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140

Respiratory system

 

 

 

 

 

 

 

 

 

 

 

Cricoid cartilage. Cartilago cricoidea. Ring of

18

Triangular fovea. Fovea triangularis. Gland-

1

 

1

 

 

 

cartilage lying at the upper end of the trachea

 

filled depression above the oblong fovea. C

2

 

 

 

that articulates with the thyroid cartilage. A B D

19

Medial surface. Facies medialis. C

 

 

 

2

Arch of cricoid cartilage. Arcus cartilaginis cri-

20

Posterior surface. Facies posterior. C

 

 

 

 

 

coideae. Anterior and lateral parts of cricoid

21

Apex of arytenoid cartilage. Apex cartilaginis

3

 

 

 

cartilage. A B

 

 

 

 

 

 

arytenoideae. It

arches posteriorly from the

 

 

3 Lamina of cricoid cartilage. Lamina cartilaginis

 

 

 

 

 

arytenoid cartilage. C D

 

 

 

 

 

 

cricoideae. Tall posterior plate of the cricoid

 

 

 

4

 

 

 

22

Muscular process. Processus muscularis. Short

 

 

 

cartilage. A B

 

 

 

4

Articular surface for arytenoid cartilage. Fa-

 

process that projects posterolaterally from the

5

 

 

arytenoid cartilage for attachment of the poste-

 

 

 

cies articularis arytenoidea. Oblique, oval artic-

 

 

 

 

 

rior and lateral cricoarytenoid muscles. C

 

 

 

 

 

ular facet for the arytenoid cartilage located

23

Cricoarytenoid

joint. Articulatio

cricoaryte-

 

 

 

 

laterally at the upper margin of the cricoid

6

 

 

 

 

 

 

 

noidea. Cylindrical joint between the cricoid

 

 

 

lamina. A

 

 

 

 

 

5 Articular surface for thyroid cartilage. Fa-

 

and arytenoid cartilages. It permits oscillating

 

 

 

 

7

 

 

 

movements around an obliquely placed cylin-

 

 

 

cies articularis thyroidea. Somewhat promi-

 

drical axis and gliding movements parallel to

 

 

 

 

nent articular facet for the thyroid cartilage sit-

 

the axis. D

 

 

 

 

8

 

 

 

uated inferiorly on the lateral margin of the

24

Articular

capsule

of cricoarytenoid

joint.

 

 

 

lamina. A

 

 

 

 

 

 

 

Capsula

articularis

cricoarytenoidea.

Thin-

 

6

Cricothyroid joint. Articulatio cricothyroidea.

 

9

 

walled, flaccid capsule of joint between cricoid

 

 

 

Articulation between the thyroid and cricoid

 

and arytenoid cartilages. D

 

 

 

 

 

 

cartilages. It permits tilting movements as well

25

Cricoarytenoid

ligament. Lig.

cricoaryte-

10

 

 

 

as horizontal and vertical gliding movements. B

 

 

 

 

noideum. Important elastic ligament for the

7

Cricothyroid joint capsule. Capsula articu-

 

 

 

closure of the rima glottidis. It passes posteri-

 

 

11

 

 

 

laris cricothyroidea. Thin articular capsule. B

 

orly from the cricoid lamina to the medial part

 

 

7 a

Ceratocricoid ligament. Lig. ceratocri-

 

of the arytenoid. D

 

 

 

 

 

 

 

 

 

 

 

 

 

 

coideum. Capsular reinforcement for limitation

26

Cricopharyngeal ligament. Lig. cricopharyn-

12

 

 

 

 

 

 

of shearing movements. B

 

 

geum. Fiber tract beginning at the corniculate

 

 

 

8 Median cricothyroid ligament. Lig. cricothy-

 

cartilage. After attachment to the posterior side

13

 

 

 

roideum medianum. Strong vertical ligament

 

of the cricoid, it passes beneath the overlying

 

 

 

 

in the midline between the thyroid and cricoid

 

pharyngeal mucosa. D

 

 

 

 

 

 

 

 

 

14

 

 

 

cartilages. B D

 

27

Sesamoid

cartilage. [Cartilago sesamoidea].

9

Cricotracheal ligament.

Lig. cricotracheale.

