Test 2 Flashcards
The three stages of phonation
Onset, Sustained Phonation, and Offset
Simultaneous Attack
breath stream starts at as folds adduct
Breathy Attack
breath stream starts before folds adduct
Glottal Attack
breath stream starts after folds adduct
Functions of the Larynx
Nonbiological: sound source
Biological: lifting, expelling foreign objects(coughing), defecation
Hyoid Bone
supports larynx, attaches to tongue, 23 muscles attached to it, unpaired
Arytenoid Cartilages
vocal cords attach to them
2 Laryngeal Joints
cricoarytenoid joint and cricothyroid joint
Cricoarytenoid Joint
primary movement is to rock in and out for adduction/abduction
Cricothyroid Joint
rocks forward to increase tension on vocal folds
Glottis
space between vocal folds
Membranous Portion of Vocal Fold
12-15 mm and portion including free margin
Cartilaginous Portion
7-9 mm and portion bounded by cartilage of arytenoids
Extrinsic Muscles
muscles with one component on the larynx and one outside of the larynx
Intrinsic Muscles
muscles with both origin and insertion within the larynx
Suprahyoid
muscles that insert above the hyoid (elevate the hyoid bone and larynx)
Infrahyoid
muscles that insert below the hyoid (they depress the hyoid bone and larynx)
Extrinsic Muscles of Larynx
thyrohyoid and sternothyroid
Sternohyoid
Extrinsic: depresses hyoid
Omohyoid
Extrinsic: depresses hyoid
Sternothyroid
Extrinsic: depresses thyroid
Thyrohyoid
Extrinsic: depresses hyoid/elevates larynx
Stylohyoid
Extrinsic: Moves hyoid posteriorly
Digastric
Extrinsic: draws hyoid up and forward
Mylohyoid
Extrinsic: elevates hyoid/depresses mandible
Geniohyoid
Extrinsic: elevates hyoid/depresses mandible
Lateral Cricoarytenoid
Intrinsic: adducts vocal folds
Transverse Arytenoid
Intrinsic: adducts vocal folds
Posterior Cricoarytenoid
Intrinsic: abducts vocal folds
Oblique Arytenoid
Intrinsic: pulls the apex medially
Aryepiglottic
Intrinsic: constricts laryngeal opening
Cricothyroid
Intrinsic: depresses thyroid/ tenses vocal folds
Thyroarytenoid and Thyromuscularis
Intrinsic: relaxes vocal folds
Thyrovocalis
Intrinsic: tenses vocal folds
5 Layers of the Vocal Folds
- squamous epithelium 2. basement membrane 3. superficial lamina propria 4. intermediate lamina propria 5. deep lamina propria
Lamina Propria
3 layers of connective tissue lies beneath mucosal epithelia throughout body
Squamous Epithelium
maintains shape of vocal folds and helps keep them hydrated
Basement Membrane
made up of collagen: fibrous and strong
Superficial Lamina Propria
secreted by osteoblasts; cushions vocal folds
Intermediate Lamina Propria
elastic
Deep Lamina Propria
supportive and collagenous
Passive and Active Qualities of Vocal Folds
Passive: consistency of stiff rubber bands
Active: contractile properties control stiffness
Edema
swelling
Dysphonia
reduction in any vocal function, including appropriate vibration, pitch change, or intensity change
Aphonia
complete loss of voice
Diplophonia
perception of two pitches in voicing
Paralysis
complete loss of function due to neurological lesion
Paresis
partial loss of muscle function due to neurological lesion
Larynx
the cartilaginous structure at the superior end of the trachea designed for the protection of the airway from foreign objects
Pitch
the psychological correlate of frequemcy
Intensity
the level of sound, measured in decibels
Frequency
number of vibrations per second
Loudness
the psychological correlate of intensity
Glottis
the space between the vocal folds
Subglottal
the region below the vocal folds
Supraglottal
the region above the vocal folds
Metastasis
spreading of cancerous cells
Metastasize
verb implying the spread of cancerous cells
Hyperkeratosis
a reactive lesions from tissue irritation occurring typically under the tongue and posterior vocal folds
Hemangiomas
blood-filled sacs are typically found on the posterior vocal folds, they arise from abuse or intubation during surgery
Neoplasm
tissue aggregates arising from vocal abuse that cause hard contact between the vocal cords
Squamous Cell Carcinoma
most common laryngeal cancer, connective tissue covering the vocal folds
Laryngeal Cancer
tumors and their locations are glottal, supraglottal, or subglottal
Degenerative Neurological Diseases
leads to speech problems; Parkinson’s, ALS, Multiple Sclerosis, Strokes, and vocal fold paralysis are some examples