Larynx
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Transcript of Larynx
![Page 1: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/1.jpg)
LARYNX
![Page 2: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/2.jpg)
![Page 3: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/3.jpg)
•Communications
![Page 4: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/4.jpg)
Laryngeal cartilages
![Page 5: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/5.jpg)
![Page 6: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/6.jpg)
•Anterior aspect
•Posterior aspect
![Page 7: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/7.jpg)
•Upper aspect
![Page 8: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/8.jpg)
•Thyroid cartilage
![Page 9: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/9.jpg)
Has two laminae, which meet in the midline and
form a prominent angle, called laryngeal
prominence (Adam’s apple) and the superior
thyroid notch at the rostral margin of the
The posterior border of each lamina forms
superior & inferior cornu (horns)
Outer surface of each lamina shows an oblique
line which gives attachment to thyrohyoid,
sternothyroid & inferior constrictor of the
pharynx
The superior border gives attachment to the
thyrohyoid membrane
![Page 10: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/10.jpg)
•Structure (thyroid)
![Page 11: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/11.jpg)
•Attachments (thyroid)
![Page 12: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/12.jpg)
![Page 13: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/13.jpg)
![Page 14: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/14.jpg)
•Cricoid cartilage
![Page 15: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/15.jpg)
Lies below the thyroid cartilage
Forms a complete ring
Has a narrow anterior arch & a broad posterior
lamina
Has an articular facet on its:
Lateral surface for articulation with inferior
cornu of the thyroid cartilage (a synovial joint)
Upper border for articulation with base of
arytenoid cartilage (a synovial joint)
![Page 16: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/16.jpg)
•Epiglottis
![Page 17: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/17.jpg)
Leaf shaped, situated behind the root of the
tongue
Connected:
In front to the body of hyoid bone by the
hyoepiglottic ligament
By its stalk to the back of thyroid cartilage by
the thyroepiglottic ligament
Upper edge is free.
laterally gives attachment to aryepiglottic fold
Anteriorly mucosa is reflected onto the tongue
forming three glossoepiglottic folds & valleculae
![Page 18: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/18.jpg)
• Arytenoids
![Page 19: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/19.jpg)
Small, pyramidal in shape
Situated at the back of the larynx
Has:
A base articulating with the upper border
of the cricoid cartilage
An apex supporting the corniculate
cartilage
A vocal process projecting forward, gives
attachment to the vocal ligament
A muscular process projecting laterally,
gives attachment to muscles
![Page 20: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/20.jpg)
Corniculate & Cuneiform Cartilages
![Page 21: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/21.jpg)
![Page 22: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/22.jpg)
![Page 23: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/23.jpg)
Small nodules
Articulate with the apices of arytenoid
cartilages
![Page 24: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/24.jpg)
Small rod shaped, placed in each
aryepiglottic fold, producing a small
elevation
Do not articulate with any other cartilage
Serve as support for the ary-epiglottic fold
![Page 25: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/25.jpg)
Membranes & Ligaments
![Page 26: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/26.jpg)
Thyrohoid membrane, median & lateral
thyrohoid ligaments
Median cricothyroid ligament
Cricotracheal membrane
Hyoepiglottic ligament
Thyroepiglottic ligament
![Page 27: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/27.jpg)
![Page 28: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/28.jpg)
Quadrangular membrane: Extends between the epiglottis and the
arytenoid cartilages
Its lower free margin forms the vestibular
ligament that lies within the vestibular fold
![Page 29: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/29.jpg)
Cricothyroid membrane (conus elasticus)
Lower margin is attached to upper border
of cricoid cartilage
Upper free margin forms vocal ligament
that is attached anteriorly to deep surface
of thyroid cartilage & posteriorly to the
vocal process of arytenoid cartilage
![Page 30: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/30.jpg)
Laryngeal Inlet Faces backward and upward and opens
into the laryngeal part of the pharynx
The opening is bounded:
Anteriorly: by the upper margin of
epiglottis
Posteriorly & below by arytenoid cartilages
Laterally by aryepiglottic folds
![Page 31: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/31.jpg)
Laryngeal Cavity Extends from laryngeal inlet to lower
border of the cricoid cartilage
Narrow in the region of the vestibular folds
(rima vestibuli)
Narrowest in the region of the vocal folds
(rima glottidis)
![Page 32: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/32.jpg)
Laryngeal Cavity cont’d Divided into three parts:
A. Supraglottic part, the part
above the vestibular folds, is
called the vestibule
B. The part between the
vestibular & the vocal folds,
is called the ventricle
C. Infraglottic part, the part
below the vocal folds
![Page 33: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/33.jpg)
Extends from the inlet to the vestibular fold
Below it becomes narrow as the vestibular folds
project medially.
Each vestibular fold contains vestibular
ligament, the lower free margin of the
quadrangular membrane stretching from thyroid
cartilage to the arytenoid cartilage
![Page 34: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/34.jpg)
Extends from vocal folds to lower border of
cricoid cartilage
Walls formed by the inner surface of the
cricothyroid ligament and the cricoid cartilage
![Page 35: Larynx](https://reader034.fdocuments.us/reader034/viewer/2022042817/55a753481a28ab073d8b46ac/html5/thumbnails/35.jpg)
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