 

Piece of elastic cartilage occasionally present in

 

 

 

 

 

 

Elastic membrane between the cricoid cartilage

 

the anterior end of the vocal ligament and near

15

 

 

 

and the first tracheal cartilage. B D

 

the arytenoid cartilage. D

 

 

 

10

Arytenoid cartilage. Cartilago anytenoidea.

28

Corniculate cartilage. Cartilago

corniculata

 

16

 

 

 

Pyramid-like cartilage on the cricoid cartilage.

 

[[Santorini]]. Small elastic cartilage at the apex

 

 

 

 

of the arytenoid cartilage. It produces the

 

 

 

 

C D

 

 

 

 

11 Articular surface. Facies articularis. Cylindrical,

 

corniculate tubercle. C D

 

 

17

 

 

 

 

 

29

Corniculate tubercle. Tuberculum cornicu-

 

 

 

concave joint surface below the muscular

 

 

 

 

process for articulation with the cricoid. C

 

latum. Mucosa-covered prominence over the

18

12

Base of arytenoid. Basis

cartilaginis aryte-

 

corniculate cartilage directly above the apex of

 

the arytenoid cartilage. See page 142.9

 

 

 

 

 

noideae. Undersurface of arytenoid cartilage. C

 

 

 

 

 

 

 

1913 Anterolateral surface. Facies anterolateralis. Surface directed anterolaterally for muscular insertion and origin. C

2014 Vocal process. Processus vocalis. Anteriorly directed process for attachment of the vocal

21ligament. C

15 Arcuate crest. Crista arcuata. Cartilaginous

22ridge which begins between the oblong and triangular foveae, arches around the triangular fovea and ends at the colliculus. C

2316 Colliculus. Small projection at the end of the arcuate crest. C D

2417 Oblong fovea. Fovea oblonga. Depression on the anteroinferior surface of the arytenoid car-

25tilage for attachment of the thyroarytenoid muscle. C

Respiratory system 141

44

3

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

5

5

 

 

 

 

 

8

 

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6;7;7a

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cricoid cartilage, left and posterior view

9

 

 

 

 

 

 

 

 

9

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Thyroid and cricoid cartilages

28

21

 

 

 

15

21

 

 

21

B

 

 

 

 

 

 

 

from left

 

 

 

 

 

 

 

 

16

 

 

 

 

 

 

28

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

2

3

4

5

6

7

8

9

10

11

12

15

18

 

 

 

 

 

 

 

20

 

 

 

 

 

13

14

14

 

 

 

 

 

13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17

 

19

 

 

22

 

 

 

 

22

 

 

 

 

 

 

 

 

22

 

 

 

 

14

 

 

 

 

 

 

 

 

 

12

 

 

 

11

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C Right arytenoid cartilage, lateral,

 

15

21

 

medial and posterior views

16

 

 

28

17

144.11

16

 

10

18

27

 

25

 

 

 

144.13

26

19

27

23

 

 

24

20

 

26

8

 

 

 

1

21

 

 

 

 

 

 

 

 

 

22

9

 

 

 

 

 

 

 

23

 

 

 

 

 

Sagittal section of larynx,

 

D

 

24

 

medial view

 

 

 

 

 

 

 

 

 

25

 

 

 

 

 

142 Respiratory system

1

 

1

Cuneiform cartilage. Cartilago cuneiformis.

18 M. vocalis. o: Inner surface of thyroid cartilage

 

 

Variably small cartilage beneath a small group

near the midline. i: Vocal process and oblong

 

 

 

of glands in the aryepiglottic fold. D

fovea of arytenoid cartilage. A: By its tension it

2

 

2

Cuneiform tubercle. Tuberculum cuneiforme.

alters the intrinsic vibrations of the vocal cord.

 

 

 

Prominence in the aryepiglottic fold caused by

I: Recurrent laryngeal nerve. E

3

 

 

the cuneiform cartilage. If the cartilage is ab-

19 Thyroepiglottic muscle. [[M. thyroepiglotti-

 

 

sent, it can also be produced by glands. B D

cus]]. Now the thyroepiglottic part of the thy-

 

 

3

Epiglottis. Elastic cartilage shaped like a shoe-

roarytenoid muscle. See p. 20 D

4

 

 

horn. B C E

20 Thyroarytenoid muscle. M. thyroarytenoideus.

 

 

4

Stalk of epiglottis. Petiolus epiglottidis.

