Pau et al13 have also reported another surgical procedure for correction of mutational falsetto (puberphonia) via mobilizing hyoid and superior halves of thyroid cartilage to reduce cricothyroid distance by apposing hyoid to cricoid cartilage.
The inferior paraganglia, located near the lateral margin of the cricoid cartilage in the cricotracheal membrane, are associated with the recurrent laryngeal nerve (1, 3).
The first procedure in particular, is applied to glottic carcinomas where the preepiglottic space and epiglottis are spared, and reconstruction is done by suturing the cricoid cartilage to the epiglottis, hyoid bone, and tongue base: cricohyoidoepiglottopexy (CHEP).
(1) In the elderly--which for the purposes of this study we defined as those aged 65 years and older--the articulation begins eroding and the perichondrium becomes thicker, which affects the precise movement of the arytenoid cartilages over the cricoid cartilage and alters the position of the vocal folds during phonation.
The glottic structures include the true vocal folds, and the subglottis extends from just below the true vocal folds to the inferior border of the cricoid cartilage. (3) Supraglottic and glottic tumors are much more common than subglottic tumors.
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