A Treatise on Anatomy, Physiology, and Hygiene Part 39

590. The CRICOID CARTILAGE takes its name from its resemblance to a ring. It is situated below the thyroid cartilage, it is narrow in front, broader at the sides, and still broader behind, where it is connected with the thyroid cartilage. Below, it connects with the first ring of the trachea.

[Ill.u.s.tration: Fig. 102. A side view of the cartilages of the larynx. *

The front side of the thyroid cartilage. 1, The os hyoides, (bone at the base of the tongue.) 2, The ligament that connects the hyoid bone and thyroid cartilage. 3, 4, 5, The thyroid cartilage. 6, The cricoid cartilage. 7, The trachea.]

[Ill.u.s.tration: Fig. 103. A posterior view of the cartilages and ligaments of the larynx. 1, The posterior face of the epiglottis. 3, 3, The os hyoides. 4, 4, The lateral ligaments which connect the os hyoides and thyroid cartilage. 5, 5, The posterior face of the thyroid cartilage. 6, 6, The arytenoid cartilages. 7, The cricoid cartilage. 8, 8, The junction of the cricoid and the arytenoid cartilages. 12, The first ring of the trachea.]

589. Describe the thyroid cartilage. 590. From what does the cricoid cartilage derive its name? Where is it situated? Explain fig. 102.

Fig. 103.

591. The ARYTENOID CARTILAGES are small triangular bodies placed upon the back part of the cricoid cartilage. They are connected with the thyroid cartilages, by four ligaments, called _Vocal Cords_.

592. The EPIGLOTTIS is fibro-cartilaginous, and is placed behind the base of the tongue. In shape it resembles a leaf of parsley.

593. The VOCAL CORDS, or ligaments, are formed of elastic and parallel fibres, enclosed in a fold of mucous membrane. They are about two lines in width, and pa.s.s from the anterior angle of the thyroid cartilage, to the two arytenoid cartilages. The one is called the superior, and the other the inferior vocal ligament. The cavity, or depression between the superior and inferior ligament, is called the _ventricle_ of the larynx. The aperture, or opening between these ligaments, is called the _glottis_, or _c.h.i.n.k of the glottis_. It is about three fourths of an inch in length, and one fourth of an inch in width, the opening being widest at the posterior part. This opening is enlarged and contracted by the agency of the muscles appropriated to the larynx.

[Ill.u.s.tration: Fig. 104. An ideal, lateral section of the larynx. 1, 1, The upper vocal cords. 2, 2, The lower vocal cords. 3, 3, The glottis. 4, 4, The ventricles of the larynx.]

[Ill.u.s.tration: Fig. 105. A vertical section of the larynx. 2, The os hyoides. 4, The apex of the epiglottis. 7, The superior vocal ligament.

9, The ventricle of the larynx. 10. The lower vocal ligament. 11, The arytenoid cartilage. 12, 13, The cricoid cartilage. 14, The trachea. 18, The oesophagus.]

591. Describe the arytenoid cartilages. 592. What is said of the epiglottis? 593. Give the structure of the vocal cords. Where is the ventricle of the larynx? Where is the glottis situated? What is represented by fig. 104? Explain fig. 105.

[Ill.u.s.tration: Fig. 106. A view of the larynx from above, showing the vocal ligaments. 1, The anterior edge of the larynx. 4, The posterior face of the thyroid cartilage. 5, 5, The arytenoid cartilages. 6, 6, The vocal ligaments. 7, Their origin, within the angle of the thyroid cartilage. 9, Their termination, at the base of the arytenoid cartilages.

8, 10, The glottis.]

594. The larynx is connected by muscles with the sternum, oesophagus, base of the skull, hyoid bone, lower jaw, and tongue. This organ is supplied with a large number of blood-vessels, and it likewise receives nerves from the sympathetic system, and two large nerves from the tenth pair. The number and size of the nervous filaments distributed to the mucous membrane of the larynx, render it more sensitive than any other portion of the respiratory organs.

How is the glottis enlarged or contracted? Explain fig. 106. 594. By what means and to what organs is the larynx connected? Why is the larynx more sensitive than other parts of the respiratory organs?

595. The larynx is much more developed and prominent in man than in woman. In the former, the anterior angle of the thyroid cartilage is acute, while in the latter it is rounded, and the central slope of the superior border of the same cartilage is less deep, and the epiglottis smaller and less prominent, than in man.

