Week 10 - Larynx, Nasal Cavity & Paranasal Sinuses Flashcards

1
Q

What is the function of the larynx ?

A

Allows passage of air in and out of the trachea.
Has protective sphincter preventing foreign bodies entering airway.
Organ of phonation i.e. speech production.

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2
Q

At what vertebral level is the larynx located ?

A

C3-C6.

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3
Q

What is the boundaries of the larynx ?

A

From epiglottis to inferior border of cricoid cartilage.

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4
Q

What type of cartilage is associated with the larynx ?

A

Hyaline cartilage, with exception of epiglottis which is elastic.

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5
Q

What is the only complete ring of the laryngeal cartilages ?

A

Cricoid cartilage.

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6
Q

What are the four key cartilages associated with the larynx ?

A

Thyroid cartilage.
Cricoid cartilage.
Epiglottis.
Arytenoid cartilage.

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7
Q

What ligament runs between the thyroid and cricoid cartilage ? Associated with emergency airway procedure.

A

Median cricothyroid ligament.

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8
Q

What is the term for the anterior apertures of the nose ?

A

Nares

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9
Q

What is the term for posterior apertures of the nose ?

A

Choanae

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10
Q

How are the right and left nasal cavities separated ?

A

By nasal septum.

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11
Q

What structures in the nose are responsible for sense of smell ?

A

Olfactory receptors.

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12
Q

What are the two bones with contribute to the external nose ?

A

Nasal bones and frontal processes of the maxilla.

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13
Q

What are the three cartilages present in the nose ?

A

Septal cartilage. Major and minor alar cartilages.

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14
Q

What three muscles over lie the nose ?

A

Nasalis
Depressor septi nasi
Levator labii superioris alaeque nasi.

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15
Q

Looking at the skull from norma frontalis, what is the name for the pear shaped aperture in the skull when looking at the nose without cartilage ?

A

Piriform aperture.

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16
Q

What forms the floor of the nasal cavity ?

A

Hard palate, so palatine process of maxillae and the horizontal plate of palatine bones.

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17
Q

What is the term for the anterior opening of the nasal cavities ?

A

Nares

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18
Q

What forms the connection between the nasal and oral cavities ?

A

Nasopalatine (or incisive) canal

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19
Q

What is the contents of the nasopalatine (or incisive) canal ?

A

Nasopalatine nerve and artery.

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20
Q

Where is the nasal crest located ?

A

Ridge formed at connection of paired maxillae and palatine bones.

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21
Q

What bony prominence provides attachment for vomer ?

A

Nasal crest.

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22
Q

What is septal deviation ?

A

Displacement of septum away from the midline.

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23
Q

What are the two causes for septal deviation ?

A

Trauma or birth defect.

24
Q

What is the highest point of the nasal cavity ?

A

Cribriform plate of the ethmoid bone.

25
Q

The holes in the cribriform plate of ethmoid bone allow passage for what nerves ?

A

Olfactory nerves from olfactory bulb on base of the brain.

26
Q

What are the three nasal conchae ?

A

Superior, middle and inferior conchae.

27
Q

What is the space which separates the nasal conchae ?

A

Corresponding conchae meatus.

28
Q

What two conchae are formed by the ethmoid labyrinth ?

A

Superior and middle nasal conchae.

29
Q

What conchae is a separate bone ?

A

Inferior nasal conchae.

30
Q

The space between the roof and nasal cavity and the superior conchae is called …

A

Spheno-ethmoidal recess.

31
Q

What is the function of the nasal conchae ?

A

Moisturisation, purification and warming of the air.

32
Q

What are the 4 paranasal sinuses ?

A

Ethmoidal, maxillary, frontal, sphenoidal.

33
Q

What are paranasal sinuses ?

A

Hollow cavities in pneumatised bones.

34
Q

What is the only cartilage in the larynx to form full circle ?

A

Cricothyroid.

35
Q

What type of cartilage are the laryngeal cartilages made of ?

A

Hyaline (except epiglottis - elastic).

36
Q

What structure forms the boundary between the oropharynx and laryngopharynx ?

A

Epiglottis.

37
Q

What cartilage plays a role in phonation ?

A

Arytenoid - at cricoid-arytenoid joints where movement for vocal folds during voice production occurs.

38
Q

What are the three singular laryngeal cartilages ?

A

Epiglottis, thyroid, cricoid.

39
Q

What are the three paired laryngeal cartilages ?

A

Arytenoid, cuneiform, corniculate.

40
Q

What joint results in change in length of vocal folds and plays role in phonation ?

A

Cricothyroid joint.

41
Q

What is the extrinsic ligament/membrane of the larynx ?

A

Thyrohyoid.
Has median and two lateral thickenings i.e. ligaments.

42
Q

What are the two intrinsic ligaments/membranes of the larynx ?

A

Quadrangular membrane i.e. vestibular ligament/fold and aryepiglottic ligament/fold.
Median cricothyroid membrane i.e. vocal ligament/fold.

43
Q

The superior free margin of the quadrangular membrane forms the … ligament/fold ?

A

Aryepiglottic ligament and fold.

44
Q

The inferior free margin of the quadrangular membrane forms the … ligament/fold ?

A

Vestibular ligament and fold.

45
Q

The superior free margin of the cricothyroid membrane forms the … ligament/fold ?

A

Vocal ligament and fold.

46
Q

The rima epiglotidis is ?

A

Space between vestibular and vocal folds.

47
Q

What fold forms the laryngeal inlet - sphincter of the larynx ?

A

Aryepiglottic fold.

48
Q

What are the extrinsic muscles of the larynx ?

A

Supra and infrahyoid muscles.
Stylopharyngeus.

49
Q

What is the intrinsic muscle of the larynx responsible for opening the rima glottidis ?

A

Posterior cricoarytenoid.

50
Q

What are the 2 intrinsic muscles of the larynx responsible for closure of the rima glottidis ?

A

Transverse arytenoid and lateral cricoarytenoid.

51
Q

What is the group of intrinsic muscles of the larynx responsible for lengthening the vocal folds i.e. creating higher pitch ?

A

Cricothyroid (tensor) muscles.

52
Q

What is the group of intrinsic muscles of the larynx responsible for shortening the vocal folds i.e. creating lower pitch ?

A

Thyroarytenoid (relaxer) muscles.

53
Q

What is the 2 muscles of the larynx responsible for closure of the laryngeal inlet ?

A

Oblique arytenoid and extrinsic muscles.

54
Q

What is responsible for the opening of the laryngeal inlet ?

A

Elastic recoil with descent of larynx.

55
Q

What motor nerve supplies the intrinsic muscles of the larynx ?

A

Recurrent laryngeal of CNX (except cricothyroid - superior laryngeal of CNX).

56
Q

What sensory nerve supplies the larynx above the vocal folds ?

A

Superior laryngeal nerve of CNX.

57
Q

What sensory nerve supplies the larynx below the vocal folds ?

A

Recurrent laryngeal nerve of CNX.