Professional Documents
Culture Documents
INTERIOR
Larynx superiorly opens to laryngopharynx via laryngeal inlet and inferiorly is
limited at cricoid cartilage which connects laryngeal cavity to tracheal cavity.
Eppiglotis
Hyoid bone
Vestibule / quadrangular membrane
Vestibular fold
Laryngeal ventricle + saccule (glands)
Vocal fold
Infraglottic cavity bw vocal folds and cricoid cartilage
inf border
Conus elasticus
Extrinsic Ligaments
Intrinsic ligaments
Tyrohyoid membrane
2 parts
Median and Lateral
Pierce on lateral part for the passage of
internal branch of superior laryngeal
nerve, superior laryngeal artery and
vein
Hypoeppiglotic ligament
Cricotracheal Ligament
Thyroeppiglotic Ligament
Intrinsic
Cricotyroid
Posterior
Cricoarytenoi
d
External
branch of
laryngeal
nerve
Recurrent
larngeal
nerve
Lateral
Cricoarytenoi
d
Reccurrent
laryngeal
nerve
Arytenoid
(intercartilage
ous part)
Oblique
Transverse
1
Straight
Oblique 2
continues
to form
aryeppiglot
ic muscle.
Reccurent
laryngeal
nerve
Thyroarytenoi
d
Reccurent
laryngeal
nerve
Thyroeppiglot
ic
Reccurent
laryngeal
nerve
Vocalis
(thyroid and
cricoid
cartilages to
arytenoid
Reccurent
laryngeal
nerve
Tenses
vocal
ligaments
Externally
rotates
arytenoid
and
ABDUCS
VOCAL
FOLDS
Rotates
arytenoid
internally
and
1)ADDUCT
S VOCAL
FOLDS
2)
ADDUCTS
VOCAL
FOLDS
Covers
conus
elasticus
externally
and
reduces
tension on
vocal
cords.
3)ADDUCT
S VOCAL
FOLDS
Closes
aperture of
eppiglotis
and forms
spinchter
of larynx
Sorrounds
vocal folds
and adjusts
tension on
cords.
ONLY
ABDUCTOR
OF VOCAL
CORDS
crtilages)
NERVES
Vagus branches
1) Superior laryngeal nerve > 2 branches. External and Internal.
External : cricotyroid muscle (motor)
Internal : general sensory and parasympathetic fibers
2) Inferior (recurrent) laryngeal nerve.
Motor innvervations of all layrngeal muscles except cricotyroid.
General sensory
Parasympathetic fibers
Runs with
superior
laryngeal
nerve
ARTERIES
VEINS
Lymph nodes: upper and lower deep cervical lymph nodes around venous angle
and aortic arch
Quiet resp: the laryngeal inlet, vestibule, rima vestibuli and rima glottidis are
open. Arytenoid cartilages are abducted.
Runs with
Forced respi: vocal folds are abducted and rima glottidis is open. Vastibule is inferior
open.
laryngeal
nerve
Phonation: Vocal folds and arytenoid cartilages are ADDUCTED. Air is forced
through closed rima glottidis.
Effort closure: rima glottidis is completely closed so rima vestibuli and vestibule
are closed.
Swallowing: rima glottidis, the rima vestibuli, and vestibule are closed and the
laryngeal inlet is narrowed. Larynx moves up and forward, pushing eppiglotis
downward and toward arytenoid cartilages to close laryngeal inlet. This
movement opens eosephaus as well.
RELATIONS
ANTERIOR
Skin
Superficial
cervical fascia
Platystma
Pretrecheal
fascia
Anterolateral
Sternocleidomas
toid
Sternohyoid
Sternotyroid
Thyrohyoid
omohyoid
Lateral
Tyroid gland
Carotid sheat
(common
carotid artery,
internal
jugular vein,
vagus nerve)
Superior
Hyoid bone
Posterior
Laryngophary
nx