o: Anterior inner surface of thyroid cartilage. i:

5

 

 

Downward pointing end of the epiglottic car-

Muscular process and lateral surface of aryte-

 

 

tilage that is attached to the thyroid cartilage

noid cartilage. A: Synergist in closure of rima

 

 

 

 

 

 

by connective tissue. A D

glottidis. I: Recurrent laryngeal nerve. D E

 

 

 

65 Epiglottic tubercle. Tuberculum epiglotticum. 20 a Thyroepiglottic part. Pars thyroepiglottica. o:

 

 

Small prominence at the posterior surface of

 

Anterior, inner surface of thyroid cartilage. i:

7

 

the mucosa above the stalk. B

 

 

 

 

Epiglottis and quadrangular membrane. I: Re-

6 Epiglottic

cartilage. Cartilago

epiglottica.

 

current laryngeal nerve. D See p. 19.

 

 

 

 

Skeleton of epiglottis consisting of elastic car-

21

Oblique arytenoid muscle. M. arytenoideus

8

 

 

tilage. A C D

 

 

 

 

 

obliquus. o: Posterior surface of muscular

 

7

Thyroepiglottic ligament. Lig. thyroepiglotti-

 

process. i: Apex of contralateral arytenoid car-

 

 

9

 

cum. Ligament attaching

the

stalk

of

the

 

tilage. A: Draws the arytenoid cartilages closer

 

epiglottis to the posterior surface of the thyroid

 

together. Synergist in closure of rima glottidis. I.

 

 

 

 

 

cartilage. A D

 

 

 

 

 

Recurrent laryngeal nerve. B

10

 

 

 

 

 

 

8

Hyoepiglottic ligament. Lig. hyoepiglotticum.

21 a Aryepiglottic

part. Pars

aryepiglottica. o:

 

 

Ligament between the hyoid and epiglottis. C

 

Apex of arytenoid cartilage. i: Margin of

 

 

 

11

9

Corniculate tubercle. Tuberculum cornicu-

 

epiglottis. Foundation of aryepiglottic fold. A:

 

 

latum. Mucosa-covered prominence over the

 

Depresses the epiglottis. See 11.

 

 

corniculate cartilage just above the apex of the

22

Transverse arytenoid muscle. M. arytenoideus

12

 

 

arytenoid cartilage. B D

 

 

 

 

 

transversus. o: Posterior surface of arytenoid

 

10 Laryngeal musculature. Musculi laryngis. B C

 

cartilage. i: Same surface of contralateral aryte-

13

 

D E

 

 

 

 

 

 

noid cartilage. A: Approximates arytenoid car-

 

11

[[M. aryepiglotticus]]. Now the

aryepiglottic

 

tilages. Synergist in closure of rima glottidis. I:

 

 

part of the arytenoid muscle. See p. 21 a. B D

 

Recurrent laryngeal nerve. B

14

 

 

12

M. cricothyroideus. o: Anterolateral aspect of

23

Laryngeal cavity. Cavitas laryngis. E

 

 

 

cricoid cartilage. i: Interiorly at outer and inner

24

Laryngeal inlet (aditus). Aditus laryngis. En-

 

 

15

 

surfaces of the thyroid cartilage lamina. A:

 

trance into larynx between the epiglottis, ary-

 

 

Tenses vocal ligament by lifting the cricoid car-

 

epiglottic folds and interarytenoid notch. B E

 

 

 

16

 

tilage forward and tilting back the lamina and

25

Aryepiglottic

fold. Plica

aryepiglottica. Mu-

 

the arytenoid cartilage. I: Superior laryngeal

 

 

cosal fold over the aryepiglottic muscle. It ex-

 

 

nerve (different innervation than other intrin-

 

tends from the apex of the arytenoid cartilage

17

 

sic laryngeal muscles). C E

 

 

 

 

 

 

 

 

 

 

 

to the lateral margin of the epiglottis. B D

 

13

Straight part. Pars recta. Anterior, somewhat

26

Interarytenoid notch.

Incisura interaryte-

 

 

 

more steeply coursing fibers. C

 

 

 

18

 

 

 

 

 

noidea. Mucosa-covered slit between the two

14

Oblique part. Pars obliqua. Posterior, more

 

 

apices of the arytenoids. B

 

 

 

horizontally coursing fibers. C

 

 

 

 

 

 

 

 

 

 

27

Vestibule of

larynx.

