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1UL (21), - codlrc.org trachea bronchi.pdf · muscle cannot close in front into a muscu-lar ring,...

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T ilfVHY sphincter (circular muscle of the entrance l^iCU y 1UL to the iarynx). Theconsequence of this is , that the muscle fibres of this circular muscle cannot close in front into a muscu- lar ring, but are joined in a specific human arrangement on the vocal cord (viz 28). The larynx skeleton is formed by the ton- gue bone (1), Os hyoideum, the thyroid car- '< tilage (2), Cartilago thyroidea, the cricoid i cartilage (3), Cartilago cricoidea, the aryte- jnoid cartilages (4), Cartilago arytenoidea, largest cartilage, the-thyroid cartilage. < jand some smaller cartilage parts. The parts ), Cartilago thyroidea, is touchable on the [of the larynx skeleton are linked through |$|outside as Adam's Apple and moves durW/membranes and larynx muscles. ' J' ing swallowing tangibly upwards. It deve-^ We distinguish in the inner relief: : lops very eafly'bn die ventral side of the /Upper storey as vestibule /' ; ' ' ' *"' itestine in the head-piece of the^/Middle storey'- Morgagni's Ventricle - ^*Sysjert^irtirnediately^,behind between false vocal ligament and true heart. '^^^ ''' r ;' •--**'" ; vocal cord (the remnants of an old bellow- itirrian beings it is exceptionally pri- and serves as morphological proof the early origin of the human being The Larynx The larynx at the entrance of the windpipe has two tasks: ,1. Closing of the air passage against i ':£$;;, the food passage (switching of v - ;1 '" points) and -; -;<-J"' •'' ' .,:;-•• /.</ : Organ bf voice production. ; J r, ing pouch) and lower storey, which conti- nues into the windpipe. The orifice of the larynx is limited in front »•' trohi the vertebrate animal stem. Despite by the epiglottis (23), Epiglottis, and at the 5V its primitive construction, the human la- side by the mucous membrane folds (31), primitive rynx is, as a vocal organ, of the highest per- fection. The human vocal folds (28) Plicae vocaks, have developed from a vocal cord blastema which interrupts the primitive Plicae aryepiglotticae. At both sides of the epiglottis runs the piriform fossa (32), Re- cessus piriformis. In the middle storey of the Morgagni's ventricle and the false vocal li- bone and the thyroid cartilage, Lig. thyrohyoideum medianum 9. Lateral ligament of the tongue bone and the thyroid cartilage, Lig. thyrohyoideum, therein is often a fibrocartilage piece: the triticeous cartilage, Cartilago triticea 10. Joint-capsule between thyroid cartilage horn and cricoid cartilage, Capsula articularis cricothyroidea 11. Crico-thyroid ligament, Lig. cricothyroideum 12. Ligament of the cricoid cartilage and the windpipe, Lig. cricotracheale 13. Elastic fibrous substance between the tracheal cartilages, Ligg. anularia [trachealia] 14. Posterior membranous wall of the windpipe, Paries membranaceus The windpipe, Trachea, divides before the 4th or 5th thoracic vertebrae into the two bronchi, Bronchus principalis [dexter et sinis- ter]. 15. Thyrohyoid muscle, M. thyrohyoideus 16. Crico-thyroid muscle, M. cricothyroideus, on which one distinguishes a superficial part, Pars recta, and a lower part, Pars obliqua. 