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Cricoid
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 Vertebrate trachea, trachea. It forms the back part of the larynx, voice box and functions as an attachment site for muscles, cartilages, and ligaments involved in opening and closing the airway and in producing speech. Anatomy The cricoid cartilage is the only laryngeal cartilage to form a complete circle around the airway. It is smaller yet thicker and tougher than the thyroid cartilage above. It articulates superiorly with the thyroid cartilage, and the paired arytenoid cartilage. Inferiorly, the trachea attaches onto it. It occurs at the level of the cervical vertebrae, C6 vertebra. Structure The Anatomical terms of location, posterior part of the cricoid cartilage (cricoid lamina) is somewhat broader than the anterior and lateral part (cricoid arch). Its shape is said to resemble a signet ring. Cricoid arch T ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Sellick Manoeuvre
Cricoid pressure, also known as the Sellick manoeuvre or Sellick maneuver, is a technique used in endotracheal intubation to try to reduce the risk of regurgitation (digestion), regurgitation. The technique involves the application of pressure to the cricoid cartilage at the neck, thus occluding the esophagus which passes directly behind it. Cricoid pressure should not be confused with the "BURP" (Backwards Upwards Rightwards Pressure) manoeuvre, which is used to improve the view of the glottis during laryngoscopy and tracheal intubation, rather than to prevent regurgitation. As the name implies, the BURP manoeuvre requires a clinician to apply pressure on the thyroid cartilage posteriorly, then cephalad (upwards) and, finally, laterally towards the patient's right. History and technique In 1961 Brian Arthur Sellick (1918–1996), an anaesthetist, published the paper ''Cricoid pressure to control regurgitation of stomach contents during induction of anesthesia—preliminary commu ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Tracheal Intubation
Tracheal intubation, usually simply referred to as intubation, is the placement of a flexible plastic catheter, tube into the vertebrate trachea, 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 (physiology), 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 tracheal tube, endotracheal tube is passed through the mouth and larynx, 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 air ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Larynx
The larynx (), commonly called the voice box, is an organ (anatomy), 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 (music), pitch and sound pressure, 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 'larynx' (: larynges) comes from the Ancient Greek word ''lárunx'' ʻlarynx, gullet, throatʼ. 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 respiratory epithelium, ciliated columnar epithelium except for the vocal folds. The laryngeal cavity, cavity of the larynx extends from its tria ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Lateral Cricoarytenoid
The lateral cricoarytenoid (also anterior cricoarytenoid) is an intrinsic muscle of the larynx. It attaches at the cricoid cartilage anteriorly, and at the arytenoid cartilage of the same side posteriorly. It is innervated by the recurrent laryngeal nerve. It acts to close the rima glottidis, thus closing the airway. Anatomy The muscle is directed obliquely superoposteriorly from its anterior attachment to its posterior attachment. Attachments The muscle's anterior attachment is onto the superior border of the arch of the cricoid cartilage. Its posterior attachment is onto the anterior aspect of the muscular process of the ipsilateral arytenoid cartilage. Innervation The muscle receives motor innervation from (branches of the anterior terminal division of) the recurrent laryngeal nerve (which is in turn a branch of a vagus nerve (CN X)). Actions/movements The muscle rotates the arytenoid cartilage medially (it thus acts as antagonist to the posterior cricoarytenoid ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Pharyngeal Arch
The pharyngeal arches, also known as visceral arches'','' are transient structures seen in the Animal embryonic development, embryonic development of humans and other vertebrates, that are recognisable precursors for many structures. In fish, the arches support the Fish gill, gills and are known as the branchial arches, or gill arches. In the human embryo, the arches are first seen during the fourth week of human embryonic development, development. They appear as a series of outpouchings of mesoderm on both sides of the developing pharynx. The vasculature of the pharyngeal arches are the aortic arches that arise from the aortic sac. Structure In humans and other vertebrates, the pharyngeal arches are derived from all three germ layers (the primary layers of cells that form during embryonic development). Neural crest cells enter these arches where they contribute to features of the skull and facial skeleton such as bone and cartilage. However, the existence of pharyngeal structu ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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. They 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 la ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Inferior Pharyngeal Constrictor Muscle
