Larynx, Trachea, and Bronchi Doctors Notes Notes/Extra Explanation Please View Our Editing File Before Studying This Lecture to Check for Any Changes
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Larynx Anatomy
LARYNX ANATOMY Elena Rizzo Riera R1 ORL HUSE INTRODUCTION v Odd and median organ v Infrahyoid region v Phonation, swallowing and breathing v Triangular pyramid v Postero- superior base àpharynx and hyoid bone v Bottom point àupper orifice of the trachea INTRODUCTION C4-C6 Tongue – trachea In women it is somewhat higher than in men. Male Female Length 44mm 36mm Transverse diameter 43mm 41mm Anteroposterior diameter 36mm 26mm SKELETAL STRUCTURE Framework: 11 cartilages linked by joints and fibroelastic structures 3 odd-and median cartilages: the thyroid, cricoid and epiglottis cartilages. 4 pair cartilages: corniculate cartilages of Santorini, the cuneiform cartilages of Wrisberg, the posterior sesamoid cartilages and arytenoid cartilages. Intrinsic and extrinsic muscles THYROID CARTILAGE Shield shaped cartilage Right and left vertical laminaà laryngeal prominence (Adam’s apple) M:90º F: 120º Children: intrathyroid cartilage THYROID CARTILAGE Outer surface à oblique line Inner surface Superior border à superior thyroid notch Inferior border à inferior thyroid notch Superior horns à lateral thyrohyoid ligaments Inferior horns à cricothyroid articulation THYROID CARTILAGE The oblique line gives attachement to the following muscles: ¡ Thyrohyoid muscle ¡ Sternothyroid muscle ¡ Inferior constrictor muscle Ligaments attached to the thyroid cartilage ¡ Thyroepiglottic lig ¡ Vestibular lig ¡ Vocal lig CRICOID CARTILAGE Complete signet ring Anterior arch and posterior lamina Ridge and depressions Cricothyroid articulation -
The Muscular System Views
1 PRE-LAB EXERCISES Before coming to lab, get familiar with a few muscle groups we’ll be exploring during lab. Using Visible Body’s Human Anatomy Atlas, go to the Views section. Under Systems, scroll down to the Muscular System views. Select the view Expression and find the following muscles. When you select a muscle, note the book icon in the content box. Selecting this icon allows you to read the muscle’s definition. 1. Occipitofrontalis (epicranius) 2. Orbicularis oculi 3. Orbicularis oris 4. Nasalis 5. Zygomaticus major Return to Muscular System views, select the view Head Rotation and find the following muscles. 1. Sternocleidomastoid 2. Scalene group (anterior, middle, posterior) 2 IN-LAB EXERCISES Use the following modules to guide your exploration of the head and neck region of the muscular system. As you explore the modules, locate the muscles on any charts, models, or specimen available. Please note that these muscles act on the head and neck – those that are located in the neck but act on the back are in a separate section. When reviewing the action of a muscle, it will be helpful to think about where the muscle is located and where the insertion is. Muscle physiology requires that a muscle will “pull” instead of “push” during contraction, and the insertion is the part that will move. Imagine that the muscle is “pulling” on the bone or tissue it is attached to at the insertion. Access 3D views and animated muscle actions in Visible Body’s Human Anatomy Atlas, which will be especially helpful to visualize muscle actions. -
How the Larynx (Voice Box) Works
How the Larynx (Voice Box) Works Charles R. Larson, PhD If you love opera, or if you admire the voices of pop singers such as Celine Dion or Barbra Streisand, you may have wondered how it is these marvelous singers are able to create such beautiful music with this instrument we call the human voice. You may also know of someone who has a bad voice or has had to have their voice box, or larynx, removed because of illness or injury. The larynx is a critical organ of human speech and singing, and it serves important biological functions as well. Let's have a look at the larynx to understand its functions, what it looks like and how it works. It is thought that the same factors that favored the evolution of air‐breathing animals on earth led to the evolution of the larynx. Lungs are comprised of very delicate tissues that must be maintained