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Cricothyroid ligament

From Wikipedia, the free encyclopedia
Ligament of the larynx
Cricothyroid ligament
The ligaments of the larynx. Antero-lateral view.
Details
Identifiers
Latinligamentum cricothyroideum
FMA55233
Anatomical terminology

Thecricothyroid ligament (also known as thecricothyroid membrane orcricovocal membrane) is aligament in theneck. It connects thecricoid cartilage to thethyroid cartilage. It prevents these cartilages from moving too far apart. It is cut during an emergencycricothyrotomy to treat upperairway obstruction.

Structure

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The cricothyroid ligament is composed of two parts:

  • themedian cricothyroid ligament along the midline (a thickening of the cricothyroid membrane). It is a flat band of whiteconnective tissue that connects the front parts of the contiguous margins of thecricoid andthyroid cartilages. It is a thick and strong ligament, narrow above and broad below. Each lateral ligament is known as theconus elasticus.
  • thelateral cricothyroid ligaments on each side (these are also calledconus elasticus). Each is overlapped on either side bylaryngeal muscles.

Theconus elasticus (which means elastic cone in Latin) is the lateral portion of the cricothyroid ligament.[1] The lateral portions are thinner and lie close under themucous membrane of the larynx; they extend from the upper border of the cricoid cartilage to the lower margin of thevocal ligaments, with which they are continuous.[1] The vocal ligaments may therefore be regarded as the free borders of each conus elasticus.[1] They extend from thevocal processes of thearytenoid cartilages to the angle of the thyroid cartilage about midway between its upper and lower borders.

Relations

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Theprelaryngeal lymph node (also known as theDelphian lymph node) sits anterior to the median cricothyroid ligament.[2]

Function

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The cricothyroid ligament prevents thecricoid cartilage and thethyroid cartilage from moving too far apart.

Clinical significance

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The cricothyroid ligament is cut during an emergencycricothyrotomy. This kind of surgical intervention is necessary duringairway obstruction above the level ofvocal folds.

History

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The cricothyroid ligament is named after the two structures it connects: thecricoid cartilage and thethyroid cartilage. It is also known as the cricothyroid membrane, and the cricovocal membrane.[3] The various parts of the cricothyroid ligament have been named in many different ways, which can cause confusion.

Other animals

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The cricothyroid ligament can be found in many other animals, such ascats,[4]dogs,[4] andhorses.[5] Thetrachea can be accessed through the cricothyroid ligament, such as foraspiration.[4] It can be an important landmark.[5]

Additional images

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  • Cricothyroid ligament
    Cricothyroid ligament
  • Cricothyroid ligament
    Cricothyroid ligament
  • Cricothyroid ligament
    Cricothyroid ligament
  • Cricothyroid ligament
    Cricothyroid ligament
  • Muscles, nerves and arteries of neck. Deep dissection. Anterior view.
    Muscles, nerves and arteries of neck. Deep dissection. Anterior view.
  • Cricothyroid ligament
    Cricothyroid ligament

References

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Public domainThis article incorporates text in thepublic domain frompage 1078 of the 20th edition ofGray's Anatomy(1918)

  1. ^abcBrandwein-Gensler, Margaret S.; Mahadevia, Panna; Gnepp, Douglas R. (2009). "5 - Nonsquamous Pathologic Diseases of the Hypopharynx, Larynx, and Trachea".Diagnostic surgical pathology of the head and neck (2nd ed.).Philadelphia:Saunders. pp. 309–411.doi:10.1016/B978-1-4160-2589-4.00005-X.ISBN 978-1-4377-1951-2.OCLC 460904310.
  2. ^McGee, Steven R. (2018). "25 - Thyroid and Its Disorders".Evidence-based physical diagnosis (4th ed.).Philadelphia:Elsevier. pp. 203–220.doi:10.1016/B978-0-323-39276-1.00025-1.ISBN 978-0-323-50871-1.OCLC 959371826.
  3. ^Prithishkumar, Ivan James; Felicia, Christilda (2014)."Histology of the cricothyroid membrane: a clinical perspective".Indian Journal of Otolaryngology and Head and Neck Surgery.66 (Suppl 1):316–319.doi:10.1007/s12070-011-0375-7.ISSN 2231-3796.PMC 3918312.PMID 24533406.
  4. ^abcBurkhard, Mary Jo (2016). "5 - Respiratory Tract".Canine and feline cytology: a color atlas and interpretation guide (3rd ed.).St. Louis:Saunders. pp. 138–190.doi:10.1016/B978-1-4557-4083-3.00005-X.ISBN 978-0-323-24363-6.OCLC 910513174.
  5. ^abLane, J Geoffrey (2007). "31 - Fourth Branchial Arch Defects".Equine respiratory medicine and surgery.Edinburgh:Saunders. pp. 467–472.doi:10.1016/B978-0-7020-2759-8.50036-2.ISBN 978-0-7020-2759-8.OCLC 460904360.
Anatomy of thelarynx
Cartilage
Ligaments and folds
Laryngeal cavity
Muscles
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