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Craniofacial Muscles

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10 Motor Control and Biomechanics of Laryngeal and Pharyngeal Muscles

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Table 10.1 Intrinsic laryngeal muscles, their insertion points, contraction effects, function for voice, respiration and swallowing, and innervations

Muscle Insertions Effects of contraction Task function Innervation

Adductor muscles

Thyroarytenoid Anterior surface of the arytenoid

cartilage to the inner surface

of the thyroid

Lateral

cricoarytenoid

Muscular process of the arytenoid

to the upper lateral surface of

the cricoid’s rim

Interarytenoid Lateral fi bers between the

arytenoids and diagonal fi bers

form the tip of the arytenoids

to the lateral aspect of the

opposite arytenoid

Abductor muscle

Posterior

cricoarytenoid

From muscular process to the

posterior surface of the

cricoid, various angles of

insertion of different

compartments

Lengthening muscle

Cricothyroid Upper surface of the cricoid to the

internal surface of the thyroid

cartilage (rectus) and lateral

surface of the cricoid to the

thyroid cartilage (oblique)

Shortens the vocal fold and

pulls the vocal process

downward

Pulls the muscular process

forward towards the

cricoid’s rim

Fixes the two arytenoids

during adduction

Opens the vocal folds by

pulling the muscular

process backwards

rocking the arytenoids

cartilage and elevating

and opening the vocal

process

Pulls the thyroid cartilage

forwards and downwards

over the cricoid’

cartilage stretching the

vocal folds

For sphincteric closure during

swallowing, partial adduction in

active respiration, vocal fold closure,

and co-contraction with cricothyroid

to tense to increase fundamental

frequency of vibration during voice

Vocal fold adduction, bursts seen on

vocal fold closure, and opening

during speech

Not well studied because of inaccessibility

in human for

electromyography

Opens the vocal folds for inhalation and

sniff and for voice offset for

voiceless consonants during speech.

May contract during increase in

fundamental frequency to stabilize

the arytenoids during high levels of

thyro arytenoid and cricothyroid

co-contraction

Active during sniff to stretch the vocal

folds as they open, co-contraction

with the thyroarytenoid to tense the

vocal fold to increase fundamental

frequency during vibration

Adductor branch of the

recurrent laryngeal

nerve, unilateral

only

Adductor branch of the

recurrent laryngeal

nerve

Adductor branch of the

recurrent laryngeal

nerve, may have

some bilateral

innervation

Abductor branch of the

recurrent laryngeal

nerve

External branch of the

superior laryngeal

nerve

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