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Laryngoscope
Laryngoscopy () is endoscopy of the larynx, a part of the throat. It is a medical procedure that is used to obtain a view, for example, of the vocal folds and the glottis. Laryngoscopy may be performed to facilitate tracheal intubation during general anaesthesia or cardiopulmonary resuscitation or for surgical procedures on the larynx or other parts of the upper tracheobronchial tree. Direct laryngoscopy Direct laryngoscopy is carried out (usually) with the patient lying on his or her back; the laryngoscope is inserted into the mouth on the right side and flipped to the left to trap and move the tongue out of the line of sight, and, depending on the type of blade used, inserted either anterior or posterior to the epiglottis and then lifted with an upwards and forward motion ("away from you and towards the roof "). This move makes a view of the glottis possible. This procedure is done in an operation theatre with full preparation for resuscitative measures to deal with respirator ...
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Tracheal Intubation
Tracheal intubation, usually simply referred to as intubation, is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway or to serve as a conduit through which to administer certain drugs. It is frequently performed in critically injured, ill, or anesthetized patients to facilitate ventilation of the lungs, including mechanical ventilation, and to prevent the possibility of asphyxiation or airway obstruction. The most widely used route is orotracheal, in which an endotracheal tube is passed through the mouth and vocal apparatus into the trachea. In a nasotracheal procedure, an endotracheal tube is passed through the nose and vocal apparatus into the trachea. Other methods of intubation involve surgery and include the cricothyrotomy (used almost exclusively in emergency circumstances) and the tracheotomy, used primarily in situations where a prolonged need for airway support is anticipated. Because it is an invasive and uncomfortable me ...
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Vocal Folds
In humans, vocal cords, also known as vocal folds or voice reeds, are folds of throat tissues that are key in creating sounds through vocalization. The size of vocal cords affects the pitch of voice. Open when breathing and vibrating for speech or singing, the folds are controlled via the recurrent laryngeal branch of the vagus nerve. They are composed of twin infoldings of mucous membrane stretched horizontally, from back to front, across the larynx. They vibrate, modulating the flow of air being expelled from the lungs during phonation. The 'true vocal cords' are distinguished from the 'false vocal folds', known as vestibular folds or ''ventricular folds'', which sit slightly superior to the more delicate true folds. These have a minimal role in normal phonation, but can produce deep sonorous tones, screams and growls. The length of the vocal fold at birth is approximately six to eight millimeters and grows to its adult length of eight to sixteen millimeters by adolesc ...
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Larynx
The larynx (), commonly called the voice box, is an organ in the top of the neck involved in breathing, producing sound and protecting the trachea against food aspiration. The opening of larynx into pharynx known as the laryngeal inlet is about 4–5 centimeters in diameter. The larynx houses the vocal cords, and manipulates pitch and volume, which is essential for phonation. It is situated just below where the tract of the pharynx splits into the trachea and the esophagus. The word ʻlarynxʼ (plural ʻlaryngesʼ) comes from the Ancient Greek word ''lárunx'' ʻlarynx, gullet, throat.ʼ Structure The triangle-shaped larynx consists largely of cartilages that are attached to one another, and to surrounding structures, by muscles or by fibrous and elastic tissue components. The larynx is lined by a ciliated columnar epithelium except for the vocal folds. The cavity of the larynx extends from its triangle-shaped inlet, to the epiglottis, and to the circular outlet at the ...
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Morell Mackenzie
Sir Morell Mackenzie (7 July 1837 – 3 February 1892) was a British physician, one of the pioneers of laryngology in the United Kingdom. Biography Morell Mackenzie was born at Leytonstone, Essex, England on 7 July 1837. He was the eldest of nine children of Stephen Mackenzie (1803-1851), a general practitioner and surgeon, and Margaret Frances (died 1877), daughter of wine merchant Adam Harvey, of Lewes, East Sussex. He was educated at Dr Greig's school in Walthamstow and at King's College London. After going through the medical course at the London Hospital and becoming a member to the Royal College of Surgeons in 1858, he studied abroad in Paris, Vienna and Budapest where he learned the use of the newly invented laryngoscope under Johann Czermak. Returning to London in 1862, he worked at the London Hospital and earned his degree in medicine. In 1863 he won the Jacksonian prize at the Royal College of Surgeons for an essay on the ''Pathology and Treatment of Diseases of th ...
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Larynx (top View)
The larynx (), commonly called the voice box, is an organ in the top of the neck involved in breathing, producing sound and protecting the trachea against food aspiration. The opening of larynx into pharynx known as the laryngeal inlet is about 4–5 centimeters in diameter. The larynx houses the vocal cords, and manipulates pitch and volume, which is essential for phonation. It is situated just below where the tract of the pharynx splits into the trachea and the esophagus. The word ʻlarynxʼ (plural ʻlaryngesʼ) comes from the Ancient Greek word ''lárunx'' ʻlarynx, gullet, throat.ʼ Structure The triangle-shaped larynx consists largely of cartilages that are attached to one another, and to surrounding structures, by muscles or by fibrous and elastic tissue components. The larynx is lined by a ciliated columnar epithelium except for the vocal folds. The cavity of the larynx extends from its triangle-shaped inlet, to the epiglottis, and to the circular outlet at the ...
