CHAPTER XXIX.

THE VOICE.

586. The beautiful mechanism of the vocal instrument, which produces

every variety of sound, from a harsh, unmelodious tone, to a soft,

sweet, flute-like sound, has, as yet, been imperfectly imitated by

art. It has been compared, by many physiologists, to a wind, reed, and

stringed instrument. This inimitable, yet simple instrument, is the

_Lar'ynx_.

587. Incidentally, the different parts of the respiratory organs, as

well as the larynx, are subservient to speaking and singing. The

tongue, nasal passages, muscles of the fauces and face, are agents

which aid in the intonation of the voice.

ANATOMY OF THE VOCAL ORGANS.

588. The LARYNX is a kind of cartilaginous tube, which, taken as a

whole, has the general form of a hollow, reversed cone, with its base

upward toward the tongue, in the shape of an expanded triangle. It

opens into the pharynx, at its superior extremity, and communicates,

by its inferior opening with the trachea. It is formed by the union of

five cartilages, namely, the _Thy'roid_, the _Cri'coid_, the two

_A-ryt-e'noid_, and the _Ep-i-glot'tis_. These are bound together by

ligaments, and moved by muscles.

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586. What is said of the structure of the vocal instrument? With what

instrument have physiologists compared it? What is the vocal

instrument called? 587. What organs are called into action in speaking

beside the larynx? 588-596. _Give the anatomy of the vocal organs._

588. Describe the larynx. Name the cartilages that form the larynx.

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589. The THYROID CARTILAGE is the largest of the five, and forms the

prominence in the front of the neck, called _Po'mum A-da'mi_, (Adam's

apple.) It is composed of two parts, and is connected with the bone of

the tongue above, and with the cricoid cartilage below.

590. The CRICOID CARTILAGE takes its name from its resemblance to a

ring. It is situated below the thyroid cartilage, it is narrow in

front, broader at the sides, and still broader behind, where it is

connected with the thyroid cartilage. Below, it connects with the

first ring of the trachea.

[Illustration: Fig. 102. A side view of the cartilages of the larynx. *

The front side of the thyroid cartilage. 1, The os hyoides, (bone at the

base of the tongue.) 2, The ligament that connects the hyoid bone and

thyroid cartilage. 3, 4, 5, The thyroid cartilage. 6, The cricoid

cartilage. 7, The trachea.]

[Illustration: Fig. 103. A posterior view of the cartilages and ligaments

of the larynx. 1, The posterior face of the epiglottis. 3, 3, The os

hyoides. 4, 4, The lateral ligaments which connect the os hyoides and

thyroid cartilage. 5, 5, The posterior face of the thyroid cartilage. 6,

6, The arytenoid cartilages. 7, The cricoid cartilage. 8, 8, The junction

of the cricoid and the arytenoid cartilages. 12, The first ring of the

trachea.]

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589. Describe the thyroid cartilage. 590. From what does the cricoid

cartilage derive its name? Where is it situated? Explain fig. 102.

Fig. 103.

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591. The ARYTENOID CARTILAGES are small triangular bodies placed upon

the back part of the cricoid cartilage. They are connected with the

thyroid cartilages, by four ligaments, called _Vo'cal Cords_.

592. The EPIGLOTTIS is fibro-cartilaginous, and is placed behind the

base of the tongue. In shape it resembles a leaf of parsley.

593. The VOCAL CORDS, or ligaments, are formed of elastic and parallel

fibres, enclosed in a fold of mucous membrane. They are about two

lines in width, and pass from the anterior angle of the thyroid

cartilage, to the two arytenoid cartilages. The one is called the

superior, and the other the inferior vocal ligament. The cavity, or

depression between the superior and inferior ligament, is called the

_ventricle_ of the larynx. The aperture, or opening between these

ligaments, is called the _glot'tis_, or _chink of the glottis_. It is

about three fourths of an inch in length, and one fourth of an inch in

width, the opening being widest at the posterior part. This opening is

enlarged and contracted by the agency of the muscles appropriated to

the larynx.

[Illustration: Fig. 104. An ideal, lateral section of the larynx. 1, 1,

The upper vocal cords. 2, 2, The lower vocal cords. 3, 3, The glottis. 4,

4, The ventricles of the larynx.]

[Illustration: Fig. 105. A vertical section of the larynx. 2, The os

hyoides. 4, The apex of the epiglottis. 7, The superior vocal ligament.

