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Hyoid Bone (hyoid + bone)
Selected AbstractsHyoid position, pharyngeal airway and head posture in relation to relapse after the mandibular setback in skeletal Class IIIORTHODONTICS & CRANIOFACIAL RESEARCH, Issue 2 2000Gaoman Gu This study evaluates the process of relapse after mandibular setback surgery by an analysis of the role of craniofacial morphology, hyoid position, pharyngeal airway and head posture. Subjects examined were 62 patients who received the sagittal split ramus osteotomies (SSRO). Changes of the craniofacial and related structures were evaluated from the serial cephalograms up to 3 years after the surgery. Results indicated that mandibular relapse represented by Pg occurred mostly within 6 months after the surgery. A net setback of the mandible was 9.1 mm and the superior move was 1.7 mm, with a reduction of 7.2 mm in mandibular length, 4.2 mm in ramus height, 3.7 mm in posterior face height, 2.6° in gonial angle, an increase of 2.9° in mandibular plane angle (MPA) by the last examination. Hyoid bone moved backward and downward and head posture was raised. The forward relapse of Pg was correlated with the changes of ANB, MPA, ramus height and hyoid position. Only hyoid position was predictably correlated with mandibular morphology and head posture. These findings suggest that mandibular setback alters the relationship among the hyoid position, pharyngeal airway and the head posture. It might be critical, therefore, relapse is closely monitored and controlled before the full healing of fragments and new muscular balance is established. [source] Salvage laryngectomy and pharyngocutaneous fistulae after primary radiotherapy for head and neck cancer: A national survey from DAHANCAHEAD & NECK: JOURNAL FOR THE SCIENCES & SPECIALTIES OF THE HEAD AND NECK, Issue 9 2003Cai Grau MD, DMSc Objective. In 1998, the Danish Society for Head and Neck Oncology decided to conduct a nationwide survey at the five head and neck oncology centers with the aim of evaluating the surgical outcome of salvage laryngectomy after radiotherapy with special emphasis on identifying factors that could contribute to the development of pharyngocutaneous fistulae. Patients. A total of 472 consecutive patients undergoing postirradiation salvage laryngectomy in the period July 1, 1987,June 30, 1997 were recorded at the five head and neck oncology centers in Denmark. Age ranged from 36 to 84 years, median 63 years, 405 men and 67 women. Primary tumor site was glottic larynx (n = 242), supraglottic larynx (n = 149), other larynx (n = 45), pharynx (n = 27), and other (n = 9). All patients had received prior radiotherapy. Results. Median time between radiotherapy and laryngectomy was 10 months (range, 1,348 months). A total of 89 fistulae lasting at least 2 weeks were observed, corresponding to an overall average fistulae risk of 19%. The number of performed laryngectomies per year decreased linearly (from 58 to 37), whereas the annual number of fistulae increased slightly (from 7 to 11), which meant that the corresponding estimated fistulae risk increased significantly from 12% in 1987 to 30% in 1997. Other significant risk factors for fistulae in univariate analysis included younger patient age, primary advanced T and N stage, nonglottic primary site, resection of hyoid bone, high total radiation dose, and large radiation fields. Multiple logistic regression analysis of these parameters suggested that nonglottic tumor site, late laryngectomy period (1987,1992 vs 1993,1997), and advanced initial T stage were independent prognostic factors for fistulae risk. Surgical parameters like resection of thyroid/tongue base/trachea or radiotherapy parameters like overall treatment time or fractions per week did not influence fistulae risk. Conclusions. The risk of fistulae is especially high in patients initially treated with radiotherapy for nonglottic advanced stage tumors. A significant decrease in the number of performed salvage laryngectomies over the 10 years was seen. Over the same time period, the annual number of fistulae remained almost constant. The resulting more than doubling of fistulae rate could thus in part be explained by less surgical routine. © 2003 Wiley Periodicals, Inc. Head Neck 25: 711,716, 2003 [source] The relationship between craniofacial anatomy and obstructive sleep apnoea: a case-controlled studyJOURNAL OF SLEEP RESEARCH, Issue 3 2007AMA JOHAL Summary The aim of the study was to identify craniofacial and pharyngeal anatomical factors directly related to obstructive sleep apnoea (OSA). The design and setting was a hospital-based, case-controlled