within strict biological limits, that is, temperature, humidity and freedom from foreign particles. Thus, along with the first air‐breathing animals, there appeared a primitive sort of larynx, whose one and only function was protection of the lung. This function remains the most important of those the larynx has assumed in subsequent evolutionary developments. Now, of course we recognize that the larynx is critical for human speech and singing. But we also should realize that the larynx is important for swallowing, coughing, vomiting and eliminating contents of the abdomen. If you have ever felt your 'Adam's Apple', then you know where the larynx is. -
Comparative Anatomy of the Lower Respiratory Tract of the Gray Short-Tailed Opossum (Monodelphis Domestica) and North American Opossum (Didelphis Virginiana)
University of Tennessee, Knoxville TRACE: Tennessee Research and Creative Exchange Doctoral Dissertations Graduate School 12-2001 Comparative Anatomy of the Lower Respiratory Tract of the Gray Short-tailed Opossum (Monodelphis domestica) and North American Opossum (Didelphis virginiana) Lee Anne Cope University of Tennessee - Knoxville Follow this and additional works at: https://trace.tennessee.edu/utk_graddiss Part of the Animal Sciences Commons Recommended Citation Cope, Lee Anne, "Comparative Anatomy of the Lower Respiratory Tract of the Gray Short-tailed Opossum (Monodelphis domestica) and North American Opossum (Didelphis virginiana). " PhD diss., University of Tennessee, 2001. https://trace.tennessee.edu/utk_graddiss/2046 This Dissertation is brought to you for free and open access by the Graduate School at TRACE: Tennessee Research and Creative Exchange. It has been accepted for inclusion in Doctoral Dissertations by an authorized administrator of TRACE: Tennessee Research and Creative Exchange. For more information, please contact [email protected]. To the Graduate Council: I am submitting herewith a dissertation written by Lee Anne Cope entitled "Comparative Anatomy of the Lower Respiratory Tract of the Gray Short-tailed Opossum (Monodelphis domestica) and North American Opossum (Didelphis virginiana)." I have examined the final electronic copy of this dissertation for form and content and recommend that it be accepted in partial fulfillment of the equirr ements for the degree of Doctor of Philosophy, with a major in Animal Science. Robert W. Henry, Major Professor We have read this dissertation and recommend its acceptance: Dr. R.B. Reed, Dr. C. Mendis-Handagama, Dr. J. Schumacher, Dr. S.E. Orosz Accepted for the Council: Carolyn R. -
Larynx 2017‐2018 Naaccr Webinar Series
NAACCR 2017-2018 Webinar Series 11/2/2017 COLLECTING CANCER DATA: LARYNX 2017‐2018 NAACCR WEBINAR SERIES Q&A • Please submit all questions concerning webinar content through the Q&A panel. • Reminder: • If you have participants watching this webinar at your site, please collect their names and emails. • We will be distributing a Q&A document in about one week. This document will fully answer questions asked during the webinar and will contain any corrections that we may discover after the webinar. 2 Larynx 1 NAACCR 2017-2018 Webinar Series 11/2/2017 Fabulous Prizes 3 AGENDA • Anatomy • Epi Moment • Quiz 1 • Staging • Treatment • Quiz 2 • Case Scenarios 4 Larynx 2 NAACCR 2017-2018 Webinar Series 11/2/2017 ANATOMY LARYNX 5 LARYNX ANATOMY • Voice Box • Passageway of air • Extends from C3 to C6 vertebrae 6 Larynx 3 NAACCR 2017-2018 Webinar Series 11/2/2017 LARYNX ANATOMY • Divided into 3 Sections • Supraglottis • area above vocal cords, contains epiglottis • arytenoids, aryepiglottic folds and false cords • Glottis • containing true vocal cords, anterior and posterior commissures • Subglottis • below the vocal cords 7 LARYNX ANATOMY • Epiglottis • Aryepiglottic Folds • Anterior and Posterior • False vocal cords Commissure • True vocal cords • Arytenoids 8 Larynx 4 NAACCR 2017-2018 Webinar Series 11/2/2017 LARYNX ANATOMY • Thyroid cartilage • Arytenoid cartilage • Adam’s apple • Influence position and tension of the • Thyrohyoid membrane vocal cords • Cricoid cartilage • Corniculate cartilage • Inferior wall of larynx • Horn shaped pieces located -
