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93 Cards in this Set

  • Front
  • Back
List the cartilages that form the larynx.
1. Thyroid
2. Cricoid
3. Epiglottic
4. Arytenoid
5. Corniculate
6. Cuneiform
List the cartilages which form part of the larynx, that are not paired.
1. Thyroid
2. Cricoid
3. Epiglottic
List the cartilages which form part of the larynx, that are paired.
1. Arytenoid
2. Corniculate
3. Cuneiform
Which part of the thyroid forms the 'Adam's apple' ?
The laryngeal prominence.
What is the ring shaped cartilage called that encircles the larynx ?
The cricoid.
What is the ladle shaped, paired cartilage called found inside the larynx ?
The arytenoid.
What is the horn shaped, paired cartilage called found inside the larynx ?
The corniculate.
What is the wedge shaped, paired cartilage called found inside the larynx ?
The cuneiform.
With which cartilage does the arytenoid cartilage articulate ?
With the superior border of enlarged portion of circoid cartilage.
Which cartilages of the larynx are involved in opening and closing the glottis and production of sound ?
The arytenoid and corniculate cartilages.
With which cartilage does the corniculate cartilages articulate ?
The arytenoid cartilages.
What is the unpaired, leaf shaped cartilage called which forms part of the larynx ?
The epiglottis.
True or false: Extrinsic ligaments bind all 9 cartilages together to form larynx.
False. Intrinsic ligaments bind all 9 cartilages together to form larynx.
How many cartilages form the larynx ?
Nine cartilages, 3 unpaired and 3 paired.
Opposite which vertebra does the superior end of the thyroid cartilage lie ?
C4.
What is the V-shape invagination on top of the thyroid called ?
Superior thyroid notch.
Which membrane/extrinsic ligament attaches the thyroid to the hyoid bone ?
The thyrohyoid membrane.
Which part of the thyroid articulates with the cricoid cartilage ?
The inferior horn of the thyroid cartilage.
Which membrane/intrinsic ligament attaches the cricoid to the thyroid cartilage ?
The median cricothyroid ligament.
Which extrinsic ligament attaches the cricoid to the trachea ?
The cricotracheal ligament.
Which cartilage articulates at its apex with the corniculate cartilages ?
The arytenoid cartilages.
What is the intrinsic ligament called that stretches laterally from the vocal ligament to the cricoid cartilage ?
The lateral cricothyroid ligaments.
What is the rima glottidis ?
It is the opening between the vocal folds, inside the larynx.
What is the intrinsic ligament called that attaches the epiglottis to the thyroid cartilage ?
The thyro-epiglottic ligament.
What is the ligament called that attaches the epiglottis to the hyoid bone ?
The hyo-epiglottic ligament.
What is the film of connective tissue extending from the lateral aspects of the arytenoid and the epiglottic cartilages called ?
The quadrangular membrane.
What does the inferior margin of the quadrangular membrane form part of ?
The vestibular ligament, which forms part of the vestibular fold.
What does the superior margin of the quadrangular membrane form part of ?
The ary-epiglottic ligament, which forms part of the ary-epiglottic fold.
Which structure inside the larynx is responsible for sound production ?
The vocal folds.
What are the lateral recesses called between the vocal and vestibular folds called ?
The laryngeal ventricles.
List the intrinsic muscles of the larynx.
1. Cricothyroid
2. Thyro-arytenoid
3. Posterior crico-arytenoid
4. Lateral crico-arytenoid
5. Transverse and oblique arytenoids
6. Vocalis
What is the origin and insertion of the circothyroid muscle ?
Origin:
Anterolateral part of the cricoid cartilage.

Insertion:
Inferior margin and inferior horn of the thyroid cartilage.
What is the origin and insertion of the Thyro-arytenoid muscle ?
Origin:
Lower half of posterior aspect of angle of thyroid laminae and cricothyroid ligament.

Insertion:
Anterolateral arytenoid surface.
What is the origin and insertion of the posterior crico-arytenoid muscle ?
Origin:
Posterior surface of lamina of cricoid cartilage.

Insertion:
Vocal process of arytenoid cartilage.
What is the origin and insertion of the lateral crico-arytenoid muscle ?
Origin:
Arch of the cricoid cartilage.

