open access

Vol 77, No 4 (2018)
ORIGINAL ARTICLES
Published online: 2018-03-30
Submitted: 2018-01-23
Accepted: 2018-03-07
Get Citation

The triticeous cartilage — redefining of morphology, prevalence and function

A. Vatansever, D. Demiryürek, İ. Tatar, B. Özgen
DOI: 10.5603/FM.a2018.0034
·
Pubmed: 29611161
·
Folia Morphol 2018;77(4):758-763.

open access

Vol 77, No 4 (2018)
ORIGINAL ARTICLES
Published online: 2018-03-30
Submitted: 2018-01-23
Accepted: 2018-03-07

Abstract

Background: Triticeous cartilage is a small cartilaginous component of the laryngeal skeleton. This cartilage, located in posterior end of the thyrohyoid ligament, presents in different shapes. Radiological studies indicate clinical and anatomical importance of the triticeous cartilage but these studies have limited information due to inadequate inspection method. Computed tomographic angiography is able to evaluate the triticeous cartilage with using three-dimensional images in more detail. The aim of this study is to describe prevalence and morphological properties of the triticeous cartilage.

Materials and methods: We examined computed tomographic angiography images of 746 patients (368 women, 378 men) retrospectively. Shapes, calcification degrees, volumes, lengths and wideness of the triticeous cartilage were evaluated by OsiriX-Lite software.

Results: According to our results, triticeous cartilage presents common in the examined population (68.1%). The prevalence of the triticeous cartilage was higher in men than in women. We also found that the degree of calcification was not related with age and gender.

Conclusions: Clinical importance of the triticeous cartilage is that it could be misdiagnosed with atherosclerosis in common carotid artery because the triticeous cartilage is located almost at same level as the bifurcation of the common carotid artery. Therefore, clinicians should be aware about the triticeous cartilage.

Abstract

Background: Triticeous cartilage is a small cartilaginous component of the laryngeal skeleton. This cartilage, located in posterior end of the thyrohyoid ligament, presents in different shapes. Radiological studies indicate clinical and anatomical importance of the triticeous cartilage but these studies have limited information due to inadequate inspection method. Computed tomographic angiography is able to evaluate the triticeous cartilage with using three-dimensional images in more detail. The aim of this study is to describe prevalence and morphological properties of the triticeous cartilage.

Materials and methods: We examined computed tomographic angiography images of 746 patients (368 women, 378 men) retrospectively. Shapes, calcification degrees, volumes, lengths and wideness of the triticeous cartilage were evaluated by OsiriX-Lite software.

Results: According to our results, triticeous cartilage presents common in the examined population (68.1%). The prevalence of the triticeous cartilage was higher in men than in women. We also found that the degree of calcification was not related with age and gender.

Conclusions: Clinical importance of the triticeous cartilage is that it could be misdiagnosed with atherosclerosis in common carotid artery because the triticeous cartilage is located almost at same level as the bifurcation of the common carotid artery. Therefore, clinicians should be aware about the triticeous cartilage.

Get Citation

Keywords

atherosclerosis, calcification, computed tomographic angiography, larynx

About this article
Title

The triticeous cartilage — redefining of morphology, prevalence and function

Journal

Folia Morphologica

Issue

Vol 77, No 4 (2018)

Pages

758-763

Published online

2018-03-30

DOI

10.5603/FM.a2018.0034

Pubmed

29611161

Bibliographic record

Folia Morphol 2018;77(4):758-763.

Keywords

atherosclerosis
calcification
computed tomographic angiography
larynx

Authors

A. Vatansever
D. Demiryürek
İ. Tatar
B. Özgen

References (22)
  1. Ahmad M, Madden R, Perez L. Triticeous cartilage: prevalence on panoramic radiographs and diagnostic criteria. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005; 99(2): 225–230.
  2. Ajmani ML. A metrical study of the laryngeal skeleton in adult Nigerians. J Anat. 1990; 171: 187–191.
  3. Alqahtani E, Marrero DE, Champion WL, et al. Triticeous cartilage CT imaging characteristics, prevalence, extent, and distribution of ossification. Otolaryngol Head Neck Surg. 2016; 154(1): 131–137.
  4. Alsarraf R, Mathison S, Futran N. Symptomatic presentation of an enlarged, ossified triticeal cartilage. Am J Otolaryngol. 1998; 19(5): 339–341.
  5. Carter LC. Discrimination between calcified triticeous cartilage and calcified carotid atheroma on panoramic radiography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000; 90(1): 108–110.
  6. Claassen H, Schicht M, Sel S, et al. Special pattern of endochondral ossification in human laryngeal cartilages: X-ray and light-microscopic studies on thyroid cartilage. Clin Anat. 2014; 27(3): 423–430.
  7. Cohen SN, Friedlander AH, Jolly DA, et al. Carotid calcification on panoramic radiographs: an important marker for vascular risk. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002; 94(4): 510–514.
  8. Dang-Tran KD, Dedouit F, Joffre F, et al. Thyroid cartilage ossification and multislice computed tomography examination: a useful tool for age assessment? J Forensic Sci. 2010; 55(3): 677–683.
  9. Di Nunno N, Lombardo S, Costantinides F, et al. Anomalies and alterations of the hyoid-larynx complex in forensic radiographic studies. Am J Forensic Med Pathol. 2004; 25(1): 14–19.
  10. Fais P, Giraudo C, Viero A, et al. Micro computed tomography features of laryngeal fractures in a case of fatal manual strangulation. Leg Med (Tokyo). 2016; 18: 85–89.
  11. Garvin HM. Ossification of laryngeal structures as indicators of age. J Forensic Sci. 2008; 53(5): 1023–1027.
  12. Guimarães Henriques JC, Kreich EM, Helena Baldani M, et al. Panoramic radiography in the diagnosis of carotid artery atheromas and the associated risk factors. Open Dent J. 2011; 5: 79–83.
  13. Kamikawa RS, Pereira MF, Fernandes A, et al. Study of the localization of radiopacities similar to calcified carotid atheroma by means of panoramic radiography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 101(3): 374–378.
  14. Mohini M. Joshi SDJ, Sharda S Joshi. Prevalence and Variations of Cartilago Triticea. Int J Anat Res. 2014; 2(3): 474–477.
  15. Pornprasertsuk-Damrongsri S, Thanakun S. Carotid artery calcification detected on panoramic radiographs in a group of Thai population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 101(1): 110–115.
  16. Sakamoto Y. Gross anatomical observations of attachments of the middle pharyngeal constrictor. Clin Anat. 2014; 27(4): 603–609.
  17. Saternus KS, Maxeiner H, Kernbach-Wighton G, et al. Traumatology of the superior thyroid horns in suicidal hanging--an injury analysis. Leg Med (Tokyo). 2013; 15(3): 134–139.
  18. Standring S. Gray's anatomy: The Anatomical Basis of Clinical Practice. 41 Edn. New York: Elsevier Limited. 2016; 18: 1562.
  19. Tamura T, Inui M, Nakase M, et al. Clinicostatistical study of carotid calcification on panoramic radiographs. Oral Dis. 2005; 11(5): 314–317.
  20. Türkmen S, Cansu A, Türedi S, et al. Age-dependent structural and radiological changes in the larynx. Clin Radiol. 2012; 67(11): e22–e26.
  21. Watanabe H, Kurihara K, Murai T. A morphometrical study of laryngeal cartilages. Med Sci Law. 1982; 22(4): 255–260.
  22. Wilson I, Stevens J, Gnananandan J, et al. Triticeal cartilage: the forgotten cartilage. Surg Radiol Anat. 2017; 39(10): 1135–1141.

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