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Cricohyoidopexy
Cricohyoidopexy (CHP) is a surgical procedure performed after partial removal of the larynx due to laryngeal cancer. It is categorized under horizontal laryngeal surgeries, alongside cricohyoidoepiglottopexy (CHEP), which particularly preserves the suprahyoid epiglottis, performed due to especially for tumors in the glottic region (where the vocal cords are located). The procedures aim to achieve oncological control while preserving essential laryngeal functions such as breathing, swallowing, and phonation. History Cricohyoidopexy (CHP) was first described by E. Majer and W. Rieder in 1959 as a form of supracricoid partial laryngectomy. Cricohyoidoepiglottopexy (CHEP) was later described by Jean Jacques Piquet in 1974 as a modification of earlier techniques introduced by Majer and Rieder (1959) and by J. Labayle and R. Bismuth in 1971. The method was adopted in various surgical departments in the early 1980s as an alternative to total laryngectomy, particularly in patients with i ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Larynx
The larynx (), commonly called the voice box, is an organ (anatomy), organ in the top of the neck involved in breathing, producing sound and protecting the trachea against food aspiration. The opening of larynx into pharynx known as the laryngeal inlet is about 4–5 centimeters in diameter. The larynx houses the vocal cords, and manipulates pitch (music), pitch and sound pressure, volume, which is essential for phonation. It is situated just below where the tract of the pharynx splits into the trachea and the esophagus. The word 'larynx' (: larynges) comes from the Ancient Greek word ''lárunx'' ʻlarynx, gullet, throatʼ. Structure The triangle-shaped larynx consists largely of cartilages that are attached to one another, and to surrounding structures, by muscles or by fibrous and elastic tissue components. The larynx is lined by a respiratory epithelium, ciliated columnar epithelium except for the vocal folds. The laryngeal cavity, cavity of the larynx extends from its tria ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Aryepiglottic Fold
The aryepiglottic folds are triangular folds of mucous membrane of the larynx. They enclose ligamentous and muscular fibres. They extend from the lateral borders of the epiglottis to the arytenoid cartilages, hence the name 'aryepiglottic'. They contain the aryepiglottic muscles and form the upper borders of the quadrangular membrane. They have a role in growling as a form of phonation. They may be narrowed and cause stridor, or be shortened and cause laryngomalacia. Structure The aryepiglottic folds are triangular. They are narrow in front, wide behind, and slope obliquely downward and backward. They originate from the lateral borders of the epiglottis. They insert into the arytenoid cartilages. In front, they are bounded by the epiglottis. Behind, they are bounded by the apices of the arytenoid cartilages, the corniculate cartilages, and the interarytenoid notch. Within the posterior part of each aryepiglottic fold exists a cuneiform cartilage which forms a whitish pro ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Surgical Oncology
Surgical oncology is the branch of surgery applied to oncology; it focuses on the surgical management of tumors, especially cancerous tumors. As one of several modalities in the management of cancer, the specialty of surgical oncology has evolved in steps similar to medical oncology (pharmacotherapy for cancer), which grew out of hematology, and radiation oncology, which grew out of radiology. The Ewing Society—known today as the Society of Surgical Oncology—was started by surgeons interested in promoting the field of oncology. In 2011, the American Board of Surgery ratified Complex General Surgical Oncology via a specialty Board certification. The field was expected to continue expanding via the proliferation of cancer centers, as well as advanced minimally invasive techniques, palliative surgery, and neo-adjuvant treatments. Debate Whether surgical oncology qualifies as a distinct medical specialty remains a topic of heated debate. Today, many agree that it is impractica ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Postoperative Care
Surgery is a medical specialty that uses manual and instrumental techniques to diagnose or treat pathological conditions (e.g., trauma, disease, injury, malignancy), to alter bodily functions (e.g., malabsorption created by bariatric surgery such as gastric bypass), to reconstruct or alter aesthetics and appearance ( cosmetic surgery), or to remove unwanted tissues (body fat, glands, scars or skin tags) or foreign bodies. The act of performing surgery may be called a surgical procedure or surgical operation, or simply "surgery" or "operation". In this context, the verb "operate" means to perform surgery. The adjective surgical means pertaining to surgery; e.g. surgical instruments, surgical facility or surgical nurse. Most surgical procedures are performed by a pair of operators: a surgeon who is the main operator performing the surgery, and a surgical assistant who provides in-procedure manual assistance during surgery. Modern surgical operations typically require a surgical ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Polyglycolide
Polyglycolide or poly(glycolic acid) (PGA), also spelled as polyglycolic acid, is a biodegradable, thermoplastic polymer and the simplest linear, aliphatic polyester. It can be prepared starting from glycolic acid by means of polycondensation or ring-opening polymerization. PGA has been known since 1954 as a tough fiber-forming polymer. Owing to its hydrolytic instability, however, its use was slow to develop. Polyglycolide and its copolymers ( poly(lactic-''co''-glycolic acid) with lactic acid, poly(glycolide-''co''-caprolactone) with ε-caprolactone and poly (glycolide-''co''-trimethylene carbonate) with trimethylene carbonate) are widely used as a material for the synthesis of absorbable sutures and are being evaluated in the biomedical field. Physical properties Polyglycolide has a glass transition temperature between 35 and 40 °C and a melting point in the range of 225 to 230 °C. PGA also exhibits an elevated degree of crystallinity, around 45–55%, thus r ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Vicryl
