the larynx and hypopharynx - educational symposia · netter, atlas of human anatomy aryepiglottic...

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The Larynx and Hypopharynx Mari Hagiwara, MD ASHNR 2018 Larynx • Phonation • Maintenance of airway • Protection against aspiration L O T H Netter, Atlas of Human Anatomy • Thyroid cartilage • Cricoid cartilage • Arytenoid cartilages Cartilaginous Framework Netter, Atlas of Human Anatomy Epiglottis • Teardrop shape fibrocartilage • Tapers inferiorly to petiole • Extremely flexible • Protects AW against aspiration Netter, Atlas of Human Anatomy Aryepiglottic Folds • Sweep downward and posteriorly from epiglottis to the arytenoid • Pyriform sinus along lateral surface of each AE fold L H Netter, Atlas of Human Anatomy True Cords: vocal ligament and thyroarytenoid muscle Netter, Atlas of Human Anatomy http://www.usm.maine.edu/bio/courses/bio205/larynx_coronal.GIF

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Page 1: The Larynx and Hypopharynx - Educational Symposia · Netter, Atlas of Human Anatomy Aryepiglottic Folds • Sweep downward and posteriorly from epiglottis to the arytenoid • Pyriform

TheLarynxandHypopharynx

MariHagiwara,MDASHNR2018

Larynx

•  Phonation•  Maintenanceofairway•  Protectionagainstaspiration

L

O

T

H

Netter, Atlas of Human Anatomy

•  Thyroidcartilage•  Cricoidcartilage•  Arytenoidcartilages

Cartilaginous Framework

Netter, Atlas of Human Anatomy

Epiglottis

•  Teardropshapefibrocartilage

•  Tapersinferiorlytopetiole

•  Extremelyflexible•  ProtectsAWagainstaspiration

Netter, Atlas of Human Anatomy

AryepiglotticFolds

•  Sweep downward and posteriorly from epiglottis to the arytenoid •  Pyriform sinus along lateral surface of each AE fold

L

H

Netter, Atlas of Human Anatomy

TrueCords:vocalligamentandthyroarytenoidmuscle

Netter, Atlas of Human Anatomy http://www.usm.maine.edu/bio/courses/bio205/larynx_coronal.GIF

Page 2: The Larynx and Hypopharynx - Educational Symposia · Netter, Atlas of Human Anatomy Aryepiglottic Folds • Sweep downward and posteriorly from epiglottis to the arytenoid • Pyriform

Regions

•  Supraglottis•  Glottis•  Subglottis

Som PM and Curtin HD. Head and Neck Imaging, 4th ed.

G

Supraglottis

•  Fromtipofepiglottistoventricle

•  Epiglottis,AEfolds,falsecords,pre-epiglotticandparaglotticspaces,upperarytenoidcartilages

•  Robustlymphaticdrainagetohighdeepcervicalchain

My.statdx.com

Glottis

•  Truevocalcords–  Vocalligament–  Thyroarytenoidmuscle

•  Anteriorandposteriorcommissures(<1mm)

•  Sparselymphaticdrainage

Bodterms.weebly.com

Subglottis

•  FromundersurfaceofTVCtoinferiormarginofcricoidcartilage

•  Mucosalsurfacecloselyappliedtocricoidcartilage

Som PM and Curtin HD. Head and Neck Imaging, 4th ed.

Preepiglotticspace

•  Anteriortoepiglottis•  Filledwithfat,richlymphaticandmicrovascularnetwork

•  Contiguousoneithersidewithparaglotticspace

PES

Paraglotticspace

•  Lateralwalloflarynx,betweenmucosaandcartilages

•  Supraglottis:fat•  Glottis:TAM

•  InferiorlyterminatesatlevelofundersurfaceofTAM

S

G

Som PM and Curtin HD. Head and Neck Imaging, 4th ed.

Page 3: The Larynx and Hypopharynx - Educational Symposia · Netter, Atlas of Human Anatomy Aryepiglottic Folds • Sweep downward and posteriorly from epiglottis to the arytenoid • Pyriform

PES

LH

TAM

Hypopharynx

Netter, Atlas of Human Anatomy

Page 4: The Larynx and Hypopharynx - Educational Symposia · Netter, Atlas of Human Anatomy Aryepiglottic Folds • Sweep downward and posteriorly from epiglottis to the arytenoid • Pyriform

Hypopharynx

Netter, Atlas of Human Anatomy

Hypopharynx

Posterior hypopharyngeal wall

Pyriform sinuses

Post cricoid region

Laryngeal and Hypopharyngeal cancer · PDF fileRadiotherapy is not good if there is vocal cord fixity . If ... submucosal spread to medial wall of pyriform fossa. ... If tumour extends

In Vivo Optical Coherence Tomography of the Human Larynx ... · lial thickness of laryngeal subsites was calculated: true vocal cord (129 m), false vocal cords (124 m), aryepiglottic

Microlaryngoscopic surgery for pyriform sinus fistulas in ... · cauterization for the sinus tract; however, these ap-proaches sometimes result in complications and recur-rence. There

Continuing Education Independent Study Seriesof phonosurgery or arytenoid adduction, is currently the most popular procedure. Reinnervation of the recurrent laryngeal nerve and innervated

Pyriform sinus tumours principles of management

TO REVIEW. SKELETAL STRUCTURE OF LARYNX 6 Cartilages: Cricoid Thyroid Arytenoid Corniculate Cuneiform Epiglottic 1 Bone: Hyoid Basic Structure/Layers

Aspiration with or without lavage in the treatment of ... · thyroiditis (AST) secondary to pyriform sinus fistula (PSF). To investigate the benefits and adverse events of aspiration

