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Rima Glottidis
The rima glottidis is the opening between the two true vocal cords anteriorly, and the two arytenoid cartilages posteriorly. It is part of the larynx. Anatomy The rima glottidis is the narrowest part of larynx. It is longer (~23 mm) in males than in females (17-18 mm). The rima glottidis is an aperture between the two true vocal cords anteriorly, and the bases and vocal process of the two arytenoid cartilages posteriorly. It is therefore described as subdivided into two parts: the larger anterior part between the vocal folds (intermembranous part, or glottis vocalis), and the smaller posterior part between arytenoid cartilages (intercartilaginous part, glottis respiratoria, intercartilaginous glottis, respiratory glottis, or interarytenoid space). It is limited posteriorly by an interarytenoid fold of mucous membrane. Function The rima glottidis is closed by the lateral cricoarytenoid muscles and the arytenoid muscle, and opened by the posterior cricoarytenoid muscles. All ...
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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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Vocal Cords
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 nerve, 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 vibration, 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 ...
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Arytenoid Cartilage
The arytenoid cartilages () are a pair of small three-sided pyramids which form part of the larynx. They are the site of attachment of the vocal cords. Each is pyramidal or ladle-shaped and has three surfaces, a base, and an apex. The arytenoid cartilages allow for movement of the vocal cords by articulating with the cricoid cartilage. It may be affected by arthritis, dislocations, or sclerosis. Structure The arytenoid cartilages are part of the posterior part of the larynx. Surfaces The posterior surface is triangular, smooth, concave, and gives attachment to the arytenoid muscle and transversus. The antero-lateral surface is somewhat convex and rough. On it, near the apex of the cartilage, is a rounded elevation (colliculus) from which a ridge (crista arcuata) curves at first backward and then downward and forward to the vocal process. The lower part of this crest intervenes between two depressions or foveæ, an upper, triangular, and a lower oblong in shape; the latter ...
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Vocal Process
In the human larynx, the vocal process is the anterior angle of the base of the arytenoid cartilage, as it projects horizontally forward and gives attachment to the vocal ligament. The arytenoids are paired cartilages with a medial and a lateral process each. The medial process is called the vocal process because it is the attachment for the vocal ligament. The lateral process is the attachment of one of the major intrinsic muscles of the vocal folds and consequently named the muscular process. As the concave bases of the arytenoid cartilages move on the two convex articular surfaces on the cricoid cartilage (at the cricoarytenoid articulations), the vocal processes are brought closer to each other, which permits the vocal folds to make contact (adduct) and abduct. Just above the vocal process is a shallow depression, the oblong fovea of the arytenoid cartilage. Together they constitute the insertion for the vocalis muscle. Vocal process granulomas are rare and benign lesion ...
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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 adolescence. ...
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Lateral Cricoarytenoid
Lateral is a geometric term of location which may refer to: Healthcare *Lateral (anatomy), an anatomical direction *Lateral cricoarytenoid muscle *Lateral release (surgery), a surgical procedure on the side of a kneecap Phonetics *Lateral consonant, an l-like consonant in which air flows along the sides of the tongue **Lateral release (phonetics), the release of a plosive consonant into a lateral consonant Other uses *''Lateral'', journal of the Cultural Studies Association *Lateral canal, a canal built beside another stream *Lateral hiring, recruiting that targets employees of another organization *Lateral mark, a sea mark used in maritime pilotage to indicate the edge of a channel * Lateral stability of aircraft during flight *Lateral pass, a type of pass in American and Canadian football *Lateral support (other), various meanings *Lateral thinking, the solution of problems through an indirect and creative approach *Lateral number, a proposed alternate term for imagi ...
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Arytenoid Muscle
The arytenoid muscle is a single muscle of the larynx. It passes from one arytenoid cartilage to the opposite arytenoid cartilage. It has oblique and transverse fibres. It is supplied by the recurrent laryngeal nerve. It approximates the arytenoid cartilages. Continuous electromyography may be used during neck surgeries such as thyroidectomy. Structure The arytenoid muscle fills the posterior concave surface of the arytenoid cartilage. It arises from the posterior surface and lateral border of one arytenoid cartilage. It is inserted into the corresponding parts of the opposite arytenoid cartilage. It consists of oblique and transverse fibres. Nerve supply The arytenoid muscle is supplied by the recurrent laryngeal nerve, a branch of the vagus nerve (CN X). This is a bilateral supply. Function The arytenoid muscle approximates the arytenoid cartilages. This closes the aperture of the glottis, especially at its back part to eliminate the posterior commissure of the vocal c ...
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Posterior Cricoarytenoid Muscle
The posterior cricoarytenoid muscles are small, paired intrinsic muscles of the larynx that extend between cricoid cartilage to the arytenoid cartilages in the larynx. Structure Origin and insertion The posterior cricoarytenoid originates from the posterior surface of the posterior quadrate lamina of the cricoid cartilage. It inserts onto the muscular process of the arytenoid cartilage. Its distinct medial and lateral bellies insert onto opposite surfaces of the muscular process. Nerve supply The posterior cricoarytenoid muscles are supplied by the anterior division of the recurrent laryngeal nerve, a branch of the vagus nerve (CN X). Sometimes, different parts of the muscle (such as the medial and lateral muscle bellies) are supplied by separate branches. This may vary between 1 and 6 branches, usually 2 or 3. These may connect within the muscle. Function The posterior cricoarytenoid muscles are the only muscles to open the vocal cords. By rotating the arytenoid cartila ...
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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 ...
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Vagus Nerve
The vagus nerve, also known as the tenth cranial nerve, cranial nerve X, or simply CN X, is a cranial nerve that interfaces with the parasympathetic control of the heart, lungs, and digestive tract. It comprises two nerves—the left and right vagus nerves—but they are typically referred to collectively as a single subsystem. The vagus is the longest nerve of the autonomic nervous system in the human body and comprises both sensory and motor fibers. The sensory fibers originate from neurons of the nodose ganglion, whereas the motor fibers come from neurons of the dorsal motor nucleus of the vagus and the nucleus ambiguus. The vagus was also historically called the pneumogastric nerve. Structure Upon leaving the medulla oblongata between the olive and the inferior cerebellar peduncle, the vagus nerve extends through the jugular foramen, then passes into the carotid sheath between the internal carotid artery and the internal jugular vein down to the neck, chest, and abdom ...
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Aphonia
Aphonia is defined as the inability to produce voiced sound. Damage to the nerve may be the result of surgery (e.g., thyroidectomy) or a tumor. Aphonia means "no sound". In other words, a person with this disorder has lost their voice. Causes Injuries are often the cause of aphonia. Minor injuries can affect the second and third dorsal area in such a manner that the lymph patches concerned with coordination become either atrophic or relatively nonfunctioning. Tracheotomy can also cause aphonia. Any injury or condition that prevents the vocal cords, the paired bands of muscle tissue positioned over the trachea, from coming together and vibrating will have the potential to make a person unable to speak. When a person prepares to speak, the vocal folds come together over the trachea and vibrate due to the airflow from the lungs. This mechanism produces the sound of the voice. If the vocal folds cannot meet together to vibrate, sound will not be produced. Aphonia can also be caused ...
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