Abstract
References
- Joshi MM, Joshi SD, Joshi SS. Prevalence and variations of cartilago triticea. International Journal of Anatomy and Research 2014; 2:474–7.
- Carter LC. Discrimination between calcified triticeous cartilage and calcified carotid atheroma on panoramic radiography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90:108–10.
- Ahmad M, Madden R, Perez L. Triticeous cartilage: prevalence on panoramic radiographs and diagnostic criteria. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;99:225–30.
- Wilson I, Stevens J, Gnananandan J, Nabeebaccus A, Sandison A, Hunter A. Triticeal cartilage: the forgotten cartilage. Surg Radiol Anat 2017;39:1135–41.
- Syed AZ. Prevalence of carotid atheroma and its confounders on cone beam computed tomography. A dissertation submitted to the faculty of the University of North Carolina at Chapel Hill in partial fulfillment of the requirements for the Master of Science in Oral and Maxillofacial Radiology in the Department of Diagnostic Sciences at the School of Dentist. 2014; Chapel Hill. [Internet]. [Retrieved on June 10, 2020]. Available from: file:///C:/Users/ user/Downloads/6105.pdf
- Vatansever A, Demiryürek D, Tatar I, Özgen B. The triticeous cartilage-redefining of morphology, prevalence and function. Folia Morphol (Warsz) 2018;77:758–63.
- Di Nunno N, Lombardo S, Costantinides F, Di Nunno C. Anomalies and alterations of the hyoid-larynx complex in forensic radiographic studies. Am J Forensic Med Pathol 2004;25:14–19.
- Cohen SN, Friedlander AH, Jolly DA, Date L. Carotid calcification on panoramic radiographs: An important marker for vascular risks. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002; 94:510– 4.
- Mesa Marrero M, Villarreal Salcedo M. Symptomatic presentation of calcified triticeal cartilage. [Article in Spanish] Acta Otorrinolaringol Esp 2009;60:75–6.
- Tubbs RS, Dixon JF, Loukas M, Shoja MM, Cohen-Gadol AA. Relationship between the internal laryngeal nerve and the triticeal cartilage: a potentially unrecognized compression site during anterior cervical spine and carotid endarterectomy operations. Neurosurgery 2010;66(6 Suppl Operative):187–90.
- Ara A, Rahman MM, Ara ZG, Chowdhury Al, Begüm T, Chowdhury MR, Fazilatunnesa. The incidence of cartilago triticea in Bangladeshi cadaver. Community Based Medical Journal 2012;1:8–10.
- Alqahtani E, Marrero DE, Champion WL, Alawaji A, Kousoubris PD, Small JE. Triticeous cartilage CT imaging characteristics, prevalence, extent, and distribution of ossification. Otolaryngol Head Neck Surg 2016;154:131–7.
Abstract
Objectives: The triticeal cartilage can be misidentified as an atheromatous plaque in the common carotid artery in radiological images. It is very important to correctly define these two structures and distinguish from each other. The aim of this study, therefore, was to investigate the shape, length, width and the anatomical position of the triticeal cartilage to prevent the interpretation of its presence as an atheromaous plaque or any other pathology located in the neck.
Methods: This study was performed retrospectively on 200 CT images of adult patients (age≥20 years; 128 males, 72 females). The shape, size and localization of triticeal cartilage were examined and its prevalence was determined.
Results: Triticeal cartilage was not present in 63 cases. It was present unilaterally in 42 cases and bilaterally in 95. The cartilage was located at the C4 level most frequently. The triticeal cartilage was identified under 7 types as circle, double circle, oval, hook, ring, triangle and rod. Circle type was the most common. There was a statistically significant difference for the presence of ring type cartilage between males and females (p<0.05). Although the mean cartilage length and width were higher in males than females, this difference was not statistically significant (p>0.05).
Conclusion: The presence of the triticeal cartilage should be considered in the diagnosis of atheroma in carotid arteries. In order to distinguish the triticeal cartilage from other surrounding structures, the shape, level and size of the cartilage must be known.
References
- Joshi MM, Joshi SD, Joshi SS. Prevalence and variations of cartilago triticea. International Journal of Anatomy and Research 2014; 2:474–7.
- Carter LC. Discrimination between calcified triticeous cartilage and calcified carotid atheroma on panoramic radiography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90:108–10.
- Ahmad M, Madden R, Perez L. Triticeous cartilage: prevalence on panoramic radiographs and diagnostic criteria. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;99:225–30.
- Wilson I, Stevens J, Gnananandan J, Nabeebaccus A, Sandison A, Hunter A. Triticeal cartilage: the forgotten cartilage. Surg Radiol Anat 2017;39:1135–41.
- Syed AZ. Prevalence of carotid atheroma and its confounders on cone beam computed tomography. A dissertation submitted to the faculty of the University of North Carolina at Chapel Hill in partial fulfillment of the requirements for the Master of Science in Oral and Maxillofacial Radiology in the Department of Diagnostic Sciences at the School of Dentist. 2014; Chapel Hill. [Internet]. [Retrieved on June 10, 2020]. Available from: file:///C:/Users/ user/Downloads/6105.pdf
- Vatansever A, Demiryürek D, Tatar I, Özgen B. The triticeous cartilage-redefining of morphology, prevalence and function. Folia Morphol (Warsz) 2018;77:758–63.
- Di Nunno N, Lombardo S, Costantinides F, Di Nunno C. Anomalies and alterations of the hyoid-larynx complex in forensic radiographic studies. Am J Forensic Med Pathol 2004;25:14–19.
- Cohen SN, Friedlander AH, Jolly DA, Date L. Carotid calcification on panoramic radiographs: An important marker for vascular risks. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002; 94:510– 4.
- Mesa Marrero M, Villarreal Salcedo M. Symptomatic presentation of calcified triticeal cartilage. [Article in Spanish] Acta Otorrinolaringol Esp 2009;60:75–6.
- Tubbs RS, Dixon JF, Loukas M, Shoja MM, Cohen-Gadol AA. Relationship between the internal laryngeal nerve and the triticeal cartilage: a potentially unrecognized compression site during anterior cervical spine and carotid endarterectomy operations. Neurosurgery 2010;66(6 Suppl Operative):187–90.
- Ara A, Rahman MM, Ara ZG, Chowdhury Al, Begüm T, Chowdhury MR, Fazilatunnesa. The incidence of cartilago triticea in Bangladeshi cadaver. Community Based Medical Journal 2012;1:8–10.
- Alqahtani E, Marrero DE, Champion WL, Alawaji A, Kousoubris PD, Small JE. Triticeous cartilage CT imaging characteristics, prevalence, extent, and distribution of ossification. Otolaryngol Head Neck Surg 2016;154:131–7.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Articles |
| Authors | |
| Publication Date | August 31, 2020 |
| Published in Issue | Year 2020 Volume: 14 Issue: 2 |
Cite
Anatomy is the official journal of Turkish Society of Anatomy and Clinical Anatomy (TSACA).