[Description: FIG. 4.--The cartilages of the larynx or voice-box. A large portion of the shield cartilage on the right side has been cut away, in order to show the two pyramid cartilages; these are seen jointed by their bases with the ring cartilage; anteriorly are seen the two vocal processes which give attachment to the two vocal cords (white ligaments), which extend across the voice-box to be inserted in front in the angle of the shield cartilage. Groups of muscles pull upon these cartilages in such a manner as to increase, or diminish, the chink between the vocal cord in ordinary inspiration and expiration; in phonation a group of muscles approximate the cords, while another muscle makes them tense.] _The Larynx_.--The larynx is situated at the top of the sound-pipe (trachea or windpipe), and consists of a framework of cartilages articulated or jointed with one another so as to permit of movement (_vide_ fig. 4). The cartilages are called by names which indicate their form and shape: (1) shield or thyroid, (2) the ring or cricoid, and (3) a pair of pyramidal or arytenoid cartilages. Besides these there is the epiglottis, which from its situation above the glottis acts more or less as a lid. The shield cartilage is attached by ligaments and muscles to the bone (hyoid) in the root of the tongue, a pair of muscles also connect this cartilage with the sternum or breastbone. The ring cartilage is attached to the windpipe by its lower border; by its upper border in front it is connected with the inner surface of the shield cartilage by a ligament; it is also jointed on either side with the shield cartilage. The posterior part of the ring cartilage is much wider than the anterior portion, and seated upon its upper and posterior rim and articulated with it by separate joints are the two pyramidal cartilages (_vide_ fig. 4). The two vocal cords as shown in the diagram are attached to the shield cartilage in front, their attachments being close together; posteriorly they are attached to the pyramidal cartilages. It is necessary, however, to describe a little more fully these attachments. Extending forwards from the base of the pyramids are processes termed the "vocal processes," and these processes give attachment to the elastic fibres of which the vocal cords mainly consist. There are certain groups of muscles which by their attachment to the cartilages of the larynx and their action on the joints are able to separate the vocal cords or approximate them; these are termed respectively abductor and adductor muscles (figs. 5 and 6). In normal respiration the posterior ring-pyramidal muscles contract synergically with the muscles of inspiration and by separating the vocal cords open wide the glottis, whereby there is a free entrance of air to the windpipe; during expiration this muscle ceases to contract and the aperture of the glottis becomes narrower (_vide_ fig. 10). But when the pressure is required to be raised