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Anatomical parts seen during laryngoscopy. Direct laryngoscopy is carried out (usually) with the patient lying on their back; the laryngoscope is inserted into the mouth on the right side and flipped to the left to trap and move the tongue out of the line of sight, and, depending on the type of blade used, inserted either anterior or posterior to the epiglottis and then lifted with an upwards ...
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.
If epiglottitis is suspected, attempts to visualize the epiglottis using a tongue depressor are discouraged for this reason; therefore, diagnosis is made on basis of indirect fiberoptic laryngoscopy carried out in a controlled environment like an operating room. [20]
straight mirror for indirect laryngoscopy (seeing the larynx); structure seen are the base of tongue, vallecula, glossoepiglottic fold, epiglottis, pharyngo-epiglottic folds, aryepiglottic folds, epiglottis, interarytenoid region, pyriform sinus, inlet of larynx, supraglottic region, ventricular bands, vocal cord, subglottis and few rings of ...
It is clinically important in performing direct laryngoscopy with a Macintosh laryngoscope blade; the blade tip is placed in the vallecula and moved anteriorly, which causes the hyoepiglottic ligament to pull the epiglottis anteriorly as well and thus expose the glottis.
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.
Covered by the aryepiglottic folds, the cuneiforms form the lateral aspect of the laryngeal inlet, while the corniculates form the posterior aspect, and the epiglottis the anterior. [ 4 ] Function of the cuneiform cartilages is to support the vocal folds and lateral aspects of the epiglottis.
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