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Arytenoid Adduction
Arytenoid adduction is a surgical procedure used to treat vocal cord paralysis. A suture is used to emulate the action of the lateral cricoarytenoid muscle and position the paralyzed vocal cord closer to the midline. This allows the two vocal cords to meet and can improve speaking and swallowing ability for affected patients. Arytenoid adduction is often performed in conjunction with medialization thyroplasty. Vocal Cord Paralysis One of the key functions of the larynx is phonation, the production of sound. Phonation requires the vocal cords to be adducted (positioned towards the midline) so that they can meet and vibrate together as air is expelled between them. Physiologically, the glottis is closed by intrinsic laryngeal muscles such as the lateral cricoarytenoid, thyroarytenoid The thyroarytenoid muscle is a broad, thin muscle that forms the body of the vocal fold and that supports the wall of the ventricle and its appendix. It functions to shorten the vocal folds. Structu ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Vocal Cord Paralysis
Vocal cord paresis, also known as recurrent laryngeal nerve paralysis or vocal fold paralysis, is an injury to one or both recurrent laryngeal nerves (RLNs), which control all intrinsic muscles of the larynx except for the cricothyroid muscle. The RLN is important for speaking, breathing and swallowing. The primary larynx-related functions of the mainly efferent nerve fiber RLN, include the transmission of nerve signals to the muscles responsible for regulation of the vocal folds' position and tension to enable vocalization, as well as the transmission of sensory nerve signals from the mucous membrane of the larynx to the brain. A unilateral injury of the nerve typically results in hoarseness caused by a reduced mobility of one of the vocal folds. It may also cause minor shortages of breath as well as aspiration problems especially concerning liquids. A bilateral injury causes the vocal folds to impair the air flow resulting in breathing problems, stridor and snoring sounds, and f ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Vocal Cord
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. ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Thyroplasty
Thyroplasty is a phonosurgical technique designed to improve the voice by altering the thyroid cartilage of the larynx (the voice box), which houses the vocal cords in order to change the position or the length of the vocal cords. Types There are four different types of thyroplasty procedures described by Isshiki: * Type 1 thyroplasty – Medialization of the vocal folds ''(most common surgery for unilateral vocal cord paralysis)''. * Type 2 thyroplasty – Lateralization of the vocal folds ''(in case of airway insufficiency after Laryngeal trauma)''. * Type 3 thyroplasty – Shortening of the vocal folds ''(done to lower the vocal pitch)''. * Type 4 thyroplasty – Lengthening of the vocal folds ''(done to raise the vocal pitch)''. Type 1 thyroplasty ''(medialization thyroplasty)'' It is the most commonly used surgical procedure to correct unilateral vocal cord paralysis (a condition where the vocal cord of one side is paralysed). Procedure In this type of thyroplasty, a rectan ... [...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] |
Phonation
The term phonation has slightly different meanings depending on the subfield of phonetics. Among some phoneticians, ''phonation'' is the process by which the vocal folds produce certain sounds through quasi-periodic vibration. This is the definition used among those who study laryngeal anatomy and physiology and speech production in general. Phoneticians in other subfields, such as linguistic phonetics, call this process '' voicing'', and use the term ''phonation'' to refer to any oscillatory state of any part of the larynx that modifies the airstream, of which voicing is just one example. Voiceless and supra-glottal phonations are included under this definition. Voicing The phonatory process, or voicing, occurs when air is expelled from the lungs through the glottis, creating a pressure drop across the larynx. When this drop becomes sufficiently large, the vocal folds start to oscillate. The minimum pressure drop required to achieve phonation is called the phonation threshold ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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 ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Thyroarytenoid
The thyroarytenoid muscle is a broad, thin muscle that forms the body of the vocal fold and that supports the wall of the ventricle and its appendix. It functions to shorten the vocal folds. Structure It arises in front from the lower half of the angle of the thyroid cartilage, and from the middle cricothyroid ligament. Its fibers pass backward and laterally, to be inserted into the base and anterior surface of the arytenoid cartilage. Parts The lower and deeper fibers of the muscle can be differentiated as a triangular band which is inserted into the vocal process of the arytenoid cartilage, and into the adjacent portion of its anterior surface; it is termed the ''Vocalis'', and lies parallel with the vocal ligament, to which it is adherent.Frank H. Netter, MD "Atlas of Human anatomy", 7th Edition, 2019, Plate 91, superior view The vocal muscle is the upper portion of the thyroarytenoid muscle which is primarily involved in producing speech. A considerable number of the fibers ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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 ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Arytenoid Cartilages
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 ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Recurrent Laryngeal Nerves
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. T ... [...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] |
Arytenoid Adduction
Arytenoid adduction is a surgical procedure used to treat vocal cord paralysis. A suture is used to emulate the action of the lateral cricoarytenoid muscle and position the paralyzed vocal cord closer to the midline. This allows the two vocal cords to meet and can improve speaking and swallowing ability for affected patients. Arytenoid adduction is often performed in conjunction with medialization thyroplasty. Vocal Cord Paralysis One of the key functions of the larynx is phonation, the production of sound. Phonation requires the vocal cords to be adducted (positioned towards the midline) so that they can meet and vibrate together as air is expelled between them. Physiologically, the glottis is closed by intrinsic laryngeal muscles such as the lateral cricoarytenoid, thyroarytenoid The thyroarytenoid muscle is a broad, thin muscle that forms the body of the vocal fold and that supports the wall of the ventricle and its appendix. It functions to shorten the vocal folds. Structu ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
