Larynx: Muscles

1 Hyoglossus muscle

2 Hyoid bone

3 Epiglottis

4 Thyrohyoid membrane

5 Superior cornu of thyroid

cartilage

6 Superior laryngeal nerve

7 Transverse arytenoid

muscle

8 Posterior crico-arytenoid

muscle

9 Transverse muscle of

trachea

10 Ary-epiglottic fold

11 Thyro-epiglottic muscle

12 Thyroid cartilage

13 Lateral crico-arytenoid

muscle

14 Cricoid cartilage

15 Articular facet for thyroid

cartilage

16 Inferior laryngeal nerve

(branch of recurrent nerve)

17 Trachea

18 Arytenoid cartilage

19 Vocal ligament

20 Vocalis muscle (part of

thyro-arytenoid muscle)

21 Thyrohyoideus muscle

22 Cricothyroideus muscle

23 Root of tongue

24 Cuneiform tubercle

25 Corniculate tubercle

26 Ary-epiglottic muscle

Laryngeal muscles (lateral aspect).

Thyroid cartilage (12) and thyro-arytenoid

muscle have been partly removed.

Laryngeal muscles and larynx

(anterior aspect).

Laryngeal muscles and larynx

(posterior aspect).

Laryngeal muscles (lateral aspect).

Half of the thyroid cartilage (12) has been

removed. Dissection of the vocal ligament (19).

Action of internal muscles of

the larynx (schematic drawing).


161

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Larynx: Vocal Ligament

Laryngeal cartilages (superior aspect).

Horizontal section through the larynx at the level of the vocal folds (superior aspect).

Sagittal section through the larynx. Coronal section through larynx and trachea.

Glottis in vivo (superior aspect).

1 Hyoid bone

2 Epiglottis

3 Thyroid cartilage

4 Cricoid cartilage

5 Vocal ligament

6 Thyrohyoid ligament

7 Arytenoid cartilage

8 Corniculate cartilage

9 Vocal fold

10 Vestibular fold

11 Ary-epiglottic fold

12 Interarytenoid notch

13 Mandible

14 Anterior belly of

digastric muscle

15 Mylohyoid muscle

16 Pyramidal lobe of

thyroid gland

17 Sternohyoid and

sternothyroid muscles

18 Common carotid

artery

19 Internal jugular vein

20 Rima glottidis

21 Sternocleidomastoid

muscle

22 Transverse arytenoid

muscle

23 Pharynx and inferior

constrictor muscle

24 Ventricle of larynx

25 Vocalis muscle

26 Trachea

27 Superior cornu of

thyroid cartilage

28 Root of tongue

(lingual tonsil)

29 Piriform recess

30 Vocalis muscle

31 Lateral crico-arytenoid

muscle

32 Thyroid gland


162 Larynx: Nerves

Larynx and its innervation (posterior aspect).

Dissection of superior and inferior laryngeal nerves.

Pharynx has been opened.

Larynx and thoracic organs (anterior aspect). Dissection of vagus and recurrent

laryngeal nerves.

Innervation of the larynx (schematic drawing).

1 Scalenus anterior muscle

2 Scalenus medius and posterior muscles

3 Right recurrent laryngeal nerve

4 Right subclavian artery

5 Brachiocephalic trunk

6 Aortic arch

7 Hyoid bone

8 Internal branch of superior

laryngeal nerve

9 Thyrohyoid membrane

10 External branch of superior laryngeal

nerve

11 Vagus nerve

12 Thyroid cartilage

13 Cricothyroid muscle

14 Trachea

15 Left recurrent laryngeal nerve

16 Esophagus

17 Left subclavian artery

18 Left common carotid artery

19 Second rib

20 Tongue

21 Superior cervical ganglion

22 Sympathetic trunk

23 Inferior constrictor muscle of pharynx

24 Inferior thyroid artery

25 Glossopharyngeal nerve

26 Superior laryngeal nerve

27 Epiglottis

28 Posterior crico-arytenoid muscle and

cricoid cartilage

29 Inferior laryngeal branch of recurrent

laryngeal nerve

30 Thyroid gland

31 Superior thyroid artery

32 Thyrocervical trunk

33 Internal thoracic artery

34 Phrenic nerve

35 Hypoglossal nerve

36 Transverse cervical artery

37 Middle cervical ganglion

38 Middle cervical cardiac nerves

(branches of sympathetic trunk)

39 Ligamentum arteriosum


Larynx and Oral Cavity 163

Larynx and oral cavity (posterior aspect). Mucous membrane on the right half of pharynx has been removed.

