Ultrasonography of the cricoarytenoid joint and its movements

IF 1.6 4区 医学 Q2 OTORHINOLARYNGOLOGY Auris Nasus Larynx Pub Date : 2024-11-06 DOI:10.1016/j.anl.2024.10.001
Chikako Kunieda , Tomohiro Mori , Ujimoto Konomi , Koji Matsushima , Daigo Komazawa , Takeharu Kanazawa
{"title":"Ultrasonography of the cricoarytenoid joint and its movements","authors":"Chikako Kunieda ,&nbsp;Tomohiro Mori ,&nbsp;Ujimoto Konomi ,&nbsp;Koji Matsushima ,&nbsp;Daigo Komazawa ,&nbsp;Takeharu Kanazawa","doi":"10.1016/j.anl.2024.10.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>Ultrasound provides real-time anatomical information and motion. We used ultrasound to image the cricoarytenoid joint and its rotating, rocking, and gliding movements.</div></div><div><h3>Methods</h3><div>Between March and October 2023, 20 patients (10 males and 10 females) who visited our hospital underwent laryngeal ultrasonography. The joint cavity was delineated in four patients (20 %, two males and two females). Conversely, the other patients did not detect it because of acoustic shadows on ultrasonography. We also performed ultrasonography on five volunteers (three males and two females), but only two of them (two females) showed imaging of the joint cavity. Herein, we report the case of a female volunteer in her 30 s who had the best delineation of joint movements.</div></div><div><h3>Results</h3><div>Joint movements were three-dimensional, whereas ultrasound images were two-dimensional. However, combined with scanning techniques, characteristic joint movements were successfully imaged using ultrasound. Initially, we performed a trans-thyroid cartilage transversal procedure to visualize the muscular process of the arytenoid cartilage and rotational movement. Subsequently, the probe was rotated to an oblique position, and the articular cavity of the cricoarytenoid joint was visualized. We then observed the rocking and gliding movements. In Addition, we demonstrated a seamless transition from gliding to rocking. Finally, we observed that the arytenoid cartilage was pulled toward the posterior cricoarytenoid muscle (PCA) during sniffing. The PCA is the only muscle opening the vocal cords, so the arytenoid cartilage shifts toward the PCA and tilts outward from the larynx.</div></div><div><h3>Conclusion</h3><div>The presented probe scanning techniques and specific joint movements may help identify notable conditions such as arthritis or joint dislocation.</div></div>","PeriodicalId":55627,"journal":{"name":"Auris Nasus Larynx","volume":"51 6","pages":"Pages 1068-1072"},"PeriodicalIF":1.6000,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Auris Nasus Larynx","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0385814624001214","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Objective

Ultrasound provides real-time anatomical information and motion. We used ultrasound to image the cricoarytenoid joint and its rotating, rocking, and gliding movements.

Methods

Between March and October 2023, 20 patients (10 males and 10 females) who visited our hospital underwent laryngeal ultrasonography. The joint cavity was delineated in four patients (20 %, two males and two females). Conversely, the other patients did not detect it because of acoustic shadows on ultrasonography. We also performed ultrasonography on five volunteers (three males and two females), but only two of them (two females) showed imaging of the joint cavity. Herein, we report the case of a female volunteer in her 30 s who had the best delineation of joint movements.

Results

Joint movements were three-dimensional, whereas ultrasound images were two-dimensional. However, combined with scanning techniques, characteristic joint movements were successfully imaged using ultrasound. Initially, we performed a trans-thyroid cartilage transversal procedure to visualize the muscular process of the arytenoid cartilage and rotational movement. Subsequently, the probe was rotated to an oblique position, and the articular cavity of the cricoarytenoid joint was visualized. We then observed the rocking and gliding movements. In Addition, we demonstrated a seamless transition from gliding to rocking. Finally, we observed that the arytenoid cartilage was pulled toward the posterior cricoarytenoid muscle (PCA) during sniffing. The PCA is the only muscle opening the vocal cords, so the arytenoid cartilage shifts toward the PCA and tilts outward from the larynx.

Conclusion

The presented probe scanning techniques and specific joint movements may help identify notable conditions such as arthritis or joint dislocation.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
环杓关节及其运动的超声波检查
目的 超声波可提供实时解剖信息和运动信息。方法 2023 年 3 月至 10 月间,20 名就诊于我院的患者(10 男 10 女)接受了喉部超声检查。四名患者(20%,两男两女)的关节腔被划定。相反,其他患者则因超声波检查出现声影而未发现关节腔。我们还对五名志愿者(三男两女)进行了超声波检查,但其中只有两人(两名女性)显示出关节腔的影像。结果 关节运动是三维的,而超声波图像是二维的。然而,结合扫描技术,我们成功地利用超声波对关节运动特征进行了成像。首先,我们进行了经甲状软骨横向手术,以观察杓状软骨的肌肉过程和旋转运动。随后,探头旋转至斜位,环状蝶骨关节的关节腔被显现出来。然后,我们观察了摇摆和滑动运动。此外,我们还演示了从滑行到摇摆的无缝过渡。最后,我们观察到杓状软骨在嗅闻过程中被拉向环状蝶骨后肌(PCA)。PCA 是打开声带的唯一肌肉,因此杓状软骨会向 PCA 方向移动,并从喉部向外倾斜。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Auris Nasus Larynx
Auris Nasus Larynx 医学-耳鼻喉科学
CiteScore
3.40
自引率
5.90%
发文量
169
审稿时长
30 days
期刊介绍: The international journal Auris Nasus Larynx provides the opportunity for rapid, carefully reviewed publications concerning the fundamental and clinical aspects of otorhinolaryngology and related fields. This includes otology, neurotology, bronchoesophagology, laryngology, rhinology, allergology, head and neck medicine and oncologic surgery, maxillofacial and plastic surgery, audiology, speech science. Original papers, short communications and original case reports can be submitted. Reviews on recent developments are invited regularly and Letters to the Editor commenting on papers or any aspect of Auris Nasus Larynx are welcomed. Founded in 1973 and previously published by the Society for Promotion of International Otorhinolaryngology, the journal is now the official English-language journal of the Oto-Rhino-Laryngological Society of Japan, Inc. The aim of its new international Editorial Board is to make Auris Nasus Larynx an international forum for high quality research and clinical sciences.
期刊最新文献
Identifying predictors of persistent post-earthquake dizziness among adolescents after the 2023 earthquakes in Türkiye: A cross-sectional, multicenter study Characterization of microbial diversity and eosinophilic otitis media biomarkers using next-generation sequencing Ultrasonography of the cricoarytenoid joint and its movements A narrative review of basic and clinical studies for vocal fold regeneration therapies Efficacy of 1.5% levofloxacin otic solution in treating acute otitis externa: A post hoc analysis of ENT103-3001, a multicenter randomized double-blind parallel-group placebo-controlled phase III study in otitis media with persistent otorrhea
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1