[Variability of the laryngeal cartilages and the glottis].
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In the Suncus murinus, the thyroid, the cricoid and the arytenoid cartilages were in part ossified. The foci of the red bone marrow, termed as the "marrow foci", were observed in the ossified portion of the cartilages. The marrow foci were filled with mature and immature blood cells. It is suggested that the marrow foci take part in active hematopoiesis in the Suncus. Further, a canal which connected the marrow cavity and the outside of the cartilage was occasionally seen. It seems that the canal corresponds to the nutrient canal.
The authors specify the role of the ossification process of the larynx cartilages. Only the epiglottis may be considered as a cartilage. The use of microangiography made it possible to describe some peculiar features of the microvascular pattern. The vascular patterns of the thyroid, cricoid and arithenoids cartilages are similar to one another; the cartilage and its two perichondriums must be considered as a complete whole. The epiglottis shows a peculiar vascular pattern. The authors insist upon the important role of the vascular pattern in pathologic studies.
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We evaluated the rabbit (New Zealand) as an experimental animal in reconstructive laryngeal surgery. We report our experience and describe features of rabbit anatomy and surgery.
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Cartilage sclerosis has been cited as a sensitive and a specific sign of neoplastic cartilage invasion, on cross-sectional computed tomography (CT) images of the larynx. We retrospectively reviewed 36 consecutive patients, who underwent a total laryngectomy for squamous cell carcinoma of the larynx. Preoperative CT images were compared with formal histological sections of the larynx in order to assess cartilage invasion by tumour. Isolated asymmetrical cartilage sclerosis was found to have a sensitivity of 62% and a specificity of 42% for predicting neoplastic cartilage invasion when compared with histopathological sections of the tumour. In this study we found that cartilage sclerosis was not a useful early radiological sign of neoplastic cartilage invasion when taken in isolation.
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