1、LaryngologyReview 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)hemoptysisLaryngeal muscles Extrinsic laryngeal muscles Up:geniohyoideus;digastricus;
2、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,voca
3、l ligament,mucosa The lymphatic drainage of the larynx Supraglottic region:rich lymphatic vessels aryepiglottic folds anterior of sinus piriformisthyrohyoid membranecarotid bifuracation Infraglottic region:less lymphatic vessels across the cricothyroid membraneprelaryngeal,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