机构:[1]Capital Med Univ, Dept Anat, Beijing, Peoples R China[2]Xinjiang Med Univ, Dept Anat, Urumqi, Peoples R China[3]Capital Med Univ, Beijing Tongren Hosp, Dept Otolaryngol, Beijing, Peoples R China临床科室耳鼻咽喉-头颈外科首都医科大学附属北京同仁医院首都医科大学附属同仁医院[4]Univ Otago, Dept Anat, Dunedin 9054, New Zealand
Objectives. To visualize the cricoarytenoid joint (CAJ) cavity of the human cadaver and to correlate its appearance to the CAJ capsule. Study Design. Prospective. Methods. A total of 26 cadavers were used for microcomputed tomography arthrography, histology, and epoxy sheet plastination examinations. Results. (1) The dimension of the CAJ cavity was much larger than the articular surfaces; (2) The posterior capsule of the CAJ was significantly strengthened, contained rich elastin fibers, and shared a common attachment with the posterior cricoarytenoid muscle; (3) The arytenoid cartilage was distanced from the cricoid cartilage at the superomedial aspect of the CAJ. Conclusions. This study demonstrates that the posterior fibrous capsule is the primary passive stabilizer of the CAJ and suggests that in addition to the gliding, rucking, and rotation, a visor-like jumping of the arytenoid cartilage on the cricoid cartilage may provide further adjustments in motions of the vocal fold. The finding of this study has implications for the biomechanics of the CAJ motion; the differential diagnosis of CAJ disorders, such as CAJ dislocation and subluxation; and surgical correction of the CAJ dysfunction.
基金:
The project was supported by the New Zealand Lottery Health
Research Grant (Reference No: 279585), the National Natural
Science Foundation of China (Reference No: 31071051), and
the Specialized Research Fund for the Doctoral Program of
Higher Education, China (Reference No: 20101107110012).
第一作者机构:[1]Capital Med Univ, Dept Anat, Beijing, Peoples R China
通讯作者:
通讯机构:[1]Capital Med Univ, Dept Anat, Beijing, Peoples R China[4]Univ Otago, Dept Anat, Dunedin 9054, New Zealand[*1]Univ Otago, Dept Anat, POB 913, Dunedin 9054, New Zealand
推荐引用方式(GB/T 7714):
Liu Ming,Chen Shengguo,Liang Liang,et al.Microcomputed Tomography Visualization of the Cricoarytenoid Joint Cavity in Cadavers[J].JOURNAL OF VOICE.2013,27(6):778-785.doi:10.1016/j.jvoice.2013.05.010.
APA:
Liu, Ming,Chen, Shengguo,Liang, Liang,Xu, Wen&Zhang, Ming.(2013).Microcomputed Tomography Visualization of the Cricoarytenoid Joint Cavity in Cadavers.JOURNAL OF VOICE,27,(6)
MLA:
Liu, Ming,et al."Microcomputed Tomography Visualization of the Cricoarytenoid Joint Cavity in Cadavers".JOURNAL OF VOICE 27..6(2013):778-785