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 arytenoid cartilages forming the ends of the ary-epiglottic folds
are movable, approaching and separating alternately during the act of
respiration, while during phonation they are pressed against each
other, thus obliterating the space between them which is seen when they
are separated. This space is the inter-arytenoid space or commissure,
and is formed by the lateral walls of the arytenoid cartilages and the
upper margin of the posterior portion of the cricoid cartilage. The
mucous membrane in this commissure is very loosely attached to the
deeper structures, and is thrown into folds by the approximation of the
arytenoid cartilages. Its color is much lighter than that of the
ary-epiglottic folds, due to the shining through of the cricoid
cartilage. Outside of the ary-epiglottic folds and the inter-arytenoid
commissure is the tissue forming the posterior and lateral walls of the
oesophagus (not shown in the diagrams), and near the epiglottis a space
called the pyriform sinus is noticed between the ary-epiglottic folds
and the wall of the oesophagus.
Running from the epiglottis to the ary-epiglottic folds are two broad
bands, one on either side, covered with mucous membrane and of a
pinkish-red color, which are lost on either side in the tissue forming
the walls of the laryngeal cavity, while toward the middle of the image
they present concave and tolerably sharp edges. These are the
ventricular bands, which were formerly termed the false vocal cords,
and which form the lip to the opening of the ventricle of the larynx.
Between the ventricular bands filling up the central portion of the
image are seen the vocal cords, two bands of a pearl-white color which
are attached to a cartilaginous process of the arytenoid cartilages,
and run from these parallel with each other to the angle of the thyroid
cartilage immediately below the tubercle of the epiglottis. These
present sharp edges toward each other, and follow the motions of the
arytenoid cartilages to which they are attached, so that when in
inspiration the cartilages are separated the edges of the vocal cords
are also some distance apart, forming, together with the
inter-arytenoid commissure, a triangular opening called the glottis.
That portion of the opening which is bounded on either side by the
edges of the vocal cords alone is called the membranous portion, while
the base of the triangle is termed the cartilaginous portion, being
bounded on either side by the vocal processes of the arytenoid
cartilages. This portion is readily distinguished from the membranous
portion by its slightly yellow color, and by the fact that a very
obtuse angle is formed at the junction of the two portions when the
glottis is wide open during respiration. Through the open glottis the
lower edge of the cricoid cartilage and several of the rings of the
trachea can usually be seen, and there are a few cases in which even
the bifurcation of the trachea can be dimly illuminated, showing in the
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