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J Korean Soc Laryngol Phoniatr Logop > Volume 20(2); 2009 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2009;20(2): 126-130.
윤상피열연골의 역동적 운동
홍기환
전북대학교 의학전문대학원 이비인후-두경부외과학교실
Cricoarytenoid Motion
Ki-Hwan Hong
Department of Otolaryngology-Head and Neck surgery, Chonbuk National University Medical School
ABSTRACT
Arytenoid motion has long been recognized as complex. Misunderstandings about the specifics of arytenoid motion remain prevalent. The resultant misunderstandings have led to erroneous or suboptimal clinical approaches to the treatment of vocal fold immobility. A thorough understanding of the anatomy of the arytenoid and cricoid cartilages, the cricoarytenoid joint, and related ligaments, muscles, and other structures is essential in order to fully understand laryngeal motion disorders. Arytenoid motion occurs in three directions. Movements involving a change anteriorly and posteriorly, as well as vertically, are due to the revolving or pitchlike motion of the arytenoid along the minor axis of the cricoid's elliptically shaped facet. The medial and lateral movements are due to the orientation of the arytenoid which in turn is determined by the forward, lateral, and inferior inclination of the cricoid-arytenoid facet. During adduction it is the outward angulation of the vocal process from the body of the arytenoid that allows the entire length of the vocal proceses to approximate one another and to have this meeting occur at the proper vertical height.
KEY WORDS: Cricoarytenoid;Movement;
중심 단어: 윤상피열연골;운동;
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