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Piriform Recess
On either side of the laryngeal orifice in humans is a recess, termed the pyriform sinus (also piriform recess, piriform sinus, piriform fossa, or smuggler's fossa), which is bounded medially by the aryepiglottic fold, laterally by the thyroid cartilage and thyrohyoid membrane. The fossae are involved in speech. The term "pyriform," which means "pear-shaped," is also sometimes spelled "piriform". Deep to the mucous membrane of the pyriform fossa lie the recurrent laryngeal nerve as well as the internal laryngeal nerve, a branch of the superior laryngeal nerve. The internal laryngeal nerve supplies sensation to the area, and it may become damaged if the mucous membrane is inadvertently punctured. Found in laryngopharynx easily The pyriform sinus is a subsite of the hypopharynx. This distinction is important for head and neck cancer staging and treatment.AJCC Cancer Staging Handbook: From the AJCC Cancer Staging Manual, Sixth Edition. Ed. Frederick L. Greene, M.D. page 48. The term ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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 ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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 ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Aryepiglottic Fold
The aryepiglottic folds are triangular folds of mucous membrane of the larynx. They enclose ligamentous and muscular fibres. They extend from the lateral borders of the epiglottis to the arytenoid cartilages, hence the name 'aryepiglottic'. They contain the aryepiglottic muscles and form the upper borders of the quadrangular membrane. They have a role in growling as a form of phonation. They may be narrowed and cause stridor, or be shortened and cause laryngomalacia. Structure The aryepiglottic folds are triangular. They are narrow in front, wide behind, and slope obliquely downward and backward. They originate from the lateral borders of the epiglottis. They insert into the arytenoid cartilages. In front, they are bounded by the epiglottis. Behind, they are bounded by the apices of the arytenoid cartilages, the corniculate cartilages, and the interarytenoid notch. Within the posterior part of each aryepiglottic fold exists a cuneiform cartilage which forms whitish promine ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Thyroid Cartilage
The thyroid cartilage is the largest of the nine cartilages that make up the ''laryngeal skeleton'', the cartilage structure in and around the trachea that contains the larynx. It does not completely encircle the larynx (only the cricoid cartilage encircles it). Structure The thyroid cartilage is a hyaline cartilage structure that sits in front of the larynx and above the thyroid gland. The cartilage is composed of two halves, which meet in the middle at a peak called the laryngeal prominence, also called the Adam's apple. In the midline above the prominence is the superior thyroid notch. A counterpart notch at the bottom of the cartilage is called the inferior thyroid notch. The two halves of the cartilage that make out the outer surfaces extend obliquely to cover the sides of the trachea. The posterior edge of each half articulates with the cricoid cartilage inferiorly at a joint called the cricothyroid joint. The most posterior part of the cartilage also has two projection ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Thyrohyoid Membrane
The thyrohyoid membrane (or hyothyroid membrane) is a broad, fibro-elastic sheet of the larynx. It connects the upper border of the thyroid cartilage to the hyoid bone. Structure The thyrohyoid membrane is attached below to the upper border of the thyroid cartilage and to the front of its superior cornu, and above to the upper margin of the posterior surface of the body and greater cornu of the hyoid bone. It passes behind the posterior surface of the body of the hyoid. It is separated from the hyoid bone by a mucous bursa, which allows for the upward movement of the larynx during swallowing. Its middle thicker part is termed the median thyrohyoid ligament. Its lateral thinner portions are pierced by the superior laryngeal vessels and the internal branch of the superior laryngeal nerve. Its anterior surface is in relation with the thyrohyoid muscle, sternohyoid muscle, and omohyoid muscles, and with the body of the hyoid bone. It is pierced by the superior laryngeal nerve. It is ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Recurrent Laryngeal Nerve
The recurrent laryngeal nerve (RLN) is a branch of the vagus nerve (cranial nerve X) that supplies all the intrinsic muscles of the larynx, with the exception of the cricothyroid muscles. There are two recurrent laryngeal nerves, right and left. The right and left nerves are not symmetrical, with the left nerve looping under the aortic arch, and the right nerve looping under the right subclavian artery then traveling upwards. They both travel alongside the trachea. Additionally, the nerves are among the few nerves that follow a ''recurrent'' course, moving in the opposite direction to the nerve they branch from, a fact from which they gain their name. The recurrent laryngeal nerves supply sensation to the larynx below the vocal cords, give cardiac branches to the deep cardiac plexus, and branch to the trachea, esophagus and the inferior constrictor muscles. The posterior cricoarytenoid muscles, the only muscles that can open the vocal folds, are innervated by this nerve. Th ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Internal Laryngeal Nerve
