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  • 1
    Digitale Medien
    Digitale Medien
    Springer
    European archives of oto-rhino-laryngology and head & neck 254 (1997), S. 193-195 
    ISSN: 1434-4726
    Schlagwort(e): Larynx ; Anatomy ; Paraglottic space ; Cancer extensions
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The precise topographic relationships of the paraglottic space (PGS) were investigated in serial plastinated or frozen whole-organ sections of 46 normal adult larynges. Laterally, the PGS was bordered by the thyroid cartilage. Superomedially, the PGS in some specimens was only separated from the periepiglottic space by a coherent collagenous fiber septum. The paraglottic adipose tissue extended between the caudal fibers of the thyroarytenoid muscle. Inferomedially, the PGS was bordered by the conus elasticus. The anteroinferior portion of the PGS extended beyond the larynx beneath the inferior rim of the thyroid cartilage. Posteroinferiorly, the paraglottic adipose tissue extended towards the cricoarytenoid joint. Dorsally, the PGS was bordered by the mucosal lining of the piriform sinus. Due to the intimate topographic and histologic relationships present, cancer involving the PGS may rapidly infiltrate all adjacent anatomic structures.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 2
    Digitale Medien
    Digitale Medien
    Springer
    European archives of oto-rhino-laryngology and head & neck 254 (1997), S. 410-412 
    ISSN: 1434-4726
    Schlagwort(e): Supraglottic larynx ; Anatomy ; Physiology ; Deglutition
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Morphologic correlates of physiologic closure mechanisms of the laryngeal vestibule were investigated in plastinated serial sections of 25 normal adult larynges. The anterior part of the laryngeal vestibule was seen to be bounded by the epiglottis and the thyroepiglottic ligament medially, and by lateral extensions of the periepiglottic adipose tissue laterally. The posterior part of the laryngeal vestibule was bordered by the aryepiglottic folds. Morphologically, the periepiglottic space and the aryepiglottic folds were completely separated by several transversely oriented collagenous fiber layers attached to the thyroid perichondrium laterally. This may suggest a corresponding functional separation, as described previously in the literature. Closure of the anterior part of the laryngeal vestibule during swallowing is probably related to the lowering of the epiglottis, with both depending on pressure exerted onto the periepiglottic adipose tissue. Closure of the posterior part of the laryngeal vestibule is most likely related to closure of the rima glottidis, with both depending on adduction of the arytenoid cartilage.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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