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The intercarotid or alar fascia, other cervical fascias, and their adjacent spaces - a plea for clarification of cervical fascia and spaces terminology
G. Feigl, GP. Hammer, R. Litz, D. Kachlik
Language English Country Great Britain
Document type Journal Article
NLK
Free Medical Journals
from 1916 to 2 years ago
PubMed Central
from 1916 to 2 years ago
Europe PubMed Central
from 1916 to 2 years ago
Wiley Free Content
from 1997 to 2 years ago
PubMed
32080853
DOI
10.1111/joa.13175
Knihovny.cz E-resources
- MeSH
- Fascia anatomy & histology MeSH
- Neck anatomy & histology MeSH
- Humans MeSH
- Cadaver MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
Due to varying descriptions and terminology of fascias of the neck, medical advice relying on this basic knowledge is insufficient. Our goal was to provide a precise anatomical description of cervical fascias and spaces with special focus on the intercarotid fascia, or the alar fascia. One hundred bodies donated to science embalmed with Thiel's method were investigated, cervical fascias were dissected layer by layer, and the results were documented by photography, with a focus on the intercarotid fascia. In addition, we performed a review of recent literature concerning cervical surgical interventions, radiological diagnostic pathways, and basic anatomical works focusing on core information on anatomical relations of cervical fascias and spaces. In another 10 bodies donated to science, the spaces of the neck were injected with coloured latex under ultrasound guidance, dissected, and documented by photography. The intercarotid fascia was a constantly developed connective tissue interconnecting the carotid sheath of both sides. In 52 of 100 specimens (52%) it crossed to the opposite side without any fusion to the ventrally situated visceral fascia. Fusion with the visceral fascia was found in 48%, either at the lateral border of the pharynx or on its dorsal side. The results of our dissections strengthen the precise description of the cervical fascias provided by Grodinsky and Holyoke in 1938. Spaces can be confirmed as described by Hafferl in 1969. The international anatomical and ENT societies should codify a unified anatomical terminology of the cervical spaces and fascias to prevent varying interpretations in the future.
Department of Anatomy 2nd Faculty of Medicine Charles University Prague Czech Republic
Departments of Anaesthesiology Intensive Care and Pain Medicine Hessing Foundation Augsburg Germany
ENT University Hospital Graz Medical University of Graz Graz Austria
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