cricoarytenoid

A

only laryngeal muscle with the capability of opening the true vocal folds, which is why it is considered to be a main respiratory muscle of the larynx.

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16
Q

What are the margins of the laryngeal inlet

A
aryepiglottic folds (2) 
upper edge of epiglottis
17
Q

what forms aryepiglottic fold

A

free upper border of quadgrangular membrane

18
Q

what forms false vocal cords

A

free lower border of quadrangular membrane = vestibular ligament

19
Q

what forms the true vocal ligament

A

free upper border of cricothyroid membrane

20
Q

what forms the supraglottis

A

epiglottis and false cords

21
Q

what forms the glottis

A

below false cords- true cords

22
Q

what type of epithelium lines the larynx except the true vocal cords

A

pseudostratified ciliated columnar epithelium

vocal cords- stratified sqamous epithelium

23
Q

what happens to the epiglottis during swallowing

A

tongue pushes epiglottis posteriorly and aryepiglottic muscles contract narrowing laryngeal inlet

soft palate rises
epiglottis moves down

24
Q

what provides sensory innervation to the inside of parynx- supraglottis and glottis

A

internal branch of superior laryngeal nerve

25
Q

what provides motor to the cricothyroid muscle

A

external branch of superior laryngeal nerve

26
Q

what provides sensory innervation to the infraglottis

A

recurrent laryngeal nerve

27
Q

what provides motor innervation to the intrinsic muscles

A

recurrent laryngeal nerve

28
Q

route of reccurent laryngeal

A

passes anteriorly ti then loops Right subclavian on right and arch of aorta on left

ascends in tracheo-oesophageal groove

29
Q

how does inhury to recurent laryngeal nerve prsent

A

hoarse voice

ineffective cough