Insertion:
Vocal process of arytenoid cartilage.
What is the origin and insertion of the transverse and oblique arytenoid muscles ?
Origin:
One arytenoid cartilage.

Insertion:
Contralateral arytenoid cartilage.
What is the origin and insertion of the vocalis muscle ?
Origin:
Lateral surface of the vocal process of arytenoid cartilage.

Insertion:
Ipsilateral vocal ligament.
Which nerves innervate most intrinsic laryngeal muscles ?
The inferior laryngeal nerve.
Which nerve innervates the cricothyroid muscle ?
The external laryngeal nerve.
What is the main action of the cricothyroid muscle ?
Stretches and tenses vocal ligament.
What is the main action of the thyro-arytenoid muscle ?
Relaxes the vocal ligament.
What is the main action of the posterior crico-arytenoid muscle ?
Abducts vocal folds.
What is the main action of the lateral crico-arytenoid muscle ?
Adducts vocal folds.
What is the main action of the transverse and oblique arytenoid muscles ?
Adduct arytenoid cartilages.
What is the main action of the vocalis muscle ?
Relaxes the posterior vocal ligament while maintaining tension in the anterior part.
Which two nerves can be classified as the main nerves supplying the larynx ?
The superior and inferior laryngeal nerve.
What are the branches of the superior laryngeal nerve ? Indicate which nerves are responsible for sensory, autonomic and motor control.
Internal - Sensory and autonomic.

External - Motoric.
Of which nerve is the inferior laryngeal nerve a continuation ?
The recurrent laryngeal nerve.
True or false: The inferior laryngeal nerve has only a motoric function.
False. It has largely a motoric function but also provides sensory fibers to the infraglottic mucosa.
Of which major arteries do the primary laryngeal arteries branch from ?
The superior and inferior thyroid artery.
From which artery does the cricothyroid artery branch from ?
The superior laryngeal artery.
Which two blood vessels are responsible for the arterial supply of the larynx ?
The superior and inferior laryngeal arteries.
Into which veins do the two major veins of the larynx drain into ?
The superior laryngeal vein:
The internal jugular vein.

The inferior laryngeal vein:
Inferior thyroid vein or the venous plexus anterior to the trachea.
Into which lymph nodes do the lymphatic vessels of the larynx drain into ?
Superior to the vocal folds:
Superior deep cervical lymph nodes.

Inferior to the vocal folds:
Inferior deep cervical lymph nodes.
List the cartilages that form part of the external nose.
1. Two lateral cartilages
2. Two alar cartilages
3. Septal cartilage
Which bones primarily form part of the nasal septum ?
1. Perpendicular plate of the ethmoid bone
2. Vomer
3. Septal cartilage
What are the structures on the lateral walls of the nasal cavity called that curve inferomedially ?
Nasal chonchae.
List the structures that open into each of the chonchae or the meatuses.
Superior chonchae:
1. Ethmodial sinus
2. Sphenoidal sinus

Middle chonchae:
1. Frontal sinus
2. Maxillary sinus
3. Ethmoidal sinus

Inferior chonchae:
1. Nasolacrimal duct
Which bones form part of the roof of the nasal cavity ?
1. Frontal and nasal
2. Cribriform plate of ethmoidal bone
3. Hollow body of the sphenoidal bone
Which bones form part of the floor of the nasal cavity ?
1. Palatine process of maxilla
2. Horizontal plate of palatine bone
Which structure forms the medial wall of the nasal cavity ?
The nasal septum.
List the arteries, and their origin, which supply the medial and lateral walls of the nasal cavities.
1. Anterior ethmoidal artery - From opthalmic artery
2. Posterior ethmoidal artery - From opthalmic artery
3. Sphenopalatine artery - From maxillary artery
4. Greater palatine artery - From maxillary artery
5. Septal branch of the superior labial artery - From facial artery
What is the anastomotic arterial plexus called at the anterior part of the nasal septum ?
Kiesselbach's area.
List the paranasal sinuses.
1. Maxillary sinus
2. Frontal sinus
3. Ethmodial sinuses
4. Sphenoidal sinus
What are the main functions of the paranasal sinuses ?
1. Production of mucous
2. Act as a cushion during cranial trauma
3. Improve the resonance of our voice
4. Lighten the weight of our head
Into which part of the nasal cavity does the sphenoidal sinus drain into ?
They open into the spheno-ethmoidal recess.
Into which part of the nasal cavity does the frontal sinus drain into ?
They drain through the frontonasal duct into the ethmoidal infundibulum, which opens into the semilunar hiatus.
Into which part of the nasal cavity does the maxillary sinus drain into ?
They drain by the maxillary ostium into the middle meatus by way of the semilunar hiatus.
Into which part of the nasal cavity do the different ethmoidal cells drain into (anterior, middle and posterior) ?
Anterior:
Drain into middle meatus through the ethmoidal infundibulum.

