Vestibular fold | |
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Details | |
Identifiers | |
Latin | plica vestibularis, plica ventricularis |
TA98 | A06.2.09.008 |
TA2 | 3196 |
FMA | 55452 |
Anatomical terminology |
The vestibular fold (ventricular fold, superior or false vocal cord) is one of two thick folds of mucous membrane, each enclosing a narrow band of fibrous tissue, the vestibular ligament, which is attached in front to the angle of the thyroid cartilage immediately below the attachment of the epiglottis, and behind to the antero-lateral surface of the arytenoid cartilage, a short distance above the vocal process.
The lower border of this ligament, enclosed in mucous membrane, forms a free crescentic margin, which constitutes the upper boundary of the ventricle of the larynx.
They are lined with respiratory epithelium, while true vocal cords have stratified squamous epithelium.
The vestibular folds of the larynx play a significant role in the maintenance of the laryngeal functions of breathing and preventing food and drink from entering the airway during swallowing. They aid phonation (speech) by suppressing dysphonia. In some ethnic singing and chanting styles, such as in Tuva, Sardinia, Mongolia, South Africa, and Tibet (...) the vestibular folds may be used in co-oscillation with the vocal folds, producing very low or high pitched sounds (most of the time, one octave higher). Conversely, people who have had their epiglottis removed because of cancer do not choke any more than when it was present. [1] [2]
They have a minimal role in normal phonation, but are often used to produce deep sonorous tones in Tuvan throat singing, [3] as well as in musical screaming and the death growl singing style used in various forms of metal. Simultaneous voicing with the vocal and vestibular folds is diplophonia. Some voice actors occasionally employ small amounts of this phonation for its dark, growling quality while portraying a "villainous" or antagonistic voice.[ citation needed ]
The term phonation has slightly different meanings depending on the subfield of phonetics. Among some phoneticians, phonation is the process by which the vocal folds produce certain sounds through quasi-periodic vibration. This is the definition used among those who study laryngeal anatomy and physiology and speech production in general. Phoneticians in other subfields, such as linguistic phonetics, call this process voicing, and use the term phonation to refer to any oscillatory state of any part of the larynx that modifies the airstream, of which voicing is just one example. Voiceless and supra-glottal phonations are included under this definition.
In humans, the vocal cords, also known as vocal folds, are folds of throat tissues that are key in creating sounds through vocalization. The size of vocal cords affects the pitch of voice. Open when breathing and vibrating for speech or singing, the folds are controlled via the recurrent laryngeal branch of the vagus nerve. They are composed of twin infoldings of mucous membrane stretched horizontally, from back to front, across the larynx. They vibrate, modulating the flow of air being expelled from the lungs during phonation.
The human voice consists of sound made by a human being using the vocal tract, including talking, singing, laughing, crying, screaming, shouting, humming or yelling. The human voice frequency is specifically a part of human sound production in which the vocal folds are the primary sound source.
The larynx, commonly called the voice box, is an organ in the top of the neck involved in breathing, producing sound and protecting the trachea against food aspiration. The opening of larynx into pharynx known as the laryngeal inlet is about 4–5 centimeters in diameter. The larynx houses the vocal cords, and manipulates pitch and volume, which is essential for phonation. It is situated just below where the tract of the pharynx splits into the trachea and the esophagus. The word 'larynx' comes from the Ancient Greek word lárunx ʻlarynx, gullet, throat.ʼ
The respiratory tract is the subdivision of the respiratory system involved with the process of conducting air to the alveoli for the purposes of gas exchange in mammals. The respiratory tract is lined with respiratory epithelium as respiratory mucosa.
The epiglottis is a leaf-shaped flap in the throat that prevents food and water from entering the trachea and the lungs. It stays open during breathing, allowing air into the larynx. During swallowing, it closes to prevent aspiration of food into the lungs, forcing the swallowed liquids or food to go along the esophagus toward the stomach instead. It is thus the valve that diverts passage to either the trachea or the esophagus.
The rima glottidis is the opening between the two true vocal cords anteriorly, and the two arytenoid cartilages posteriorly. It is part of the larynx.
The cricothyroid ligament is a ligament in the neck. It connects the cricoid cartilage to the thyroid cartilage. It prevents these cartilages from moving too far apart. It is cut during an emergency cricothyrotomy to treat upper airway obstruction.
The arytenoid cartilages are a pair of small three-sided pyramids which form part of the larynx. They are the site of attachment of the vocal cords. Each is pyramidal or ladle-shaped and has three surfaces, a base, and an apex. The arytenoid cartilages allow for movement of the vocal cords by articulating with the cricoid cartilage. They may be affected by arthritis, dislocations, or sclerosis.
In the human larynx, the cuneiform cartilages are two small, elongated pieces of yellow elastic cartilage, placed one on either side, in the aryepiglottic fold.
The superior laryngeal nerve is a branch of the vagus nerve. It arises from the middle of the inferior ganglion of vagus nerve and additionally also receives a sympathetic branch from the superior cervical ganglion.
The portion of the cavity of the larynx above the vestibular fold is called the laryngeal vestibule; it is wide and triangular in shape, its base or anterior wall presenting, however, about its center the backward projection of the tubercle of the epiglottis. It contains the vestibular folds, and between these and the vocal folds are the laryngeal ventricles.
The aryepiglottic folds are triangular folds of mucous membrane of the larynx. They enclose ligamentous and muscular fibres. They extend from the lateral borders of the epiglottis to the arytenoid cartilages, hence the name 'aryepiglottic'. They contain the aryepiglottic muscles and form the upper borders of the quadrangular membrane. They have a role in growling as a form of phonation. They may be narrowed and cause stridor, or be shortened and cause laryngomalacia.
The lung bud sometimes referred to as the respiratory bud forms from the respiratory diverticulum, an embryological endodermal structure that develops into the respiratory tract organs such as the larynx, trachea, bronchi and lungs. It arises from part of the laryngotracheal tube.
The laryngeal ventricle, is a fusiform fossa, situated between the vestibular and vocal folds on either side, and extending nearly their entire length. There is also a sinus of Morgagni in the pharynx.
The quadrangular membrane is a layer of submucosa. It extends between the lateral margin of the epiglottis, and the apex and fovea triangularis of the ipsilateral arytenoid cartilage. It has free superior and inferior borders.
The rima vestibuli is a space in the laryngeal cavity.
The pharynx is the part of the throat behind the mouth and nasal cavity, and above the esophagus and trachea. It is found in vertebrates and invertebrates, though its structure varies across species. The pharynx carries food to the esophagus and air to the larynx. The flap of cartilage called the epiglottis stops food from entering the larynx.
Histology is the study of the minute structure, composition, and function of tissues. Mature human vocal cords are composed of layered structures which are quite different at the histological level.
Laryngeal cysts are cysts involving the larynx or more frequently supraglottic locations, such as epiglottis and vallecula. Usually they do not extend to the thyroid cartilage. They may be present congenitally or may develop eventually due to degenerative cause. They often interfere with phonation.
This article incorporates text in the public domain from page 1079 of the 20th edition of Gray's Anatomy (1918)
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