---
title: "Larynx Anatomy - Cartilages, Ligaments, Membranes, and Joints"
description: "A guide to the cartilages, ligaments and membranes, joints of Larynx for medical students and ENT residents."
source: "The ENT Resident"
author: "Dr. Mausumi Das"
canonical_url: "https://www.theentresident.com/ent-notes-lectures/larynx-anatomy-cartilages-ligaments"
categories: ["Larynx and Trachea"]
video: "https://www.youtube.com/watch?v=0Mq-BxKctsU"
image: "https://media.theentresident.com/og-images/larynx-anatomy-cartilages-ligaments.png"
---

# Larynx Anatomy - Cartilages, Ligaments, Membranes, and Joints

A guide to the cartilages, ligaments and membranes, joints of Larynx for medical students and ENT residents. Watch the full video lecture on YouTube: https://www.youtube.com/watch?v=0Mq-BxKctsU

## 🧠 Anatomy of the Larynx – Part 2: Cartilages, Ligaments, Membranes, and Joints

### 🦴 Laryngeal Cartilages
The laryngeal framework consists of six cartilages:
- **Three unpaired**: Epiglottis, Thyroid cartilage, Cricoid cartilage
- **Three paired**: Arytenoid, Corniculate, and Cuneiform cartilages

#### 🔹 **1- Epiglottis**

- **Type**: Elastic fibrocartilage  

- **Shape**: Thin, leaf-like  

- **Location**: Forms the anterior wall of the laryngeal inlet; projects behind the tongue and hyoid bone  

- **Attachments**:  
  - **Inferior**: Thyroepiglottic ligament (to thyroid cartilage below thyroid notch)  
  - **Anterior**: Hyoepiglottic ligament (to hyoid bone)  
  - **Lateral**: Aryepiglottic folds (to arytenoid apex)  
  - **Posterior surface**: Reflects mucosa to tongue forming median and lateral glossoepiglottic folds  

- **Surfaces**:  

  - **Anterior (lingual)**  
  - **Posterior (laryngeal)**  

>What is Pre-epiglottic Space of Boyer? What is it's clinical importance?

>Why is viewing the anterior commissure difficult while performing indirect laryngoscopy?

#### **🔹 2- Thyroid Cartilage**

- **Largest of all laryngeal cartilages**  

- **Structure**: Two laminae fused in the midline (forming the Adam's apple)  

- **Angle**: 90° in males, 120° in females  

- **Processes**:  

  - **Superior Cornu**  
  - **Inferior Cornu**  

- **Attachments**:  

  - **Outer surface**: Oblique line → thyrohyoid, sternothyroid, inferior constrictor  

  - **Inner surface**:  
    - **Above**: Thyroepiglottic ligament  
    - **Midzone**: Vocal and vestibular ligaments, thyroarytenoid and vocalis muscles  

  - **Borders**:  
    - **Superior**: Thyrohyoid membrane  
    - **Inferior**: Cricothyroid ligament  

#### **🔹 3- Cricoid Cartilage**

- **Only complete ring in the airway**  

- **Structure**: Broad lamina posteriorly, narrow arch anteriorly  

- **Articulations**:  

  - Cricothyroid joint  
  - Cricoarytenoid joint  

- **Attachments**:  
  - **Ligaments**: Cricotracheal, cricothyroid, and cricovocal  
  - **Muscles**:  
    - **Posterior surface**: Posterior cricoarytenoid  
    - **Midline ridge**: Longitudinal pharyngeal muscles  

>What is the key **functional unit** of larynx?

#### 🔹 **4- Arytenoid Cartilage**

- **Shape**: Pyramidal with base and apex  

- **Processes**:  

  - Vocal process  
  - Muscular process  

- **Surfaces**:  

  - Anterolateral  
  - Medial  
  - Posterior  
  - Base  
  - Apex  

>What are the attachments of different parts of Arytenoid cartilage?

#### 🔹 **5- Corniculate Cartilage**

- **Also called**: Cartilage of Santorini  

- **Shape**: Small conical nodules located in the posterior part of aryepiglottic fold  

- **Articulates with** Apex of arytenoid  

#### 🔹 **6- Cuneiform Cartilage**

- **Also called**: Cartilage of Wrisberg  

- **Shape**: Elongated, rod-shaped  

- **Location**: Lies in aryepiglottic fold; provides structural support  

---

### 🧵 Ligaments and Membranes of the Larynx

#### 🔗 **Extrinsic Ligaments** (connect larynx to external structures):

- **Thyrohyoid Membrane**: Between thyroid cartilage and hyoid.

>What structures pierce the Thyrohyoid membrane?

- **Cricotracheal Ligament**: Connects cricoid cartilage to first tracheal ring.  

- **Hyoepiglottic Ligament**: Connects hyoid to epiglottis, divides epiglottis into suprahyoid and infrahyoid parts.  

#### 🔗 **Intrinsic Ligaments** (connect internal laryngeal cartilages):

These form the fibroelastic membrane beneath the mucosa, subdivided into:

**1- Quadrangular Membrane**:  

   - From epiglottis → arytenoids  
   - Lower margin → forms vestibular ligament (false vocal cord)  
   - Upper margin → aryepiglottic fold  

**2- Cricovocal Membrane**:  
   - From cricoid → thyroid cartilage  
   - Upper free border → vocal ligament (true vocal cord)  
   - Together with its counterpart forms the Conus Elasticus  
   - Anterior thickening → Cricothyroid ligament  

**3- Thyroepiglottic Ligament**: Connects thyroid cartilage to epiglottis.  

---

### ⚙️ Joints of Larynx

#### 🔸 **1- Cricoarytenoid Joint**

- **Location**: Formed between the base of the arytenoid cartilage and a facet on the upper border of the lamina of the cricoid cartilage, enclosed by a capsular ligament.  

- **Type**: Synovial joint  

- **Movements**:  
  - **Rotatory Movement** (around a vertical axis)  
  - **Gliding (Sliding) Movement**  

#### 🔸 **2- Cricothyroid Joint**

- **Location**: Formed between the inferior cornu of the thyroid cartilage and a facet on the side of the cricoid cartilage. 

- **Type**: Synovial joint  

- **Movement**: Allows rotational movement of the cricoid cartilage around a transverse axis.  

---

### ✅ Summary Table

| Joint | Type | Formed Between | Movements | Function |
| --- | --- | --- | --- | --- |
| Cricoarytenoid | Synovial | Arytenoid base + Cricoid lamina facet | Rotation (abduction/adduction), Gliding | Opens/closes vocal folds & glottis |
| Cricothyroid | Synovial | Inferior cornu of thyroid + Cricoid facet | Rotation (transverse axis) | Adjusts vocal cord tension (pitch) |

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## About This Note

This free ENT note on Larynx Anatomy - Cartilages, Ligaments, Membranes, and Joints was written by Dr. Mausumi Das and is paired with a corresponding video lecture.

Canonical page of this note: https://www.theentresident.com/ent-notes-lectures/larynx-anatomy-cartilages-ligaments

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