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Frederick III, German Emperor
Frederick III (german: Friedrich Wilhelm Nikolaus Karl; 18 October 1831 – 15 June 1888), or Friedrich III, was German Emperor and King of Prussia for 99 days between March and June 1888, during the Year of the Three Emperors. Known informally as "Fritz",MacDonogh, p. 17. he was the only son of Emperor Wilhelm I and was raised in his family's tradition of military service. Although celebrated as a young man for his leadership and successes during the Second Schleswig, Austro-Prussian and Franco-Prussian wars,Kollander, p. 79.'' The Illustrated London News'' he nevertheless professed a hatred of warfare and was praised by friends and enemies alike for his humane conduct. Following the unification of Germany in 1871 his father, then King of Prussia, became the German Emperor. Upon Wilhelm's death at the age of ninety on 9 March 1888, the thrones passed to Frederick, who had been German Crown Prince for seventeen years and Crown Prince of Prussia for twenty-seven years. F ...
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Glottis
The glottis is the opening between the vocal folds (the rima glottidis). The glottis is crucial in producing vowels and voiced consonants. Etymology From Ancient Greek ''γλωττίς'' (glōttís), derived from ''γλῶττα'' (glôtta), variant of ''γλῶσσα'' (glôssa, "tongue"). Function Phonation As the vocal folds vibrate, the resulting vibration produces a "buzzing" quality to the speech, called voice or voicing or pronunciation. Sound production that involves moving the vocal folds close together is called ''glottal''. English has a voiceless glottal transition spelled "h". This sound is produced by keeping the vocal folds spread somewhat, resulting in non-turbulent airflow through the glottis. In many accents of English the glottal stop (made by pressing the folds together) is used as a variant allophone of the phoneme (and in some dialects, occasionally of and ); in some languages, this sound is a phoneme of its own. Skilled players of the Australian d ...
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Hypopharynx
The pharynx (plural: pharynges) is the part of the throat behind the mouth and nasal cavity, and above the oesophagus and trachea (the tubes going down to the stomach and the lungs). It is found in vertebrates and invertebrates, though its structure varies across species. The pharynx carries food and air to the esophagus and larynx respectively. The flap of cartilage called the epiglottis stops food from entering the larynx. In humans, the pharynx is part of the digestive system and the conducting zone of the respiratory system. (The conducting zone—which also includes the nostrils of the nose, the larynx, trachea, bronchi, and bronchioles—filters, warms and moistens air and conducts it into the lungs). The human pharynx is conventionally divided into three sections: the nasopharynx, oropharynx, and laryngopharynx. It is also important in vocalization. In humans, two sets of pharyngeal muscles form the pharynx and determine the shape of its lumen. They are arranged as an in ...
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Philipp Bozzini
Philipp Bozzini (May 25, 1773 – April 4, 1809) was born in Mainz, Germany. On June 12, 1797 he was awarded the degree of doctor of medicine. From 1804 onwards, Bozzini devoted himself virtually completely to develop his instrument, Lichtleiter or "Light Conductor", a primitive endoscope to allow for inspecting the ear, urethra, rectum, female bladder, cervix, mouth, nasal cavity, or wounds. Philipp Bozzini, using the modest means available at the beginning of the 19th century, was able to show to the medical profession the way to endoscopy. With his instrument and ideas, he was three quarters of a century ahead of the technical and scientific possibilities of his time. Historians agree that this instrument using artificial light and various mirrors and specula was the beginning of a large family of endoscopes. Early life Philipp Bozzini was born on May 25, 1773 in Mainz, Germany. His father, Nicolaus Maria Bozzini de Bozza, came from a well-to-do Italian family that had to escape ...
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Mouth Mirror
A mouth mirror or dentist's mirror is an instrument used in dentistry. The head of the mirror is usually round, and the most common sizes used are No. 4 (⌀ 18  mm) and No. 5 (⌀ 20  mm). A No. 2 is sometimes used when a smaller mirror is needed, such as when working on back teeth with a dental dam in place. The mouth mirror has a wide range of uses. Three of its most important functions are allowing indirect vision by the dentist, reflecting light onto desired surfaces, and retraction of soft tissues. There exist 2 different norms of the thread that are not compatible with each other. The US norm has a taper thread and is mostly used in the United States, Canada, Spain, and South Korea.Mouth mirror thre ...
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Oropharynx
The pharynx (plural: pharynges) is the part of the throat behind the mouth and nasal cavity, and above the oesophagus and trachea (the tubes going down to the stomach and the lungs). It is found in vertebrates and invertebrates, though its structure varies across species. The pharynx carries food and air to the esophagus and larynx respectively. The flap of cartilage called the epiglottis stops food from entering the larynx. In humans, the pharynx is part of the digestive system and the conducting zone of the respiratory system. (The conducting zone—which also includes the nostrils of the nose, the larynx, trachea, bronchi, and bronchioles—filters, warms and moistens air and conducts it into the lungs). The human pharynx is conventionally divided into three sections: the nasopharynx, oropharynx, and laryngopharynx. It is also important in vocalization. In humans, two sets of pharyngeal muscles form the pharynx and determine the shape of its lumen. They are arranged as ...
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Light Source
Light or visible light is electromagnetic radiation that can be perceived by the human eye. Visible light is usually defined as having wavelengths in the range of 400–700 nanometres (nm), corresponding to frequencies of 750–420 terahertz, between the infrared (with longer wavelengths) and the ultraviolet (with shorter wavelengths). In physics, the term "light" may refer more broadly to electromagnetic radiation of any wavelength, whether visible or not. In this sense, gamma rays, X-rays, microwaves and radio waves are also light. The primary properties of light are intensity, propagation direction, frequency or wavelength spectrum and polarization. Its speed in a vacuum, 299 792 458 metres a second (m/s), is one of the fundamental constants of nature. Like all types of electromagnetic radiation, visible light propagates by massless elementary particles called photons that represents the quanta of electromagnetic field, and can be analyzed as both waves and partic ...
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