{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T13:12:51Z","timestamp":1780492371020,"version":"3.54.1"},"reference-count":13,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,4,17]],"date-time":"2021-04-17T00:00:00Z","timestamp":1618617600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The purpose of this study was to better understand the effects of stitch placement on arytenoid medialization by measuring normative cricoarytenoid joint anatomy and changes in arytenoid position when varying arytenopexy stitch configuration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This adult human larynx study was done in two parts. First, measurements of the cricoid and arytenoid cartilage anatomy relevant to cricoarytenoid joint function were made in 45 preserved larynges (26 male (M), 19 female (F)) using digital calipers. Second, the arytenoids of six fresh larynges ( three M, three F) were sutured to the cricoid using various arytenopexy\u2010stitch placements ranging from inferior\u2010lateral to superior\u2010medial, and the resulting arytenoid positions were compared by measuring medial displacement of the arytenoid body and change in glottal configuration from macro still images using Image J. Paired t\u2010tests were used to compare the results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Cartilage and joint facet dimensions showed differences between males (M) and females (F). Cricoid facet lengths averaged 9.3\u2009mm (M) and 7.1\u2009mm (F), and widths averaged 4.9\u2009mm (M) and 4.0\u2009mm (F). The arytenoid facet widths averaged 10.5\u2009mm (M) and 9.7\u2009mm (F). Average distances between cricoid facets were 11.8\u2009mm for both males and females. Securing the arytenoid superior\u2010medially on the cricoid facet produced more medialization (2.2\u2009mm vs 1.0\u2009mm, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) and better glottic aperture configuration (9.5\u00b0 vs 2.7\u00b0, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) than securing the arytenoid inferior\u2010laterally on the facet.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Anatomic consistency in cricoarytenoid anatomy provides reliable surgical landmarks for ideal placement of an arytenopexy suture to optimally reposition the arytenoid cartilage. Optimal arytenoid medialization can be accurately reproduced with an arytenopexy\u2010suture that is placed superior\u2010medially on the cricoid facet.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>NA <jats:italic>Laryngoscope<\/jats:italic>, 131:2540\u20132544, 2021<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.29578","type":"journal-article","created":{"date-parts":[[2021,4,17]],"date-time":"2021-04-17T14:00:41Z","timestamp":1618668041000},"page":"2540-2544","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Optimal Arytenoid Position in Laryngeal Framework Surgery: An Anatomic Human Larynx Study"],"prefix":"10.1002","volume":"131","author":[{"given":"Elizabeth S.","family":"Burckardt","sequence":"first","affiliation":[{"name":"Department of Surgery, Harvard Medical School, Center for Laryngeal Surgery and Voice Rehabilitation Massachusetts General Hospital  Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerardo","family":"Lopez\u2010Guerra","sequence":"additional","affiliation":[{"name":"Department of Surgery, Harvard Medical School, Center for Laryngeal Surgery and Voice Rehabilitation Massachusetts General Hospital  Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James B.","family":"Kobler","sequence":"additional","affiliation":[{"name":"Department of Surgery, Harvard Medical School, Center for Laryngeal Surgery and Voice Rehabilitation Massachusetts General Hospital  Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica A.","family":"Tynan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Harvard Medical School, Center for Laryngeal Surgery and Voice Rehabilitation Massachusetts General Hospital  Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert H.","family":"Petrillo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Harvard Medical School, Center for Laryngeal Surgery and Voice Rehabilitation Massachusetts General Hospital  Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarrad H.","family":"Van Stan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Harvard Medical School, Center for Laryngeal Surgery and Voice Rehabilitation Massachusetts General Hospital  Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0772-4429","authenticated-orcid":false,"given":"James A.","family":"Burns","sequence":"additional","affiliation":[{"name":"Department of Surgery, Harvard Medical School, Center for Laryngeal Surgery and Voice Rehabilitation Massachusetts General Hospital  Boston Massachusetts 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