The superior laryngeal nerve is a branch of the vagus nerve. It arises from the middle of the inferior ganglion of vagus nerve and in its course receives a branch from the superior cervical ganglion of the sympathetic nervous system. The superior laryngeal nerve consists of two branches: the internal laryngeal nerve (sensory), which supplies sensory fibers to the laryngeal mucosa, and the external laryngeal nerve (motor), which innervates the cricothyroid muscle. The superior laryngeal nerve innervates the two cricothyroid muscles. The recurrent laryngeal nerve gets its name from the fact that it loops below the aorta on its way to the intrinsic muscles of the larynx. The left recurrent laryngeal nerve passes under and around the aorta on its way to the larynx, whereas the right recurrent laryngeal nerve passes under and around the subclavian artery. Because the aorta is inferior to the subclavian artery, the left recurrent laryngeal nerve is a bit longer than the right recurren ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Superior Laryngeal Nerve
The superior laryngeal nerve is a branch of the vagus nerve. It arises from the middle of the inferior ganglion of vagus nerve and in its course receives a branch from the superior cervical ganglion of the sympathetic nervous system. The superior laryngeal nerve consists of two branches: the internal laryngeal nerve (sensory), which supplies sensory fibers to the laryngeal mucosa, and the external laryngeal nerve (motor), which innervates the cricothyroid muscle. The superior laryngeal nerve innervates the two cricothyroid muscles. The recurrent laryngeal nerve gets its name from the fact that it loops below the aorta on its way to the intrinsic muscles of the larynx. The left recurrent laryngeal nerve passes under and around the aorta on its way to the larynx, whereas the right recurrent laryngeal nerve passes under and around the subclavian artery. Because the aorta is inferior to the subclavian artery, the left recurrent laryngeal nerve is a bit longer than the right recurre ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Cancer Staging
Cancer staging is the process of determining the extent to which a cancer has developed by growing and spreading. Contemporary practice is to assign a number from I to IV to a cancer, with I being an isolated cancer and IV being a cancer that has spread to the limit of what the assessment measures. The stage generally takes into account the size of a tumor, whether it has invaded adjacent organs, how many regional (nearby) lymph nodes it has spread to (if any), and whether it has appeared in more distant locations (metastasized). The staging system is not applicable to astrocytoma, which is instead expressed as "grade I–IV". Grade IV astrocytoma, more commonly referred to as glioblastoma multiforme, is a universally fatal primary brain cancer most commonly seen in the seventh decade of life. TNM staging system Cancer staging can be divided into a clinical stage and a pathologic stage. In the TNM (Tumor, Node, Metastasis) system, clinical stage and pathologic stage are deno ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Fish Bone
Fish bone is any bone of a fish. Fish bone also includes the bony, delicate parts of the skeleton of bony fish, such as ribs and fin rays, but especially the ossification of connective tissue lying transversely inclined backwards to the ribs between the muscle segments and having no contact with the spine. Not all fish have fish bones in this sense; for instance, eels and anglerfish do not. There are several series of fish bones: Epineuralia, Epicentralia, Epipleuralia and Myorhabdoi. Fish bones support the core muscles without inhibiting their motility. In cuisine, fish bones are usually removed and not eaten. Because of their slim, tapered shape they may get caught in the esophagus and cause pain and will have to be removed by a doctor. Fish bones have been used to bioremediate lead from contaminated soil. See also * Fish meal Fish meal is a commercial product made from whole wild-caught fish, bycatch and fish by-products to feed farm animals, e.g., pigs, poultry, and fa ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Pharyngeal Pouch (embryology)
In the embryonic development of vertebrates, pharyngeal pouches form on the endodermal side between the pharyngeal arches. The pharyngeal grooves (or clefts) form the lateral ectodermal surface of the neck region to separate the arches. The pouches line up with the clefts, and these thin segments become gills in fish. Specific pouches First pouch The endoderm lines the future auditory tube (Pharyngotympanic Eustachian tube), middle ear, mastoid antrum, and inner layer of the tympanic membrane. Derivatives of this pouch are supplied by Mandibular nerve. Second pouch * Contributes the middle ear, palatine tonsils, supplied by the facial nerve. Third pouch * The third pouch possesses Dorsal and Ventral wings. Derivatives of the dorsal wings include the inferior parathyroid glands, while the ventral wings fuse to form the cytoreticular cells of the thymus. The main nerve supply to the derivatives of this pouch is Cranial Nerve IX, glossopharyngeal nerve. Fourth pouch Derivatives ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Sinus Tract
A fistula (plural: fistulas or fistulae ; from Latin ''fistula'', "tube, pipe") in anatomy is an abnormal connection between two hollow spaces (technically, two epithelialized surfaces), such as blood vessels, intestines, or other hollow organs. Types of fistula can be described by their location. Anal fistulas connect between the anal canal and the perianal skin. Anovaginal or rectovaginal fistulas occur when a hole develops between the anus or rectum and the vagina. Colovaginal fistulas occur between the colon and the vagina. Urinary tract fistulas are abnormal openings within the urinary tract or an abnormal connection between the urinary tract and another organ such as between the bladder and the uterus in a vesicouterine fistula, between the bladder and the vagina in a vesicovaginal fistula, and between the urethra and the vagina in urethrovaginal fistula. When occurring between two parts of the intestine, it is known as an enteroenteral fistula, between the small intesti ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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