Epiglottis Reconstruction with Auricular Free Flap For
ISSN: 2572-4193 Bottini et al. J Otolaryngol Rhinol 2017, 3:032 DOI: 10.23937/2572-4193.1510032 Volume 3 | Issue 2 Journal of Open Access Otolaryngology and Rhinology CASE REPORT Epiglottis Reconstruction with Auricular Free Flap for Re- habilitation of Dysphagia: A Case Study Battista Bottini G1*, Brandtner C1, Rasp G2 and Gaggl A1 1Department of Oral and Maxillofacial Surgery, University Hospital, Private Medical University Paracelsus, Austria 2Department of Ear, Nose and Throat, University Hospital, Private Medical University Paracelsus, Check for updates Austria *Corresponding author: Gian Battista Bottini, MD, DMD, Department of Oral and Maxillofacial Surgery, Uni- versity Hospital, Private Medical University Paracelsus, 48 Muellner Hauptstrasse, 5020 Salzburg, Austria, Tel: +43(0)57255-57230, Fax: +43(0)57255-26499, E-mail: [email protected] and requires a coordinated activity of nerves, muscles, Abstract the hyoid bone and the larynx [1]. The process can be Supraglottic laryngectomy for laryngeal cancer aims to remove divided in stages: oral pharyngeal and oesophageal [1]. cancer of the larynx whilst preserving its functions of airway protection, breathing and voice production. A well-known long- During the pharyngeal stage, the vocal cords adduct term complication of this procedure is aspiration. to seal the glottis and the arytenoid tilt forward to con- We present a case of a delayed epiglottis reconstruction tact the epiglottis base. with auricular free flap for surgical rehabilitation of dyspha- gia. Primarily the patient underwent supraglottic laryngecto- When the hyo-laryngeal complex is pulled in anterior my, bilateral neck dissection and radiotherapy. She had a and superior direction against the base of the tongue, permanent tracheostoma because of a complete paralysis the epiglottis, acting like a shield, tilts backwards and of the right vocal cord and a residual minimal mobility of the covers completely the glottis [1]. -
Unusual Organization of the Ansa Cervicalis: a Case Report
CASE REPORT ISSN- 0102-9010 UNUSUAL ORGANIZATION OF THE ANSA CERVICALIS: A CASE REPORT Ranjana Verma1, Srijit Das2 and Rajesh Suri3 Department of Anatomy, Maulana Azad Medical College, New Delhi-110002, India. ABSTRACT The superior root of the ansa cervicalis is formed by C1 fibers carried by the hypoglossal nerve, whereas the inferior root is contributed by C2 and C3 nerves. We report a rare finding in a 40-year-old male cadaver in which the vagus nerve fused with the hypoglossal nerve immediately after its exit from the skull on the left side. The vagus nerve supplied branches to the sternohyoid, sternothyroid and superior belly of the omohyoid muscles and also contributed to the formation of the superior root of the ansa cervicalis. In this arrangement, paralysis of the infrahyoid muscles may result following lesion of the vagus nerve anywhere in the neck. The cervical location of the vagus nerve was anterior to the common carotid artery within the carotid sheath. This case report may be of clinical interest to surgeons who perform laryngeal reinnervation and neurologists who diagnose nerve disorders. Key words: Ansa cervicalis, hypoglossal nerve, vagus nerve, variations INTRODUCTION cadaver. The right side was normal. The neck region The ansa cervicalis is a nerve loop formed was dissected and the neural structures in the carotid by the union of superior and inferior roots. The and muscular triangle regions were exposed, with superior root is a branch of the hypoglossal nerve particular attention given to the organization of the containing C1 fibers, whereas the inferior root is ansa cervicalis. -
Study Guide Medical Terminology by Thea Liza Batan About the Author