596. The difference in the formation of the larynx in infancy is less striking; but at a later period, it is more developed in the male than in the female. It is very remarkable that this increase is not progressive, like that of other organs, but, on the contrary, develops itself at once at the period of p.u.b.erty.

PHYSIOLOGY OF THE VOCAL ORGANS.

597. In the formation of the voice, each part already described performs an important office. The cricoid and thyroid cartilages give form and stability to the larynx; the arytenoid cartilages, by their movement, vary the width of the glottis. The epiglottis is flexible and elastic. When it is erect, the c.h.i.n.k of the glottis is open, as in inspiration; when depressed, as in swallowing food and drink, it covers and closes this aperture. It prevents the introduction of articles of food into the trachea, and probably modifies sound as it issues from the glottis.

598. The muscles of the neck elevate and depress the larynx; the muscles of the larynx increase or diminish the width of the glottis; at the same time, the vocal cords are relaxed or tightened, while the muscles of the face open and close the mouth.

595. What difference between the formation of the larynx of the female and that of the male? 596. Does this difference exist in childhood? Is its development progressive? 597-600. _Give the physiology of the vocal organs._ 597. Which cartilages give stability and form to the larynx? Which vary the width of the glottis? What is the function of the epiglottis? 598. What effect have the muscles of the neck upon the larynx? The use of the muscles of the larynx?

599. The elasticity of the ribs and the contraction of the abdominal muscles diminish the cavity of the chest, and the air, in consequence, is pressed from the air-cells into the bronchial tubes and trachea. It then rushes by the vocal cords, and causes a peculiar vibration, which produces _sound_.

_Observations._ 1st. Experiments have satisfactorily shown that the vocal cords are the princ.i.p.al agents in the formation of the voice.

The tongue, which many have supposed to be the most important organ in speaking, is not essential to sound. In several instances it has been removed, and the persons thus mutilated could speak with fluency.

2d. When the vocal cords are ulcerated, or inflamed, however slightly, as in sore throat produced by a cold, the voice will be changed. The loss of speech among public speakers is generally produced by a relaxation of the vocal ligaments. Hence, bronchitis is a misnomer for this affection.

600. Sound is varied by the velocity of the expelled current of air, and the tension of the vocal ligaments. The size of the larynx, the volume and health of the lungs, the condition of the fauces and nasal pa.s.sages, the elevation and depression of the chin, the development and freedom of action of the muscles which are attached to the larynx, the opening of the mouth, the state of the mind, and general health of the system, influence the modulations of sound.

What effect has the combined action of these muscles? 599. How is sound produced? What have experiments shown? What effect has disease of the vocal ligaments upon the voice? 600. How is sound varied?

Mention other conditions that contribute to the modulation of sound.

CHAPTER x.x.x.

HYGIENE OF THE VOCAL ORGANS.

601. _The voice can be changed and modified by habit._ Sailors, smiths, and others, who are engaged in noisy occupations, exert their vocal organs more strongly than those of more quiet pursuits. This not only affects the structure of the vocal organs, but varies the intonation of the voice.

602. _The voice is strong in proportion to the development of the larynx, and the capacity of the chest._ Singing and reading aloud improve and strengthen the vocal organs, and give a healthy expansion to the chest. The enunciation of the elementary sounds of the English language, aids in developing the vocal organs, as well as preventing disease of the throat and lungs. This exercise also conduces to the acquisition of musical sounds.

603. _The att.i.tude affects the modulation of the voice._ When an individual stands erect, the movements of the whole respiratory apparatus are most free and effective. The larynx is brought forward by the erect position of the head and the elevation of the chin. The muscles of the arytenoid cartilages are then brought to a proper relation for action, by which a tension of the vocal cords is produced, that favors clear and harmonious enunciation.

_Experiment._ Read with the head bowed forward and the chin depressed; then read with the head erect and the chin elevated, and the difference in the movement of the vocal organs, together with the difference in the voice, will be manifest.

601-616. _Give the hygiene of the vocal organs._ 602. How may the voice be strengthened? 603. What effect has the erect att.i.tude upon the modulations of the voice? Give the experiment.

[Ill.u.s.tration: Fig. 107. An improper position; but one not unfrequently seen in some of our common schools, and in some of our public speakers.]