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[从临床角度看喉的功能解剖。第一部分:发育、喉骨架、关节、附着结构、肌肉组织]

[Functional anatomy of the larynx from clinical viewpoints. Part I: development, laryngeal skeleton, joints, insertion structures, musculature].

作者信息

Kutta H, Knipping S, Claassen H, Paulsen F

机构信息

Klinik und Poliklinik für Hals-, Nasen-, und Ohrenheilkunde, Universitätskrankenhaus Hamburg-Eppendorf, Hamburg, Germany.

出版信息

HNO. 2007 Jul;55(7):583-98. doi: 10.1007/s00106-007-1556-2.

Abstract

ENT specialist and phoniatricians are not the only professionals for whom diseases of the larynx occupy centre stage; this applies to those in all fields involving conservative or surgical treatment of the larynx, such as speech therapists, paediatricians, anaesthetists, oncologists, pulmonologists, radiologists and general practitioners. On the basis of current knowledge and taking account of results yielded by their own research in recent years and of clinical aspects, in this paper the authors give a short overview of basic knowledge on the anatomy and physiology of the larynx. Part 1 deals with its development and division, the laryngeal skeleton and joints, the insertion structures of the vocal folds and the laryngeal musculature and describes new insights into the mineralization and ossification of the laryngeal skeleton and their implications for phonation, arytenoid subluxation, degenerative joint changes and the biomechanics of vocal cord insertion.

摘要

耳鼻喉科专家和嗓音科医生并非是仅有的将喉部疾病作为核心关注点的专业人士;这也适用于所有涉及喉部保守治疗或手术治疗领域的人员,比如言语治疗师、儿科医生、麻醉师、肿瘤学家、肺科医生、放射科医生以及全科医生。基于当前的知识,并考虑到近年来他们自己的研究成果以及临床方面的情况,在本文中作者对喉部的解剖学和生理学基础知识进行了简要概述。第1部分论述了喉部的发育与分区、喉骨骼与关节、声带的附着结构以及喉肌,并描述了关于喉骨骼矿化和骨化的新见解及其对发声、杓状软骨半脱位、关节退行性变和声带附着生物力学的影响。

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