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larynx
• A cartilaginous structure present in front of
C3-C6
• About 5cm in long in adults
• Shorter and higher in women and children
• Moves on deglutition(*)
• Primary function is sphincteric in nature
• Organ of phonation
• The typical male voice develops only at
puberty
Skeleton of larynx
• Thyroid cartilage,cricoid
cartilage and epiglottis
(unpaired cartilages)
•Arytenoids,corniculates and
cuneiforms(paired)
Thyroid cartilage
• 900 in males
• 1200 in females
Cricoid cartilage
P
Muscles of inlet
• oblique arytenoids,
transverse arytenoid
and aryepiglottic
muscles
• close the inlet during
swallowing
Bending of epiglottis
(during deglutition)
Tensor of the vocal cord
• Cricothyroid muscle is the
“tensor of the vocal cord”
• The only intrinsic muscle
placed externally
• Tilts “the thyroid cartilage
forwards” and the
arytenoids backwards”
• so that vocal cords
become longer
Cricothyroid in action
Muscles of the vocal cords
• Posterior crico
arytenoid(5 in the pic)
is
• The ONLY
ABDUCTOR of the
vocal cords and
keeps the airway
open
• (life saving muscle!!)
The abductor in action
Superior view
Muscles closing the glottis
(adductors)
During speech(adducted)
During breathing(abducted)
stemband[1].avi
Apex should be anterior
Office view
Operating view
Blood supply and nerve supply
of larynx
• true Vocal cords are reference points
• Up to the cords supplied by superior
laryngeal artery(br.of superior thyroid)
• Below the cords supplied by inferior
laryngeal artery
•Up to the cords sensory nerve is
• internal laryngeal nerve(of X) (1in fig)
•Below the cords, sensory nerve is
• the Recurrent laryngeal nerve(of X)(3in fig)
1
2
3
laryngoscopy
A
P
Vocal cord paralysis
cu
cor
Mucosa removed
From behind(mucosa intact)
Trachea
Trachea
• Wide,fibrocartilaginous
tube beginning at C6
• Lies anterior to
esophagus and in the
superior mediastinum
inclines to the right side.
• and ends by dividing
into right and left
principal bronchi at the
level of sternal angle.
Tracheal rings(15-20)
carina
The carina is the upwardly directed ridge
seen internally at the bifurcation
and is a landmark during bronchoscopy
relations
Right bronchus is directly in line with trachea
Bronchial tree
Applied anatomy
• tracheostomy
• Tracheo bronchial lymph nodes and
carina
• (lung’s lymphatic drainage)
1.Can you see the tracheal shadow and principal bronchi?
2.Male or female?
http://anatomy.med.umich.edu/surface/cardinal/cardinal.html