Author(s): Patrick Carter, Daniel Wachter, Rockefeller ... · PDF images/CDIMAGE4.JPG pics/Anatomy/Fig956.gif arytenoids & aryepiglottic folds . Ghana ... Requires absent gag reflex

In the name of GODbayanbox.ir/view/4974955816975551281/Anatomy2.pdf · Thyroid Cartilage, right lamina Corniculate cartilage Arytenoid cartilage — Cricoid cartilage Membranous wall

Applied anatomy of the submental island flap and its ...population for applied anatomy of the submental island ﬂap, and followed ﬁve patients with pyriform sinus carcinoma after

Functional outcomes of endoscopic arytenoid abduction ...doktori.bibl.u-szeged.hu/9939/1/Dr. Matievics-phd-tézis.pdf · 1.1. Vocal cord palsy Vocal cord palsy secondaroccurs ily

Deep Pyriform Space: Anatomical Clarifications and ... · The deep pyriform space is cradled medially by the pyriform aperture and depressor septi nasi. The angular artery courses

Epiglottic cartilage Hyoid bone Thyroid cartilage Cricoid cartilage Trachea Hyoid bone Epiglottic cartilage Corniculate cartilage Arytenoid cartilage

Inflammation of the larynx - uomustansiriyah.edu.iq08_52... · Severe toxaemia is rare. 8. ... turban-like pseudo-oedema which involves the epiglottis, 'aryepiglottic folds, arytenoids,

The Larynx R. Shane Tubbs, MS, PA-C, PhD. 9 Cartilages 3 unpaired: epiglottis, thyroid, cricoid 3 unpaired: epiglottis, thyroid, cricoid 3 paired: arytenoid,

Web viewModerate weight, thick, with good gloss in fresh specimens; pyriform or low conical, shoulder wide tapering strongly to base; broad spiral ridges basally sometimes

…going one step further - 3B · L English 4 1 Hyoid bone A LARYNX 2 Thyroid cartilage 3 Cricoid cartilage 4 Epiglottis 5 Arytenoid carilage 6 Thyrohyoid membrane 7 Thyrohyoid 8

Endoscopic diagnosis of pyriform fossa lymphomadownloads.hindawi.com/journals/cjgh/1996/806862.pdf · Department of Gastroenterology and Hepatology, and Department of Haematology,

Analisi comparativa della presenza/localizzazione di un ... · Andreuccetti P., 1992 - An ultrastructural study of differentiation of pyriform cells and their contribution to oocyte

AZ ENDOSCOPOS ARYTENOID ABDUCTIOS LATEROPEXIA KLINIKAIdoktori.bibl.u-szeged.hu/10024/2/összegoglaló_final.pdf · AZ ENDOSCOPOS ARYTENOID ABDUCTIOS LATEROPEXIA KLINIKAI FELHASZNÁLÁSÁNAK

Final Malignant Melanoma - · PDF filedecember 2015 volume 49, number 4 ghana medical journal 278 primary malignant melanoma of aryepiglottic fold s. chhabra, r. sen, p. parmar, p

Estero, - Hindawi Publishing Corporationdownloads.hindawi.com/journals/psyche/1962/036967.pdf270 Abalos Latrodectus [-1962 pyriform andits mostfrequentsize is about Omm. Thesac is

Morphological and molecular study of Microphallus primas ... · 50 Metacercaria of Microphallus primas Description by LM: Excysted metacercaria elongate, pyriform. oral sucker subterminal,

Combined Arytenoid Adduction and Laryngeal Reinnervation ... Vo… · duction group) or combined arytenoid adduction and ansa cervicalis to recurrent laryngeal nerve anasto- mosis

Anatomy of the larynx...The larynx is subdivided into From To Supraglottic area (Epiglottis, Arytenoids cartilage, Corniculate cartilage, Conieform cartilage, Aryepiglottic fold, Interartenoid

University of Alabama at Birmingham€¦ · Web viewAnatomy of the Larynx The larynx is composed of nine cartilages – paired cuniform, corniculate, and arytenoid cartilages, and

Asymmetric Mineralization of the Arytenoid - American … · · 2011-08-26Asymmetric Mineralization of the Arytenoid Cartilages in Patients without Laryngeal Cancer E. Zan D.M

Effects of nasal wall lateralization and pyriform …Sommer F (21) Effects of nasal wall lateralization and pyriform turbinoplasty on nasal air conditioning Otorhinolaryngol Head Neck

Documents/M1.docx · Web viewspecimens often with slightly pyriform last whorl. Shoulder angulate, sometimes subangulate. Spire of low to moderate height, outline straight to slightly

A Case of Solitary Neurofibroma Arising from the Arytenoid ...journal.kisep.com/pdf/001/2013/0012013038.pdf세 수술을 시행하였다. 수술현미경은 Leica M525 F40(Leica, Solms,

Functional structure of the skullLower midfacial fracture Le Fort I or low horizontal fractures: From nasal septum to the lateral pyriform rims → horizontally above the teeth apices

Opening Round Cases - Johns Hopkins Radiologyneuroradiology.rad.jhmi.edu/openingroundcases.pdfOpening Round Cases . Case 001 ... supraglottitis, neurogenic tumors, aryepiglottic fold

LABORATORY Laboratory 5 Pg.1 5 - cal.vet.upenn.educal.vet.upenn.edu/projects/parasit06/website/lab5_2010.pdf · shape and contain an onchosphere surrounded by a pyriform apparatus

References - Cognitive Map · 2003-07-07 · 478 References ALLEN, W. F. (1940). Effect of ablating the frontal lobes, hippocampi, and occipitoparieto-temporal (excepting pyriform

Fibrovascular Polyp of the Hypopharynx - koreanjpathol.orgkoreanjpathol.org/upload/journal/2008/2008_0226.pdf · examination revealed a polyp arising from the right pyriform sinus