Vestibulum laryngis.

19

15

 

M.

cri-

Posterior

cricoarytenoid

muscle.

 

Upper part of laryngeal cavity extending as far

 

 

coarytenoideus posterior. o: Posterior surface

 

 

 

 

as the vestibular [ventricular] folds. E

20

 

of cricoid

cartilage. i: Muscular process

of

 

 

28

Rima vestibuli. Interval between the two vesti-

 

arytenoid cartilage. A: By swinging the vocal

 

 

 

bular folds. E

 

 

 

 

 

process upward and outward, it opens the rima

 

 

 

 

21

 

glottidis. It is the only abductor of the vocal

29

Vestibular (ventricular) fold. Plica vestibu-

 

 

folds. I: Recurrent laryngeal nerve. B D

 

 

laris [ventricularis]. Fold produced by the vesti-

 

16

Ceratocricoid muscle. [M. ceratocricoideus].

 

bular ligament. It lies between the laryngeal

22

 

 

Anatomic variant. o: Inferior horn of thyroid

 

ventricle and vestibule. E

 

 

 

cartilage. i: Inferior margin of cricoid cartilage.

29 a Intermediate laryngeal cavity. Cavitas laryngis

23

 

I: Recurrent laryngeal nerve. B

 

 

 

 

intermedia. Space between the vestibular and

 

17 Lateral cricoarytenoid muscle. M. cricoaryte-

 

vocal folds.

 

 

 

 

 

 

 

 

 

 

noideus lateralis. o: Upper lateral margin of cri-

 

 

 

 

 

24coid cartilage. i: Anteriorly at muscular process of arytenoid cartilage and adjacent area. A:

25Synergist in closing of rima glottidis. I: Recurrent laryngeal nerve. D

Respiratory system 143

1

6

 

 

3

 

 

 

 

 

25

 

 

 

 

 

 

 

 

 

24

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

 

 

5

 

11

 

 

4

9

 

 

 

 

 

 

 

 

 

 

 

 

 

 

26

 

 

 

 

 

 

 

 

 

 

 

 

 

7

22

21

15

16

A

Laryngeal cartilages, posterior view

B

Laryngeal musculature, posterior view

138.26a

8 6

3

 

 

 

3

 

 

 

 

 

 

 

25

 

 

 

6

11

27

 

 

 

 

 

 

 

 

 

 

2

23

 

 

 

24

 

 

 

 

 

 

 

 

1

 

 

 

19

9

 

 

 

 

 

 

 

20

 

 

13

 

 

23

 

 

 

 

12

 

14

17

 

 

 

 

15

C

Larynx, anterolateral view

D

Larynx, left lamina of thyroid

E

Larynx, frontal section,

 

 

 

cartilage removed

 

posterior view

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

2829 17

18 18

20 19

12

20

21

22

23

24

25

 

144

Respiratory system

 

 

 

 

 

 

 

 

 

Ventricle of larynx. Ventriculus laryngis 17

TRACHEA. Airway characterized by its cartilage-

1

 

1

 

 

 

[[Morgagni]].

Lateral

outpocketings

between

 

containing wall and its branches, the bronchi. E

2

 

 

 

the vocal and vestibular folds. B C D

 

18 Cervical part. Pars cervicalis. The cervical seg-

 

2

Saccule (appendix) of larynx. Sacculus laryn-

 

 

ment of the trachea extending from C6 to C7.

 

 

 

 

gis [[appendix ventriculi laryngis]]. Small blind

19

Thoracic part. Pars thoracica. The thoracic seg-

3

 

 

 

sac directed upward from the ventricle. B

 

 

 

 

ment extending from T1 to T4.

 

 

3 Glottis. Voice-producing part of the larynx con-

 

 

 

 

20

Tracheal cartilages.

Cartilagines tracheales.

