2016年1月9日 星期六

喉部系統:Laryngeal system

Laryngeal system

(1)structure                                                                                    

˙Thyroid Cartilage (甲狀軟骨)
  -the largest cartilage in laryngeal skeleton
 -consisting of 2 flat quadrilateral plates (men-90o/women80o)
 -V-shaped notch (thyroid notch) in superior border
 -superior horns--hyoid bone, inferior horns--cricoid
 -thyroepiglottic ligament at the junction of the laminae 

˙Cricoid Cartilage (環狀軟骨)
  -shaped like a signet ring
 -inferior to thyroid cartilage, superior to the trachea
 - lateral surface joint receive inferior horns of thyroid 
 -posterior-superior surfaces joint receive arytenoids

˙Arytenoid Cartilage (杓狀軟骨)
   (like a 3-sided pyramid)
  -the bases rest on articular surfaces of cricoid
  -the apex flattened for articulation with corniculate
  -2 projections at the base of each arytenoid
  1vocal process
   à the vocal ligament
  2muscular process
   à lateral & posterior cricoarytenoid m.

˙Corniculate Cartilages(小角軟骨)
  - resting atop & articulating w/ arytenoid
  -the elastic corniculate fibrocartilages
  -served an protective function in development


˙Cuneiform Cartilages(契型軟骨)
  -imbedded w/in the aryepiglottic folds
  -support & stiffen aryepiglottic folds
    (maintain the laryngeal opening)

˙Epiglottis (會厭)
 -bake of hyoid bone & the base of the tongue
 -based-thyroid notch by thyroepiglottic ligament
 -up-the hyoid by hyoepiglottic ligament
   -anterior surface connect  tongue base by glossoepiglottic ligaments


(2) Laryngeal Membranes & Ligaments
   1.thyrohyoid membrane
   2.median thyrohyoid ligament
   3.lateral thyrohyoid ligaments
   4.aryepiglottic folds
   5.conus elasticus 

(3)Laryngeal Joints
  ˙cricothyroid jointsà increase anter-posterior VF length, tensing VF
  ˙cricoarytenoid joints à Arytenoids(vocal process)


(4)Muscles
  The intrinsic laryngeal muscles
1.vocal fold adductorsTALCAIA
2.vocal fold abductorsPCA
3.vocal fold tensorssCT  
 connect cricoid anterolateral surfaces & to the thyroid inferior border
    ˙pars recta (rotate the thyroid downward)
    ˙pars oblique (pull the thyroid forward )
4.aryepiglottic muscle

 The extrinsic Laryngeal muscles
   1.Inferior laryngeal musclessternohyoidsternothyroidthyrohyoidomohyoid
      
   2.Superior laryngeal musclestylohyoidmylohyoidgeniohyoiddigastrichyoglossus
        genioglossus

  3.Inferior pharyngeal constrictor
    -muscle fibers of the lower pharynx from thyroid & cricoid
    -stablize laryngeal position
    -propulsion of food during swallowing
    -also a resonant cavity

(5)Laryngeal Nervous SystemVagus nerve
a) superior laryngeal nerve
    the sensory of superior laryngeal  & control CT muscle.

b) recurrent laryngeal nerve
    the sensory of  inferior laryngeal  & control  TAIALCAPCA muscle

(6)the structure of vocal cords
 *The supraglottal region
from laryngeal inlet to the level of false vocal folds
àlaryngeal vestibule àventricular folds

 *The glottic region
between ventricular & true vocal folds
àventricle (laryngeal ventricle)
àtrue vocal folds

 *The subglottal region
from true vocal folds to the cricoid 
* Layered structure of human adult vocal fold

Youtobe:
(透過3D完整呈現 喉部的每一個結構並有詳細的說明)

(3D呈現詳細說明喉部特徵)

(透過3D簡單呈現喉部結構,喉內肌及聲帶於發聲時的動作,簡單明瞭)




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