Friedrich G, Lichtenegger R
Faculty of Medicine Graz, Austria.
J Voice. 1997 Sep;11(3):345-55. doi: 10.1016/s0892-1997(97)80014-8.
Modern functionally oriented surgery of the larynx increasingly requires exact knowledge of the anatomy and landmarks of the endolaryngeal structures in relation to the laryngeal skeleton. Review of the literature reveals several opposing statements and controversial anatomical definitions regarding several clinically critical points. In order to obtain basic anatomical data morphological measurements were performed on a total of 50 laryngeal specimens. Measurements were taken on whole organs and on cuts in the horizontal and in the frontal plane, as well. The data were evaluated statistically, which resulted in the determination of average configurations and dimensions of cartilages and soft tissues of the larynx. In particular, the projection of the deeper structures on the surface and the distances and angles between the different structures were taken into consideration. In order to make these data clinically applicable a scale model has been developed that will allow a direct correlation and application for individual surgery.
现代功能性喉手术越来越需要精确了解喉内结构相对于喉骨架的解剖学知识和定位标志。文献回顾显示，关于几个临床关键点存在几种相互矛盾的观点和有争议的解剖学定义。为了获取基础解剖学数据，对总共50个喉部标本进行了形态学测量。测量在整个器官以及水平和额状面的切片上进行。对数据进行了统计学评估，从而确定了喉部软骨和软组织的平均形态和尺寸。特别考虑了深部结构在表面的投影以及不同结构之间的距离和角度。为了使这些数据具有临床实用性，已开发出一种比例模型，可直接关联并应用于个体手术。