9, The ventricle of the larynx. 10. The lower vocal ligament. 11, The

arytenoid cartilage. 12, 13, The cricoid cartilage. 14, The trachea. 18,

The oesophagus.]

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591. Describe the arytenoid cartilages. 592. What is said of the

epiglottis? 593. Give the structure of the vocal cords. Where is the

ventricle of the larynx? Where is the glottis situated? What is

represented by fig. 104? Explain fig. 105.

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[Illustration: Fig. 106. A view of the larynx from above, showing the

vocal ligaments. 1, The anterior edge of the larynx. 4, The posterior

face of the thyroid cartilage. 5, 5, The arytenoid cartilages. 6, 6, The

vocal ligaments. 7, Their origin, within the angle of the thyroid

cartilage. 9, Their termination, at the base of the arytenoid cartilages.

8, 10, The glottis.]

594. The larynx is connected by muscles with the sternum, oesophagus,

base of the skull, hyoid bone, lower jaw, and tongue. This organ is

supplied with a large number of blood-vessels, and it likewise

receives nerves from the sympathetic system, and two large nerves from

the tenth pair. The number and size of the nervous filaments

distributed to the mucous membrane of the larynx, render it more

sensitive than any other portion of the respiratory organs.

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How is the glottis enlarged or contracted? Explain fig. 106. 594. By

what means and to what organs is the larynx connected? Why is the

larynx more sensitive than other parts of the respiratory organs?

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595. The larynx is much more developed and prominent in man than in

woman. In the former, the anterior angle of the thyroid cartilage is

acute, while in the latter it is rounded, and the central slope of the

superior border of the same cartilage is less deep, and the epiglottis

smaller and less prominent, than in man.

596. The difference in the formation of the larynx in infancy is less

striking; but at a later period, it is more developed in the male than

in the female. It is very remarkable that this increase is not

progressive, like that of other organs, but, on the contrary, develops

itself at once at the period of puberty.

PHYSIOLOGY OF THE VOCAL ORGANS.

597. In the formation of the voice, each part already described

performs an important office. The cricoid and thyroid cartilages give

form and stability to the larynx; the arytenoid cartilages, by their

movement, vary the width of the glottis. The epiglottis is flexible

and elastic. When it is erect, the chink of the glottis is open, as in

inspiration; when depressed, as in swallowing food and drink, it

covers and closes this aperture. It prevents the introduction of

articles of food into the trachea, and probably modifies sound as it

issues from the glottis.

598. The muscles of the neck elevate and depress the larynx; the

muscles of the larynx increase or diminish the width of the glottis;

at the same time, the vocal cords are relaxed or tightened, while the

muscles of the face open and close the mouth.

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595. What difference between the formation of the larynx of the female

and that of the male? 596. Does this difference exist in childhood? Is

its development progressive? 597-600. _Give the physiology of the

vocal organs._ 597. Which cartilages give stability and form to the

larynx? Which vary the width of the glottis? What is the function of

the epiglottis? 598. What effect have the muscles of the neck upon the

larynx? The use of the muscles of the larynx?

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599. The elasticity of the ribs and the contraction of the abdominal

muscles diminish the cavity of the chest, and the air, in consequence,

is pressed from the air-cells into the bronchial tubes and trachea. It

then rushes by the vocal cords, and causes a peculiar vibration, which

produces _sound_.

_Observations._ 1st. Experiments have satisfactorily shown that the

vocal cords are the principal agents in the formation of the voice.

The tongue, which many have supposed to be the most important organ in

speaking, is not essential to sound. In several instances it has been

removed, and the persons thus mutilated could speak with fluency.

2d. When the vocal cords are ulcerated, or inflamed, however slightly,

as in sore throat produced by a cold, the voice will be changed. The

loss of speech among public speakers is generally produced by a

relaxation of the vocal ligaments. Hence, bronchitis is a misnomer for

this affection.

600. Sound is varied by the velocity of the expelled current of air,

and the tension of the vocal ligaments. The size of the larynx, the

volume and health of the lungs, the condition of the fauces and nasal

passages, the elevation and depression of the chin, the development

and freedom of action of the muscles which are attached to the larynx,

the opening of the mouth, the state of the mind, and general health of

the system, influence the modulations of sound.

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What effect has the combined action of these muscles? 599. How is

sound produced? What have experiments shown? What effect has disease

of the vocal ligaments upon the voice? 600. How is sound varied?

Mention other conditions that contribute to the modulation of sound.

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A Treatise on Anatomy, Physiology, and Hygiene (Revised Edition) · 第 13 / 34 章