LARYNX

Mohammed Asif P P
Roll no:133
 Muscles
of larynx

extrinsic intrinsic

elevator Acting on
depressors vocal cord Acting on
s
laryngeal
inlet
• Extrinsic muscles
• Connect larynx to neighbouring structures
• All are paired
• 2 types : elevators and depressors
• Elevators : primary & secondary
• Primary : attached to thyroid cartilage ,
secondary to hyoid bone
 Primary Secondary
elevators elevators

stylopharyngeus Mylohyoid(main)

Salpingopharyngeus Digastric

Palatopharyngeus Stylohyoid

thyrohyoid geniohyoid
 Sternohyoid

sternothyroid

depressors
omohyoid
 Intrinsic muscles
• May act on vocal cord or laryngeal inlet

Lateral cricoarytenoid

adductors
Interaryteoid

Acting on Posterior
vocal cord Abductors
cricoarytenoid

tensors cricothyroid

vocalis
 Posterior cricoarytenoid
• Origin: posterior surface of cricoid lamina
• Insertion:muscular process of arytenoid
• Nerve: recurrent laryngeal
• Safety muscle of larynx
 cricothyroid
• Only muscle that lies on the external surface of larynx
• Origin : anterolateral part of arch of cricoid
• Insertion:
• lower oblique fibers …inferior cornua of thyroid cartilage
• Straight fibers ….lower border of thyroid lamina
• Nerve : external laryngeal
• Action :lengthening & tensing vocal cord
• like the ….Visor of a knight’s helmet
• Tuning fork of larynx
 vocalis
• Detatched medial part of thyroarytenoid & lie within
vocal fold

• Origin: thyroid angle & anterior part of vocal ligament

• Insertion:lateral surface of vocal process

• On contraction anterior part of vocal ligament tenses

& posterior part is relaxed….help in voice modulation
• Nerve : recurrent laryngeal
 Acting on laryngeal inlet
Closure of
Opener of laryngeal
laryngeal inlet
inlet

Thyroepiglotticus Interarytenoid
(part of (oblique part)
thyroarytenoid)

aryepiglotticus
arterial supply
• Laryngeal branches of superior & inferior
thyroid artery
• Veins accompany arteries
• Nerve supply

• Motor:all intrinsic muscles – recurrent laryngeal nerve

except cricothyroid( external laryngeal n)

• Sensory:above vocal cords-Internal laryngeal n

below vocal cords-recurrent laryngeal n
 Lymphatic drainage
• Supraglottic region: to upper deep cervical lymph
nodes
• Infraglottic region :to prelaryngeal & pretracheal
lymph nodes---lower deep cervical & mediastinal
nodes

Practically no lymphatics in vocal cords >>>>carcinoma

of this region rarely metastasize
THANK YOU