A system of practical medicine. By American authors. Vol. 3 : $b Diseases of the respiratory, circulatory, and hæmatopoietic systems — John Shaqi
A system of practical medicine. By American authors. Vol. 3 : $b Diseases of the respiratory, circulatory, and hæmatopoietic systems
Science
A system of practical medicine. By American authors. Vol. 3 : $b Diseases of the respiratory, circulatory, and hæmatopoietic systems
Medicine -- Practice
THE LARYNGEAL IMAGE.--When the mirror is introduced and is held in the
proper place, and the light is reflected downward, the laryngeal image
{31} will appear on the surface of the mirror. As it is, however, so
different from what might be expected after having examined a larynx
removed from the body, it requires a detailed description, and the
student will do well to refer to the diagrams frequently while
examining patients, to make himself familiar with the details he sees,
and to recognize them when they are altered by disease or when they are
slightly different in shape in different individuals. Figs. 7 and 8
represent the image of the larynx in the act of respiration and of
phonation as it appears on the surface of the mirror, while Figs. 9 and
10 are diagrammatic, and are intended to represent the same.
[Illustration: FIG. 7. Laryngeal Image during Respiration.]
[Illustration: FIG. 8. Laryngeal Image during Phonation.]
[Illustration: FIG. 9. Laryngoscopic Diagram showing the vocal cords
widely drawn apart, and the position of the various parts above and
below the glottis during quiet breathing. _g. e._ Glosso-epiglottic
fold. _s. u._ Upper surface of epiglottis. _l._ Lip or arch of
epiglottis. _c._ Protuberance of epiglottis. _v._ Ventricle of the
larynx. _a. e._ Ary-epiglottic fold. _c. W._ Cartilage of Wrisberg.
_c. S._ Cartilage of Santorini. _com._ Arytenoid commissure. _v. c._
Vocal cord. _v. b._ Ventricular band. _p. v._ Processus vocalis.
_c. r._ Cricoid cartilage. _t._ Rings of trachea. (From Mackenzie.)]
[Illustration: FIG. 10. Laryngoscopic Diagram showing the approximation
of the vocal cords and arytenoid cartilages, and the position of the
various parts during vocalization. _f. i._ Fossa innominata. _h. f._
Hyoid fossa. _c. h._ Cornu of hyoid bone. _c. W._ Cartilage of
Wrisberg. _c. S._ Cartilage of Santorini. _a._ Arytenoid cartilages.
_com._ Arytenoid commissure. _p. v._ Processus vocalis and cartilages
of Seiler. (From Mackenzie.)]
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