the larynx Flashcards

1
Q

where does the larynx lie

A

underneath the strap muscles of the neck

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2
Q

where does the majority of the thyroid gland sit?

A

inferior to the larynx

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3
Q

what is the function of the larynx?

A

it is involved in phonation and so speech

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4
Q

how do the hyaline cartilages of the larynx articulate w/ each other?

A

via small plane synovial joins

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5
Q

what is the largest cartilage of the larynx?

A

the thyroid cartilage

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6
Q

what forms the laryngeal prominence (Adams apple) ?

A

the thyroid cartilage

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7
Q

how is the thyroid cartilage attached to the hyoid bone?

A

via the thryohyoid membrane

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8
Q

what does the thyroid cartilage articulate w/ inferiorly?

A

the cricoid cartilage

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9
Q

what does the cricoid cartilage articulate w/?

A

the thyroid cartilage superiorly
the arytenoid cartilages inferiorly

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10
Q

where does the trachea sit in relation to the cricoid cartilage?

A

the trachea sits inferior to the cricoid cartilage

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11
Q

how is the trachea attached to the cricoid cartilage?

A

by the cricotracheal ligament

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12
Q

what do the arytenoid cartilages articulate w/?

A

the cricoid cartilage

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13
Q

how do the arytenoid cartilages move the vocal folds?

A

they swivel on the surface of the cricoid to move the vocal folds

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14
Q

how many arytenoid carriages are there?

A

2

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15
Q

which muscles act to move the vocal folds and where do they attach?

A

the posterior and lateral cricothryoid muscles act to move the vocal folds

they attach on the muscular processes of the arytenoid cartilages

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16
Q

what are the vocal processes of the arytenoid carriages for?

A

attachment of the vocal folds

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17
Q

what are the cornicualte and cuneiform cartilages?

A

tiny pieces of cartilage that attach to and support he ayrepiglottic folds between the arytenoid cartilages and the epiglottis

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18
Q

where does the epiglottis lie?

A

over the opening of the larynx

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19
Q

how does the epiglottis communicate w/ the larynx?

A

via the aryepiglottic folds

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20
Q

what is the epiglottis formed of?

A

elastic cartilage

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21
Q

how does the epiglottis bend over the larynx?

A

passively - there are no muscles that move the epiglottis

22
Q

what is the function of the epiglottis?

A

protect the opening of the airway but does not completely seal the top of the larynx during swallowing

23
Q

where does the quadrangular ligament of the larynx pass between?

A

between the arytenoid cartilages and the epiglottis

24
Q

what is the false / vestibular vocal cord?

A

the quadrangular ligament folds over itself to form a thickened free edge

25
what is the true vocal cord formed from?
a membrane passing between the cricoid, thyroid and arytenoid cartilages and the upper border of this membrane folds to form a thickened edge called the vocal ligament - this is the vocal cord
26
what forms the false vocal cord?
the lower free edge of the quadrangular ligament
27
what forms the aryepiglottic fold?
the upper border of the quadrangular ligament
28
what is the function of the false / vestibular vocal cord?
protect the true vocal cord beneath it
29
what is the rims glottidis?
the most posterior space between the vocal cords
30
where do the true and false vocal cords lie in relation to each other?
the false vocal cord is mot superior and the true vocal cord is inferior
31
what are the 2 types of muscles of the larynx?
extrinsic intrinsic
32
what is the function of the extrinsic muscles of the larynx?
move the entire larynx as a unit
33
what is the function of the intrinsic muscles of the larynx?
move small components of the larynx
34
what are the muscles of the larynx?
oblique arytenoid cricothryoid thyroarytenoid lateral cricoarytenoid posterior cricoarytenoid transverse arytenoid
35
what nerve innervates all of the muscles of the larynx except for cricothryoid?
recurrent laryngeal nerve
36
what nerve innervates cricothryoid?
external laryngeal nerve
37
what is the function of oblique arytenoid?
pulls the arytenoid cartilages closer together narrowing the gap between the folds
38
what is the function of cricothryoid?
tense and elongate the vocal ligaments
39
what is the function of thryoarytenoid?
relax and shorten the vocal ligaments
40
what is the function of lateral cricoarytenoid?
adduct vocal fold
41
what is the function of posterior cricoarytenoid?
abduct vocal fold
42
what is the function of transverse arytenoid?
close rima glottis
43
where does the recurrent laryngeal nerve arise from?
the vagus nerve
44
explain the course of the recurrent laryngeal nerve
it arises from the vagus nerve in the thorax and wraps around either the subclavian artery on the right or the arch of the aorta on the left and then ascends the neck between the trachea and the oesophagus before passing under the inferior constrictor of the pharynx to reach the larynx
45
where do the arteries that supply the larynx arise from?
from the thyroid arteries
46
where does the superior thyroid artery arise from?
from the external carotid
47
where does the inferior thyroid artery arise from?
from the subclavian
48
explain the venous drainage of the larynx
veins drain into the superior and inferior thryoid veins
49
where do the superior thyroid veins drain into?
the internal jugular veins on either side
50
where do the inferior thyroid veins drain into?
both drain into the left brachiocephalic vein
51
explain the lymphatic drainage of the larynx
lymphatic drainage of the larynx is to local paratracheal nodes and to the deep cervical nodes