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甲状腺舌骨肌的先前未描述的变异及其对手术程序的潜在影响。

The previously undescribed variant of the thyrohyoid muscle and its potential impact on surgical procedures.

机构信息

Department of Anatomical Dissection and Donation, Medical University of Lodz, Lodz, Poland.

First Department of Cardiology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland.

出版信息

Surg Radiol Anat. 2024 Aug;46(8):1279-1283. doi: 10.1007/s00276-024-03388-9. Epub 2024 Jun 14.

Abstract

The thyrohyoid muscle belongs to the infrahyoid group located in the carotid triangle. It normally originates from thyroid cartilage and inserts into hyoid bone. Quite often, it is continuous with the sternohyoid muscle. Furthermore, there are variants that have their origin in the cricoid cartilage only, however, this occurs very rarely. During anatomical dissection, a two-headed variant of this muscle was found. One head had its origin in the cricoid cartilage and the other in the thyroid cartilage. This variant of thyrohyoid had not been previously described in the available literature. Therefore, we believe that it may be referred to as the cricothyrohyoid muscle. As the thyrohyoideus is often used as a landmark during surgical procedures in the prelaryngeal area and as a muscle graft, a thorough knowledge of its anatomy and variation is extremely important. We speculate that the two-headed version of this muscle may be problematic during surgical procedures in this region, however, it may also provide more options as a muscular graft.

摘要

甲状舌骨肌属于位于颈动脉三角的舌骨下肌群。它通常起自甲状软骨,止于舌骨。甲状舌骨肌常常与胸骨舌骨肌连续。此外,还有一些起自环状软骨的变异,但这种情况非常少见。在解剖过程中,发现了该肌肉的双头变异。一个头起自环状软骨,另一个头起自甲状软骨。这种甲状舌骨肌的变异以前在文献中没有描述过。因此,我们认为它可以被称为环甲肌。由于甲状舌骨肌在喉前区的手术过程中经常被用作标志,并且可以作为肌肉移植物,因此对其解剖结构和变异的透彻了解非常重要。我们推测该肌肉的双头变异在该区域的手术过程中可能会产生问题,但也可能提供更多的作为肌肉移植物的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/323c/11246248/8738b4415b9e/276_2024_3388_Fig1_HTML.jpg

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