Anatomy and Physiology of the Larynx: A Comprehensive Guide with Exercises, Exams of Advanced Education

A detailed explanation of the anatomy and physiology of the larynx, covering key structures, muscles, and their functions. It includes exercises and explanations to reinforce understanding of the larynx's role in speech production and other biological functions. Suitable for students of anatomy, physiology, and speech pathology.

Typology: Exams

2024/2025

Available from 04/11/2025

Prof-Morrison
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CDS 442 Test With Complete Solution
Stylohyoid muscle - Answer Action: Retracts hyoid bone (up and back)
*Suprahyoid
Digastricus muscle - Answer Action: lifts hyoid up and forward (anterior belly) or
backward (posterior belly)
*Suprahyoid
Sternothyroid muscle - Answer Action: depresses thyroid cartilage
*Infrahyoid
Sternohyoid muscle - Answer Action: depresses hyoid bone
*Infrahyoid
Omohyoid muscle - Answer Action: depresses hyoid bone
*Infrahyoid
Thyrohyoid muscle - Answer Action: depresses hyoid (or raises thyroid cartilage)
*Infrahyoid
Lateral Cricoarytenoid muscle - Answer Action: rotates arytenoids inward
*Adductor
Transverse Arytenoid muscle - Answer Action: approximates arytenoids (pulls them
towards one another)
*Adductor
Oblique Arytenoid muscle - Answer Action: approximates apices of arytenoid cartilages
*Adductor
Posterior Cricoarytenoid muscle - Answer Action: pulls muscular process posteriorly
*Abductor
Thyroarytenoid muscle - Answer Action: shortens (increases tenseness); can help with
adduction
*Tensor
Cricothyroid muscle - Answer Action: rocks thyroid cartilage forward (via cricothyroid
joint), decreasing distance between cricoid and thyroid cartilages
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CDS 442 Test With Complete Solution

Stylohyoid muscle - Answer Action: Retracts hyoid bone (up and back) *Suprahyoid Digastricus muscle - Answer Action: lifts hyoid up and forward (anterior belly) or backward (posterior belly) *Suprahyoid Sternothyroid muscle - Answer Action: depresses thyroid cartilage *Infrahyoid Sternohyoid muscle - Answer Action: depresses hyoid bone *Infrahyoid Omohyoid muscle - Answer Action: depresses hyoid bone *Infrahyoid Thyrohyoid muscle - Answer Action: depresses hyoid (or raises thyroid cartilage) *Infrahyoid Lateral Cricoarytenoid muscle - Answer Action: rotates arytenoids inward *Adductor Transverse Arytenoid muscle - Answer Action: approximates arytenoids (pulls them towards one another) *Adductor Oblique Arytenoid muscle - Answer Action: approximates apices of arytenoid cartilages *Adductor Posterior Cricoarytenoid muscle - Answer Action: pulls muscular process posteriorly *Abductor Thyroarytenoid muscle - Answer Action: shortens (increases tenseness); can help with adduction *Tensor Cricothyroid muscle - Answer Action: rocks thyroid cartilage forward (via cricothyroid joint), decreasing distance between cricoid and thyroid cartilages

*Tensor Structure of the Vocal Folds - Answer epithelium: superficial layer lamina propria: 3 layers 1 elastic fiber layers ... then the vocal ligament is 1 (another) elastic fiber layer 1 collagen (below 1st elastic fiber layer Movement of Cricoarytenoid Joint - Answer - junction of the arytenoid cartilage and cricoid cartilage

  • saddle joint (rocking and sliding)
  • abduct (open) and adduct (close) the vocal folds Movement of the Cricothyroid joint - Answer - junction of the cricoid cartilage and the inferior cornu of the thyroid cartilage
  • rocking movement of thyroid cartilage down and forward
  • changes the length of the vocal folds (pitch) Hyoid Bone - Answer greater horn -- back one lesser horn -- front one Cricoid Cartilage - Answer anterior view so lamina would be on the other side Thyroid Cartilage - Answer oblique line attaches the sternothyroid and thyrohyoid muscles that attach to the larynx lamina on each side both of those faces are the laminae Arytenoid Cartilage - Answer #4 Muscular Process #5 Vocal Process Epiglottis - Answer #1 Epiglottis Action: seals off the windpipe during eating, so that food is not accidentally inhaled. Cricotracheal membrane - Answer Thyrohyoid membrane - Answer Lateral Thyrohyoid ligament - Answer Medial Thyrohyoid ligament - Answer Vocal ligament - Answer Hyoepiglottic ligament - Answer attaches epiglottis to the hyoid bone
  1. Air rushes through the narrow constricted opening (accelerates to go through)
  2. High speed air draws the sides of the opening in Increase in air velocity = decrease in pressure

Myoelastic Aerodynamic Theory - Answer 1. Negative pressures cause the vocal chords to be sucked together

  1. Airspace is now closed below the glottis
  2. Air pressure from the lungs builds up underneath
  3. Pressure then blows folds outward
  4. Opens glottis back up, releasing a single puff of air The human voice is 10s and 100s puffs of air being released and filtered by the vocal chords

Vocal Registers - Answer ongoing pattern of vibration

Hertz - Answer - vocal fold vibration is measured in Hertz (Hz), a specific measure of frequency (cycles per second)

  • One opening one closing of vocal folds: 1 cycle

Changes in the larynx with age - Answer - downward migration of the larynx in infancy

  • ossification of cartilaginous structures
  • drop in fundamental frequency -- growth = increased mass -- sex differences
  • sex related voice differences in elders -- females drop in fundamental frequency -- males rise in fundamental frequency

simultaneous/usual vocal attack - Answer everything happens at once

breathy/soft vocal attack - Answer airstream is realized prior to adduction

hard/glottal attack - Answer vocal folds adduct prior to sufficient air flow

modal register - Answer pattern of phonation used during sustained phonation, our typical register

pulse register - Answer lower end of fundamental range, often referred to as glottal (vocal) fry at the far end of the range, low tracheal pressure

loft register - Answer higher end of fundamental range, falsetto, higher levels of longitudinal tensions and tracheal pressure

phonatory cycle - Answer 1. tracheal air pressure builds up

  1. vocal folds separate from bottom up
  2. glottis appears, pressure releases, vocal folds move laterally
  3. full extension of vocal folds
  4. vocal folds move toward midline (Bernoulli)
  5. vocal folds approximate from bottom up
  6. cycle completes and renews.

cover body model - Answer cover mass (epithelium) vibrate differently that body mass (muscle tissue), which causes the wave like fashion of the vocal fold oscillation.

fundamental frequency - Answer average rate of vibration