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lec 7
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laryx
controls airflow in/out of lungs, provides source of speech
protects from foreign bodies aids during swallow
increases intrathoracic pressure during exertion,coughing,valsalva maneuver, etc
cartilages of larynx-unpaired
thryoid cartilage
cricoid cartilage
epiglottis
cartilages of larynx-paired
arytenoids
corniculates
cuneiform
cricothyroid joint-movable joint
connects the thyroid and cricoid cartilage together
cricoarytenoid joint-movable joint
connects the arytenoid and cricoid cartilage together
intrinsic muscles
interconnect cartilages, fine control of phonation
ALL PAIRED
-abduction: posterior cricoarytenoid
-adducation: lateral cricoarytenoid, transverse & oblique arytenoids
tensor,relaxor
extrinsic muscles
adjust and stabilize overall laryngeal position so that instrinic muscles can exert their forces
suprahyoid: elevate hyoid/larynx
infrahyoid: pull hyoid/larynx down
interarytenoid muscles/intrinsic adductors
oblique
transverse

LCA-intrinsic adductors
lateral cricoarytenoid

PCA-intrinsic abductor
posterior cricoarytenoid muscles

vocal folds
true vocal folds lie inferior to false folds
separated by small cleft called the ventricle
subglottic(below) glottic(between) supraglottic(above) regions
true folds, false folds, and ventricle divide the regions

glottis
space between vocal folds
vocal fold histology
supericial to deep:
epithelium (0.1mm thick)
lamina propia
superficial aka reinke’s space: gelatin 0.5mm thick
intermediate: elastin 1-2mm thick
deep: collagen
muscle

true vocal folds
mucosa
muscle (thyroarytenoid)
3 major layers “body-cover model”
cover: epitheluim and superficial lamina propia
transition: intermediate and deep lamina propria
body: vocalis muscle

theories of voice production
the vibrating string theory- rejected
neurochronaxic theory-rejected
myoelastic aerodynamic theory of voice production
1741 Ferrein
The vibrating string theory
rejected
1950 Husson
neurochronaxic theory
1958 van den berg (propoed first by muller 1843)
Myoelastic-aerodynamic theory of voice production
Myo-elastic Aerodynamic Theory of phonation
THE VOCAL FOLDS ARE ACTIVATED BY THE AIRSTREAM FROM THE LUNGS
Myo-: Muscles adduct vocal folds, establish levels of tension and elasticity
Elasticity: Allows vocal folds to stretch and return in each cycle

vocal fold vibration results from the interaction between
vocal fold muscler forces
aerodynamic forces