Althoff H
Institut für Rechtsmedizin der Medizinischen Fakultät, Rheinisch-Westfälischen Technischen Hochschule Aachen, Bundesrepublik, Deutschland.
Z Rechtsmed. 1989;102(5):305-14. doi: 10.1007/BF00200219.
A systematic histological study of cross-sections of the larynx from 52 fatalities (neonates, infants and young children) revealed a broad spectrum of anatomical variants in the epiglottis form, which were caused by variations in the epiglottic cartilage. There was no correlation between the epiglottis form and the age of the child. Furthermore, no differences in shape could be established between cases of SIDS and control cases. The term "asphyxial-related epiglottis form" appears to be inappropriate. The commonly found supraglottic laryngitis on the laryngeal aspect of the epiglottis was seen in combination with histologically proven infections in the upper and lower respiratory tract. Histological investigation of the larynx provides valuable information for the morphological diagnosis in fatal cases in early life.
对52例死亡病例(新生儿、婴儿和幼儿)的喉部横断面进行的系统组织学研究显示,会厌形态存在广泛的解剖变异,这是由会厌软骨的变异引起的。会厌形态与儿童年龄之间没有相关性。此外,婴儿猝死综合征病例与对照病例在形状上没有差异。“窒息相关会厌形态”这一术语似乎并不恰当。在会厌的喉部可见常见的声门上喉炎,同时在上呼吸道和下呼吸道有组织学证实的感染。喉部的组织学研究为早期生命死亡病例的形态学诊断提供了有价值的信息。