study. Ninety-nine subjects (78 males and 21 females) with a confirmed diagnosis of OSA, who were referred to the Dental Hospital for construction of a mandibular advancement splint were recruited. A similar number of control subjects, matched for age and sex, were recruited after completing snoring and Epworth Sleepiness Scale questionnaires to exclude habitual snoring and daytime sleepiness. An upright cephalogram was obtained and skeletal and soft tissue landmarks were traced and digitized. In OSA subjects the anteroposterior skeletal measurements, including maxillary and mandibular length were reduced (P < 0.001). The intermaxillary space was found to be 3.1 mm shorter in OSA subjects (P = 0.001). The nasopharyngeal airway in OSA subjects was narrower (P < 0.001) but pharyngeal length showed no difference. The tongue size was increased (P = 0.021), soft plate length, thickness and area were all greater (P < 0.001) and the hyoid bone was more inferiorly positioned in OSA subjects (P < 0.001). This study identifies a significant number of craniofacial and pharyngeal anatomical factors directly related to OSA. [source] Craniofacial cephalometric morphology in children with CATCH 22 syndromeORTHODONTICS & CRANIOFACIAL RESEARCH, Issue 4 2006A Heliövaara Structured abstract Authors ,, Heliövaara A, Hurmerinta K Objectives ,, To evaluate cephalometrically the craniofacial, pharyngeal and cervical morphology in children with CATCH 22, and to compare and quantify the findings with age- and sex-matched controls. Design ,, A retrospective case,control study. Setting and Sample Population , Forty-one children (20 girls) with CATCH 22 were compared with age- and sex-matched controls from lateral cephalograms taken at the mean age of 8.5 years (range 5.8,12.9). The deletion of 22q11 was verified by fluorescence in situ hybridization techniques. Thirteen of the children with CATCH 22 had palatal clefts. Outcome measure ,, Linear and angular measurements were obtained from lateral cephalograms. A Student's t -test and a paired Student's t -test were used in the statistical analysis. Standard deviation scores (SDS) were calculated to quantify the variation. Results ,, Children with CATCH 22 had obtuse cranial base angles and long anterior cranial bases. Their faces were long with increased facial convexity. The maxillae were long but both jaws were retrognathic and the lower jaws posteriorly diverged. The pharynges were wide in the nasopharyngeal area and narrow in the hypopharyngeal area. The development of the hyoid bones was delayed, and hyoid bone and atlas lengths were reduced. The morphology of the children with CATCH 22 with and without a palatal cleft was similar. Despite several statistically significant differences between the children with CATCH 22 and the controls, the SDS did not exceed ±2 for any of the measurements. Conclusion ,, Children with CATCH 22 have several minor distinctive morphological features in the craniofacial, pharyngeal, and cervical areas. [source] Determination of sex from the hyoid boneAMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY, Issue 2 2010Sarah C. Kindschuh Abstract This article explores size differences related to sex in the hyoid bones from the Robert J. Terry Anatomical Collection. A series of measurements were taken from 398 hyoids, both fused and unfused. The inclusion of unfused hyoids in the study provides the opportunity to investigate previously unknown size differences between sexes as well as to determine their utility in determining sex. Two-way ANOVA was used to explore differences in hyoid size as related to ancestry and sex. Discriminant function analysis was employed to test the ability of the hyoids to be classified by sex. Six discriminant function equations ranging in accuracy from 82% to 85% are provided, each of which is more accurate than many of the discriminant functions developed in past hyoid research, are simple to use, and can be used to estimate the sex of a hyoid regardless of its state of fusion. In addition to providing further information about the morphological form of the hyoid, these analyses provide a method that can be easily employed to assess sex of the individual from the hyoid bone. Am J Phys Anthropol 143:279,284, 2010. © 2010 Wiley-Liss, Inc. [source] Histological Characterization of the Thyroglossal Tract: Implications for Surgical Management,THE LARYNGOSCOPE, Issue 6 2001Rakesh K. Chandra MD Abstract Objectives In the current report, we characterized the relationship between the central hyoid bone and the thyroglossal tract and determined the prevalence of ectopic thyroid follicles