Research Article| Volume 27, ISSUE 6, P778-785, November 2013

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Microcomputed Tomography Visualization of the Cricoarytenoid Joint Cavity in Cadavers

Published:September 30, 2013DOI:



      To visualize the cricoarytenoid joint (CAJ) cavity of the human cadaver and to correlate its appearance to the CAJ capsule.

      Study Design



      A total of 26 cadavers were used for microcomputed tomography arthrography, histology, and epoxy sheet plastination examinations.


      (1) The dimension of the CAJ cavity was much larger than the articular surfaces; (2) The posterior capsule of the CAJ was significantly strengthened, contained rich elastin fibers, and shared a common attachment with the posterior cricoarytenoid muscle; (3) The arytenoid cartilage was distanced from the cricoid cartilage at the superomedial aspect of the CAJ.


      This study demonstrates that the posterior fibrous capsule is the primary passive stabilizer of the CAJ and suggests that in addition to the gliding, rucking, and rotation, a visor-like jumping of the arytenoid cartilage on the cricoid cartilage may provide further adjustments in motions of the vocal fold. The finding of this study has implications for the biomechanics of the CAJ motion; the differential diagnosis of CAJ disorders, such as CAJ dislocation and subluxation; and surgical correction of the CAJ dysfunction.

      Key Words

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        • Frable M.A.
        Computation of motion at the cricoarytenoid joint.
        Arch Otolaryngol. 1961; 73: 551-556
        • Wang R.C.
        Three-dimensional analysis of cricoarytenoid joint motion.
        Laryngoscope. 1998; 108: 1-17
        • Sellars I.E.
        • Keen E.N.
        The anatomy and movements of the cricoarytenoid joint.
        Laryngoscope. 1978; 88: 667-674
        • Sellars I.
        • Sellars S.
        Cricoarytenoid joint structure and function.
        J Laryngol Otol. 1983; 97: 1027-1034
        • Neuman T.R.
        • Hengesteg A.
        • Lepage R.P.
        • Kaufman K.R.
        • Woodson G.E.
        Three-dimensional motion of the arytenoid adduction procedure in cadaver larynges.
        Ann Otol Rhinol Laryngol. 1994; 103: 265-270
        • Faaborg-Andersen K.
        • Edfeldt A.W.
        Electromyography of intrinsic and extrinsic laryngeal muscles during silent speech: correlation with reading activity.
        Acta Otolaryngol. 1958; 49: 478-482
        • Ardran G.M.
        • Kemp F.H.
        The mechanism of the larynx. I. The movements of the arytenoid and cricoid cartilages.
        Br J Radiol. 1966; 39: 641-654
        • Cerat J.
        • Charlin B.
        • Brazeau-Lamontagne L.
        • Mongeau C.J.
        Assessment of the cricoarytenoid joint: high-resolution CT scan study with histo-anatomical correlation.
        J Otolaryngol. 1988; 17: 65-67
        • Kasperbauer J.L.
        A biomechanical study of the human cricoarytenoid joint.
        Laryngoscope. 1998; 108: 1704-1711
        • Probst K.X.
        • Schon Ybarra M.A.
        • Kashima H.
        • Crosby R.W.
        Topography and interactions of the arytenoid and cricoid articular facets: implications for vocal process positional shifts.
        Clin Anat. 2004; 17: 206-213
        • Lamb K.J.
        • Lewthwaite J.C.
        • Bastow E.R.
        • Pitsillides A.A.
        Defining boundaries during joint cavity formation: going out on a limb.
        Int J Exp Pathol. 2003; 84: 55-67
        • Chen S.
        • Wang H.
        • Fong A.H.
        • Zhang M.
        Micro-CT visualization of the cricothyroid joint cavity in cadavers.
        Laryngoscope. 2012; 122: 614-621
        • Nash L.
        • Nicholson H.D.
        • Zhang M.
        Does the investing layer of the deep cervical fascia exist?.
        Anesthesiology. 2005; 103: 962-968
        • Casiano R.R.
        • Ruiz P.J.
        • Goldstein W.
        Histopathologic changes in the aging human cricoarytenoid joint.
        Laryngoscope. 1994; 104: 533-538
        • Paulsen F.P.
        • Jungmann K.
        • Tillmann B.N.
        The cricoarytenoid joint capsule and its relevance to endotracheal intubation.
        Anesth Analg. 2000; 90: 180-185
        • Reidenbach M.M.
        Topographical relations between the posterior cricothyroid ligament and the inferior laryngeal nerve.
        Clin Anat. 1995; 8: 327-333
        • von L.
        • Moore P.
        The mechanics of the cricoarytenoid joint.
        Arch Otolaryngol. 1961; 73: 541-550
        • Maue W.M.
        • Dickson D.R.
        Cartilages and ligaments of the adult human larynx.
        Arch Otolaryngol. 1971; 94: 432-439
        • England R.J.
        • Wilde A.D.
        • McIlwain J.C.
        The posterior cricoarytenoid ligaments and their relationship to the cadaveric position of the vocal cords.
        Clin Otolaryngol Allied Sci. 1996; 21: 425-428