A 35-year-old female is under general anesthesia. Prior to laryngeal intubation the rima glottidis is opened by which pair of muscles?
**Core Concept**
The rima glottidis is the opening between the vocal folds, and its opening is a crucial step in laryngeal intubation. This process requires the coordinated action of specific muscles to ensure safe and effective airway management.
**Why the Correct Answer is Right**
The correct answer involves the paired muscles responsible for opening the rima glottidis. The **arytenoid muscles** (both the posterior cricoarytenoid muscles) are responsible for this action. Each posterior cricoarytenoid muscle is innervated by the recurrent laryngeal nerve and acts to abduct (move apart) the arytenoid cartilages, thereby opening the rima glottidis. This allows for the passage of the endotracheal tube during laryngeal intubation.
**Why Each Wrong Option is Incorrect**
* **Option A:** The thyroarytenoid muscle is responsible for vocal cord adduction, not abduction.
* **Option B:** The cricothyroid muscle is responsible for tensing the vocal cords, not opening the rima glottidis.
* **Option D:** The aryepiglottic muscles are involved in the movement of the epiglottis, not the opening of the rima glottidis.
**Clinical Pearl / High-Yield Fact**
The posterior cricoarytenoid muscle is the only muscle responsible for vocal cord abduction (opening), and its paralysis can lead to vocal cord closure, potentially causing respiratory distress. This is a crucial consideration in patients undergoing laryngeal surgery or those with known neurological deficits.
**Correct Answer:** C. Posterior cricoarytenoid muscles.