in the adjacent soft tissues. Study Design Retrospective pathological analysis. Methods The resected specimens from 104 patients who underwent a modified Sistrunk procedure with wide-field dissection were retrospectively analyzed. Under light microscopy, serial sections were examined to determine whether the thyroglossal tract passed anterior to, posterior to, or within the hyoid bone. Specimens were also examined for the presence of thyroid follicles in the periductal and pericystic soft tissues. Results In 50 cases (48%), the tract position in relation to the hyoid bone could not be identified secondary to extensive arborization, marked inflammation, specimen fragmentation or a combination of these. Thyroid follicles were observed in 9 (18%) of these specimens. In the remaining 54 cases (52%) the tract was located anterior to the central arch of the hyoid bone in 39 (72%) and posterior to it in 15 (28%). Thyroid tissue was observed in 46% of specimens (P = .004), regardless of whether the tract was anterior or posterior. Conclusions These results demonstrate that tract position often cannot be defined, but when a portion is dominant, it is likely to be anterior to the hyoid bone. Ectopic thyroid tissue can be found in almost 50% of specimens when the tract position is identifiable. With appropriate surgical management, a recurrence rate of less than 4% can be expected, despite the presence of ductule multiplicity, marked inflammation, tract position posterior to the hyoid bone, and ectopic thyroid follicles. [source] Obstructive Sleep Apnea Syndrome: A Comparison Between Far-East Asian and White MenTHE LARYNGOSCOPE, Issue 10 2000Kasey K. Li MD Abstract Objectives To investigate the possible differences between Far-East Asian men and white men in obstructive sleep apnea syndrome (OSAS). Study Design Prospective nonrandomized controlled study. Methods This study compared consecutive Far-East Asian men with OSAS (n = 50) with two selected groups of White men with OSAS (n = 50 in each group). One group of white men was controlled for age, respiratory disturbance index (RDI), and minimum oxygenation saturation (LSAT). Another group was controlled for age and body mass index (BMI). Cephalometric analysis was performed on all subjects. Results The majority of the Far-East Asian men were found to be nonobese (mean BMI, 26.7 ± 3.8) but had severe OSAS (mean RDI, 55.1 ± 35.1). When controlled for age, RDI, and LSAT, the white men were substantially more obese (mean BMI, 29.7 ± 5.8, P = .0055). When controlled for age and BMI, the white men had less severe illness (RDI, 34.1 ± 17.9, P = .0001). Although the posterior airway space and the distance from the mandibular plane to hyoid bone were less abnormal in the Far-East Asian men, the cranial base dimensions were significantly decreased. Conclusions The majority of the Far-East Asian men in this study were found to be nonobese, despite the presence of severe OSAS. When compared with white men, Far-East Asian men were less obese but had greater severity of OSAS. There may be differences in obesity and craniofacial anatomy as risk factors in these two groups. [source] Role of Laryngeal Movement and Effect of Aging on Swallowing Pressure in the Pharynx and Upper Esophageal Sphincter,THE LARYNGOSCOPE, Issue 3 2000Masato Yokoyama MD Abstract Objectives Describe contribution of laryngeal movement to pressure changes at the upper esophageal sphincter (UES) and the effect of aging on the swallowing function. Study Design Manofluorography on 56 nondysphagic adults divided into three age groups: the 21- to 31-year-old group (n = 32), the 61- to 74-year-old group (n = 12) and the 75- to 89-year-old group (n = 12). Analyses of the bolus transit time, the amplitudes and durations of pharyngeal pressures, the timing of a pressure fall at the UES and the laryngeal movements. Methods Intraluminal strain-gauge sensors recorded pressure changes in the oropharynx, hypopharynx and the UES. Motion pictures of the videotapes were fed into a personal computer, and movements of the hyoid bone were measured in both the horizontal and vertical directions as an indication of laryngeal movement. Results In 26- and 70-year-old men with calcification of the thyroid cartilage, it was determined that the larynx and hyoid bone moved in consonance until the end of the rapid hyoid movements in both the superior and anterior directions. In the 21- to 31-year-old group, the magnitude of the pressure fall at the UES was maximal before or almost at the same time as the bolus arrival, in preparation for smooth passage of the bolus from the pharynx to the esophagus. The rapid