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45 Cards in this Set

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Define phonation
The production of sound
Define larynx & location
the organ of phonation; made of hyaline & elastic cartilage; does not produce the sound you hear; located in the midline of the neck
Define the vocal folds
the part of the larynx that vibrates to produce the sound of your voice; made of muscle covered by mucous membrane
Define the vocal or glottic tone
the sound produced by vibrating vocal folds (different than what you hear), and is changed by the vocal tract above
Define the vocal tract
the resonating chamber that changes our voice to make it unique (enhances & dampens frequencies); includes the nasal cavity, oral cavity, pharynx, larynx
Define the hyoid bone and it's location
the only bone in the body without a direct connection to any other bone; the larynx is suspended from this bone; located between the base of the tongue and the larynx
What bone gets crushed when strangled?
hyoid bone
What is the function of the larynx?
Primary: airway protection/ biological
Secondary: communication; it produces sound through the vocal folds
Describe the vocal folds during:
-deep breathing
-quiet breathing
-voicing
-lifting
deep breathing- maximally opened
quiet breathing- open, slightly closed, open, slightly closed
voicing- vibrating
lifting- completely closed
Describe one cycle of vocal fold vibration
closed- opening- open- closing
Define abducted vs. adducted
abducted- the vocal folds are open
adducted- the vocal folds are closed
Define subglottic pressure
the air pressure beneath closed vocal folds, ie. when you breath in before you speak
Hyoid Bone:
-location
-uniqueness
-attachments
location: base of the tongue
uniqueness: only bone not attached to another bone
attachments: attaches to the skull above, and the larynx below
Click here and label the parts of
the hyoid bone: http://bioweb.uwlax.edu/APLab/Table_of_Contents/Lab_03/Hyoid_Bone/Unit_03-14a.jpg
1- Greater horns (cornu, projected posteriorly)
2- Lesser horns (cornu, projected superiorly)
3- Body (anterior)
Name the hyoid "sling muscles"/ suprahyoid musculature and their origin, insertion, and action
1. Styolohyoid
origin: styloid process/ insertion: hyoid/ action: elevates hyoid

2. Digastric (ant. & post. bellies)
origin: post.-mastoid process, ant.-mandible/ insertion: (both) hyoid/ action: elevate hyoid

3. Geniohyoid
origin: mandible/ insertion: hyoid/ action: hyoid elevation

4. Mylohyoid (the floor of your mouth
origin: mandible/ insertion: hyoid/ action: elevates hyoid bone and floor of mouth
Name the hyoid "strap muscles"/ infrahyoid musculature and their origin, insertion, and action
1. Thyrohyoid
origin: thyroid cartilage/ insertion: hyoid/ action: depresses hyoid, unless fixed

2. Sternohyoid
origin: sternum/ insertion: hyoid/ action: depresses the hyoid & larynx

3. Sternothyoid
origin: sternum/ insertion: thyroid cartilage/ action: depresses the larynx & hyoid

4. Omohyoid
origin: scapula/ insertion: hyoid/ action: depresses hyoid
What is the purpose of the sling muscles?
they are extrinsic muscles of the larynx, and they move the larynx as a whole; they elevate the hyoid bone and elevate the larynx; also pull larynx upward during swallowing and for pitch change
What is the purpose of the strap muscles?
they pull the hyoid bone & larynx downward (except the thyrohyoid muscle, which pulls larynx upward when the hyoid bone is fixed)
Name & describe the 3 unpaired cartilages of the larynx
1. Thyroid- hyaline; 2 lamina connected by a notch & 4 cornu (sup. & inf) and an angle (80 deg male, 90 deg. female)-Adam's apple; function is attachment for muscles & membranes of larynx

2. Cricoid- hyaline; like big signet ring around trachea; thin anterior arch, posterior lamina where arytenoids rest; function: foundation for other structures, hangs on to trachea through cricotracheal ligament/membrane

3. Epiglottis- elastic; looks like a leaf; superior to all other cartilages; purpose: airway protection when swallow; petiolus is where attaches to thyroid anteriorly
Name & describe the 3 paired cartilages of the larynx
1. Arytenoids-hyaline, sit on top of the superior lamina of the cricoid cartilages, the corniculates sit on the apex, 3-sided pyramidal shaped, the vocal folds attach at the vocal process & intrinsic muscles of larynx attach at the muscular process, function: abduct & adduct the vocal folds

2. Corniculates- on top of arytenoids, elastic, named after the Latin word for horns, no function

3. Cuneiform- elastic, within the aryepiglottic folds & can only see tubercules, function: support aryepiglottic folds
Name & describe the 2 laryngeal joints
1. Cricoarytenoid joint (CA)- abduction & adduction of the vocal folds

