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The thyrohyoid membrane is attached below to the upper border of the thyroid cartilage and to the front of its superior cornu, and above to the upper margin of the posterior surface of the body and greater cornu of the hyoid bone. [1] It passes behind the posterior surface of the body of the hyoid.
The thyroid cartilage is a hyaline cartilage structure that sits in front of the larynx and above the thyroid gland. The cartilage is composed of two halves, which meet in the middle at a peak called the laryngeal prominence, also called the Adam's apple. [1] In the midline above the prominence is the superior thyroid notch.
The pyriform sinus (also piriform recess, piriform sinus, piriform fossa, or smuggler's fossa) is a small recess on either side of the laryngeal inlet. It is bounded medially by the aryepiglottic fold, and laterally by the thyroid cartilage and thyrohyoid membrane. [1]
The median thyrohyoid ligament (also middle hyothyroid ligament or middle thyrohyoid ligament) is the thicker, middle part of the thyrohyoid membrane. Its lateral thinner portions are pierced by the superior laryngeal vessels and the internal branch of the superior laryngeal nerve .
Anatomy figure: 34:02-09 at Human Anatomy Online, SUNY Downstate Medical Center "Anatomy diagram: 25420.000-1". Roche Lexicon - illustrated navigator. Elsevier. Archived from the original on 2013-12-31. Diagram Archived 2005-09-09 at the Wayback Machine
Inferior boundary (apex) Jugular notch in the manubrium of the sternum: Anterior boundary: Midline of the neck from chin to the jugular notch Posterior boundary: The anterior margin of sternocleidomastoid
The thyrohyoid muscle is a small skeletal muscle of the neck. Above, it attaches onto the greater cornu of the hyoid bone ; below, it attaches onto the oblique line of the thyroid cartilage . It is innervated by fibres derived from the cervical spinal nerve 1 that run with the hypoglossal nerve (CN XII) to reach this muscle.
A filament descends beneath the mucous membrane on the inner surface of the thyroid cartilage and joins the recurrent laryngeal nerve. Above the vocal folds the sensory innervation of the larynx is via the internal laryngeal nerve. Below the vocal folds it is by way of branches of the recurrent laryngeal nerve.