Figure 60-3
The narrower part of the adult larynx (cylindric shape
(A) occurs at the glottic opening, whereas the narrowest
part of the infant larynx (funnel shaped) (B) occurs
at the level of the cricoid cartilage. The normal adult configuration of the larynx
is not achieved until the teenage years. This anatomic difference is one of the
reasons why uncuffed endotracheal tubes are preferred for children younger than 6
years. A, anterior; Cricoid, cricoid cartilage; P, posterior. (Redrawn
from Coté CJ, Todres ID: The pediatric airway. In
Coté CJ, Ryan JF, Todres ID, et al [eds]: A Practice of Anesthesia for Infants
and Children. Philadelphia, WB Saunders, 1992, p 55.)