Angles of needle insertion for true vocal fold access via the thyrohyoid and cricothyroid membranes of the larynx

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dc.authorid0000-0003-3728-6930en_US
dc.authorscopusid57195415460en_US
dc.authorwosidEPD-1767-2022en_US
dc.contributor.authorSarı, Elif
dc.contributor.authorNteli Chatzioglou, Gkionoul
dc.contributor.authorTemirbekov, Dastan
dc.contributor.authorAliyeva, Aynur
dc.contributor.authorGürses, İlke Ali
dc.date.accessioned2023-11-27T06:30:51Z
dc.date.available2023-11-27T06:30:51Z
dc.date.issued2023en_US
dc.departmentFakülteler, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Anatomi Ana Bilim Dalıen_US
dc.description.abstractObjective This study aims to provide an analysis of the cricothyroid and thyrohyoid membrane approaches for laryngeal injections in cadaveric vocal cords. The primary objective is to determine the optimal techniques, needle trajectories, and anatomical landmarks for accessing different regions of the vocal cords percutaneously. Materials and methods The study was conducted on 23 adult cadavers, consisting of 8 females and 15 males. The cadaveric larynges were mounted vertically to ensure proper anatomical positioning. Both the cricothyroid and thyrohyoid membrane approaches were utilized for reaching the vocal cords. Measurements were taken for needle trajectories, angles, and distances to determine the optimal approach for accessing the anterior, middle, and posterior thirds of the vocal cord. Results Through the thyrohyoid membrane approach, the anterior, middle, and posterior thirds of the vocal cords can be accessed with the optimal needle insertion coronal angles of 15.46 ± 7.86°, 16.52 ± 7.15° and 18.29 ± 14.46°, and sagittal angles of 126.01 ± 9.65°, 116.67 ± 8.04° and 111.02 ± 8.86° respectively at a lateral distance of 1.92 ± 1.62 mm from the midline and 8.48 ± 2.73 mm below the vertical line. From the cricothyroid membrane approach, optimal coronal and sagittal insertion angles of the anterior, middle, and posterior thirds of the vocal cord were respectively: 158.95 ± 9.3°, 156.09 ± 11.59°, 152.4 ± 14.46°, 11.5 ± 7.77°, 21.83 ± 12.47° and 32.91 ± 12.59°. Conclusion This analysis of the cricothyroid and thyrohyoid membrane approaches in cadaveric larynges provides valuable insights for clinicians and researchers in the field of laryngology. The findings serve as a reference for optimizing laryngeal injection techniques, enhancing patient outcomes, and minimizing complications.en_US
dc.identifier.citationSarı, E., Nteli Chatzioglou, G., Temirbekov, D., Aliyeva, A., & Gürses, İ. A. (2023). Angles of needle insertion for true vocal fold access via the thyrohyoid and cricothyroid membranes of the larynx. Journal of Voice. https://doi.org/10.1016/j.jvoice.2023.10.014en_US
dc.identifier.doi10.1016/j.jvoice.2023.10.014en_US
dc.identifier.issn0892-1997en_US
dc.identifier.pmidPMID: 38007364en_US
dc.identifier.scopus2-s2.0-85178038410en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1016/j.jvoice.2023.10.014
dc.identifier.urihttps://hdl.handle.net/20.500.13055/586
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expandeden_US
dc.institutionauthorNteli Chatzioglou, Gkionoul
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofJournal of Voiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLaryngeal Injectionsen_US
dc.subjectCricothyroid Membrane Approachen_US
dc.subjectThyrohyoid Membrane Approachen_US
dc.subjectVocal Cord Accessen_US
dc.subjectCadaveric Studyen_US
dc.subjectNeedle Trajectoryen_US
dc.titleAngles of needle insertion for true vocal fold access via the thyrohyoid and cricothyroid membranes of the larynxen_US
dc.typeArticleen_US
dspace.entity.typePublication

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