Di Nunno Nunzio, Lombardo Salvatore, Costantinides Fulvio, Di Nunno Cosimo
Dipartimento di Medicina Interna e Medicina Pubblica, Sezione di Medicina Legale, Policlinico, Piazza G. Cesare n. 11, 70124 Bari, Italy.
Am J Forensic Med Pathol. 2004 Mar;25(1):14-9. doi: 10.1097/01.paf.0000113931.49721.e4.
The authors illustrate the anatomic interest of the hyoid-larynx complex in the differential diagnosis of traumatic lesions, purely anatomic anomalies, and lesions resulting from natural causes. Forty larynges from corpses undergoing autopsy at the Institute of Legal Medicine of the University of Trieste were studied during the period May 1996 to May 2001. The larynges were excised and examined through radiographic magnification with dedicated mammographic equipment. Triticeous cartilages were evidenced in 12 (30%), they were bilateral in 7 (17.5%) and monolateral in 5 (12.5%). These cartilages were more frequent in men (8 out of 26; 31%) than in women, 4 out of 14 (28.5%). Total fusion of the body of the hyoid bone with the greater horns was revealed in 10 (25%), partial fusion in 4 (10%), and evident articular rima between the body and the greater horns of the hyoid bone in 14 (35%). The lesser horns of the hyoid bone were symmetrical in 29 (72.5%), asymmetric in 11 (27.5), absent in 1 (2.5%). While confirming the validity of the radiographic method used, we conclude that great care should be taken when diagnosing traumatic lesions of the hyoid-larynx complex. This diagnosis is often difficult to establish owing to the considerable frequency of anatomic anomalies of the complex.
作者阐述了舌骨-喉复合体在创伤性病变、单纯解剖学异常以及自然原因导致的病变的鉴别诊断中的解剖学意义。1996年5月至2001年5月期间，对的里雅斯特大学法医学研究所尸检的40个喉部进行了研究。切除喉部，并用专用乳腺摄影设备通过放射放大进行检查。发现12个（30%）有麦粒软骨，其中7个（17.5%）为双侧，5个（12.5%）为单侧。这些软骨在男性中（26例中有8例；31%）比在女性中（14例中有4例；28.5%）更常见。舌骨体与大角完全融合的有10个（25%），部分融合的有4个（10%），舌骨体与大角之间有明显关节裂的有14个（35%）。舌骨小角对称的有29个（72.5%），不对称的有11个（27.5%），缺如1个（2.5%）。在确认所用放射学方法有效性的同时，我们得出结论，在诊断舌骨-喉复合体的创伤性病变时应格外小心。由于该复合体解剖学异常的发生率相当高，这种诊断往往很难确立。
