A morphometric analysis of laryngeal anatomy: A cadaveric study


Enver N., Doruk C., KARA E., Asliyuksek H., BAŞARAN B.

The Turkish Journal of Ear Nose and Throat, cilt.28, sa.2, ss.71-77, 2018 (Hakemli Dergi) identifier

Özet

Objectives: This study aims to describe morphometric measurements of the laryngeal framework and discuss their implications forphonosurgery among Turkish subjects.Patients and Methods: Larynges from 40 male and 20 female fresh cadavers were extracted during autopsy in a forensic scienceinstitution between January 2015 and December 2015. Measurements were taken of the length of membranous and cartilaginousvocal fold (mVF, cVF), width and thickness of VF (wVF, tVF), anterior and posterior subglottic distance (AS, PS), width and height ofthyroid cartilage (wTC, hTC), and distance between projection of anterior commissure to thyroid cartilage inferior border (pAC to TIB).Results: For all parameters, median and mean values were higher in male groups, but the differences were significant only inpAC to TIB, wTC, cVF and mVF groups (p<.05). No statistically significant difference between age groups was found. The locationof AC was observed above the midpoint of the thyroid cartilage, and the mean distance between the pAC to TIB was 10.2±2.9 mmin males and 7.8±1 mm in females. The mean AS value was 13.14±3.67, whereas the posterior subglottic distance mean value was7.14±1.35.Conclusion: Although sex is an important factor to define laryngeal morphometrics, age may not be a significant factor. Thesignificant difference in mean distance from pAC to TIB among males and females is an important consideration in laryngealframework surgery. However, studies with larger samples are needed to confirm our findings.