The inferior pharyngeal constrictor muscle is a skeletal muscle of the neck. It is the thickest of the three outer pharyngeal muscles. It arises from the sides of the cricoid cartilage and the thyroid cartilage. It is supplied by the vagus nerve (CN X). It is active during swallowing, and partially during breathing and speech. It may be affected by Zenker's diverticulum. Structure The inferior pharyngeal constrictor muscle is composed of two parts. The first part (and more superior) arises from the thyroid cartilage (thyropharyngeal part), and the second part arises from the cricoid cartilage (cricopharyngeal part). * On the ''thyroid cartilage'', it arises from the oblique line on the side of the lamina, from the surface behind this nearly as far as the posterior border and from the inferior horn of the thyroid cartilage. * From the ''cricoid cartilage'', it arises in the interval between the cricothyroid muscle in front, and the articular facet for the inferior horn of ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Anatomical Terms Of Location
Standard anatomical terms of location are used to describe unambiguously the anatomy of humans and other animals. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position provides a definition of what is at the front ("anterior"), behind ("posterior") and so on. As part of defining and describing terms, the body is described through the use of anatomical planes and axes. The meaning of terms that are used can change depending on whether a vertebrate is a biped or a quadruped, due to the difference in the neuraxis, or if an invertebrate is a non-bilaterian. A non-bilaterian has no anterior or posterior surface for example but can still have a descriptor used such as proximal or distal in relation to a body part that is nearest to, or furthest from its middle. International organisations have determined vocabularies that are often used as standards for subdisciplines of anatomy. For example, '' Termi ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Chondrocalcinosis
Chondrocalcinosis or cartilage calcification is calcification (accumulation of calcium salts) in hyaline cartilage and/or fibrocartilage. Chondrocalcinosis is an observation that can be visualized through diagnostic imaging tests such as X-rays, CT, MRI, and ultrasound. Causes Buildup of calcium phosphate in the ankle joints has been found in about 50% of the general population, and may be associated with osteoarthritis. Another common cause of chondrocalcinosis is calcium pyrophosphate dihydrate crystal deposition disease (CPPD). CPPD is estimated to affect 4–7% of the adult populations of Europe and the United States. This topic last updated: Jul 24, 2018. Chondrocalcinosis can be seen in approximately 40% of those with CPPD. Previous studies have overestimated the prevalence by simply estimating the prevalence of chondrocalcinosis regardless of cause. A magnesium deficiency may cause chondrocalcinosis, and there is anecdotal evidence that magnesium supplementation may re ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Ossification
Ossification (also called osteogenesis or bone mineralization) in bone remodeling is the process of laying down new bone material by cells named osteoblasts. It is synonymous with bone tissue formation. There are two processes resulting in the formation of normal, healthy bone tissue: Intramembranous ossification is the direct laying down of bone into the primitive connective tissue ( mesenchyme), while endochondral ossification involves cartilage as a precursor. In fracture healing, endochondral osteogenesis is the most commonly occurring process, for example in fractures of long bones treated by plaster of Paris, whereas fractures treated by open reduction and internal fixation with metal plates, screws, pins, rods and nails may heal by intramembranous osteogenesis. Heterotopic ossification is a process resulting in the formation of bone tissue that is often atypical, at an extraskeletal location. Calcification is often confused with ossification. Calcificatio ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Posterior Cricoarytenoid
The posterior cricoarytenoid muscle is a ( bilaterally paired) intrinsic muscle of the larynx. It arises from the cricoid cartilage; it inserts onto the arytenoid cartilage of the same side. It is innervated by the recurrent laryngeal nerve. Each acts to open the vocal folds by pulling the vocal fold of the same side laterally. It participates in the production of sounds. Structure The muscle is directed superiorly and laterally from its origin to its insertion. The muscle's fibres vary in orientation superoinferiorly: the superior-most fibres are nearly horizontally oriented, the intermediate fibres are obliquely oriented, and the inferior-most fibres are nearly vertically oriented; the distinct orientations of muscle fibres may indicate that the muscle could produce different movements depending upon which portion of the muscle contracts. According to a cadaveric study, the muscle exhibits two distinct bellies - a medial belly and a lateral belly - which differ in the orient ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
General Anesthesia
General anaesthesia (UK) or general anesthesia (US) is medically induced loss of consciousness that renders a patient unarousable even by painful stimuli. It is achieved through medications, which can be injected or inhaled, often with an analgesic and neuromuscular blocking agent. General anaesthesia is usually performed in an operating theatre to allow surgical procedures that would otherwise be intolerably painful for a patient, or in an intensive care unit or emergency department to facilitate endotracheal intubation and mechanical ventilation in critically ill patients. Depending on the procedure, general anaesthesia may be optional or required. No matter whether the patient prefers to be unconscious or not, certain pain stimulus, pain stimuli can lead to involuntary responses from the patient, such as movement or muscle contractions, that make the operation extremely difficult. Thus, for many procedures, general anaesthesia is necessary from a practical point of view. The p ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
