Arytenoid cartilages
Cartilagines arytenoideae
Also known as: arytenoids
Paired pyramidal cartilages seated on the cricoid lamina whose rotation and gliding open and close the vocal folds.
Overview
Each arytenoid has an apex (carrying the corniculate cartilage and the aryepiglottic fold), a base articulating with the cricoid, a forward-projecting vocal process (attachment of the vocal ligament and vocalis) and a laterally projecting muscular process (attachment of the posterior and lateral cricoarytenoid muscles).
At the synovial cricoarytenoid joints the arytenoids rotate around a vertical axis and glide medially/laterally. Pulling the muscular process backwards (posterior cricoarytenoid) swings the vocal processes apart — abduction; pulling it forwards (lateral cricoarytenoid) brings them together — adduction; the arytenoid muscles draw the two cartilages together to close the posterior (intercartilaginous) glottis.
- Location
On the upper border of the cricoid lamina, at the back of the larynx.
Parts & subdivisions
- Vocal processAnterior projection; posterior attachment of the vocal fold.
- Muscular processLateral projection; lever for the cricoarytenoid muscles.
- Apex and corniculate cartilageSupports the aryepiglottic fold.
Anatomy
- Articulations
Cricoarytenoid joints (synovial) with the cricoid lamina.
- Histology
Mainly hyaline cartilage; the vocal process and apex are elastic cartilage.
Function
- Determine vocal fold position (open for breathing, closed for phonation and airway protection).
- Adjust vocal fold tension together with the thyroid cartilage.
Clinical significance
Arytenoid dislocation
Traumatic intubation can dislocate an arytenoid, causing persistent hoarseness that mimics recurrent laryngeal nerve palsy; laryngoscopy and imaging distinguish them.
Contact granuloma
Granulomas on the vocal processes follow intubation trauma, chronic throat clearing or laryngopharyngeal reflux.
Compiled from standard anatomy and physiology references — see the Respiratory System sources. For education only; not medical advice.