上海交通大学耳鼻咽喉科学英文版课件 laryngology.ppt

Laryngology Review Anatomy Physiologic functions: Respiration; Pronunciation; Protection; Swallowing Characteristics of the children Symptoms: 1）hoarseness 2）inspiratory dyspnea 3）laryngeal stridor 4）pain of the larynx 5）hemoptysis Laryngeal muscles Extrinsic laryngeal muscles Up：geniohyoideus; digastricus; mylohyoideus Down：sternothyreoideus; sternohyoideus; omohyoideus Intrinsic laryngeal muscles: abductor：posterior cricoarytenoid musle adductor：lateral cricoarytenoid musle,arytenoid musle tensor：cricothyroid musle relaxer：thyroarytenoid musle Main components of the vocal cords： thyroarytenoid musle, vocal ligament, mucosa The lymphatic drainage of the larynx Supraglottic region： rich lymphatic vessels aryepiglottic folds ?anterior of sinus piriformis?thyrohyoid membrane?carotid bifuracation Infraglottic region： less lymphatic vessels across the cricothyroid membrane?prelaryngeal, para- tracheal ?inferior deep cervical lymph nodes Glottic portion： rare lymphatic vessels Laryngeal nerve internus sensory nerve superior? externus motor nerve(cricothyroid musle) vagus { left longer recurrent? right motor nerve (all the intrinsic laryngeal muscles except cricothyroid musle) normal