Study Guide Medical Terminology By Thea Liza Batan About the Author Thea Liza Batan earned a Master of Science in Nursing Administration in 2007 from Xavier University in Cincinnati, Ohio. She has worked as a staff nurse, nurse instructor, and level department head. She currently works as a simulation coordinator and a free- lance writer specializing in nursing and healthcare. All terms mentioned in this text that are known to be trademarks or service marks have been appropriately capitalized. Use of a term in this text shouldn’t be regarded as affecting the validity of any trademark or service mark. Copyright © 2017 by Penn Foster, Inc. All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the copyright owner. Requests for permission to make copies of any part of the work should be mailed to Copyright Permissions, Penn Foster, 925 Oak Street, Scranton, Pennsylvania 18515. Printed in the United States of America CONTENTS INSTRUCTIONS 1 READING ASSIGNMENTS 3 LESSON 1: THE FUNDAMENTALS OF MEDICAL TERMINOLOGY 5 LESSON 2: DIAGNOSIS, INTERVENTION, AND HUMAN BODY TERMS 28 LESSON 3: MUSCULOSKELETAL, CIRCULATORY, AND RESPIRATORY SYSTEM TERMS 44 LESSON 4: DIGESTIVE, URINARY, AND REPRODUCTIVE SYSTEM TERMS 69 LESSON 5: INTEGUMENTARY, NERVOUS, AND ENDOCRINE S YSTEM TERMS 96 SELF-CHECK ANSWERS 134 © PENN FOSTER, INC. 2017 MEDICAL TERMINOLOGY PAGE III Contents INSTRUCTIONS INTRODUCTION Welcome to your course on medical terminology. You’re taking this course because you’re most likely interested in pursuing a health and science career, which entails proficiencyincommunicatingwithhealthcareprofessionalssuchasphysicians,nurses, or dentists. -
Medical Term for Throat
Medical Term For Throat Quintin splined aerially. Tobias griddles unfashionably. Unfuelled and ordinate Thorvald undervalues her spurges disroots or sneck acrobatically. Contact Us WebsiteEmail Terms any Use Medical Advice Disclaimer Privacy. The medical term for this disguise is called formication and it been quite common. How Much sun an Uvulectomy in office Cost on Me MDsave. The medical term for eardrum is tympanic membrane The direct ear is. Your throat includes your esophagus windpipe trachea voice box larynx tonsils and epiglottis. Burning mouth syndrome is the medical term for a sequence-lastingand sometimes very severeburning sensation in throat tongue lips gums palate or source over the. Globus sensation can sometimes called globus pharyngeus pharyngeus refers to the sock in medical terms It used to be called globus. Other medical afflictions associated with the pharynx include tonsillitis cancer. Neil Van Leeuwen Layton ENT Doctor Tanner Clinic. When we offer a throat medical conditions that this inflammation and cutlery, alcohol consumption for air that? Medical Terminology Anatomy and Physiology. Empiric treatment of the lining of the larynx and ask and throat cancer that can cause nasal cavity cancer risk of the term throat muscles. MEDICAL TERMINOLOGY. Throat then Head wrap neck cancers Cancer Research UK. Long term monitoring this exercise include regular examinations and. Long-term a frequent exposure to smoke damage cause persistent pharyngitis. Pharynx Greek throat cone-shaped passageway leading from another oral and. WHAT people EXPECT ON anything LONG-TERM BASIS AFTER A LARYNGECTOMY. Sensation and in one of causes to write the term for throat medical knowledge. The throat pharynx and larynx is white ring-like muscular tube that acts as the passageway for special food and prohibit It is located behind my nose close mouth and connects the form oral tongue and silk to the breathing passages trachea windpipe and lungs and the esophagus eating tube. -
Variation of the Infrahyoid Muscle: Duplicated Omohyoid and Appearance of the Levator Glandulae Thyroideae Muscles
DOI 10.3349/ymj.2010.51.6.984 Case Report pISSN: 0513-5796, eISSN: 1976-2437 Yonsei Med J 51(6):984-986, 2010 Variation of the Infrahyoid Muscle: Duplicated Omohyoid and Appearance of the Levator Glandulae Thyroideae Muscles Deog-Im Kim,1 Ho-Jeong Kim,2 Jae-Young Park,2 and Kyu-Seok Lee2 1Department of Anatomy, Catholic Institution for Applied Anatomy, College of Medicine, The Catholic University of Korea, Seoul; 2Department of Anatomy, Kwandong University College of Medicine, Gangneung, Korea. Received: November 21, 2008 The embryologic origin of the omohyoid muscle is different from that of the other Revised: March 23, 2009 neck muscles. A number of variations such as the absence of muscle, variable sites Accepted: March 27, 2009 of origin and insertion, and multiple bellies have been reported. However, varia- Corresponding author: Dr. Kyu-Seok Lee, tions in the inferior belly of the