Yıl 2019, Cilt 16 , Sayı 2, Sayfalar 207 - 212 2019-08-29

Plica vocalis ve cartilago cricoidea morfometrelerinin yeniden değerlendirilmesi
Revisiting the Morphometry of Cricoid Cartilage and Vocal Folds

Alper VATANSEVER [1] , Burcu ERÇAKMAK GÜNEŞ [2] , Deniz DEMİRYÜREK [3]


Amaç: Rima glottidis ve cartilago cricoidea larynx geçişinin önemli kısımlarıdır. Bununla birlikte, karmaşık anatomik yapılar olmaları sebebiyle entübasyon veya cerrahi sırasında bazı güçlüklere yol açabilirler. Bu sebeple, bu işlemler sırasında, bu anatomik yapılar, istenmeyen yaralanmalar açısından oldukça büyük bir risk altındadırlar. Çalışmamızın amacı, larynx’in bu önemli parçalarının morfometrelerinin detaylı olarak incelenmesidir.

Materyal ve Metod: Bu çalışmada, larynx ve boyun bölgelerinde herhangi bir patoloji olmayan 74 kadın ve 76 erkek hastaya ait bilgisayarlı tomografi görüntüleri retrospektif olarak incelendi. Plica vocalis’in hemen üzerinde kalan supraglottic bölgenin anteroposterior çapı, plica vocalis’lerin anterior birleşme açısı, rima glottidis’in transvers çapı ve cartilago cricoidea’nın anteroposterior ve transvers çapları Osirix-Lite version 9 yazılımı kullanılarak ölçüldü.

Bulgular: Cartilago cricoidea’nın transvers çapı 1 cm'den az bulundu, ancak rima glottidis'in transvers çapı cartilago cricoidea’nın transvers çapından anlamlı derecede daha küçüktü. Plica vocalis’in anterior açısı dışındaki tüm değişkenler erkeklerde kadınlardan daha yüksekti.

Sonuç: Rima glottidis’in transvers çapı larynx geçişinin en dar kısmıydı. Endotrakeal tüp uygulamaları sırasında, uygulamayı yapacak olan hekimler cartilago cricoidea’nın yanı sıra larynx’in bu kısmının da farkında olmalıdır.

 

Anahtar Kelimeler: Erişkin solunum yolları, bilgisayarlı tomografi, cartilago cricoidea, larynx, plica vocalis.

Background: Rima glottidis and cricoid cartilage are important parts for laryngeal passage. However, their complex anatomical organizations give rise to occur some difficulties during intubation or surgeries. Therefore, these anatomical structures have great risk of damage during these procedures. The main aim of this study is to evaluate detailed morphometric properties of these critical parts of the larynx.

Methods: In this study, 74 female and 76 male patients’, without any pathology in their laryngeal and neck regions, computed tomography images were examined, retrospectively. Anteroposterior diameter of the supraglottic region immediately above the vocal folds, anterior angle of the vocal folds, transverse diameter of the rima glottidis and anteroposterior and transverse diameters of the cricoid cartilage were measured using Osirix-Lite version 9.

Results: Transverse diameter of the cricoid cartilage was found less than 1 cm, however, the transverse diameter of the rima glottidis was significantly smaller. All variables except for anterior angle of the vocal folds were higher in men than women.

Conclusions: The transverse diameter of the rima glottidis was the narrowest part of the laryngeal passage. The physicians should be aware of this part of the larynx besides the cricoid cartilage during endotracheal tube administrations.  

 

Keywords: Adult airway, computed tomography imaging, cricoid cartilage, larynx, vocal folds.

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Birincil Dil en
Konular Tıp
Bölüm Araştırma Makalesi
Yazarlar

Orcid: 0000-0002-3632-1020
Yazar: Alper VATANSEVER (Sorumlu Yazar)
Kurum: BALIKESİR ÜNİVERSİTESİ, TIP FAKÜLTESİ
Ülke: Turkey


Orcid: 0000-0000-0000-0000
Yazar: Burcu ERÇAKMAK GÜNEŞ
Kurum: HACETTEPE ÜNİVERSİTESİ, TIP FAKÜLTESİ
Ülke: Turkey


