Larynx Flashcards

(56 cards)

1
Q

what is the function of larynx

A

connect pharynx to trachea and prevent food into airways

alters pitch tone and volume of voice

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2
Q

what vertebral levels does the larynx span

A

CV3-CV6

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3
Q

What is the laryngeal aditus

A

superior opening from pharynx

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4
Q

what is the vestibule of larynx

A

proximal above vestibular folds

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5
Q

what are the vestibular folds, true or false vocal folds?

A

false

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6
Q

what is the rima vestibuli

A

opening between vestibular folds

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7
Q

what is the ventricle of larynx

A

between vestibular and vocal folds

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8
Q

what is the rima glottidis

A

opening between true vocal folds, shape varies depending on position
variation in tension and length of vocal folds, width of rima produces changes in pitch

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9
Q

what is the glottis of larynx

A

rima glottidis and vocal folds

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10
Q

what is the infraglottic cavity

A

below true vocal folds

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11
Q

what is the landmark where can the carotid a be compressed against CV6

A

cricoid cartilage

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12
Q

the circoid cartilage also is a landmark for the junction of what structures

A

larynx & trachea

pharynx & esophagus

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13
Q

Where is a tracheotomy given

A

between cricoid and first tracheal cartilages or through cricothyroid ligament

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14
Q

desbrive parts of thyroid cartilage

A

laminae that fuse anteriorly
superior horn that attaches to hyoid bone
infeiror horn that articulates with cricoid cartilage
laryngeal prominence
superior thyroid notch
oblique line

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15
Q

Describe parts of cricoid cartilage

A

immobile ring attached via membrane to first tracheal ring
anteiror arch, posterior lamina
articulates with arytenoid and thyroid cartilages

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16
Q

What are the parts of the 2 arytenoid cartilages

A

perched atop posterior portion of cricoid cartilage
apex- attaches to aryepiglottic fold
vocal process- attaches to vocal lig
muscular process- attaches post and lateral cricoarytenoid mm

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17
Q

what cartilage is pulled against epiglottis to prevent food from airway

A

thryoid cartilage

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18
Q

what are the ligaments attached to epiglottic cartilage

A

thyroepiglottic
hyoepiglottic
aryepiglottic
glossoepiglottic

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19
Q

Where are the corniculate cartilages

A

on the apex of the arytenoid cartilages

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20
Q

where are the cuneiform cartilages of the larynx

A

within aryepiglottic folds

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21
Q

what are the extrinsic ligaments of larynx

A

thryohyoid membrane
cricotracheal
hyoepiglottic
glossoepiglottic

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22
Q

what pierces the thyrohyoid membrane

A

internal laryngeal n and superior laryngeal a

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23
Q

where is the cricotracheal ligament

A

attaches cricoid to first tracheal cartilage

24
Q

What are the intrinsic ligaments of the larynx

A
quadrangular ligament
cricovocal ligament (conus elasticus)
25
where is the quadrangular lig and what does it form
anterior to thyroid and epiglottic cartilages posterior to arytenoid cartilages forms vestibular lig-- vestibular fold forms aryepiglottic lig- aryepiglottic fold
26
where is the cricovocal lig and what are the thickened regions
inferior to cricoid cartilage superior to thyroid and arytenoid cartilage thickened at median and lateral cricothyroid ligaments and the vocal ligament
27
Where is the vocal ligament
extends from internal surface of thyroid lamina to vocal process of arytenoid covered with mucosa
28
which cartilage is the most mobile in larynx
arytenoid cartilages
29
What forms the vocal folds
mucosa over vocal lig and vocalis m( innermost thyroarytenoid m)
30
What is function of vocal folds
change tension and lenth to control pitch
31
What is the main role of cvestibular folds
highly vascularized and contains many mucus secreting glands
32
What are the joints of the larynx
cricothyroid joint | circoarytenoid joint
33
where is the cricothyroid joint and describe type and role
articulation between cricoid and inferior horn of thyroid cartilage synovial gliding allows for the change of vocal cord length
34
where is the cricoarytenoid joint and describe type and role
articulation between cricoid cartilage and arytenoid synovial gliding and rotation allows arytenoid cartilages to rotate and glide towards one another
35
What are the primary motions of the laryngeal cartilages
rotation arytenoid to abduct and adduct vocal lig gliding arytenoids to ADduct vocal lig rotating thyroid cartilage of cricothyroid joint to inc/dec tension on vocal lig
36
what is the function of the cricothyroid m
tilts thyroid forward to elongate and tighten vocal lig
37
what is the function of transverse and oblique arytenoids
ADduct arytenoid cartilages and close the laryngeal inlet by approximating arytenoid cartilages
38
What is the function of posterior cricoarytenoid
ABduct vocal folds
39
What is the function of the lateral cricoarytenoid
ADduct vocal folds
40
what is the function of the thyroarytenoid m
rotates thyroid cartilage back to shorten and loosen vocal lig
41
describe the vocalis m
innermost portion of thyroarytenoid m lateral to vocal lig controls vocal lig producing minute adjustments or vocal lig tension and length
42
what inn the laryngeal mm
external branch superior laryngeal-- cricothyroid m | recurrent laryngeal- all others
43
what does the superior laryngeal n splir into
internal external
44
what does the internal laryngeal n inn
GVE-P and GVA from X to proximal true vocal folds | SVA to epiglottic region of tongue
45
what does the external laryngeal n inn
SVE to cricothyroid m
46
what n controls cough reflex
CN X via stimulation in larynx from GVA superior laryngeal n to cause contraction
47
a lesion to the superior laryngeal n will cause what
loss of cough reflex, loss sensation supraglottic region, circothryoid m will be paralyzed which can cause monotonous voice
48
What is the heimlich maneuver meant to do
increase intrathoracic P to dislodge foreign object in larynx
49
what is a superior laryngeal n block used for and where is it inserted
for endotracheal tubing, need halfway between hyoid bone and superior border of the thyroid cartilage
50
What is the inferior laryngeal n
continuation of recurrent laryngeal in the larynx
51
what fibers are carried in infeiror laryngeal n
GVE-P and GVA to distal true vocal folds (infraglottic region) SVE to all mm of larynx except cricothyroid
52
injury to the recurrent laryngeal n can lead to what
function of larynx, unilaterally causes hoarseness, bilateral is aphonia
53
describe arterial supply to larynx
superior laryngeal a cricothyroid a inferior laryngeal a
54
what a does cricothyroid a originate from
superior thyroid a
55
what is the venous drainage of larynx
superior laryngeal v--> internal jugular v | inferior laryngeal v--> left brachiocephalic v
56
Describe lymph drainage of larynx
proximal--> above true vocal folds go to superior deep | distal-->below true vocal folds goes to inferior deep