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Upper part of

respiratory tract
(watchdog of lungs)

Voice production
(voice box)

Extent: upper border


of
Epiglottis to
Cricoid

Location: opposite
to C3
C! vertebra
C3
C6
Mucosal lining
Cartilages
Intrinsic muscles
Extrinsic muscles
Ligaments and membranes
Three unpaired
"hyroid
Cricoid
Epiglottis
Three pairedcartilages
#rytenoid
Cuneifor$
Corniculate
Vestibular and
vocal folds divide
cavity into 3
parts%
Vestibule
Sinus or
ventricle of
larnx
Infraglottic part
Vestibule
Infraglottic
Part
Rima
glottis
Rima
glottis
T!o groups of larngeal muscle
a" Extrinsic and
b" Instrinsic
Suprahoid group # raise the larnx

stylohyoid&

$ylohyoid&

geniohyoid

digastric
Infrahoid group # lo!er the hoid bone
and larnx

sternothyroid

sternohyoid

thyrohyoid

o$ohyoid
a" Muscles that open or close larngeal inlet

"hyroepiclotticus (pen

#reyepiglotticus Close

(bli)ue arytenoids Close



b" Muscles that open or close the glottis

*osterior cricoarytenoid (pen (abduction)

+ateral cricoarytenoid Close (adduction)

"ransverse arytenoids Close (adduction)


c" Muscles that tense or relax vocal cords
"hyroarytenoid ,elax
Cricothyroid "ense

Vocalis "ense

Thyroepiclotticus - Open

Areyepiglotticus - Close

Oblique arytenoids - Close

Thyroarytenoid - Relax

Cricothyroid - Tense

Vocalis - Relax &Tense


Movement occurs at cricothyroid oint
Occurs at Cricoarytenoid joint

!osterior cricoarytenoid - Open


"abduction#

$ateral cricoarytenoid - Close


"adduction#

Transverse arytenoids - Close


"adduction#
-otor . sensory
innervation of L$%&'(
is by branches of
V$)*S"
Superior larngeal
nerve
/nternal laryngeal nerve
External laryngeal nerve
%ecurrent larngeal
nerve
#ll $uscles of larynx
: by %ecurrent
larngeal nerve
E0CE*"
Cricothroid : by
External larngeal
nerve
#bove vocal cords:
Internal
larngeal nerve%
1elow vocal cords:
%ecurrent
larngeal nerve
/ntrinsic $uscles of
the larynx are
a2ected on the
a2ected side%
Vocal cord in
para$edian position%
Voice is a2ected but
co$pensation occurs%
#irway is ade)uate%
Cords lie in
para$edian position %
Voice is good
3i4culty in breathing%
(Variable degree of
stridor: highpitched
whee5ing sound
resulting fro$
turbulent air 6ow )

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