Vicryl (polyglactin 910) is an absorbable, synthetic, usually braided surgical suture, suture, manufactured by Ethicon Inc., a subsidiary of Johnson and Johnson. A monofilament version is also made for use in Ophthalmology, ophthalmic practice. It is indicated for soft tissue approximation and Ligature (medicine), ligation. The suture holds its tensile strength for approximately two to three weeks in tissue and is completely absorbed by acid hydrolysis within 8-10 weeks. Vicryl and other Polyglycolide, polyglycolic-acid sutures may also be treated for more rapid breakdown ("Vicryl Rapide") in rapidly healing tissues such as mucous membrane or impregnated with triclosan ("Vicryl Plus Antibacterial") to provide antimicrobial protection of the suture line. Because Vicryl is slow-absorbing and often braided, its use is contraindicated in the closure of any cutaneous wound exposed to the air, as it draws moisture from the healing tissue to the skin and allows bacteria and irritants t ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Surgical Suture
A surgical suture, also known as a stitch or stitches, is a medical device used to hold Tissue (biology), body tissues together and approximate wound edges after an injury or surgery. Application generally involves using a Sewing needle, needle with an attached length of thread (yarn), thread. There are numerous types of suture which differ by needle shape and size as well as thread material and characteristics. Selection of surgical suture should be determined by the characteristics and location of the wound or the specific body tissues being approximated. In selecting the needle, thread, and suturing technique to use for a specific patient, a medical care provider must consider the tensile strength of the specific suture thread needed to efficiently hold the tissues together depending on the mechanical and shear forces acting on the wound as well as the thickness of the tissue being approximated. One must also consider the elasticity of the thread and ability to adapt to differe ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Superior Laryngeal Nerve
The superior laryngeal nerve is a branch of the vagus nerve. It arises from the middle of the inferior ganglion of the vagus nerve and additionally receives a sympathetic branch from the superior cervical ganglion. The superior laryngeal nerve produces two branches: the internal laryngeal nerve (its sensory branch) which supplies sensory fibers to the laryngeal mucosa, and the external laryngeal nerve (its motor branch) which innervates the cricothyroid muscle. Structure Origin The superior laryngeal nerve arises from the middle of the inferior ganglion of vagus nerve. Course The superior laryngeal nerve descends by the side of the pharynx deep to the internal carotid artery before dividing into two branches —the external laryngeal nerve and the internal laryngeal nerve. Branches External laryngeal nerve The external laryngeal nerve is the smaller, external branch. It descends on the larynx, beneath the sternothyroid muscle, to supply the cricothyroid muscle. The ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Pharyngeal Muscles
The pharyngeal muscles are a group of muscles that form the pharynx, which is posterior to the oral cavity, determining the shape of its lumen, and affecting its sound properties as the primary resonating cavity. The pharyngeal muscles (involuntary skeletal) push food into the esophagus. There are two muscular layers of the pharynx: the outer circular layer and the inner longitudinal layer. The outer circular layer includes: * Superior constrictor muscle * Middle constrictor muscle * Inferior constrictor muscle During swallowing, these muscles constrict to propel a bolus downwards (an involuntary process). The inner longitudinal layer includes: * Stylopharyngeus muscle * Salpingopharyngeus muscle * Palatopharyngeus muscle During swallowing, these muscles act to shorten and widen the pharynx. They are innervated by the pharyngeal branch of the vagus nerve (CN X) with the exception of the stylopharyngeus muscle which is innervated by the glossopharyngeal nerve The gl ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Cricothyroid Ligament
The cricothyroid ligament (also known as the cricothyroid membrane or cricovocal membrane) is a ligament in the neck. It connects the cricoid cartilage to the thyroid cartilage. It prevents these cartilages from moving too far apart. It is cut during an emergency cricothyrotomy to treat upper airway obstruction. Structure The cricothyroid ligament is composed of two parts: * the median cricothyroid ligament along the midline (a thickening of the cricothyroid membrane). It is a flat band of white connective tissue that connects the front parts of the contiguous margins of the cricoid and thyroid cartilages. It is a thick and strong ligament, narrow above and broad below. Each lateral ligament is known as the conus elasticus. * the lateral cricothyroid ligaments on each side (these are also called conus elasticus). Each is overlapped on either side by laryngeal muscles. The conus elasticus (which means elastic cone in Latin) is the lateral portion of the cricothyroid ligamen ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Thyroarytenoid Muscle
The thyroarytenoid muscle is a broad, thin muscle that forms the body of the vocal fold and that supports the wall of the ventricle and its appendix. It functions to shorten the vocal folds. Structure It arises in front from the lower half of the angle of the thyroid cartilage, and from the middle cricothyroid ligament. Its fibers pass backward and laterally, to be inserted into the base and anterior surface of the arytenoid cartilage. Parts The lower and deeper fibers of the muscle can be differentiated as a triangular band which is inserted into the vocal process of the arytenoid cartilage, and into the adjacent portion of its anterior surface; it is termed the ''Vocalis'', and lies parallel with the vocal ligament, to which it is adherent.Frank H. Netter, MD "Atlas of Human anatomy", 7th Edition, 2019, Plate 91, superior view The vocal muscle is the upper portion of the thyroarytenoid muscle which is primarily involved in producing speech. A considerable number of the fi ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Vestibular Fold
The vestibular fold (ventricular fold, superior or false vocal cord) is one of two thick folds of mucous membrane, each enclosing a narrow band of fibrous tissue, the vestibular ligament, which is attached in front to the angle of the thyroid cartilage immediately below the attachment of the epiglottis, and behind to the antero-lateral surface of the arytenoid cartilage, a short distance above the vocal process. The lower border of this ligament, enclosed in mucous membrane, forms a free crescentic margin, which constitutes the upper boundary of the ventricle of the larynx. They are lined with respiratory epithelium, while true vocal cords have stratified squamous epithelium. Function The vestibular folds of the larynx play a significant role in the maintenance of the laryngeal functions of breathing and preventing food and drink from entering the airway during swallowing. They aid phonation (speech) by suppressing dysphonia. In some ethnic singing and chanting styles, such ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