1 Midbrain (inferior colliculus)

2 Rhomboid fossa and medulla oblongata

3 Vestibulocochlear and facial nerve

4 Glossopharyngeal, vagus, and accessory

nerves

5 Occipital artery and posterior belly of

digastric muscle

6 Superior cervical ganglion

7 Internal carotid artery

8 Oral cavity (tongue)

9 Ary-epiglottic fold

10 Vagus nerve

11 Piriform recess

12 Thyroid gland and common carotid

artery

13 Esophagus

14 Trochlear nerve

15 Occipital condyle

16 Nasal cavity (choana)

17 Accessory nerve

18 Uvula and soft palate

19 Palatopharyngeus muscle

20 External carotid artery

21 Epiglottis

22 Internal branch of superior laryngeal

nerve

23 Inferior laryngeal nerve

24 Ansa cervicalis


164 Pharynx

1 Inferior colliculus of midbrain

2 Facial colliculus in floor of rhomboid fossa

3 Vestibulocochlear and facial nerves

4 Glossopharyngeal nerve

5 Vagus nerve

6 Accessory nerve

7 Hypoglossal nerve

8 Pharyngobasilar fascia

9 Superior constrictor muscle of pharynx

10 Sympathetic trunk and superior cervical

ganglion (medially displaced)

11 Middle constrictor muscle of pharynx

12 Greater cornu of hyoid bone

13 Inferior constrictor muscle of pharynx

14 Trochlear nerve

15 Internal acoustic meatus with facial and

vestibulocochlear nerves

16 Jugular foramen with glossopharyngeal,

vagus, and assessory nerves

17 Occipital condyle

18 Occipital artery

19 Posterior belly of digastric muscle

20 Accessory nerve (extracranial part)

21 Hypoglossal nerve (extracranial part)

22 External carotid artery

23 Carotid sinus nerve

24 Internal carotid artery

25 Carotid sinus and carotid body

26 Vagus nerve

27 Thyroid gland

28 Esophagus

29 Choanae

30 Medial pterygoid plate

31 Foramen lacerum

32 Pharyngeal tubercle

33 Hard palate

34 Greater and lesser palatine foramen

35 Pterygoid hamulus

36 Lateral pterygoid plate

37 Pterygoid canal

38 Foramen ovale

39 Mandibular fossa

40 Carotid canal

41 Styloid process and stylomastoid

foramen

Pharynx and parapharyngeal nerves in connection with brain stem

(posterior aspect).

Inferior aspect of the skull.

Red line = outline of superior constrictor muscle

in continuation with buccinator muscle and

orbicularis oris muscle (semischematic drawing).


Pharynx 165

1 Ascending pharyngeal artery

2 Pharyngeal plexus

3 Accessory nerve

4 Superior cervical ganglion of

sympathetic trunk

5 Superior laryngeal nerve

6 Carotid body and carotid sinus

nerve

7 Left vagus nerve

8 Common carotid artery and cardiac

branch of vagus nerve

9 Glossopharyngeal nerve

10 Hypoglossal nerve

11 Facial nerve

12 Posterior belly of digastric muscle

13 Middle constrictor muscle

of pharynx

14 Right vagus nerve

15 Sympathetic trunk

16 Internal jugular vein

17 Inferior constrictor muscle

of pharynx

18 Larynx

19 Buccinator muscle

20 Soft palate and palatine glands

21 Palatine tonsil

22 Uvula of palate

23 Pharynx (oral part)

24 Parotid gland

25 Longus capitis muscle

26 Median atlanto-axial joint and

anterior arch of atlas

27 Dens of axis

28 Spinal cord

29 Dura mater

30 Incisive papilla

31 Oral vestibule

32 Masseter muscle

33 Mandible

34 Mandibular canal with vessels and

nerve

35 Medial pterygoid muscle

36 External carotid artery

37 Internal carotid artery

38 Atlas

39 Vertebral artery

40 Splenius capitis muscle

41 Semispinalis capitis muscle

Parapharyngeal nerves and vessels. Dorsal aspect of the pharynx.

Cross section of head and neck at the level of the atlas (inferior aspect).


166 Pharynx: Muscles

1 Maxilla

2 Pterygomandibular raphe

3 Buccinator muscle

4 Mandible (divided)

5 Depressor anguli oris muscle

6 Mylohyoid muscle

7 Anterior belly of digastric

muscle

8 Hyoid bone

9 Thyroid cartilage

10 Cricothyroid muscle

11 Styloid process

12 Medial pterygoid muscle

(divided)

13 Posterior belly of digastric

muscle

14 Styloglossus muscle

15 Stylohyoid muscle

16 Thyropharyngeal part of inferior

constrictor muscle of pharynx

17 Thyrohyoid muscle

18 Cricopharyngeal part of inferior

constrictor muscle of pharynx

19 Esophagus

20 Trachea

21 First molar of maxilla

22 Tongue

23 Inferior longitudinal muscle of

tongue

24 Genioglossus muscle

25 Superior constrictor muscle

of pharynx

26 Hypoglossal nerve

27 Hyoglossus muscle

28 Superior laryngeal nerve and

superior laryngeal artery

Dissection of pharynx, supra-, and infrahyoid muscles. Mandible partly removed

(lateral aspect).

