open access

Ahead of Print
Original article
Submitted: 2020-09-10
Accepted: 2020-12-09
Published online: 2020-12-30
Get Citation

Prevalence and distribution of triticeal cartilage

E. Emre1, R. F. Akkoc1, M. Ogeturk1
DOI: 10.5603/FM.a2020.0153
·
Pubmed: 33438185
Affiliations
  1. department of anatomy, Faculty of Medicine, Firat University, Elazig, Turkey

open access

Ahead of Print
ORIGINAL ARTICLES
Submitted: 2020-09-10
Accepted: 2020-12-09
Published online: 2020-12-30

Abstract

Background: The triticeal cartilage can be found in the lateral thyrohyoid ligament. The triticeal cartilage may exist in different shapes and locations; may be present unilaterally or bilaterally, or absent. The study aims to determine the prevalence, distribution, level, shape, and the degree of ossification of the triticeal cartilage by using three-dimensional computed tomography angiography.

Materials and methods: Computed tomography angiography images of 1450 patients (785 women and 665 men), obtained in the period from 1 January 2017 to 30 September 2019, were evaluated retrospectively. Any unilateral or bilateral presence or the absence of triticeal cartilage was recorded with its anatomical level, shape, and degree of ossification.

Results: At least one triticeal cartilage was found in the computed tomography angiography images of 57.4% (833 out of 1450) patients. The prevalence was 51.3% in women (403 out of 785) and 64.7% in men (430 out of 665). Bilateral triticeal cartilages were more common compared to unilateral ones. Ossification was most commonly mild at a rate of 39.1%. A round-shaped triticeal cartilage was the most common form at a rate of 46.6%. Triticeal cartilage was detected at various intervertebral disc levels from the second and third cervical vertebrae to the level of the sixth cervical vertebra.

Conclusions: Triticeal cartilage is common in the Turkish population and it should receive substantial attention from clinicians because it can be confused with calcified plaques and fractures of the superior horn of the thyroid cartilage. Therefore; for appropriate diagnoses and treatment, it is important to know the prevalence of triticeal cartilage with its distribution, intervertebral disc levels of location, shapes, and ossification degrees.

Abstract

Background: The triticeal cartilage can be found in the lateral thyrohyoid ligament. The triticeal cartilage may exist in different shapes and locations; may be present unilaterally or bilaterally, or absent. The study aims to determine the prevalence, distribution, level, shape, and the degree of ossification of the triticeal cartilage by using three-dimensional computed tomography angiography.

Materials and methods: Computed tomography angiography images of 1450 patients (785 women and 665 men), obtained in the period from 1 January 2017 to 30 September 2019, were evaluated retrospectively. Any unilateral or bilateral presence or the absence of triticeal cartilage was recorded with its anatomical level, shape, and degree of ossification.

Results: At least one triticeal cartilage was found in the computed tomography angiography images of 57.4% (833 out of 1450) patients. The prevalence was 51.3% in women (403 out of 785) and 64.7% in men (430 out of 665). Bilateral triticeal cartilages were more common compared to unilateral ones. Ossification was most commonly mild at a rate of 39.1%. A round-shaped triticeal cartilage was the most common form at a rate of 46.6%. Triticeal cartilage was detected at various intervertebral disc levels from the second and third cervical vertebrae to the level of the sixth cervical vertebra.

Conclusions: Triticeal cartilage is common in the Turkish population and it should receive substantial attention from clinicians because it can be confused with calcified plaques and fractures of the superior horn of the thyroid cartilage. Therefore; for appropriate diagnoses and treatment, it is important to know the prevalence of triticeal cartilage with its distribution, intervertebral disc levels of location, shapes, and ossification degrees.

Get Citation

Keywords

Triticeal cartilage, Computed tomography angiography, Thyrohyoid complex, Triticeal ossification

About this article
Title

Prevalence and distribution of triticeal cartilage

Journal

Folia Morphologica

Issue

Ahead of Print

Article type

Original article

Published online

2020-12-30

DOI

10.5603/FM.a2020.0153

Pubmed

33438185

Keywords

Triticeal cartilage
Computed tomography angiography
Thyrohyoid complex
Triticeal ossification

Authors

E. Emre
R. F. Akkoc
M. Ogeturk

References (12)
  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. Aoun G, Nasseh I. Calcified triticeous cartilage detected on digital panoramic radiographs in a sample of lebanese population. J Clin Imaging Sci. 2018; 8: 16.
  6. 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.
  7. Flynn W, Vickerton P. Anatomy, head and neck, larynx cartilage. StatPearls Publishing, Treasure Island (FL) 2020.
  8. Joshi MM, Joshi SD, Joshi SS. Prevalence and variations of cartilago triticea. Int J Anat Res. 2014; 2: 474–477.
  9. Mesa MM, Villarreal SM. Symptomatic presentation of calcified triticeal cartilage. Acta Otorrinolaringol Esp. 2009; 60(1): 75–76.
  10. Tamura T, Inui M, Nakase M, et al. Clinicostatistical study of carotid calcification on panoramic radiographs. Oral Dis. 2005; 11(5): 314–317.
  11. Vatansever A, Demiryürek D, Tatar I, et al. The triticeous cartilage - redefining of morphology, prevalence and function. Folia Morphol. 2018; 77(4): 758–763.
  12. Wilson I, Stevens J, Gnananandan J, et al. Triticeal cartilage: the forgotten cartilage. Surg Radiol Anat. 2017; 39(10): 1135–1141.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By  "Via Medica sp. z o.o." sp.k., Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl