E-ISSN 2602-4837
A morphometric analysis of laryngeal anatomy: A cadaveric study [Tr-ENT]
Tr-ENT. 2018; 28(2): 71-77 | DOI: 10.5606/Tr-ENT.2018.35229

A morphometric analysis of laryngeal anatomy: A cadaveric study

Necati Enver1, Can Doruk1, Erdoğan Kara2, Hızır Aslıyüksek2, Bora Başaran1
1Department of Otolaryngology, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Turkey
2Council Of Forensic Medicine, Istanbul, Turkey

INTRODUCTION: This study aims to describe morphometric measurements of the laryngeal framework and discuss their implications for phonosurgery among Turkish subjects.
METHODS: Larynges from 40 male and 20 female fresh cadavers were extracted during autopsy in a forensic science institution between January 2015 and December 2015. Measurements were taken of the length of membranous and cartilaginous vocal fold (mVF, cVF), width and thickness of VF (wVF, tVF), anterior and posterior subglottic distance (AS, PS), width and height of thyroid 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 in pAC to TIB, wTC, cVF and mVF groups (p<.05). No statistically significant difference between age groups was found. The location of AC was observed above the midpoint of the thyroid cartilage, and the mean distance between the pAC to TIB was 10.2±2.9 mm in males and 7.8±1 mm in females. The mean AS value was 13.14±3.67, whereas the posterior subglottic distance mean value was 7.14±1.35.
DISCUSSION AND CONCLUSION: Although sex is an important factor to define laryngeal morphometrics, age may not be a significant factor. The significant difference in mean distance from pAC to TIB among males and females is an important consideration in laryngeal framework surgery. However, studies with larger samples are needed to confirm our findings.

Keywords: Anatomy, laryngoplasty, larynx.

Necati Enver, Can Doruk, Erdoğan Kara, Hızır Aslıyüksek, Bora Başaran. A morphometric analysis of laryngeal anatomy: A cadaveric study. Tr-ENT. 2018; 28(2): 71-77

Corresponding Author: Can Doruk, Türkiye
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