Summary
The epiglottis (: epiglottises or epiglottides) is a leaf-shaped flap in the throat that prevents food and water from entering the trachea and the lungs. It stays open during breathing, allowing air into the larynx. During swallowing, it closes to prevent aspiration of food into the lungs, forcing the swallowed liquids or food to go along the esophagus toward the stomach instead. It is thus the valve that diverts passage to either the trachea or the esophagus. The epiglottis is made of elastic cartilage covered with a mucous membrane, attached to the entrance of the larynx. It projects upwards and backwards behind the tongue and the hyoid bone. The epiglottis may be inflamed in a condition called epiglottitis, which is most commonly due to the vaccine-preventable bacterium Haemophilus influenzae. Dysfunction may cause the inhalation of food, called aspiration, which may lead to pneumonia or airway obstruction. The epiglottis is also an important landmark for intubation. The epiglottis has been identified as early as Aristotle, and gets its name from being above the glottis (epi- + glottis). The epiglottis sits at the entrance of the larynx. It is shaped like a leaf of purslane and has a free upper part that rests behind the tongue, and a lower stalk (petiolus). The stalk originates from the back surface of the thyroid cartilage, connected by a thyroepiglottic ligament. At the sides, the stalk is connected to the arytenoid cartilages at the walls of the larynx by folds. The epiglottis originates at the entrance of the larynx, and is attached to the hyoid bone. From there, it projects upwards and backwards behind the tongue. The space between the epiglottis and the tongue is called the vallecula. The epiglottis has two surfaces; a forward-facing surface, and a surface facing the larynx. The forward-facing surface is covered with several layers of thin cells (stratified squamous epithelium), and is not covered with keratin, the same surface as the back of the tongue.
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