In addition, polypropylene with nonabsorbable suture material was used for anastomosis after debridement in
cricoid and trachea.
A normal-appearing cricoarytenoid joint was defined as one with a clearly visible soft-tissue plane between the articular surface of the
cricoid cartilage and the surface of the arytenoid cartilage on two or more orthogonal planes, with homogeneous density of the cartilage (figure 1).
After the arytenoid cartilage was separated from the
cricoid cartilage in the left side, the exoeSL procedure with lower needle at lower edge of thyroid lamina 20 mm from the posterior edge of the thyroid lamina and upper needle at 22 mm from the posterior edge produced a sufficient glottic gap [Figure 3]B.
A case of metastatic carcinoma in the
cricoid cartilage and oral cavity is reported, which can be considered as case number 15 in the clinical literature and the first reported case in Mexico.
First, the pathologies related to intubation may involve the laryngoscope inflicting direct pressure on the hypoglossal nerve -which runs superficially- while moving the tongue forward, or inducing tension in the hypoglossal nerve when moving the head back for intubation.3 Second, compression on the
cricoid cartilage during intubation will anatomically fix the superficially distributed hypoglossal nerve at the mandible angle, and if the intubation is performed in this condition, the nerve may be hyperextended.4
Aetiological factors such as calcification and/or ossification of laryngeal cartilages and ligaments (thyroid cartilage,
cricoid cartilages and the pre-vertebral ligament)may also hinder the interpretation of plain films.11
The trachea and
cricoid cartilage were dissected from the soft tissues surrounding them, while protecting the recurrent nerve.
Physical examination was remarkable for increased pressure sensation upon palpation of the anterior neck inferior to the
cricoid cartilage.
In supracricoid laryngectomy (SCPL) for transglottic tumors with glottic and supraglottic involvement and minimal extension to the infraglottis, the hyoid bone, the
cricoid cartilage, and at least one arytenoid are preserved, thus maintaining the possibility of functional reconstruction.
PMS[R] experts optimize their laryngeal position by rotating the
cricoid cartilage 190 clockwise.