omohyoid muscle are rare. There have been no Department of Anatomy, Kwandong University reports of the combined occurrence of the omohyoid muscle variation with the College of Medicine, 522 Naegok-dong, appearance of the levator glandulase thyroideae muscle. Routine dissection of a 51- Gangneung 210-701, Korea. year-old female cadaver revealed a duplicated omohyoid muscle and the appea- Tel: 82-33-649-7473, Fax: 82-33-641-1074 rance of the levator glandulae thyroideae muscle. In this case, the two inferior E-mail: [email protected] bellies of the omohyoid muscle were found to originate inferiorly from the superior border of the scapula. One of the inferior bellies generally continued to the superior ∙The authors have no financial conflicts of belly with the tendinous intersection. -
Head & Neck Muscle Table
Robert Frysztak, PhD. Structure of the Human Body Loyola University Chicago Stritch School of Medicine HEAD‐NECK MUSCLE TABLE PROXIMAL ATTACHMENT DISTAL ATTACHMENT MUSCLE INNERVATION MAIN ACTIONS BLOOD SUPPLY MUSCLE GROUP (ORIGIN) (INSERTION) Anterior floor of orbit lateral to Oculomotor nerve (CN III), inferior Abducts, elevates, and laterally Inferior oblique Lateral sclera deep to lateral rectus Ophthalmic artery Extra‐ocular nasolacrimal canal division rotates eyeball Inferior aspect of eyeball, posterior to Oculomotor nerve (CN III), inferior Depresses, adducts, and laterally Inferior rectus Common tendinous ring Ophthalmic artery Extra‐ocular corneoscleral junction division rotates eyeball Lateral aspect of eyeball, posterior to Lateral rectus Common tendinous ring Abducent nerve (CN VI) Abducts eyeball Ophthalmic artery Extra‐ocular corneoscleral junction Medial aspect of eyeball, posterior to Oculomotor nerve (CN III), inferior Medial rectus Common tendinous ring Adducts eyeball Ophthalmic artery Extra‐ocular corneoscleral junction division Passes through trochlea, attaches to Body of sphenoid (above optic foramen), Abducts, depresses, and medially Superior oblique superior sclera between superior and Trochlear nerve (CN IV) Ophthalmic artery Extra‐ocular medial to origin of superior rectus rotates eyeball lateral recti Superior aspect of eyeball, posterior to Oculomotor nerve (CN III), superior Elevates, adducts, and medially Superior rectus Common tendinous ring Ophthalmic artery Extra‐ocular the corneoscleral junction division -
Reverse Phonation -Physiologic and Clinical Aspects of This Speech Voice
Rev Bras Otorrinolaringol 2007;73(2):271-7. REVIEW ARTICLE Reverse phonation - physiologic and clinical aspects of this speech voice therapy modality Leila Susana Finger 1, Carla Aparecida Cielo 2 Keywords: voice, speech, language and hearing sciences. Summary Reverse phonation is the voice production during inspiration, accomplished spontaneously in situations such as when a person sighs. Aim: to do a literature review, describing discoveries related to the use of the reverse phonation in the clinical practice, the anatomy and physiology of its production and its effects in vocal treatments; and moreover, indications and problems of the technique for speech disorders treatment and voice enhancement. Results: there were reports of significant changes in vocal treatment during with the use of reverse phonation: ventricular distention, ventricular folds separation, increase in the fundamental frequency, mucous wave inverse movement; and it also facilitates the dynamic study of the larynx when associated with endoscopy, making it possible to have a better definition of lesion localization in vocal folds superficial lamina propria layers. Conclusion: There are few studies describing larynx behavior during reverse phonation and, for this technique to be used in a more precise and objective way, more studies are necessary in order to prove its effectiveness in practical matters. 1 M.S. in Human Communications Disorders UFSM/RS, Speech and Hearing Therapist, Capes Scholarship holder. 2 PhD in Applied Linguistics - PUC-RS, Speech and Hearing Therapist. Adjunct Professor - Department of Speech and Hearing Therapy - UFSM. Federal University of Santa Maria. Mailing Address: Leila Susana Finger - R. Angelo Uglione 1645/302 Centro Santa Maria RS 97010-570.