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Cricothyroid Muscle
The cricothyroid muscle is the only tensor muscle of the larynx aiding with phonation. It is innervated by the superior laryngeal nerve. Its action tilts the thyroid forward to help tense the vocal cords. Structure The cricothyroid muscle originates from the anterolateral aspect of the cricoid cartilage, and inserts to the inferior cornu and lower lamina of the thyroid cartilage. Innervation This muscle is the only laryngeal muscle innervated by the superior laryngeal branch of the vagus nerve known as the superior laryngeal nerve. Function The cricothyroid muscle produces tension and elongation of the vocal cords. They draw up the arch of the cricoid cartilage and tilt back the upper border of the cricoid cartilage lamina. The distance between the vocal processes and the angle of the thyroid is increased, and the folds are consequently elongated, resulting in higher pitch phonation. They work as antagonists to the posterior cricoarytenoid muscles. Clinical signifi ...
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Cricoid Cartilage
The cricoid cartilage , or simply cricoid (from the Greek ''krikoeides'' meaning "ring-shaped") or cricoid ring, is the only complete ring of cartilage around the trachea. It forms the back part of the voice box and functions as an attachment site for muscles, cartilages, and ligaments involved in opening and closing the airway and in producing speech. Structure The cricoid cartilage sits just inferior to the thyroid cartilage in the neck, at the level of the C6 vertebra, and is joined to it medially by the median cricothyroid ligament and postero-laterally by the cricothyroid joints. Inferior to it are the rings of cartilage around the trachea (which are not continuous – rather they are C-shaped with a gap posteriorly). The cricoid is joined to the first tracheal ring by the cricotracheal ligament, and this can be felt as a more yielding area between the firm thyroid cartilage and firmer cricoid. It is also anatomically related to the thyroid gland; although the thy ...
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Electromyography
Electromyography (EMG) is a technique for evaluating and recording the electrical activity produced by skeletal muscles. EMG is performed using an instrument called an electromyograph to produce a record called an electromyogram. An electromyograph detects the electric potential generated by muscle cells when these cells are electrically or neurologically activated. The signals can be analyzed to detect abnormalities, activation level, or recruitment order, or to analyze the biomechanics of human or animal movement. Needle EMG is an electrodiagnostic medicine technique commonly used by neurologists. Surface EMG is a non-medical procedure used to assess muscle activation by several professionals, including physiotherapists, kinesiologists and biomedical engineers. In Computer Science, EMG is also used as middleware in gesture recognition towards allowing the input of physical action to a computer as a form of human-computer interaction. Clinical uses EMG testing has a variety ...
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National Center For Voice And Speech
The National Center for Voice and Speech (NCVS), is a multi-site research and teaching organization dedicated to studying the characteristics, limitations and enhancement of human voice and speech. The NCVS is located in Salt Lake City, Utah with the Lead Institution located at the University of Utah. NCVS is also a Center at the University of Iowa where it has laboratories in the Department of Speech Pathology and Audiology. In addition, the NCVS has collaborators in Denver and at many institutions around the United States. Its focus is vocology, or the science and practice of voice habilitation. History Initially conceived as a "center without walls," the NCVS was formally organized in 1990 with the assistance of a grant from the National Institute on Deafness and Other Communication Disorders (NIDCD), an institute of the National Institutes of Health (NIH). The NCVS was organized on the premise that a consortium of institutions (including the Wilber James Gould Voice Center at ...
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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 thresh ...
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Adam's Apple
The Adam's apple or laryngeal prominence is the protrusion in the human neck formed by the angle of the thyroid cartilage surrounding the larynx, typically visible in men, less frequently in women. Structure The topographic structure which is externally visible and colloquially called the "Adam's apple" is caused by an anatomical structure of the thyroid cartilage called the laryngeal prominence or laryngeal protuberance protruding and forming a "bump" under the skin at the front of the throat. All human beings with a normal anatomy have a laryngeal protuberance of the thyroid cartilage. This prominence is typically larger and more externally noticeable in adult males. There are two reasons for this phenomenon. Firstly, the structural size of the thyroid cartilage in males tends to increase during puberty, and the laryngeal protuberance becomes more anteriorally-focused. Secondly, the larynx, which the thyroid cartilage partially envelops, increases in size in male subjects dur ...