Dissection of pharynx, supra-, and infrahyoid muscles. Oral cavity opened (lateral aspect).


167

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Pharynx: Muscles

Muscles of the pharynx (posterior aspect).

1 Sella turcica

2 Internal acoustic meatus and petrous

part of temporal bone

3 Pharyngobasilar fascia

4 Fibrous raphe of pharynx

5 Stylopharyngeal muscle

6 Superior constrictor muscle of

pharynx

7 Posterior belly of digastric muscle

8 Stylohyoid muscle

9 Middle constrictor muscle of pharynx

10 Inferior constrictor muscle of pharynx

11 Muscle-free area (Killian’s triangle)

12 Esophagus

13 Trachea

14 Thyroid and parathyroid glands

15 Medial pterygoid muscle

16 Greater horn of hyoid bone

17 Internal jugular vein

18 Parotid gland

19 Accessory nerve

20 Superior cervical ganglion of

sympathetic trunk

21 Vagus nerve

22 Laimer’s triangle (area prone

to developing diverticula)

23 Orbicularis oculi muscle

24 Nasalis muscle

25 Levator labii superioris and levator

labii alaeque nasi muscles

26 Levator anguli oris muscle

27 Orbicularis oris muscle

28 Buccinator muscle

29 Depressor labii inferioris muscle

30 Hyoglossus muscle

31 Thyrohyoid muscle

32 Thyroid cartilage

33 Cricothyroid muscle

34 Pterygomandibular raphe

35 Tensor veli palatini muscle

36 Levator veli palatini muscle

37 Depressor anguli oris muscle

38 Mentalis muscle

39 Styloglossus muscle

Muscles of the pharynx (posterior aspect).

(Schematic drawing.)

Muscles of the pharynx (lateral aspect). (Schematic drawing.)


168 Vessels of the Head and Neck: Arteries

1 Frontal and parietal branches of superficial

temporal artery

2 Superficial temporal artery

3 Occipital artery

4 Maxillary artery

5 Vertebral artery

6 External carotid artery

7 Internal carotid artery

8 Common carotid artery (divided)

9 Ascending cervical artery

10 Inferior thyroid artery

11 Transverse cervical artery with two branches

(superficial cervical artery and descending

scapular artery)

12 Suprascapular artery

13 Thyrocervical trunk

14 Costocervical trunk with two branches

(deep cervical artery and superior intercostal artery)

15 Internal thoracic artery

16 Axillary artery

17 Supra-orbital and supratrochlear arteries

18 Angular artery

19 Dorsal nasal artery

20 Transverse facial artery

21 Facial artery

22 Superior labial artery

23 Inferior labial artery

24 Submental artery

25 Lingual artery

26 Superior thyroid artery

27 Brachiocephalic trunk

Arteries of head and neck. Diagram of the main branches

of external carotid and subclavian arteries.

To page 169:

1 Galea aponeurotica

2 Frontal branch of superficial

3 Parietal branch temporal artery

4 Superior auricular muscle

5 Superficial temporal artery and vein

6 Middle temporal artery

7 Auriculotemporal nerve

8 Branches of facial nerve

9 Facial nerve

10 External carotid artery within the

retromandibular fossa

11 Posterior belly of digastric muscle

12 Sternocleidomastoid artery

13 Sympathetic trunk and superior cervical ganglion

14 Sternocleidomastoid muscle (divided and reflected)

15 Clavicle (divided)

16 Transverse cervical artery

17 Ascending cervical artery and phrenic nerve

18 Scalenus anterior muscle

19 Suprascapular artery

20 Dorsal scapular artery

21 Brachial plexus and axillary artery

22 Thoraco-acromial artery

23 Lateral thoracic artery

24 Median nerve (displaced) and

pectoralis minor muscle (reflected)

25 Frontal belly of occipitofrontalis muscle

26 Orbital part of orbicularis oculi muscle

27 Angular artery and vein

28 Facial artery

29 Superior labial artery

30 Zygomaticus major muscle

31 Inferior labial artery

32 Parotid duct

33 Buccal fat pad

34 Maxillary artery

35 Masseter muscle

36 Facial artery and mandible

37 Submental artery

38 Anterior belly of digastric muscle


1

Vessels of the Head and Neck: Arteries 169

Main branches of head and neck arteries (lateral aspect). Anterior thoracic wall and clavicle partly removed;

pectoralis muscles have been reflected to display the subclavian and axillary arteries.

39 Hyoid bone

40 Internal carotid artery

41 External carotid artery

42 Superior laryngeal artery

43 Superior thyroid artery

44 Common carotid artery

45 Thyroid ansa of sympathetic

trunk and inferior thyroid artery

46 Thyroid gland (right lobe)

47 Vertebral artery

48 Thyrocervical trunk

49 Vagus nerve

50 Ansa subclavia of sympathetic trunk

51 Brachiocephalic trunk

52 Superior vena cava (divided)

53 Aortic arch


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