Larynx Flashcards

1
Q

What is the larynx?

A

Voice box at top of airway

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2
Q

What are the laryngeal cartilages?

A

Thyroid, cricoid, epiglottis, arytenoid, corniculate

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3
Q

What anchors vocal cords?

A

Corniculate cartilage

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4
Q

What is a cricothyroid joint?

A
  • Cricoid rotates anterior and inferior
  • Lengthens cords & increases their
    tension
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5
Q

What is a cricoarytenoid joint?

A

*Rotation of arytenoids medial and
lateral
*Gliding towards are away from each
other
*Abducts or adducts the cords

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6
Q

What provides minor movements to the larynx?

A

Arytenocorniculate joints

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7
Q

What is contained within the thyrohyoid membrane?

A

Thyroid cartilage and hyoid bone
Internal laryngeal nerve, artery, and vein

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8
Q

What are the other membranes?

A

Quadrangular membrane, conus elasticus, hyoepiglottic ligament

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9
Q

What assists in the spread of cancer?

A

Hyoepiglottic ligament

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10
Q

What are the muscles of the larynx?

A

Cricoarytenoids, arytenoids, and cricothyroid muscle

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11
Q

What are the false vocal cords?

A

Vestibule, non-muscular

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12
Q

What are the true vocal cords?

A

Vocal folds; vestibular folds
Muscular! (vocalis + thyroarytenoid)

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13
Q

What are two other folds?

A

Rima glottis and rima vestibuli

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14
Q

Where can foreign bodies in airway get lodged?

A

Piriform sinus, valleculae, pharyngeal walls

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15
Q

All muscles are innervated by…

A

CN X (vagus)

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16
Q

Cricothyroid is innervated by vagus branch…

A

External laryngeal nerve

17
Q

The rest of the muscles are innervated by…

A

Recurrent laryngeal nerve

18
Q

Action of cricothyroid?

A

Increases tension on cords = increased pitch

19
Q

Action of thyroarytenoid?

A

Decreases tension =
low pitch

20
Q

Posterior cricoarytenoid action?

A

Opens rima glottis, abducts cords

21
Q

Leftover muscles close…

A

Rima glottis

22
Q

What is voiced sound?

A

The basic sound produced
by vocal fold vibration is called “voiced
sound.”

23
Q

What is resonance?

A

Voiced sound is amplified
and modified by the vocal tract
resonators (the throat, mouth cavity, and nasal passages)

24
Q

What is articulation?

A

The vocal tract articulators
(the tongue, soft palate, and lips) modify the voiced sound

25
What is not visible to the human eye?
Vocal cord vibration
26
What is the arterial support of the larynx?
Superior and inferior laryngeal artery
27
What is the venous drainage of larynx?
Superior laryngeal vein -> IJV Inferior laryngeal vein -> thyroid venous plexus
28
What is the lymphatic drainage of the larynx?
*Supraglottic larynx Level II *Can be bilateral *Infraglottic larynx Level III, Level IV & Level VI (pretracheal and paratracheal)
29
What is the sensory innervation of valleculae?
Internal laryngeal nerve
30
What is the sensory innervation below cords?
Trachea is recurrent laryngeal nerve
31
Thorough analysis of cough reflex
*Afferent: recurrent or internal laryngeal nerves *Sensation of irritant *Efferent: recurrent laryngeal nerve *Closing and opening cords = cough
32
What are the travel buddies?
Superior thyroid artery -> external laryngeal nerve Superior laryngeal artery -> internal laryngeal nerve Inferior thyroid artery -> recurrent laryngeal nerve
33
What is injury to recurrent laryngeal nerve cause?
- Inability to abduct and adduct the cords * Minor retained adduction * Hoarseness of the voice
34
What is injury to superior laryngeal nerve cause?
*Cannot do high pitched voice – external laryngeal nerve *Likely singers will notice *Aspiration risk – internal laryngeal nerve *Diminished cough reflex
35
What is the purpose of the trachea? Where does it begin?
With first tracheal ring, under subglottic larynx Carries oxygen to lungs
36
When do you do cricothyrotomy?
Emergent, temporary airway Within cricothyroid membrane
37
What is at risk with cricothyrotomy?
Pyramidal lobe
38
When do you do a tracheostomy?
Emergent, longer lasting, within the trachea itself