Middle:
Opein into the middle meatus.

Posterior:
Open into the superior meatus.
Which arteries and nerves supply the sphenoidal sinus ?
The posterior ethmoidal arteries and nerves.
Which nerves supply the frontal sinuses ?
Branches of the supra-orbital nerves.
Which nerves supply the maxillary sinuses ?
Anterior, middle and posterior superior alveolar nerves, which are branches of the maxillary nerve.
Which arteries supply the maxillary sinuses ?
Superior branches of maxillary artery, but the floor is supplied by branches of the descending and greater palatine arteries.
Which nerves supply the ethmoidal sinuses ?
The anterior and posterior ethmoidal branches of the nasocilliary nerves.
List the three parts into which the pharynx can be divided.
Nasopharynx - Posterior to nose to the and superior to the soft palate.

Oropharynx - Posterior to the mouth.

Laryngopharynx - Posterior to the larynx.
What are the openings of the nasal cavity into the pharynx called ?
The choanae.
What is the lymphoid tissue called at the roof of the posterior wall of the nasopharynx ?
The pharyngeal tonsils.
What is the fold called extending inferiorly from the medial end of the pharyngotympanic tube ?
The alpingopharyngeal folds.
What is the lymphoid tissue called at the opening of the pharyngotympanic tube ?
Tubal tonsils.
What are the slit like lateral processes called which extend laterally and posteriorly in the nasopharynx ?
Pharyngeal recesses.
Which structures is the oropharynx bound by ?
Superiorly by the soft palate and inferiorly by the superior border of the epiglottis.
What is the lymphoid tissue called that can be found in the palatine arches in the oropharynx ?
Palatine tonsils.
What is the lymphoid tissue called at the posterior third of the tongue ?
The lingual tonsils.
Which vertebra is related to the laryngopharynx, posteriorly ?
C4 - C6 vertebra.
What are the recesses called found on either side of the laryngeal inlet ?
Piriform fossa.
What is the uninterrupted circle of lymphoid tissue called in the upper respiratory and alimentary tracts ?
Waldeyer's ring.
List the external layer of circular muscles found in the larynx.
1. Superior
2. Middle
3. Inferior
List the internal layer of longitudinal muscles found in the larynx.
1. Palatopharyngeus
2. Stylopharyngeus
3. Salpingopharyngeus
What is the main action of the external layer of pharyngeal muscles ?
They constrict the walls of the pharynx during swallowing.
What is the main action of the internal layer of the pharyngeal muscles ?
They elevate the pharynx and larynx during swallowing and speaking.
There are 4 gaps in the musculature of the pharyngeal muscles. Describe the position of the gap and list the structures that pass through.
1. Superior to the superior pharyngeal constrictor and craniumr - the levator veli palatini, pharygotympanic tube and the ascending palatine artery

2. Superior and middle pharyngeal constrictors - Stylopharyngeus, glossopharyngeal nerve and stylohyoid ligament.

3. Middle and inferior pharyngeal constrictor - Internal laryngeal nerve and superior laryngeal blood vessels.

4. Inferior to the inferior pharyngeal constrictor - Recurrent laryngeal nerve and inferior laryngeal artery.
Which major blood vessels supplies arterial blood to the palatine tonsils ?
The tonsillar artery, which is a branch from the facial artery.
Which nerve provides sensory innervation to the pharynx ?
Glossopharyngeal nerve.