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The vocalis muscle, main body of the vocal cords, is covered by the mucosa, which consists of the epithelium and the lamina propria. [10] The latter is a pliable layer of connective tissue subdivided into three layers: the superficial layer (SL), the intermediate layer (IL), and the deep layer (DL). [ 11 ]
Due to the primarily amorphous fibrous and nonfibrous proteins in the lamina propria, the basement membrane applies strong anchoring-filaments like collagen IV and VII to secure the hemidesmosome of basal cell to the lamina propria. These attachments are strong enough to sustain beating and stretch, to which the vocal cords are subjected. [4]
The lamina propria is a thin layer of loose (areolar) connective tissue, which lies beneath the epithelium, and together with the epithelium and basement membrane constitutes the mucosa. As its Latin name indicates, it is a characteristic component of the mucosa, or the mucosa's "own special layer."
Ligament vocal fold cysts- located within the deeper layers of the lamina propria or on the vocal ligament. [1] The symptoms of vocal fold cysts vary but most commonly include a hoarse voice and problems with the pitch of the voice. Vocal fold cysts are diagnosed based on gathering a case history, perceptual examination, and laryngeal imaging. [3]
The Reinke's space is sometimes referred to as the superficial lamina propria. [5] Reinke's edema is characterized by the "sac-like" appearance of the fluid-filled vocal cords. [6] The swelling of the vocal folds causes the voice to become deep and hoarse. Therefore, the major symptom of Reinke's edema is a hoarseness similar to laryngitis.
It contains the vestibular folds, and between these and the vocal folds are the laryngeal ventricles. [1] The vestibule is an opening in the lateral wall of the larynx, between the vestibular fold above and the vocal folds below. It is the inlet to another cavity in the lateral wall of larynx, the laryngeal ventricle.
The cricothyroid muscle produces tension and elongation of the vocal cords. [ 3 ] [ 5 ] They draw up the arch of the cricoid cartilage and tilt back the upper border of the cricoid cartilage lamina. [ 3 ] [ 5 ] The distance between the vocal processes and the angle of the thyroid is increased, elongating [ 3 ] and thus tensing the vocal folds ...
The vestibular fold (ventricular fold, superior or false vocal cord) is one of two thick folds of mucous membrane, each enclosing a narrow band of fibrous tissue, the vestibular ligament, which is attached in front to the angle of the thyroid cartilage immediately below the attachment of the epiglottis, and behind to the antero-lateral surface of the arytenoid cartilage, a short distance above ...