DL + BIOPSI LARYNX

GUIDE MSCT SCAN LARYNG

 SPACES
• The paraglottic space and the preepiglottic space are
found between the mucosal surface and the
cartilaginous outer limit of the larynx.
• Keterangan gambar A : Supraglottic larynx (level of upper
thyroid cartilage)
C, carotid artery; E, epiglottis; J, jugular vein; PES, preepiglottic space.
• Keterangan gambar B :  Supraglottic larynx inferior to A
The paraglottic space (arrow) is filled with fat density. Arrowhead represents
the aryepiglottic fold. SCM, sternocleidomastoid muscle; T, thyroid cartilage

 
•  C, Just above the ventricle
(level of the false vocal fold) the
paraglottic space is filled with
fat (arrow) .
The upper arytenoid cartilage (A) is
visible
• D, At the true vocal fold level, the
thyroarytenoid muscle (TAM) fills
the paraglottic space. Arrowhead
represents the cricoarytenoid
joint. The upper margin of the
cricoid cartilage is visible
• E, At the subglottis, the
mucosa is tightly applied to
the inner surface of the
cricoid ring (C) without
intervening soft tissue.
Supraglottic Tumors.

•  A, Axial plane. Tumor (T)

of supraglottis/aryepiglottic
fold. N, metastatic node
• B, Axial plane, inferior
to A . The paraglottic
fat (arrow) is normal at
this level, situated
between tumor and the
level of the ventricle.
•  C, True vocal fold level is normal. D, Coronal. The inferior
margin (arrow) of the tumor separable from the level of the
ventricle and upper margin of the true vocal fold (arrowhead).
 Postcontrast CT scan shows transglottic tumor. The
lesion appeared to arise from the supraglottic larynx.

•  A, Axial image through the level of

the supraglottis. The tumor (T) fills
much of the paraglottic space at the
level of the supraglottis. Note the
normal fat (arrow) in the opposite
paraglottic space. Arrowhead
indicates thyroid cartilage.
• B, Axial image slightly inferior to A . Tumor (T) continues inferiorly. Note the air-
filled laryngeal appendix (arrow) in the paraglottic fat on the normal side. SCM,
sternocleidomastoid muscle
• C, Axial image level of the
ventricle/upper true vocal fold.
Tumor (T) fills the right side. On
the left there is a small amount
of normal fat (arrow) just lateral
to the thyroarytenoid muscle
(TAM). The cricoarytenoid
joint (arrowhead) is also an
indicator that the scan is
entering the true vocal fold
level.
• D, Axial image of true vocal fold
level. The tumor distorts the true
fold on the right. The normal
TAM (arrowheads) indicates the
level of the true vocal fold. A
small amount of residual normal
paraglottic fat (arrow) reaches
this level
•  E, Axial image at the level of the
upper subglottis.
The tumor (arrowhead) is seen
along the inner cortex of the cricoid
cartilage (C). 
• . F, Coronal reformatted image.
The tumor (T) fills the supraglottis
on the right and infiltrates the true
vocal fold (arrow), massively
increasing its size. The tumor
touches the cricoid (C) in the
subglottis. 
DIRECT LARYNGOSKOPI