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The larynx in a child is anatomically positioned opposite the fourth cervical vertebral body. This placement is significant because it reflects the developmental differences between children and adults. In infants and young children, the larynx is situated higher in the neck compared to adults, aligning more closely with the fourth cervical vertebra. As children grow, the larynx descends in the neck, eventually reaching its adult position, which is typically opposite the sixth cervical vertebral body. Understanding this positioning is crucial as it influences various aspects of speech and airway management in pediatric populations.