By Stephanie Ryan FRCSI FFR(RCSI), Michelle McNicholas MRCPI FFR(RCSI) FRCR, Stephen J Eustace MB MSc(RadSci) MRCPI FFR(RCSI) FRCR FFSEM
This ebook offers a hugely illustrated account of standard anatomy for diagnostic imaging at a degree applicable for trainee radiologists. by means of integrating the descriptive anatomy with prime quality photographs in a single quantity, it's the excellent studying source for getting ready for examinations.High caliber photographs regarding anatomical drawings.Written on the right point for the examination.New co-authorMore and more advantageous mri imagesIncreased content material on musculosketal procedure
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Lateral views are the most useful as the larynx is not obscured by overlying bone. The air in the pharynx and larynx provides intrinsic contrast with the soft-tissue walls and mucosal folds (see Fig. 1. 38). On the lateral view, the hyoid bone and cartilages of the larynx are seen. The thyroid, cricoid and arytenoid cartilages are composed of hyaline cartilage and may calcify or undergo true ossification. Calcification is often irregular, but may be homogeneous with a dense cortex and lessdense medulla.
Cross-sectional anatomy of the larynx (Figs 1. 41 and 1. 42) Supraglottic level (Figs 1. 41a and 1. 42a) The larynx is anterior to the piriform sinuses, separated from them by the aryepiglottic folds. At a higher level, the thyroid cartilage and the hyoid bone, with its greater horns laterally, may be seen. The epiglottis, pharyngoepiglottic folds, valleculae and base of tongue may also be identified posterior to the hyoid bone. The sternocleidomastoid muscles are seen posterolaterally with the carotid and internal jugular vessels medial to them.
Anteriorly are seen the maxillary antra, with the nasal cavity between. Radiology of the pharynx (Figs 1. 34-1. 38) Plain films (Fig. 1. 38) Lateral views of the skull and neck demonstrate the softtissue outlines of the pharynx and lateral tomography gives improved separation of the soft-tissue planes. The posterior wall of the pharynx forms a soft-tissue shadow curving posteroinferiorly below the body of the sphenoid and anterior to the cervical vertebrae. This shadow thins as it passes down anterior to the upper cervical vertebrae, measuring 3 mm anterior to C4.