superior movements of the hyoid bone started significantly early as compared with its anterior movements (P = .0001). The rapid anterior movements of the hyoid bone started simultaneously with the pressure fall at the UES. In the elderly, all segmental transit times were significantly increased. The timing of the pressure fall at the UES was significantly delayed and the UES pressure reached its minimum value after arrival of the bolus at the UES. The minimum pressure at the UES increased to a significantly positive value. The rapid anterior movements of the hyoid were significantly delayed, suggesting that this delay causes the delay in the pressure fall at the UES. Conclusions The rapid superior and anterior movements of the hyoid bone are considered to start at the same time as those of the larynx. In the young group, it is suggested that superior laryngeal movement protects the lower airway prior to the anterior laryngeal movement, causing the pressure fall at the UES to enable the passage of a bolus into the UES. In the elderly, smooth passage of the bolus from the pharynx to the esophagus is hindered and the system that prevents aspiration is rendered inefficient by changes in the swallowing pressures and laryngeal movements with aging. [source] Blood Supply in the Tongue of Nellore Bos indicus (Linnaeus, 1758)ANATOMIA, HISTOLOGIA, EMBRYOLOGIA, Issue 2 2009J. R. Ferreira Summary Aspects of the vascularization of the tongue of Nellore Bos indicus (Linnaeus, 1758) were evaluated through the vascular injection technique (with latex-type Neoprene 450, Du Pont do Brasil S.A. and Sulvinil coloring, Glassurit), fixed in formaldehyde at 7% and dissected with magnifying glass. The material was collected at Goiás Carnes Freezer Warehouse in Goiania, Goias. It was found that the deep lingual artery penetrated the lower lateral region of the prominence of the dorsal area of the tongue, advancing rostrally between the hyoid bone and the hypoglossal muscle. In the intravisceral initial third, the artery represents the deep, sinuous continuation branch of the lingual artery, in which path the sublingual artery was stressed in the ventral plan. Then, the artery deepened in the interior of the hypoglossal muscles and genioglossal, supplying dorsal branches (from three to nine) for the lingual torus; from one to five dorsal collateral branches for the lingual cavity; and one or two ventral collateral branches. At the lingual apex, the artery undergoes bifurcation supplying collateral, dorsal and ventral branches with anastomoses between the parallel vessels in the same antimere and between branches of lower caliber hierarchy between opposite antemeres. The large presence of microvessels indicates a significant blood supply to the organ. These results, in comparison with those found in literature, suggest a peculiar vascular pattern for this cattle breed of Indian origin. [source] Surgically important variations of the jugular veinsCLINICAL ANATOMY, Issue 6 2006B. Satheesha Nayak Abstract Knowledge of variations of veins of head and neck in relation to external jugular, anterior jugular, internal jugular, and facial veins is important to surgeons doing head and neck surgery as well as to radiologists doing catheterization and to clinicians in general. In the current case, multiple variations in the veins of the left side of neck are reported. The anterior division of retromandibular vein was absent. The facial vein continued as anterior jugular vein. The internal jugular vein was duplicated above the level of hyoid bone. There was a large communicating vein between the anterior jugular vein and anterior division of internal jugular vein. Lingual vein drained into the communicating vein. Jugular venous arch was abnormally large, doubled, and highly placed. The veins of the right side were normal. Clin. Anat. 19:544,546, 2006. © 2005 Wiley-Liss, Inc. [source] Craniofacial cephalometric morphology in children with CATCH 22 syndromeORTHODONTICS & CRANIOFACIAL RESEARCH, Issue 4 2006A Heliövaara Structured abstract Authors ,, Heliövaara A, Hurmerinta K Objectives ,, To evaluate cephalometrically the craniofacial, pharyngeal and cervical morphology in children with CATCH 22, and to compare and quantify the findings with age- and sex-matched controls. Design ,, A retrospective case,control study. Setting and Sample Population , Forty-one children (20 girls) with CATCH 22 were compared with age- and sex-matched controls from lateral cephalograms taken at the mean age of 8.5 years (range 5.8,12.9). The deletion of 22q11 was verified by fluorescence in situ hybridization techniques. Thirteen of the