Movatterモバイル変換


[0]ホーム

URL:


Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
Thehttps:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

NIH NLM Logo
Log inShow account info
Access keysNCBI HomepageMyNCBI HomepageMain ContentMain Navigation
pubmed logo
Advanced Clipboard
User Guide

Full text links

Free PMC article
Full text links

Actions

Share

.2014 Jan;66(Suppl 1):316-9.
doi: 10.1007/s12070-011-0375-7. Epub 2011 Nov 30.

Histology of the cricothyroid membrane: a clinical perspective

Affiliations

Histology of the cricothyroid membrane: a clinical perspective

Ivan James Prithishkumar et al. Indian J Otolaryngol Head Neck Surg.2014 Jan.

Abstract

Puncture of the cricothyroid membrane is a component of several clinical procedures. Among the several complications are the immediate risk of bleeding, long-term risk of subglottic stenosis and hoarseness of voice. Presence of blood vessels in the cricothyroid membrane has also been implicated in the extra-laryngeal spread of laryngeal cancers. Though various authors have described the attachments of the cricothyroid membrane, very few have studied its histology. We studied the histology of the cricothyroid membrane using hematoxylin and eosin, Mallory's trichrome and Verhoeff's special stain. The cricothyroid membrane was found to be continuous on its deeper aspect with the mucosa of the subglottic larynx and lined by pseudostratified ciliated columnar epithelium. The membrane was observed to be fibroelastic, containing equal proportions of collagen and elastic fibers and numerous fibroblast nuclei. Numerous blood vessels are seen traversing through the membrane, which probably connect intralaryngeal with other extralaryngeal vessels. These histological findings help to further understand the complications of cricothyroidotomy and spread of laryngeal cancer.

Keywords: Cricothyroid membrane; Histology; Subglottic stenosis.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
a andb Shows H/E stain of cricothyroid membrane. Note the ventral dense arrangement of fibers. Common for all figures (A pseudostratified columnar epithelium,B glandular tissue,C Blood vessels,D ventral dense connective tissue)
Fig. 2
Fig. 2
a andb Shows Verhoeffs stain specific for elastin at 4× and 10 × magnifications. Elastin fibrils stainblack toblueblack; Collagen fibrils stainred. Note the equal proportions of collagen and elastin fibers.c andd Shows Mallory’s trichrome stain (4× and 40×)—collagen fibrils are blue and elastin fibrils are pink or yellow
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Safar P, Penninckx J. Cricothyroid membrane puncture with special cannula. Anesthesiology. 1967;28:943–948. doi: 10.1097/00000542-196709000-00044. - DOI - PubMed
    1. Unger Moser. Fatal complication of transtracheal aspiration. Arch Intern Med. 1973;132:437–439. doi: 10.1001/archinte.1973.03650090107020. - DOI
    1. Donald PJ, Berstein L. Subglottic hemorrhage following translaryngeal needle aspiration. Report of a case. Arch Otolaryngol. 1975;101:395–396. doi: 10.1001/archotol.1975.00780350059016. - DOI - PubMed
    1. Schilliaci RF, Lacovani VE, Conte RS. Transtracheal aspiration complicated by fatal endobronchial hemorrhage. New Engl J Med. 1976;295:488–490. doi: 10.1056/NEJM197608262950907. - DOI - PubMed
    1. McGill J, Clinton JE, Ruiz E. Cricothyrotomy in the emergency department. Ann Emerg Med. 1982;10:387–389. - PubMed

LinkOut - more resources

Full text links
Free PMC article
Cite
Send To

NCBI Literature Resources

MeSHPMCBookshelfDisclaimer

The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Unauthorized use of these marks is strictly prohibited.


[8]ページ先頭

©2009-2025 Movatter.jp