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Head and Neck - larynx
Anatomy of the head and neck
40
Health Care
Professional
10/10/2010

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Cards

Term
Larynx lies at what vertebral levels?
Definition
C3-C6
Term
Superior part of the thyroid cartilage lies at what level?
Definition
C4
Term
Lamina of the thyroid cartilage unite anteriorly, forming what?
Definition
laryngeal prominence - sharper (90°) in men than in women (120°)
Term
What does the superior border of the thyroid cartilage attach to? By what?
Definition
Superior border and superior horns attach to hyoid bone by thyrohyoid membrane
- median thyrohyoid ligament
- lateral thyrohyoid ligament
Term
What ligaments attach the cricoid cartilage to structures superior and inferior?
Definition
ttaches to the thyroid cartilage by median cricothyroid (can be palpated) and to the 1st tracheal ring by cricotracheal ligaments
Term
On the cricoid cartilage, what are these for: Facets, ridge, depression
Definition
facets - articulations with other cartilages, depressions - attachment of muscles, ridge - attachment of esophagus
Term
The base and apex of the arytenoid cartilages articulate with what?
Definition
base that articulates with the lamina of the cricoid, apex that articulates with the corniculate cartilages via vestibular ligaments
Term
where are cuneiform cartilages?
Definition
suspended in the fibroelastic membrane that attaches the arytenoid to the epiglottis
Term
What movements are possible at the crico-arytenoid joint?
Definition
latero – medial sliding, antero-posterior tilting and rotation (movements provide approximating, tensing and relaxing of vocal cords
Term
Vocal ligaments are between what and what?
Definition
junction of the lamina of the thyroid and vocal processes of both arytenoids.
Term
Cricovocal membrane (conus elasticus) has laterally extending...
Definition
lateral cricothyroid ligaments
Term
What is the epiglottis attached to? By what?
Definition
attached to the thyroid (thyro-epiglottic ligament) and hyoid (hyo-epiglottic ligament)
Term
The epiglottis projects in what direction?
Definition
posterosuperiorly
Term
_________ membrane is between arytenoid and epiglottis and its free inferior margin forms _______ ________s.
Definition
Quadrangular, vestibular ligaments
Term
Superior margin of the quadrangular membrane is also called the ________ ligament.
Definition
Ary-epiglottic
Term
What is located between vestibular and vocal folds? What does it do?
Definition
Laryngeal ventricles & saccules, between vocal folds the mucosa bulges, thus creating saccules, numerous mucous glands secrete mucus to lubricate the vocal cords
Term
Between the true vocal cords and the trachea is called...
Definition
the infraglottic space
Term
The base of the rimas are ______ and the apex is ______.
Definition
posterior, anterior
Term
What does the cricothyroid muscle do? What is its innervation? What happens if its damaged?
Definition
During speech, these pull the thyroid cartilage anterior and down, thereby tensing the vocal cords. Nerve - superior laryngeal branch of X. Monotonous, low voice.
Term
What do posterior crico-arytenoid muscles do? What happens if they are both denervated?
Definition
They laterally rotate and abduct the arytenoid cartilages, thereby widening the rima glottidis. Asphyxiation.
Term
What do lateral crico-arytenoid muscles do?
Definition
They abduct and internally rotate the arytenoid cartilages, thereby narrowing the rima glottidis
Term
Which muscle is attached to the posterior surface of the arytenoid cartilages, adducts the arytenoid cartilages, closes rima glottidis?
Definition
Transverse arytenoid
Term
Which muscles run between the muscular process of one arytenoid cartilage to the apex of the other, and are helpful in narrowing the laryngeal inlet?
Definition
Oblique arytenoid
Term
What do vocalis muscles do?
Definition
Adjust tension in vocal cords
Term
Which muscles attach to inner surface of the thyroid cartilage the anterolateral surface of the arytenoid cartilages, are broad and lateral to the quadrangular membrane, act as a sphincter of the vestibule, and can also act to shorten and relax vestibular and vocal ligaments?
Definition
Thryoarytenoid muscles.
Term
What happens during forced inspiration?
Definition
Arytenoid cartilages are rotated laterally by the posterior crico-arytenoid muscles, As a result, the vocal folds are abducted and the rima glottidis widens
Term
During phonation, tension of vocal cords is adjusted by...
Definition
Tension of the vocal cords is adjusted by the vocalis and cricothyroid muscle
Term
During phonation, what's happening with arytenoid cartilages and vocal folds? How is sound produced?
Definition
The arytenoid cartilages and vocal folds are adducted and air is forced through the narrow opening
This causes the vocal folds to vibrate against each other, producing sound
Term
What laryngeal event during swallowing causes the esophagus to open?
Definition
The epiglottis swings downward toward arytenoid cartilages
Term
During swallowing, what positions are the rimas and laryngeal inlet in?
Definition
The rima glottidis and vestibuli are closed and the laryngeal inlet is narrowed
Term
During swallowing, in which direction(s) does the larynx move?
Definition
The larynx moves up and forward
Term
Superior laryngeal artery branches of which artery near which landmark?
Definition
Branches off the superior thyroid artery near the upper border of the thyroid cartilage
Term
Inferior laryngeal artery ascends with which nerve, in a groove between which structures?
Definition
Accompanies the recurrent laryngeal nerve as it ascends in the groove between the esophagus and trachea
Term
Venous drainage of the larynx is via which veins?
Definition
Superior and inferior laryngeal, they follow the arteries
Term
Superior laryngeal nerve comes from which ganglion, and branches at what bony landmark?
Definition
Originate from the inferior vagal ganglia in the neck and descend medial to the internal carotid artery
Near the hyoid bone, they divide into internal and external branches
Term
External laryngeal artery enters the larynx by piercing which muscle?
Definition
Inferior constrictor
Term
Which nerve supplies sensory innervation to the laryngeal cavity down to the vocal folds?
Definition
Internal laryngeal
Term
Which nerve supplies sensory innervation to the laryngeal cavity below the vocal folds?
Definition
recurrant laryngeal
Term
The thyroid gland is at which levels?
Definition
C5-T1
Term
Sympathetics to the thyroid from the superior cervical plexus have what action(s)?
Definition
VASOMOTOR
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