Orcid: 0000-0000-0000-0000
Yazar: Deniz DEMİRYÜREK
Kurum: HACETTEPE ÜNİVERSİTESİ, TIP FAKÜLTESİ
Ülke: Turkey


Tarihler

Başvuru Tarihi : 1 Temmuz 2019
Kabul Tarihi : 22 Temmuz 2019
Yayımlanma Tarihi : 29 Ağustos 2019

Bibtex @araştırma makalesi { hutfd584919, journal = {Harran Üniversitesi Tıp Fakültesi Dergisi}, issn = {1304-9623}, eissn = {1309-4025}, address = {tipdergisi@harran.edu.tr}, publisher = {Harran Üniversitesi}, year = {2019}, volume = {16}, pages = {207 - 212}, doi = {10.35440/hutfd.584919}, title = {Revisiting the Morphometry of Cricoid Cartilage and Vocal Folds}, key = {cite}, author = {VATANSEVER, Alper and ERÇAKMAK GÜNEŞ, Burcu and DEMİRYÜREK, Deniz} }
APA VATANSEVER, A , ERÇAKMAK GÜNEŞ, B , DEMİRYÜREK, D . (2019). Revisiting the Morphometry of Cricoid Cartilage and Vocal Folds. Harran Üniversitesi Tıp Fakültesi Dergisi , 16 (2) , 207-212 . DOI: 10.35440/hutfd.584919
MLA VATANSEVER, A , ERÇAKMAK GÜNEŞ, B , DEMİRYÜREK, D . "Revisiting the Morphometry of Cricoid Cartilage and Vocal Folds". Harran Üniversitesi Tıp Fakültesi Dergisi 16 (2019 ): 207-212 <https://dergipark.org.tr/tr/pub/hutfd/issue/47757/584919>
Chicago VATANSEVER, A , ERÇAKMAK GÜNEŞ, B , DEMİRYÜREK, D . "Revisiting the Morphometry of Cricoid Cartilage and Vocal Folds". Harran Üniversitesi Tıp Fakültesi Dergisi 16 (2019 ): 207-212
RIS TY - JOUR T1 - Revisiting the Morphometry of Cricoid Cartilage and Vocal Folds AU - Alper VATANSEVER , Burcu ERÇAKMAK GÜNEŞ , Deniz DEMİRYÜREK Y1 - 2019 PY - 2019 N1 - doi: 10.35440/hutfd.584919 DO - 10.35440/hutfd.584919 T2 - Harran Üniversitesi Tıp Fakültesi Dergisi JF - Journal JO - JOR SP - 207 EP - 212 VL - 16 IS - 2 SN - 1304-9623-1309-4025 M3 - doi: 10.35440/hutfd.584919 UR - https://doi.org/10.35440/hutfd.584919 Y2 - 2019 ER -
EndNote %0 Harran Üniversitesi Tıp Fakültesi Dergisi Revisiting the Morphometry of Cricoid Cartilage and Vocal Folds %A Alper VATANSEVER , Burcu ERÇAKMAK GÜNEŞ , Deniz DEMİRYÜREK %T Revisiting the Morphometry of Cricoid Cartilage and Vocal Folds %D 2019 %J Harran Üniversitesi Tıp Fakültesi Dergisi %P 1304-9623-1309-4025 %V 16 %N 2 %R doi: 10.35440/hutfd.584919 %U 10.35440/hutfd.584919
ISNAD VATANSEVER, Alper , ERÇAKMAK GÜNEŞ, Burcu , DEMİRYÜREK, Deniz . "Revisiting the Morphometry of Cricoid Cartilage and Vocal Folds". Harran Üniversitesi Tıp Fakültesi Dergisi 16 / 2 (Ağustos 2019): 207-212 . https://doi.org/10.35440/hutfd.584919
AMA VATANSEVER A , ERÇAKMAK GÜNEŞ B , DEMİRYÜREK D . Revisiting the Morphometry of Cricoid Cartilage and Vocal Folds. Harran Üniversitesi Tıp Fakültesi Dergisi. 2019; 16(2): 207-212.
Vancouver VATANSEVER A , ERÇAKMAK GÜNEŞ B , DEMİRYÜREK D . Revisiting the Morphometry of Cricoid Cartilage and Vocal Folds. Harran Üniversitesi Tıp Fakültesi Dergisi. 2019; 16(2): 212-207.