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Laryngeal cancer may spread by: direct extension to adjacent structures, metastasis to regional cervical lymph nodes, or via the blood stream. The most common site of distant metastases is the lung. Laryngeal cancer occurred in 177,000 people in 2018, and resulted in 94,800 deaths (an increase from 76,000 deaths in 1990).
HPV+OPC presents in one of four ways: as an asymptomatic abnormality in the mouth found by the patient or a health professional such as a dentist; with local symptoms such as pain or infection at the site of the tumor; with difficulties of speech, swallowing, and/or breathing; or as a swelling in the neck (if the cancer has spread to lymph nodes).
The epiglottis is made of elastic cartilage covered with a mucous membrane, attached to the entrance of the larynx. It projects upwards and backwards behind the tongue and the hyoid bone. The epiglottis may be inflamed in a condition called epiglottitis, which is most commonly due to the vaccine-preventable bacterium Haemophilus influenzae.
The epiglottic valleculae are paired spaces between the root of the tongue and anterior surface of the epiglottis. Each vallecula is bordered medially by the median glossoepiglottic fold and laterally by the lateral glossoepiglottic fold. The valleculae can collect saliva to prevent initiation of the swallowing reflex.
In front, they are bounded by the epiglottis. Behind, they are bounded by the apices of the arytenoid cartilages , the corniculate cartilages , and the interarytenoid notch. [ 2 ] Within the posterior part of each aryepiglottic fold exists a cuneiform cartilage which forms a whitish prominence, the cuneiform tubercle.
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 flap of cartilage called the epiglottis stops food from entering the larynx. In humans, the pharynx is part of the digestive system and the conducting zone of the respiratory system . (The conducting zone—which also includes the nostrils of the nose , the larynx , trachea , bronchi , and bronchioles —filters, warms and moistens air and ...
Laryngectomy is the removal of the larynx.In a total laryngectomy, the entire larynx is removed (including the vocal folds, hyoid bone, epiglottis, thyroid and cricoid cartilage and a few tracheal cartilage rings) with the separation of the airway from the mouth, nose and esophagus. [1]