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Phonation
Praxis
33
Speech-Language Pathology
Graduate
12/21/2014

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Term
what structure lies at the top of the trachea and is known as the valving mechanism that opens and closes?
Definition
larynx
Term
what structure houses the VFs?
Definition
larynx
Term
what are the biological functions of the larynx?
Definition
1. closure of the trachea so food can't enter
2. production of cough reflex to expel foreign substances
3. closure of the VFs to build subglottic pressure necessary for physical tasks
Term
the larynx is suspended from which bone?
Definition
hypoid (u-shape bone under the mandible)
Term
what are the three key cartilages of the larynx?
Definition
thyroid, cricoid, and arytenoid
Term
which cartilage forms the anterior and lateral walls of the larynx, and protects the larynx?
Definition
thyroid
Term
which cartilage is linked with the thyroid cartilage and paired arytenoid cartilages?
Definition
cricoid
Term
which cartilage completely surrounds the trachea?
Definition
cricoid
Term
which cartilages are small, pyramid-shaped cartilages that connect to the cricoid cartilage (it allows sliding and circular movements)
Definition
arytenoid
Term
which cartilages sit on the apex of the arytenoid cartilages and assist in reducing the laryngaeal opening when a person is swallowing?
Definition
corniculate
Term
what is the primary responsibility of the intrinsic laryngeal muscles?
Definition
controlling sound production
Term
what is the thyroarytenoid (I) responsible for?
Definition
primary portion that vibrates and produces sound (VFs)
Term
what are the adductor muscles (I) responsible for?
Definition
bringing together the VFs (lateral cricoarytenoids, transverse arytenoids and oblique arytenoids)
Term
what are the three adductor muscles (part of the intrinsic laryngeal muscles)
Definition
lateral cricoarytenoids, transverse arytenoids and oblique arytenoids
Term
what is the cricothyroid (I) responsible for?
Definition
lengthening and tensing the VFs
Term
most intrinsic laryngeal muscles are innervated by which nerve branch? Which muscle is the exception?
Definition
most innervated by the recurrent laryngeal nerve (part of CN X: vagus nerve) --- the cricothyroid is innervated by the external branch of the superior laryngeal nerve branch of CN X: vagus nerve
Term
when the VFs are abducted, a small opening is created. This is called the ________.
Definition
glottis
Term
what is the primary function of the extrinsic muscles?
Definition
support the larynx and fix its position
Term
all extrinsic laryngeal muscles are attached to which bone? what do they do?
Definition
hyoid - they lower or raise the position of the larynx within the neck
Term
which extrinsic laryngeal muscle is responsible for elevation? depression?
Definition
elevation: suprahyoid
depressors: infrahyoid
Term
where is the suprahyoid located, and what is it responsible for?
Definition
located above the hyoid bone -- primary function is elevation of the larynx (through the digastrics, geniohyoids, mylohyoids, stylohyoids, hypoglossus and genioglossus)
Term
where is the infrahyoid located, and what is it responsible for?
Definition
located below the hyoid bone -- primary function is depressing of the larynx (through the thyrohyoids, omohyoids, sternothyroids and sternohyoids)
Term
which three muscles contribute to the velopharyngeal closure through tensing/elevating the velum?
Definition
palatoglossus, tensor veli palatini and levator veli palatini
Term
what are the three layers of the vocal folds?
Definition
epithelium - outer cover
lamina propria - middle layer (consists of three layers)
vocalis muscle - body (provides stability and mass to the VF)
Term
the aryepiglottic folds are composed of what?
Definition
a ring of connective tissue and muscle extending from tips of the arytenoids to the larynx
Term
why do the aryepiglottic folds separate the laryngeal vestibule from the pharynx?
Definition
to help preserve the airway
Term
T/F: ventricular/false VFs vibrate during phonation for a normal speaker
Definition
false --- they vibrate at a very low FF and usually not during normal phonation
Term
what is the myoelastic-aerodynamic theory?
Definition
VFs vibrate because of the forces and pressure of air and the elasticity of the VFs.
- air flowing out of the lungs is temporarily stopped by the closed VF, this builds up subglottal air pressure, which ventually blows the VFs open-- at this moment VFs are set into vibration
-as air moves through the open VFs, the pressure between the edges of the vf decreases and the folds are sucked together
Term
what is the bernoulli effect?
Definition
the "sucking" motion of the VFs towards one another is caused by the increased speed of air passing between the VFs
Term
what is the mucosal wave action? can there be phonation without a mucosal wave?
Definition
cover and intermediate/deep laters of the lamina propria (middle layer of the VF) over the vocalis muscle slide and produce a wave --- there is no vibration, and thus no phonation, without a mucosal wave
Term
which structure is key in the coordination of the laryngeal muscles for adequate phonation?
Definition
cerebellum
Term
how is the superior laryngeal nerve involved in phonation?
Definition
the internal branch provides sensory information to the larynx, and the external branch supplies motor innervation solely to the cricothyroid muscle
Term
how is the recurrent laryngeal nerve involved in phonation?
Definition
motor innervation and it supplies all sensory information below the VF
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