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Three-dimensional imaging of the larynx for pre-operative planning of laryngeal framework surgery

  • Laryngology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Modern laryngeal framework surgery (LFS) requires an exact understanding of the laryngeal biomechanics and precise pre-operative planning, for which bi-planar imaging is not sufficient. The aim of the study was to test whether MIMICS®, a commercially available software package for three-dimensional (3D) rendering of high-resolution computerised tomography (HRCT), is suitable for 3D imaging of the larynx, analysis of laryngeal biomechanics and pre-operative planning. We examined four cadaver larynx and one patient larynx. In the five larynges, all relevant structures and landmarks could be 3D visualised. Superimposing of two HRCT scans shows that when the arytenoids move from ‘respiration’ to ‘phonation’, they perform a rotating, translating and tilting motion. Moreover, we could demonstrate that the vocal fold elongates by 7% with cricothyroid approximation. We conclude that MIMCS® is well suited for 3D imaging of the larynx, analysis of laryngeal biomechanics and pre-operative planning of LFS procedures.

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Acknowledgments

This study was financially supported by the Hippocrate Foundation, the Julia and Gottfried Bangerter-Rhyner Foundation and the Lichtenstein Foundation.

Conflict of interest statement

All authors declare that they do not have any conflicts of interest.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Head and Neck Surgery and Phoniatrics, University Hospital Basel, Petersgraben 4, 4031, Basel, Switzerland

    Claudio Storck, Claude Fischer, Olivia Haenni & Markus Wolfensberger

  2. Hightech Research Centre of Cranio-Maxillofacial Surgery, University Hospital of Basel, Schanzenstrasse 46, 4031, Basel, Switzerland

    Philipp Juergens

  3. Section of Neuroradiology, Department of Radiology, Medical University of Graz, Auenbruggerplatz 9, 8036, Graz, Austria

    Franz Ebner

  4. Section of Paediatric Radiology, Department of Radiology, Medical University Graz, Auenbruggerplatz 34, 8036, Graz, Austria

    Erich Sorantin

  5. Department of Phoniatrics, ENT University Hospital, Medical University Graz, Auenbruggerplatz 26, 8036, Graz, Austria

    Gerhard Friedrich & Markus Gugatschka

Authors
  1. Claudio Storck
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  2. Philipp Juergens
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  3. Claude Fischer
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  4. Olivia Haenni
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  5. Franz Ebner
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  6. Markus Wolfensberger
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  7. Erich Sorantin
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  8. Gerhard Friedrich
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  9. Markus Gugatschka
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Correspondence to Claudio Storck.

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Storck, C., Juergens, P., Fischer, C. et al. Three-dimensional imaging of the larynx for pre-operative planning of laryngeal framework surgery. Eur Arch Otorhinolaryngol 267, 557–563 (2010). https://doi.org/10.1007/s00405-009-1129-y

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  • DOI: https://doi.org/10.1007/s00405-009-1129-y

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