Feature - The Structures of the Larynx by Matthew
Reeve
After attending a course, participants are often excited about
discovering how the larynx moves. As the months roll by this
information can sometimes become muddled. So here to refresh your
memory is the first of our features on the structures of the larynx
- bone and cartilage.
Starting from the lowest cartilage in the
larynx, sitting at the top of the trachea or
windpipe is the cricoid cartilage. The word cricoid
means 'like a ring', and it looks like a signet ring lying on its
side, with the narrow part at the front and the widest part at the
back. Above and partly surrounding the cricoid cartilage is the
thyroid cartilage. The word 'thyroid' means shield,
and like a shield, the thyroid cartilage is open at the back. This
is the largest structure in the larynx, and is what gives the
familiar bump of the 'Adam's Apple' on men. The cricoid and thyroid
cartilages are attached to each other on each side by a tiny joint.
This means they can effectively change their position in relation to
each other.
The cartilages mentioned so far can be usually located by gently
feeling the front of the neck. This sometimes takes a bit of
practise, especially on a female larynx, which is generally smaller
and flatter than the male larynx. The other smaller cartilages are
positioned deeper in the structure and so cannot be located through
touch.
At the back of the larynx is a pair of small three-sided pyramids
called the arytenoid cartilages. These sit on the
top back edge of cricoid cartilage, pointing forwards. The foremost
point of the base of each arytenoid cartilage is called the vocal
process, and it is to this point that the rear of each vocal fold is
attached. The vocal folds then run forwards to meet at a spot in the
inside centre of the thyroid cartilage.
On the top of the larynx is the epiglottis, also
a cartilage, though more bendy and pliable than the other
cartilages. Think of the epiglottis as being a lid on the larynx.
The epiglottis attaches to the inner surface of the thyroid
cartilage just above
the point where the vocal
folds are fixed. Muscles attaching to the epiglottis enable it to be
pulled down to seal and protect the more delicate internal
structures of the larynx when we swallow.
There are two other tiny sets of cartilages found in the larynx.
These are the cuneiform cartilages and
corniculate cartilages. The cuneiform cartilages
are embedded in tissue that joins the epiglottis to the arytenoids
cartilages. You can usually see them quite clearly as bulges when
you see pictures taken by an endoscope. The corniculate cartilages
sit on the upper-most point of the arytenoids cartilages.
And finally, the entire larynx is suspended from the
hyoid bone. This bone is horseshoe shaped, lying
flat with the open end at the back, and is the only bone in the body
that isn't directly connected to another bone. It is possible to
locate the hyoid bone from outside by feeling just below the base of
your tongue.
Part two of our feature, The Functions of the Larynx, will be
appearing in the next ezine.
If you have further questions on the larynx, why not use our
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