 

 

 

 

sisting of the two vocal folds and the interval

4

 

 

 

 

Horseshoe-shaped cartilages of the tracheal

 

 

 

(Rima glottidis) between them. A

 

 

 

 

 

4 Rima glottidis. Space between the two aryte-

 

wall. E F H

 

 

 

 

 

21

Tracheal muscle. Musculus trachealis. Smooth

5

 

 

 

noid cartilages and the vocal cords. A

 

 

5

Vocal fold. Plica vocalis. Mucosal

fold sup-

 

muscle between the free ends of the horseshoe-

 

 

 

shaped tracheal cartilages. H

 

 

 

6

 

 

 

ported by the underlying vocal ligament and

 

 

 

 

 

 

 

 

 

 

 

laterally by the vocalis muscle. A

 

22

Annular ligaments of trachea. Ligg. anularia

 

 

 

 

 

 

6

Intermembranous part. Pars intermem-

 

tracheae, Ligg.

trachealia. Connective tissue

7

 

 

bridges between the tracheal cartilages. E F

 

 

 

branacea. Portion of the rima glottidis extend-

 

 

 

 

 

ing from the thyroid cartilage to the apex of the

23

Membranous

wall.

Paries membranaceus.

8

 

 

 

vocal process. A

 

 

 

 

Posterior wall of trachea. F

7

Intercartilaginous

part.

Pars

intercar-

 

 

24 Bifurcation of trachea. Bifurcatio tracheae [tra-

 

9

 

 

 

tilaginea. Portion of rima glottidis between the

 

chealis]. Asymmetrical division of trachea at

 

 

 

arytenoid cartilages. A

 

 

 

 

 

 

 

 

 

 

 

level of T4. E G

 

 

 

 

 

7 a Interarytenoid fold.

Plica

interarytenoidea.

25

Carina tracheae. Ridge projecting into the

10

 

 

 

 

 

Mucosal fold between the arytenoid cartilages. A

 

 

 

 

lumen of the trachea at its bifurcation and pro-

 

8

Infraglottic cavity. Cavitas infraglottica. Lowest

 

 

 

viding an aerodynamic effect. G

11

 

 

 

portion of laryngeal cavity. It is enclosed by the

26

Tunica mucosa. Tracheal mucosa lined by pseu-

 

 

 

conus elasticus and extends from the rima glot-

 

 

 

 

tidis to the trachea. C

 

 

 

 

dostratified ciliated columnar epithelium with

12

 

 

 

 

 

 

 

goblet cells. H

 

 

 

 

9 Fibroelastic membrane of larynx. Membrana

 

 

 

 

 

 

27

Tracheal glands. Gll. tracheales. Mixed glands

 

 

 

 

fibroelastica

laryngis

[[membrana

elastica

13

 

 

 

laryngis]]. Submucosa of laryngeal wall provided

 

in the submucosa. H

 

 

 

 

 

 

 

 

 

 

 

 

with abundant elastic fibers. It begins at the

28

BRONCHI. Branches of trachea.

 

 

 

 

 

 

 

 

quadrangular membrane and ends at the lower

29

Bronchial tree. Arbor bronchialis. The entire

14

 

 

 

 

 

 

margin of the conus elasticus. B

 

 

10

Quadrangular membrane. Membrana quad-

 

branching system of the bronchi.

 

 

15

30

MAIN BRONCHUS (RIGHT AND LEFT). Bronchus

 

 

 

rangularis. Membrane spread out between the

 

 

 

 

epiglottis, aryepiglottic fold and vestibular fold.

 

principalis (dexter et sinister). Right and left

 

 

 

 

 

 

 

 

 

C D

 

 

 

 

 

stem bronchi arising directly from the trachea. E

1611 Vestibular ligament. Lig. vestibulare. It strengthens the lower margin of the quadrangular mem-

17brane. C

 

12

Conus elasticus (membrana cricovocalis).

18

 

Reinforced fibroelastic membrane between the

 

 

vocal ligament and cricoid. D

 

13

Vocal ligament. Lig. vocale. It lies between the

19

 

 

vocal process of the arytenoid cartilage and the

 

 

thyroid cartilage and forms the upper end of the

20

 

conus elasticus. C

 

14

Tunica mucosa. Laryngeal mucous membrane

 

21provided with nonkeratinized, stratified squamous epithelium only on the upper part of the posterior surface of the epiglottis and on the

22vocal folds; the rest of the larynx is lined with pseudostratified, ciliated columnar epithelium with goblet cells. B

2315 Laryngeal glands. Gll. laryngeales. Mixed glands occupying the submucosa of the laryn-

24geal wall. B

16 Lymph nodes of larynx. [[Nodi lymphatici

25laryngis]]. Lymphatic nodules are abundant in the submucosa of the ventricle. B