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Laryngology
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Review 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)hemoptysis
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Laryngeal muscles Extrinsic laryngeal muscles
Up:geniohyoideus; digastricus; 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, vocal ligament, mucosa
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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
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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)
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normal
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