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Histology of the Cricothyroid Membrane: A Clinical Perspective

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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.

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Authors and Affiliations

  1. Institute of Anatomy, Madras Medical College and Research Institute, Chennai, India

    Ivan James Prithishkumar & Christilda Felicia

  2. Department of Anatomy, Christian Medical College and Hospital, Vellore, 632002, India

    Ivan James Prithishkumar

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  1. Ivan James Prithishkumar
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  2. Christilda Felicia
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Correspondence to Ivan James Prithishkumar.

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Prithishkumar, I.J., Felicia, C. Histology of the Cricothyroid Membrane: A Clinical Perspective. Indian J Otolaryngol Head Neck Surg 66 (Suppl 1), 316–319 (2014). https://doi.org/10.1007/s12070-011-0375-7

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  • DOI: https://doi.org/10.1007/s12070-011-0375-7

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