2. Crocothyroid joint(CT)- pitch change by elongating & stretching the vocal folds
Describe the mucous membrane of the larynx
a mucous membrane that lines the vocal tract; made of epithelium (squamous cell), most common type of cancer is squamous cell carcinoma, cancer in the vocal tract
T/F: All joints in the larynx are diarthrodial, freely mobile
True
Name 2 other extrinsic muscles of the tongue that elevate the larynx & hyoid bone
Hyoglossus, genioglossus- both insert on hyoid bone
List & describe the Extrinsic laryngeal membranes & ligaments
1. Thyrohyoid/ hyothyroid membrane- hyoid bone to thyroid

2. medial hyothyroid ligaments & paired lateral hyothyroid ligaments- a thickening of the thyrohyoid membrane

3. Triticial Cartilage- attaches the greater horn of the hyoid to the sup. horn of the thyroid

4. Hyoepiglottic ligament- attaches hyoid bone to epiglottis

5. Cricotracheal ligament- attaches 1st trach. ring to cricoid cartilage
What is the purpose of the Extrinsic Laryngeal membranes & ligaments?
to support the larynx; seperates larynx form other surrounding structures
What is the purpose of the Intrinsic Laryngeal membranes & ligaments?
prevent the spread of infection into the larynx; provides the greatest protection
List & describe the Intrinsic Laryngeal membranes & ligaments
1. Conus Elasticus- a thick membrane that lines & seperates the glottic & subglottic larynx from other structures: encompasses thyroid, arytenoid, cricoid

2. Quadrangular membrane (superior)- encompasses the supraglottic larynx; encompasses: part of thyroid & arytenoids, corniculate, epiglottis
What nerve is responsible for sensation & motion of the larynx?
Vagus nerve, Cranial nerve #10 of the PNS
From superior to inferior, list the 3 types of folds in the larynx & describe them
1. Aryepiglottic folds- from epiglottis to arytenoid; very mobile, laterally

2. False vocal folds/ ventricular folds- don't always vibrate, but do come together when lift heavy objects; above & lateral to true vocal folds

3. True vocal folds- thyroarytenoid muscle
List the 3 compartments within the 5 layers of the vocal folds, which allow the folds to vibrate
1. The Cover:
-epithelium- squamous, most typical type of cancer, outermost layer
-superficial layer of Lamina Propria (Reinke's space)- most vibratory layer

2. Transition (Vocal Ligament):
-Intermediate Layer of Lamina Propria
-Deep Layer of Lamina Propria

3. Body:
-thyroarytenoid muscle (vocalis & thyromuscularis)
List the 4 types of Laryngeal Investigation & their benefits
1. Endoscopy- viewing internal structures through an instrument using a continuous halogen or xenon light. 2 types of scopes- Flexible Laryngoscope to look at swallowing, speech, nasality & Rigid Laryngoscope- through the mouth, best picture of the larynx, but can't use for swallowing, speech, resonance

2. Stroboscopy- uses a strobe light intermittently, to view vocal fold vibration; important for diagnosis

3. High-speed imaging- shows every single detail (2000 frames/sec), not missing any info, but don't know the diagnostic advantage yet

4. Radiography- examining larynx under an x-ray, best for examining swallowing, can see cartilage & bone
What is vocal fold approximation
the vocal folds have to come together
What is medial compression?
when the folds push up against each other
What is the Bernoulli Effect?
responsible for the vocal folds vibrating- the closing & closed phase of vibration, and that they change pressures as they close
Describe the vocal folds during "breathy", during "glottal attack, glottal shock":
breathy- vocal folds partially open

glottal attack/shock- hitting vowels very hard
What is the vocal fold vibration rate (habitual pitch) of a male vs. female
Male= 120 hz
Female= 220 hz
What is periodicity and symmetry?
Periodicity- folds vibrating in a regular manner, the more regular the voice

Symmetry- R & L vibrating as a mirror image
What is the pitch changing mechanism?
The criothyroid muscle & the cricothyroid joint, but the thyroarytenoid muscle can also when it tenses
What is the maximum frequency range of pitch for an average person vs. trained singer?
average- 2 octaves
trained singer- 3 octaves
What do you call the highest male pitch? Highest female pitch?
male- falsetto or loft
female- whistle
What do you call the lowest pitch a man or a woman can produce?
glottal fry or pulse
What are the 2 types of nasality?
1. Hyponasality- not much air through the nose

2. Hypernasality- too much air through the nose
What is the location of the infant larynx?
C1-C3, very high! Purpose: so can breathe when suckling, protection.
What happens to men & women when larynx ossifies & begins to atrophy?
Women- down in pitch, due to lack of estrogen from menopause

Men- up in pitch, folds get thin & cartilages less flexible