children with CATCH 22 had palatal clefts. Outcome measure ,, Linear and angular measurements were obtained from lateral cephalograms. A Student's t -test and a paired Student's t -test were used in the statistical analysis. Standard deviation scores (SDS) were calculated to quantify the variation. Results ,, Children with CATCH 22 had obtuse cranial base angles and long anterior cranial bases. Their faces were long with increased facial convexity. The maxillae were long but both jaws were retrognathic and the lower jaws posteriorly diverged. The pharynges were wide in the nasopharyngeal area and narrow in the hypopharyngeal area. The development of the hyoid bones was delayed, and hyoid bone and atlas lengths were reduced. The morphology of the children with CATCH 22 with and without a palatal cleft was similar. Despite several statistically significant differences between the children with CATCH 22 and the controls, the SDS did not exceed ±2 for any of the measurements. Conclusion ,, Children with CATCH 22 have several minor distinctive morphological features in the craniofacial, pharyngeal, and cervical areas. [source] Determination of sex from the hyoid boneAMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY, Issue 2 2010Sarah C. Kindschuh Abstract This article explores size differences related to sex in the hyoid bones from the Robert J. Terry Anatomical Collection. A series of measurements were taken from 398 hyoids, both fused and unfused. The inclusion of unfused hyoids in the study provides the opportunity to investigate previously unknown size differences between sexes as well as to determine their utility in determining sex. Two-way ANOVA was used to explore differences in hyoid size as related to ancestry and sex. Discriminant function analysis was employed to test the ability of the hyoids to be classified by sex. Six discriminant function equations ranging in accuracy from 82% to 85% are provided, each of which is more accurate than many of the discriminant functions developed in past hyoid research, are simple to use, and can be used to estimate the sex of a hyoid regardless of its state of fusion. In addition to providing further information about the morphological form of the hyoid, these analyses provide a method that can be easily employed to assess sex of the individual from the hyoid bone. Am J Phys Anthropol 143:279,284, 2010. © 2010 Wiley-Liss, Inc. [source] CT and Cross-sectional Anatomy of the Normal Head of the Loggerhead Sea Turtle (Caretta caretta)ANATOMIA, HISTOLOGIA, EMBRYOLOGIA, Issue 2005A. Arencibia The objective of this study is to describe the CT anatomy of the normal loggerhead sea turtle (Caretta caretta) head using three loggerhead sea turtle heads. CT imaging was performed using the following parameters: K.v.: 120 mAs: 220, and a soft-tissue window (WW 1880, WL 465): Transverse and sagittal CT images were obtained. Detailed anatomy of the head was acquired with the sagittal and transverse series. The heads were frozen and then sectioned using an electric saw, to compare them with the CT images. In CT, the grey scale is directly related to the radiation attenuation of the head structures. The skull and hyoid bones, and the lower jaw were easily identifiable due to the high CT density image compared to adjacent or surrounding structures such as the respiratory system, oral cavity, oesophagus and cranial cavity that appeared as a low opacity. The nervous structures, salt gland, eyeball, ramphoteca structure and different muscles of the head had an intermediate CT density and appeared grey. CT images of the loggerhead sea turtle head provided excellent detail of clinically relevant anatomy and correlated well with corresponding gross specimens. CT of the head has considerable advantages over other techniques: CT provides excellent spatial resolution and good discrimination between bone and soft tissue, and the structures are viewed without superimposition. The planimetric or sectional anatomy of the head allows a correct morphologic and topographic evaluation of the anatomic structures, which is a useful tool for the identification of the CT images. With developing technology, CT imaging may soon become more readily available for exotic animals imaging. In the same way, we consider it quite useful to be able to establish some references on head, in order to scan only selected parts during a clinical or experimental approach. The information presented in this communication should serve as an initial reference to evaluate CT images of the loggerhead sea turtle head and to assist interpretation of lesions of this region. [source] | |||||||||||||