17. Posterior crico-arytenoid muscle, M. cricoarytenoideus posterior 18. Transverse arytenoid muscle, M. arytenoideus transversus 19. Oblique arytenoid muscle, M. arytenoideus obliauus 20. Superior thyroid artery, A. thyroidea superior 21. Superior laryngeal artery, A. laryngea superior 22. Superior laryngeal nerve, N. laryngeus superior The mucous membrane and the interior space of the larynx. 23. Epiglottis, Epiglottis 24. Ligament of the tongue bone and the epiglottis, Lig- hyoepiglotticunt 25. Thyro-epiglottjc ligament, Lig. thyroepiglotticum 26. Sinus of larynx Ventriculus laryngis 27. Vestibular fold PHca vestibularis 28. False vocal cord, Pl'ca voca^ with gaincnts are numerous glands for the irri- gation of the vocal cords. The vocal cord (viz 28), Lig. vocale, is an elastic cord with membranous covering and with the vocal muscle (29), M. vocalis. The muscular motion apparatus of the la- rynx has its task in the voice generation and in the protective function of the air passage (swallowing). The functions of the individual larynx muscles: 1. Opening of the rima glottis: Posterior cricoid cartilage - arytenoid cartilage muscle (17), M. cricoarytenoideus posterior 2. Closing of the true glottis: Transverse arytenoid muscle (18), Af. arytenoideus transversus, oblique arytenoid muscle (19), At. arytenoideus obliquus, as well as the not depicted lateral crico - arytenoid muscle, M. cricoarytenoideus lateralis. 3. Movement of the vocal cord: Vocal muscle (29), M. vocalis 4. Tightening of the vocal cord: Crico-thyroid muscle (16), M. cricothyroideus The nervous provision of the larynx is through the branches of the vagus nerve, the superior laryngeal nerve (22), N. laryn- geus superior. The superior laryngeal artery (21), A. laryngea superior and the superior thyroid artery (20), A. thyroidea superior, are educed from the arterial vascular sys- tem. 1. Tongue bone, Os hyoideum a) Body, Corpus I b) Greater cornu, Cornu majus |c) Lesser cornu, Cornu minus ' 2. Thyroid cartilage, Cartilago thyroidea d). Superior cornu of the thyroid '. ' cartilage, Cornu superius e) Inferior cornu of the thyroid cartilage, Cornu inferius 3. Cricoid cartilage, Cartilago cricoidea 4. Arytenoid cartilage, Cartilago arytenoidea 5. Cartilage of Santorini, Cartilago corniculata * 6. Wrisberg's cartilage, Cartilago cuneiformis 1. Windpipe cartilages, Cartilagines tracheales 8.'Middle ligament of the tongue true vocal cord, Lig. vocale 29. Vocal muscle, M. vocalis 30. Mucous membrane of the windpipe, Tunica mucosa 31. Ary-epiglottic folds, Plica aryepiglottica 32. Piriform fossa, Recessus piriformis The Tongue (Applies to GS 4 only) 1. Tongue-dp, Apex linguae 2. Muscles of the tongue, Mm. linguae 3. Filiform papillae, Papillae Jiliformes 4. Fungiform papillae, Papillae fungiformes 5. Vallate papillae, Papillae vallatae 6. Foramen caecum of the tongue, Foramen cecum linguae 7. Styloglossus muscle, M. styloglossus 8. Hyoglossus muscle, M. hyoglossus 9. Geniohyoid muscle, M. geniohyoideus 10. Genioglossus muscle, M. 11. Glossopharyngeal nerve, N. glossopharyngeus 12. Hypoglossal nerve, N. hypoglossus 13. Lingual nerve, N. lingualis 14. Lingual artery, A. lingualis 15. SubmandibuJar gland, Gl. submandibularis 16. Sublingual gland, Gl. sublingualis 17. Septum of the tongue, Septum linguae 18. Lower jaw, Mandibula Page: 20 Bronchial Tree with individual segment bronchi (for GS 4/1, GS 4/2 and GS 4/3 only) © SOMSO models are rnnvrifhterl
Transcript

T ilfVHY sphincter (circular muscle of the entrancel̂ iCU y 1UL to the iarynx). The consequence of this is

, that the muscle fibres of this circularmuscle cannot close in front into a muscu-lar ring, but are joined in a specific humanarrangement on the vocal cord (viz 28).The larynx skeleton is formed by the ton-gue bone (1), Os hyoideum, the thyroid car-

'< tilage (2), Cartilago thyroidea, the cricoidi cartilage (3), Cartilago cricoidea, the aryte-jnoid cartilages (4), Cartilago arytenoidea,

largest cartilage, the-thyroid cartilage. < jand some smaller cartilage parts. The parts), Cartilago thyroidea, is touchable on the [of the larynx skeleton are linked through

|$|outside as Adam's Apple and moves durW/membranes and larynx muscles.' J' ing swallowing tangibly upwards. It deve-^ We distinguish in the inner relief:

: lops very eafly'bn die ventral side of the /Upper storey as vestibule /'; ' ' ' *"' itestine in the head-piece of the^/Middle storey'- Morgagni's Ventricle -

^*Sysjert^irtirnediately^,behind between false vocal ligament and trueheart. '^^^ ''' r ;' •--**'" ; vocal cord (the remnants of an old bellow-

itirrian beings it is exceptionally pri-and serves as morphological proof

the early origin of the human being

The Larynx

The larynx at the entrance of the windpipehas two tasks:,1. Closing of the air passage against i

':£$;;, the food passage (switching of v - ;1'" points) and - ; -;<-J"' •'' ' . , : ; - • • /.</

: Organ bf voice production. ; J r,

ing pouch) and lower storey, which conti-nues into the windpipe.The orifice of the larynx is limited in front

» • ' trohi the vertebrate animal stem. Despite by the epiglottis (23), Epiglottis, and at the5V its primitive construction, the human la- side by the mucous membrane folds (31),primitive

rynx is, as a vocal organ, of the highest per-fection. The human vocal folds (28) Plicaevocaks, have developed from a vocal cordblastema which interrupts the primitive

Plicae aryepiglotticae. At both sides of theepiglottis runs the piriform fossa (32), Re-cessus piriformis. In the middle storey of theMorgagni's ventricle and the false vocal li-

bone and the thyroid cartilage, Lig.thyrohyoideum medianum

9. Lateral ligament of the tonguebone and the thyroid cartilage, Lig.thyrohyoideum, therein is often afibrocartilage piece: the triticeouscartilage, Cartilago triticea

10. Joint-capsule between thyroidcartilage horn and cricoidcartilage, Capsula articulariscricothyroidea

11. Crico-thyroid ligament, Lig.cricothyroideum

12. Ligament of the cricoid cartilageand the windpipe, Lig. cricotracheale

13. Elastic fibrous substance betweenthe tracheal cartilages, Ligg.anularia [trachealia]

14. Posterior membranous wall of thewindpipe, Paries membranaceus

The windpipe, Trachea, divides before the4th or 5th thoracic vertebrae into the twobronchi, Bronchus principalis [dexter et sinis-ter].

15. Thyrohyoid muscle, M.thyrohyoideus

16. Crico-thyroid muscle, M.cricothyroideus, on which onedistinguishes a superficial part, Parsrecta, and a lower part, Pars obliqua.

17. Posterior crico-arytenoid muscle,M. cricoarytenoideus posterior

18. Transverse arytenoid muscle, M.arytenoideus transversus

19. Oblique arytenoid muscle, M.arytenoideus obliauus

20. Superior thyroid artery, A.thyroidea superior

21. Superior laryngeal artery, A.laryngea superior

22. Superior laryngeal nerve, N.laryngeus superior

The mucous membrane and theinterior space of the larynx.

23. Epiglottis, Epiglottis24. Ligament of the tongue bone and

the epiglottis, Lig- hyoepiglotticunt25. Thyro-epiglottjc ligament, Lig.

thyroepiglotticum26. Sinus of larynx Ventriculus laryngis27. Vestibular fold PHca vestibularis28. False vocal cord, Pl'ca voca^ with

gaincnts are numerous glands for the irri-gation of the vocal cords. The vocal cord(viz 28), Lig. vocale, is an elastic cord withmembranous covering and with the vocalmuscle (29), M. vocalis.The muscular motion apparatus of the la-rynx has its task in the voice generationand in the protective function of the airpassage (swallowing).

