The Adam’s apple, or laryngeal prominence, is a distinctive feature often associated with male anatomy, particularly after puberty. While widely recognized, the intricate process behind its formation and the central role of the larynx in this development are fascinating aspects of human biology. This article delves into how the larynx orchestrates the appearance of this prominent structure during a critical developmental stage.
Understanding the Larynx: The Voice Box
At the core of the Adam’s apple’s story is the larynx, commonly known as the voice box. Situated in the neck, it’s a vital organ made up of cartilage, muscles, and membranes. Its primary functions include protecting the airway during swallowing, regulating airflow for breathing, and, crucially, generating sound for speech. The largest piece of cartilage making up the larynx is the thyroid cartilage, which forms the front and sides of the larynx and is typically shield-shaped. In both sexes, the larynx is present and functional, but its development takes a distinctly different path during adolescence.

Puberty’s Hormonal Catalyst: Testosterone
The onset of puberty in males marks a dramatic period of physiological change, driven largely by a surge in the hormone testosterone. Produced primarily in the testes, testosterone is responsible for the development of secondary sexual characteristics, including increased muscle mass, body hair growth, and changes in the voice. It is this powerful hormonal shift that acts as the primary catalyst for the growth and transformation of the larynx.
As testosterone levels rise, they stimulate the growth of various tissues throughout the body, and the laryngeal cartilages are particularly responsive to these hormonal signals. This growth spurt affects not only the size of the larynx but also its configuration.

The Enlargement of Thyroid Cartilage
The most significant change contributing to the Adam’s apple is the substantial growth and alteration of the thyroid cartilage. Under the influence of testosterone, the plates of the thyroid cartilage grow larger and also tend to angle more sharply forward in males than in females. This forward projection and increased size are what create the characteristic visible bulge known as the Adam’s apple.
In females, while the larynx also grows during puberty, the increase in size is less pronounced, and the angle of the thyroid cartilage plates remains less acute, meaning it does not typically form a prominent external protrusion. This anatomical difference is a key differentiator between male and female neck structures.

Laryngeal Growth and Voice Deepening
The growth of the larynx during puberty isn’t just about creating a visible bump; it also profoundly affects the voice. Inside the larynx are the vocal cords (or vocal folds), which are bands of muscle tissue. As the larynx enlarges, the vocal cords lengthen and thicken. Longer, thicker vocal cords vibrate at a lower frequency, which causes the voice to deepen. This explains why a boy’s voice “breaks” during puberty, transitioning from a higher-pitched child’s voice to a lower-pitched adult male voice.
Thus, the prominent Adam’s apple is an external manifestation of the internal changes occurring within the larynx, directly linked to the development of the adult male voice.

Conclusion: A Sign of Maturation
The larynx plays an indispensable role in the formation of a prominent Adam’s apple in men during puberty. Driven by the surge of testosterone, the thyroid cartilage of the larynx undergoes significant growth and changes in angulation, leading to its visible protrusion. This external sign is intrinsically linked to the internal physiological changes that also cause the voice to deepen, marking a key stage in male sexual maturation. Far more than just a visible feature, the Adam’s apple is a testament to the complex hormonal and structural transformations that define male adolescence.
