Guerrier Y
J Otolaryngol. 1983 Jun;12(3):146-50.
It is essential to recognize certain laryngeal and hypopharyngeal landmarks in order to choose the most appropriate surgical approach for excision of a tumor in any given site: that the larynx has two embryological origins, branchial and non-branchial, separated by the glottis, that the cartilaginous skeleton and the ossification of the thyroid cartilage provide a means for the spread of endolaryngeal cancer, that the pre-epiglottic region is divided in two by a medial wall and is closely connected to the endolarynx through the hollow vascular channels of the fibro-cartilage of the epiglottis, that the connective intralaryngeal tissue - conus elasticus, anterior commissure ligament, conoid ligament, and the articular capsule of the crico-arytenoid joint - must be taken into consideration to explain the spread of the tumor, that there exists the concept of arytenoid unity, that element of the branchial larynx which must be conserved in any functional oncologic surgery to the larynx and pharynx.
为了为任何给定部位的肿瘤切除选择最合适的手术方法，识别某些喉和下咽的标志至关重要：喉有两个胚胎学起源，鳃源性和非鳃源性，由声门分隔；甲状腺软骨的软骨骨架和骨化提供了喉内癌扩散的途径；会厌前区被一个内侧壁分为两部分，并通过会厌纤维软骨的中空血管通道与喉内紧密相连；喉内结缔组织——弹性圆锥、前联合韧带、圆锥韧带和环杓关节的关节囊——必须考虑在内以解释肿瘤的扩散；存在杓状软骨统一的概念，这是鳃源性喉的组成部分，在任何针对喉和咽的功能性肿瘤手术中都必须保留。