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Vocology
Vocology is the science and practice of vocal habilitation, or vocal training and therapy.Titze IR. (1996). What is vocology? Logopedics Phoniatrics Vocology, 21:5-6. Its concerns include the nature of speech and language pathology, the defects of the vocal tract (laryngology), the remediation of speech therapy, and the voice training (voice therapy) and voice pedagogy of song and speech for actors and public speakers. In its broadest sense, vocology is the study of voice, but as a professional discipline it has a narrower focus: the science and practice of voice habilitation, which includes evaluation, diagnosis, and intervention. History Vocology was invented (simultaneously, but independently) by Ingo Titze, and an otolaryngologist at Washington University, Prof. George Gates. Titze defines vocology as "the science and practice of voice habilitation, with a strong emphasis on habilitation". To habilitate means to “enable”, to “equip for”, to “capacitate”; in other w ...
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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 projec ...
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Vocal Fold
The human voice consists of sound made by a human being using the vocal tract, including talking, singing, laughing, crying, screaming, shouting, humming or yelling. The human voice frequency is specifically a part of human sound production in which the vocal folds (vocal cords) are the primary sound source. (Other sound production mechanisms produced from the same general area of the body involve the production of unvoiced consonants, clicks, whistling and whispering.) Generally speaking, the mechanism for generating the human voice can be subdivided into three parts; the lungs, the vocal folds within the larynx (voice box), and the articulators. The lungs, the "pump" must produce adequate airflow and air pressure to vibrate vocal folds. The vocal folds (vocal cords) then vibrate to use airflow from the lungs to create audible pulses that form the laryngeal sound source. The muscles of the larynx adjust the length and tension of the vocal folds to 'fine-tune' pitch an ...
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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 t ...
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Cricothyroid Ligament
The cricothyroid ligament (also known as the cricothyroid membrane or cricovocal membrane) is a ligament in the neck. It connects the cricoid cartilage to the thyroid cartilage. It prevents these cartilages from moving too far apart. It is cut during an emergency cricothyrotomy to treat upper airway obstruction. Structure The cricothyroid ligament is composed of two parts: * the median cricothyroid ligament along the midline (a thickening of the cricothyroid membrane). It is a flat band of white connective tissue that connects the front parts of the contiguous margins of the cricoid and thyroid cartilages. It is a thick and strong ligament, narrow above and broad below. Each lateral ligament is known as the conus elasticus. * the lateral cricothyroid ligaments on each side (these are also called conus elasticus). Each is overlapped on either side by laryngeal muscles. The conus elasticus (which means elastic cone in Latin) is the lateral portion of the cricothyroid ligament. ...
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Middle Thyroid Veins
The middle thyroid vein ( la, vena thyreoidea media) collects the blood from the lower part of the thyroid gland, and after being joined by some veins from the larynx and trachea, ends in the lower part of the internal jugular vein The internal jugular vein is a paired jugular vein that collects blood from the brain and the superficial parts of the face and neck. This vein runs in the carotid sheath with the common carotid artery and vagus nerve. It begins in the post .... Clinical feature This vein is subjected for dissection as a part of surgical procedures on the thyroid. Additional images File:Gray561.png, Diagram showing common arrangement of thyroid veins. File:Venenwinkel.png, The venæ cavæ and azygos veins, with their tributaries. References Veins of the head and neck {{circulatory-stub ...
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Spasmodic Dysphonia
Spasmodic dysphonia, also known as laryngeal dystonia, is a disorder in which the muscles that generate a person's voice go into periods of spasm. This results in breaks or interruptions in the voice, often every few sentences, which can make a person difficult to understand. The person's voice may also sound strained or they may be nearly unable to speak. Onset is often gradual and the condition is lifelong. The cause is unknown. Risk factors may include family history. Triggers may include an upper respiratory infection, injury to the larynx, overuse of the voice, and psychological stress. The underlying mechanism is believed to typically involve the central nervous system, specifically the basal ganglia. Diagnosis is typically made following examination by a team of healthcare providers. It is a type of focal dystonia. While there is no cure, treatment may improve symptoms. Most commonly this involves injecting botulinum toxin into the affected muscles of the larynx. This ge ...
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