Saleh Hazem M A, Jöns Thomas, Mürbe Dirk, Nawka Tadeus
Otorhinolaryngology Unit, Department of Medical Applications of Laser, National Institute of Laser Enhanced Sciences Cairo University Giza Egypt.
Klinik für Audiologie und Phoniatrie, Department of Audiology and Phoniatrics Charité-Universitätsmedizin Berlin Berlin Germany.
OTO Open. 2023 Apr 16;7(2):e42. doi: 10.1002/oto2.42. eCollection 2023 Apr-Jun.
To describe the inside out surgical anatomy of the superior laryngeal artery and to resolve the ambiguities in the nomenclature of its main branches.
Endoscopic dissection of the superior laryngeal artery in the paraglottic space of larynges of fresh frozen cadavers and a review of the literature.
A center for anatomy encompassing facilities for latex injection into the cervical arteries of human donor bodies and a laryngeal dissection station equipped with a video-guided endoscope and a 3-dimensional camera.
Video-guided endoscopic dissection of 12 hemilarynges in fresh frozen cadavers whose cervical arteries were injected with red latex. Description of the inside-out surgical anatomy of the superior laryngeal artery and its main branches. Review of the previous reports describing the anatomy of the superior laryngeal artery.
From inside the larynx, the artery was exposed upon its entry through the thyrohyoid membrane or through the foramen thyroideum. It was traced ventrocaudally in the paraglottic space exposing its branches to the epiglottis, the arytenoid, and the laryngeal muscles and mucosa. Its terminal branch was followed until it left the larynx through the cricothyroid membrane. Branches of the artery, previously described under different names, appeared to supply the same anatomical domains.
Mastering the inside out anatomy of the superior laryngeal artery is mandatory to control any intraoperative or postoperative hemorrhage during transoral laryngeal microsurgery or during transoral robotic surgery. Naming the artery's main branches according to their domain of supply would resolve the ambiguities resulting from various nomenclatures.
描述喉上动脉由内向外的手术解剖结构，并解决其主要分支命名中的歧义。
对新鲜冷冻尸体喉部声门旁间隙的喉上动脉进行内镜解剖，并回顾相关文献。
一个解剖中心，具备向人体供体颈部动脉注射乳胶的设施，以及一个配备视频引导内窥镜和三维摄像头的喉部解剖工作站。
对12侧新鲜冷冻尸体半喉进行视频引导下的内镜解剖，这些尸体的颈部动脉已注射红色乳胶。描述喉上动脉及其主要分支由内向外的手术解剖结构。回顾先前描述喉上动脉解剖结构的报告。
在喉内，该动脉通过甲状舌骨膜或甲状腺孔进入时得以暴露。在声门旁间隙向腹尾侧追踪该动脉，暴露其至会厌、杓状软骨、喉肌和黏膜的分支。追踪其终末分支直至其通过环甲膜离开喉部。先前以不同名称描述的动脉分支似乎供应相同的解剖区域。
掌握喉上动脉由内向外的解剖结构对于在经口喉显微手术或经口机器人手术中控制术中或术后出血至关重要。根据动脉主要分支的供应区域进行命名将解决因各种命名法导致的歧义。