The functions of the individual larynxmuscles:

1. Opening of the rima glottis:Posterior cricoid cartilage - arytenoidcartilage muscle (17), M.cricoarytenoideus posterior

2. Closing of the true glottis:Transverse arytenoid muscle (18),Af. arytenoideus transversus, obliquearytenoid muscle (19), At.arytenoideus obliquus, as well as thenot depicted lateral crico - arytenoidmuscle, M. cricoarytenoideus lateralis.

3. Movement of the vocal cord:Vocal muscle (29), M. vocalis

4. Tightening of the vocal cord:Crico-thyroid muscle (16), M.cricothyroideus

The nervous provision of the larynx isthrough the branches of the vagus nerve,the superior laryngeal nerve (22), N. laryn-geus superior. The superior laryngeal artery(21), A. laryngea superior and the superiorthyroid artery (20), A. thyroidea superior,are educed from the arterial vascular sys-tem.

1. Tongue bone, Os hyoideuma) Body, Corpus

I b) Greater cornu, Cornu majus|c) Lesser cornu, Cornu minus

' 2. Thyroid cartilage, Cartilago thyroidead). Superior cornu of the thyroid'.. ' cartilage, Cornu superiuse) Inferior cornu of the thyroid

cartilage, Cornu inferius3. Cricoid cartilage, Cartilago cricoidea4. Arytenoid cartilage, Cartilago

arytenoidea5. Cartilage of Santorini, Cartilago

corniculata* 6. Wrisberg's cartilage, Cartilago

cuneiformis1. Windpipe cartilages, Cartilagines

tracheales8.'Middle ligament of the tongue

true vocal cord, Lig. vocale29. Vocal muscle, M. vocalis30. Mucous membrane of the

windpipe, Tunica mucosa31. Ary-epiglottic folds, Plica

aryepiglottica32. Piriform fossa, Recessus piriformis

The Tongue(Applies to GS 4 only)

1. Tongue-dp, Apex linguae2. Muscles of the tongue, Mm. linguae3. Filiform papillae, Papillae Jiliformes4. Fungiform papillae, Papillae

fungiformes5. Vallate papillae, Papillae vallatae6. Foramen caecum of the tongue,

Foramen cecum linguae7. Styloglossus muscle, M. styloglossus8. Hyoglossus muscle, M. hyoglossus9. Geniohyoid muscle, M.

geniohyoideus10. Genioglossus muscle, M.

11. Glossopharyngeal nerve, N.glossopharyngeus

12. Hypoglossal nerve, N. hypoglossus13. Lingual nerve, N. lingualis14. Lingual artery, A. lingualis15. SubmandibuJar gland, Gl.

submandibularis16. Sublingual gland, Gl. sublingualis17. Septum of the tongue, Septum

linguae18. Lower jaw, Mandibula

Page: 20Bronchial Tree with individualsegment bronchi(for GS 4/1, GS 4/2 and GS 4/3 only)

© SOMSO models are rnnvrifhterl

A. Bronchus principalis dexter

1. Bronchus segmentalis apicalis2. Bronchus segmentalis posterior3. Bronchus segmentalis anterior4. Bronchus segmentalis later alls5. Bronchus segmentalis medialis6. Bronchus segmentalis apicalis [superior]1. Bronchus segmentalis basalis medialis (cardiacus)8. Bronchus segmentalis basalis anterior9. Bronchus segmentalis basalis lateratis

10. Bronchus segmentalis basalis posterior

Bronchus lobaris superior dexter

> Bronchus lobaris medius dexter

Bronchus lobaris inferior dexter

B. Bronchus principalis sinister

1 • \ segmentalis2. J apicoposterior3. Bronchus segmentalis anterior4. Bronchus lingularis superior5. Bronchus lingularis inferior6. Bronchus segmentalis apicalis [superior]8. Bronchus segmentalis basalis anterior9. Bronchus segmentalis basalis lateralis

10. Bronchus segmentalis basalis posterior

Bronchus lobaris superior sinister

Bronchus lobaris inferior sinister

20


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