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Piriform Recess
The pyriform sinus (also piriform recess, piriform sinus, piriform fossa, or smuggler's fossa) is a small recess on either side of the laryngeal inlet. It is bounded medially by the aryepiglottic fold, and laterally by the thyroid cartilage and thyrohyoid membrane. The fossae are involved in speech. Etymology The term "pyriform," which means "pear-shaped," is also sometimes spelled "piriform". The term smuggler's fossa comes from its use for smuggling of small items. Structure Relations 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. 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 Stagi ...
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Hypopharynx
The pharynx (: pharynges) is the part of the throat behind the mouth and nasal cavity, and above the esophagus and trachea (the tubes going down to the stomach and the lungs respectively). It is found in vertebrates and invertebrates, though its structure varies across species. The pharynx carries food to the esophagus and air to the larynx. 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 (hypopharynx). In humans, two sets of pharyngeal muscles form the pharynx and determine the shape of its lumen. They are arranged as an inner layer of longitudinal m ...
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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 ...
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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 a whitish pro ...
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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. I ...
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Recurrent Laryngeal Nerve
The recurrent laryngeal nerve (RLN), also known as nervus recurrens, 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 fo ...
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Internal Laryngeal Nerve
The superior laryngeal nerve is a branch of the vagus nerve. It arises from the middle of the inferior ganglion of the vagus nerve and additionally receives a sympathetic branch from the superior cervical ganglion. The superior laryngeal nerve produces two branches: the internal laryngeal nerve (its sensory branch) which supplies sensory fibers to the laryngeal mucosa, and the external laryngeal nerve (its motor branch) which innervates the cricothyroid muscle. Structure Origin The superior laryngeal nerve arises from the middle of the inferior ganglion of vagus nerve. Course The superior laryngeal nerve descends by the side of the pharynx deep to the internal carotid artery before dividing into two branches —the external laryngeal nerve and the internal laryngeal nerve. Branches External laryngeal nerve The external laryngeal nerve is the smaller, external branch. It descends on the larynx, beneath the sternothyroid muscle, to supply the cricothyroid muscle. The ...
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Fish Bone
Fish bone is any bony tissue in a fish, although in common usage the term refers specifically to delicate parts of the non-vertebral skeleton of such as ribs, fin spines and intramuscular bones. Not all fish have fish bones in this sense; for instance, eels and anglerfish do not possess bones other than the cranium and the vertebrae. Fish bones support the core muscles without inhibiting their mobility. There are several series of fish bones: Epineuralia, Epicentralia, Epipleuralia and Myorhabdoi. In cuisine, fish bones are usually removed and not eaten. Because of their slim, tapered shape, fish bones may get swallowed by accident and cause painful foreign body obstruction in the esophagus, which will have to be surgically removed by a doctor. Fish bones have been used to bioremediate lead Lead () is a chemical element; it has Chemical symbol, symbol Pb (from Latin ) and atomic number 82. It is a Heavy metal (elements), heavy metal that is density, denser than most comm ...
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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. 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 include: * superior parathyroid glands and ultimobranchial body which forms the paraf ...
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Sinus Tract
In anatomy, a fistula (: fistulas or fistulae ; from Latin ''fistula'', "tube, pipe") is an abnormal connection (i.e. tube) joining two hollow spaces (technically, two epithelialized surfaces), such as blood vessels, intestines, or other hollow organs to each other, often resulting in an abnormal flow of fluid from one space to the other. An anal fistula connects the anal canal to the perianal skin. An anovaginal or rectovaginal fistula is a hole joining the anus or rectum to the vagina. A colovaginal fistula joins the space in the colon to that in the vagina. A urinary tract fistula is an abnormal opening in the urinary tract or an abnormal connection between the urinary tract and another organ. An abnormal communication (i.e. hole or tube) between the bladder and the uterus is called a vesicouterine fistula, while if it is between the bladder and the vagina it is known as a vesicovaginal fistula, and if between the urethra and the vagina: a urethrovaginal fistula. When occ ...
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