An: 2019, Nr.3, Articol Nr. 3
ANATOMICAL LANDMARKS USED TO IDENTIFY THE LARYNGEAL ARTERIES IN LARYNX SURGERY
Al.V. Breazu, R.G. Mihalcea - University of Medicine and Pharmacy „Carol Davila“ Bucharest, Doctoral School; Discipline of Anatomy
F.M. Filipoiu, C.M. Pantu, R. Stanciulescu, St. Oprea - University of Medicine and Pharmacy „Carol Davila“ Bucharest, Discipline of Anatomy
ANATOMICAL LANDMARKS USED TO IDENTIFY THE LARYNGEAL ARTERIES IN LARYNX SURGERY (Abstract): The importance of the anatomical landmarks for the identification of the larynx arterial supply, when we are talking about the laryngeal surgery, stays in the very first places. First of all, because more than one source of arterial bleeding in the neck region, will make the bleeding source difficult to be found, because of the small surgical field and the variety of the vessels that can be found here, situated in close relation one to each other. The landmarks for the identification of the arterial vessels that we used in this paper are chosen to ease the work of the surgeon if we are talking about open but also transoral laser microscopic surgery. The first successful laryngectomy was reported to be made in 1873 by Billroth (a member of the German medical school) and it has been reported, that during the laryngectomy there was considerable bleeding at the moment of the superior thyroid arteries where ligated. After a long time, now in present, we are dealing with severe bleeding, especially when we are talking about microscopic transoral suspended surgery with CO2 Laser resections of the tumoral processes located at the level of the larynx, only by the interception of the laser beam with the arteries located inside of the larynx, but also because of the small surgical field in the endoscopic surgery. The study aims to establish some landmarks to ease the surgeon’s work and also to help him to deal with the stressful bleeding situations.
Key words: LARYNX ARTERIAL BLOOD SUPPLY, LARYNGEAL SURGERY, ANATOMICAL LANDMARKSFull text